Gatev V, Angelova B, Litvinenko I
Eksp Med Morfol. 1993;31(1-2):7-16.
The upper extremity H-reflex was investigated in healthy children, aged from 3 to 15 months. The electromyographic reflex responses of m. abduct or digiti min. and m. flexor carpi uln. were registered after electric stimulation of n. ulnaris. We constructed the curve of restoration of H-reflex after application of a couple of stimuli with equal duration and intensity, but over increasing intervals. We established changes in the excitation of H-reflex, obtained from m. flexor carpi uln., by increasing of the interval between the conditional and test stimuli. In the interval of 5 ms maximal facilitation was registered, while in the interval of 20 and 30 ms-maximal inhibition. In children aged from 3 to 9 months with persisting H-reflex in m. abductor digit min. we established possibility for its complete inhibition after application of a couple of stimuli with interval of 20 ms. In children aged from 9 to 15 months with vanished H-reflex in m. abductor digiti min. possibility for its obtaining was established after application of a couple of stimuli with interval of 5 ms. Quotation is made of evidences in favour of the hypothesis for the functional character of the disappearance of H-reflex in the small muscles of the arm in the first year of life of the children.
对3至15个月大的健康儿童的上肢H反射进行了研究。在尺神经电刺激后,记录小指展肌和尺侧腕屈肌的肌电图反射反应。我们绘制了在施加持续时间和强度相等但间隔不断增加的一对刺激后H反射的恢复曲线。通过增加条件刺激和测试刺激之间的间隔,我们确定了从尺侧腕屈肌获得的H反射兴奋性的变化。在5毫秒的间隔内记录到最大易化,而在20和30毫秒的间隔内记录到最大抑制。在3至9个月大的儿童中,小指展肌持续存在H反射,我们确定在施加间隔为20毫秒的一对刺激后,有可能完全抑制该反射。在9至15个月大的儿童中,小指展肌的H反射消失,在施加间隔为5毫秒的一对刺激后,确定有可能获得该反射。引用了支持儿童出生后第一年手臂小肌肉中H反射消失具有功能特性这一假设的证据。