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自我神经再支配肌肉中的运动单位募集

Motor-unit recruitment in self-reinnervated muscle.

作者信息

Cope T C, Clark B D

机构信息

Department of Physiology and Biophysics, Hahnemann University, Philadelphia, PA 19102.

出版信息

J Neurophysiol. 1993 Nov;70(5):1787-96. doi: 10.1152/jn.1993.70.5.1787.

Abstract
  1. Recruitment order of motor units in self-reinnervated medial gastrocnemius (MG) muscles was studied in decerebrate cats 16 mo after surgical reunion of the cut MG nerve. Pairs of MG motor units were isolated by dual microelectrode penetration of ventral roots to measure their recruitment sequence during cutaneous reflexes in relation to their physiological properties. 2. Physiological properties of reconstituted motor units appeared normal, as expected. Also normal were the relationships among these properties: twitch and tetanic tension tended to increase with axonal conduction velocity and decrease with twitch contraction time. A small fraction of motor units (10/116) in reinnervated muscles produced either no measurable tension or unusually large amounts of tension compared with controls. This was the only distinct feature of the sample of reconstituted units. 3. In muscles reinnervated after nerve section, stretch was notably ineffective in eliciting reflex contraction of MG muscles or their constituent motor units (only 5/116 units). Incomplete recovery from nerve section was probably the cause of this impairment, because stretch reflexes were readily evoked in adjacent untreated muscles and in one reinnervated MG muscle that was studied 16 mo after nerve crush. In contrast with the ineffectiveness of muscle stretch, sural nerve stimulation succeeded in recruiting 49/116 units, a proportion fairly typical of normal MG muscles. 4. The contractions of the first unit recruited in cutaneous reflexes tended to be slower and less forceful than those of the other unit in a pair. By these measures, recruitment obeyed the size principle. This recruitment order with respect to unit contractile properties was not significantly different (P > 0.05) between untreated and reinnervated muscles but was significantly (P < 0.005) different from random order in both groups. The same recruitment pattern was observed for pairs of motor units sampled from the muscle reinnervated after nerve crush, whether units were recruited by muscle stretch or sural nerve stimulation. 5. The usual tendency for motor units with slower conduction velocity (CV) to be recruited in sural nerve reflexes before those with faster CV was not strong in reinnervated muscles. After nerve section the proportion of units exhibiting the usual recruitment pattern was not significantly different (P > 0.05) from a random pattern for CV. 6. The central finding is that the normal recruitment patterns recover from nerve injury in a muscle that is reinnervated by its original nerve. By contrast, stretch reflexes do not recover well from nerve section, and this deficiency may contribute to motor disability.
摘要
  1. 在切断的内侧腓肠肌(MG)神经手术吻合16个月后的去大脑猫中,研究了自身再支配的MG肌肉中运动单位的募集顺序。通过腹根的双微电极穿刺分离出成对的MG运动单位,以测量它们在皮肤反射期间与其生理特性相关的募集顺序。2. 如预期的那样,重组运动单位的生理特性看起来正常。这些特性之间的关系也正常:抽搐和强直张力倾向于随着轴突传导速度增加而增加,随着抽搐收缩时间减少而减少。与对照组相比,再支配肌肉中的一小部分运动单位(10/116)要么没有可测量的张力,要么产生异常大量的张力。这是重组单位样本的唯一明显特征。3. 在神经切断后再支配的肌肉中,伸展在引发MG肌肉或其组成运动单位的反射性收缩方面明显无效(仅5/116个单位)。神经切断后恢复不完全可能是这种损伤的原因,因为在相邻未处理的肌肉以及在神经挤压16个月后研究的一块再支配的MG肌肉中,很容易诱发伸展反射。与肌肉伸展的无效性相反,腓肠神经刺激成功募集了49/116个单位,这一比例在正常MG肌肉中相当典型。4. 在皮肤反射中首先募集的单位的收缩往往比一对中的另一个单位更慢且力量更小。通过这些测量,募集遵循大小原则。在未处理和再支配的肌肉之间,关于单位收缩特性的这种募集顺序没有显著差异(P>0.05),但在两组中与随机顺序有显著差异(P<0.005)。对于从神经挤压后再支配的肌肉中采样的成对运动单位,无论单位是通过肌肉伸展还是腓肠神经刺激募集,都观察到相同的募集模式。5. 在再支配的肌肉中,传导速度(CV)较慢的运动单位在腓肠神经反射中先于CV较快的单位被募集的通常趋势并不强烈。神经切断后,表现出通常募集模式的单位比例与CV的随机模式没有显著差异(P>0.05)。6. 核心发现是,在由其原始神经再支配的肌肉中,正常的募集模式从神经损伤中恢复。相比之下,伸展反射从神经切断后恢复不佳,这种缺陷可能导致运动功能障碍。

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