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正常和病理条件下人类的脊髓振荡器。

Spinal oscillators in man under normal and pathologic conditions.

作者信息

Schalow G

机构信息

Institute of Pathology, University of Greifswald, Germany.

出版信息

Electromyogr Clin Neurophysiol. 1993 Oct-Nov;33(7):409-26.

PMID:8261982
Abstract
  1. Single-fibre action potentials (APs) were recorded from lower sacral nerve roots of brain-dead humans (HTs) and two paraplegics with thoracical spinal cord lesions. Impulse patterns of single oscillatory firing alpha 2 and alpha 3-motoneurons were identified and analysed. An alpha 2-motoneuron fired typically with 3 AP impulse trains every 160 msec. 2. In stable spinal oscillators of HTs the oscillation period was 70 msec plus 30 msec times the number of APs per impulse train; the respective values in paraplegics were 35 msec plus 40 msec times the number of APs per impulse train. These linear relationships indicate that spinal oscillators consist of at least 2 kinds of nerve cells. 3. Successive interspike intervals (IIs) of the impulse trains increased from about 3.5 msec to over 10 msec in paraplegics similarly as was the case in HTs. 4. The distributions of the first IIs (of impulse trains) and of the oscillation period of unstable continuously oscillatory firing alpha 2-motoneuron showed similar peaks. By relating the peak values of the first II and the oscillation period, a shortest II of 3.5 msec was obtained in a HT and a paraplegic, and a shortest oscillation period of 70 msec was measured in a HT and 40 msec in a paraplegic. The derivation of the shortest II of 3.5 msec from the oscillation itself is taken as an indication for alpha 2-motoneurons being included in the spinal oscillator function, since the shortest soma-dendritic spike intervals of motoneurons is expected to be 3.5 msec. 5. The spinal oscillator of a paraplegic showed more and higher activity changes than that in a HT as if spinal oscillators in paraplegics were insufficiently damped. 6. By interpreting the peaks in oscillation period distributions of unstable oscillators as being different oscillation loop pathways, it is speculated that the oscillators consist of the motoneuron, to which different interneuron pathways are connected. A contrasting of pathways with increasing excitation of the oscillator was observed. 7. The comparison of possible loop pathways of oscillation between paraplegics and HTs (closer to normal) indicates that the loss of descending tracts in paraplegics and the adaptation to it result in an increase of the oscillation pathways for alpha 2-oscillators from 1 to 3 in HTs to up to 6 in paraplegics. 8. Different measured and theoretically predictable spinal alpha 2-oscillators can cover altogether a frequency range between 5 and 10 Hz.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 从脑死亡人类(HTs)的骶神经下部神经根以及两名患有胸段脊髓损伤的截瘫患者身上记录单纤维动作电位(APs)。识别并分析了单个振荡性放电的α2和α3运动神经元的冲动模式。α2运动神经元通常每160毫秒发放3个动作电位冲动序列。

  2. 在HTs的稳定脊髓振荡器中,振荡周期为70毫秒加上30毫秒乘以每个冲动序列中的动作电位数量;截瘫患者的相应值为35毫秒加上40毫秒乘以每个冲动序列中的动作电位数量。这些线性关系表明脊髓振荡器至少由两种神经细胞组成。

  3. 截瘫患者冲动序列的连续峰间间期(IIs)从约3.5毫秒增加到超过10毫秒,与HTs的情况类似。

  4. 不稳定持续振荡性放电的α2运动神经元的第一个峰间间期(冲动序列的)和振荡周期的分布显示出相似的峰值。通过关联第一个峰间间期和振荡周期的峰值,在一名HTs患者和一名截瘫患者中获得了最短峰间间期为3.5毫秒,在一名HTs患者中测量到最短振荡周期为70毫秒,在一名截瘫患者中为40毫秒。从振荡本身得出最短峰间间期为3.5毫秒这一结果被视为α2运动神经元参与脊髓振荡器功能的一个指标,因为运动神经元的最短胞体 - 树突棘间期预计为3.5毫秒。

  5. 截瘫患者的脊髓振荡器显示出比HTs患者更多且更高的活动变化,就好像截瘫患者的脊髓振荡器阻尼不足。

  6. 通过将不稳定振荡器振荡周期分布中的峰值解释为不同的振荡回路途径,可以推测振荡器由运动神经元组成,不同的中间神经元途径与之相连。观察到随着振荡器兴奋增加,途径存在差异。

  7. 截瘫患者与更接近正常的HTs患者之间振荡可能回路途径的比较表明,截瘫患者下行束的丧失及其适应导致α2振荡器的振荡途径从HTs患者的1条增加到最多6条。

  8. 不同测量和理论预测的脊髓α2振荡器总共可以覆盖5至10赫兹的频率范围。(摘要截断于400字)

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