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降低人类肱二头肌脊髓牵张反射幅度。

Reducing human biceps brachii spinal stretch reflex magnitude.

作者信息

Wolf S L, Segal R L

机构信息

Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia 30322, USA.

出版信息

J Neurophysiol. 1996 Apr;75(4):1637-46. doi: 10.1152/jn.1996.75.4.1637.

Abstract
  1. Nine subjects received 6 baseline and 24 training sessions, each consisting of 250 elbow joint stretch perturbations into extension. The training sessions were designed to reduce the subjects' biceps brachii spinal stretch reflexes (SSR). Changes in longer-latency responses and short-latency brachioradialis responses were also monitored. Background electromyogram activity was recorded from the lateral head of triceps brachii during the biceps sampling intervals. These data were compared with those form 12 control subjects who received equal numbers of stretches over an extended baseline (i.e., without application of a training paradigm). 2. Training subjects reduced their mean biceps SSR responses by 24%, whereas control subjects increased their responses by 12% When changes in activity were grouped by sets of six consecutive sessions following the baseline interval, group-by-time interaction was observed. Training subjects showed significant reductions from baseline after the first raining set. The increased magnitude of biceps SSR for control subjects was significantly larger than baseline in sets 2-5. After the first training interval, all subsequent differences between groups were statistically significant. 3. The brachioradialis showed greater response variability, but these responses paralleled those seen in biceps brachii. The training group reduced their brachioradialis responses by 18%, whereas the control group increased their responses by 12%. Background activity recorded over the lateral head of triceps brachii during the biceps brachii SSR window became smaller in both groups. 4. Comparison of data between control subjects and subjects who had undergone biceps SSR up-training in previous studies suggests that the small increase seen among the present control subjects was probably not the result of a direct training effect. 5. Baseline differences in longer-latency response onset time were seen between groups. Over extended baseline sessions, longer-latency responses showed only a 1% onset, representing a change of 0.3 ms, in the control group. A 1.3% later onset, equaling a change of 1.1 ms, was observed over conditioning sessions in the training group. When analyzed by sets following baseline, neither group showed significant within- or between-group changes over time. 6. The magnitude of the longer-latency biceps brachii response showed 7% and 37% reductions for the control and training groups, respectively. No difference in set averages was seen within groups, but a significant difference was measured over sets 2-4 between groups. Reductions in the magnitude of longer-latency responses in training subjects were more obvious in later training sessions. 7. These data suggest that 1) the biceps brachii SSR can be reduced in human subjects; 2) concurrent changes are often observed in the synergist brachioradialis; and 3) the reduced biceps SSR magnitude is not linked to a compensatory increase in antagonist muscle activity. Reductions in the magnitude of longer-latency biceps brachii activity seen in parallel with the decreased SSR may imply that some degree of supraspinal processing is required to achieve this task.
摘要
  1. 九名受试者接受了6次基线测试和24次训练课程,每次训练课程包括250次使肘关节伸展的拉伸扰动。训练课程旨在降低受试者肱二头肌的脊髓牵张反射(SSR)。还监测了长潜伏期反应和短潜伏期肱桡肌反应的变化。在肱二头肌采样间隔期间,从肱三头肌外侧头记录背景肌电图活动。将这些数据与12名对照受试者的数据进行比较,这些对照受试者在延长的基线期(即不应用训练范式)接受了相同次数的拉伸。2. 训练组受试者的肱二头肌SSR平均反应降低了24%,而对照组受试者的反应增加了12%。当在基线期后的连续六个训练课程组中对活动变化进行分组时,观察到组间与时间的交互作用。训练组受试者在第一次训练组后与基线相比有显著降低。对照组受试者肱二头肌SSR增加的幅度在第2 - 5组中显著大于基线。在第一个训练间隔后,所有后续组间差异均具有统计学意义。3. 肱桡肌表现出更大的反应变异性,但这些反应与肱二头肌的反应相似。训练组将其肱桡肌反应降低了18%,而对照组将其反应增加了12%。在肱二头肌SSR窗口期间,两组中肱三头肌外侧头记录的背景活动都变小了。4. 将对照受试者与先前研究中接受过肱二头肌SSR强化训练的受试者的数据进行比较表明,当前对照组受试者中观察到的小幅度增加可能不是直接训练效应的结果。5. 两组在长潜伏期反应起始时间的基线差异可见。在延长的基线测试期间,对照组中长潜伏期反应仅出现1%的起始变化,相当于0.3毫秒的变化。在训练组的条件反射测试期间观察到1.3%的延迟起始,相当于1.1毫秒的变化。当按基线后的组进行分析时,两组在组内或组间随时间均未显示出显著变化。6. 长潜伏期肱二头肌反应的幅度在对照组和训练组中分别降低了7%和37%。组内各训练组平均值无差异,但在第2 - 4组间测量到显著差异。训练组受试者长潜伏期反应幅度的降低在后期训练课程中更为明显。7. 这些数据表明:1)人类受试者的肱二头肌SSR可以降低;2)通常在协同肌肱桡肌中观察到同时发生的变化;3)肱二头肌SSR幅度的降低与拮抗肌活动的代偿性增加无关。与SSR降低同时出现的长潜伏期肱二头肌活动幅度的降低可能意味着需要一定程度的脊髓上处理来完成这项任务。

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