Corna S, Galante M, Grasso M, Nardone A, Schieppati M
Posture and Movement Laboratory, Salvatore Maugeri Foundation, IRCCS, Veruno, Italy.
Exp Brain Res. 1996 Apr;109(1):83-91. doi: 10.1007/BF00228629.
During upright stance, foot dorsiflexion induced by the movement of a supporting platform elicits a short- (SLR) and a medium-latency response (MLR) in both the soleus and the flexor digitorum brevis muscles; foot plantarflexion elicits a MLR in the tibialis anterior. The SLR is the counterpart of the stretch reflex, but no general agreement exists about the origin of the MLR, though recent results suggest that it is transmitted through group II afferent fibres. Animal studies have shown that group II fibres impinge on interneurones projecting contralaterally as well as ipsilaterally, whereas group I fibres impinge on interneurones which project mainly ipsilaterally. Therefore, we compared the changes in amplitude and latency of the SLRs and MLRs in the right and left limb during postural perturbations induced while subjects maintained both feet on the platform (both-on condition) or while they maintained only one foot on the platform and the other on firm ground (one-on condition). Under the both-on condition, the pattern of EMG responses described above occurred bilaterally. Under the one-on condition, both SLRs and MLRs occurred in the displaced leg. However, whereas the SLRs did not change in amplitude compared with the both-on condition, the MLRs decreased in amplitude to about 50%. MLRs were also present in the non-displaced leg. They were not preceded by any SLR but showed a further decrease in size with respect to the corresponding responses in the perturbed leg. Latency of the MLRs of the perturbed leg increased by about 5 ms passing from the both-on to the one-on condition. In the latter condition, a further increase of 5 ms was observed in the nonperturbed leg with respect to the displaced one. The occurrence of the MLRs but not of the SLRs in the contralateral non-displaced leg is in keeping with the notion that crossed neural pathways fed by spindle group II afferent fibres subserve the MLRs. The changes in latency of the MLRs under the one-on condition compared with both-on give a cue about the synaptic delays along the neural circuit and the time taken by the afferent impulses to cross the spinal cord.
在直立姿势下,支撑平台的移动所诱发的足背屈会在比目鱼肌和趾短屈肌中引发一个短潜伏期反应(SLR)和一个中潜伏期反应(MLR);足跖屈会在胫骨前肌中引发一个MLR。SLR是牵张反射的对应反应,但关于MLR的起源尚无普遍共识,不过最近的研究结果表明它是通过II类传入纤维传导的。动物研究表明,II类纤维会作用于向对侧以及同侧投射的中间神经元,而I类纤维会作用于主要向同侧投射的中间神经元。因此,我们比较了在姿势扰动期间,当受试者双脚都放在平台上(双脚着地条件)或仅将一只脚放在平台上而另一只脚放在坚实地面上(单脚着地条件)时,左右肢体中SLR和MLR的幅度和潜伏期变化。在双脚着地条件下,上述肌电图反应模式双侧出现。在单脚着地条件下,SLR和MLR均出现在移动的腿中。然而,与双脚着地条件相比,SLR的幅度没有变化,而MLR的幅度下降到约50%。MLR也出现在未移动的腿中。它们之前没有任何SLR,但相对于受扰动腿中的相应反应,其大小进一步减小。从双脚着地条件转变为单脚着地条件时,受扰动腿的MLR潜伏期增加了约5毫秒。在后者的条件下,观察到未受扰动腿相对于受扰动腿的MLR潜伏期进一步增加了5毫秒。对侧未受扰动腿中出现MLR而非SLR,这与由梭内肌II类传入纤维提供输入的交叉神经通路参与MLR的观点一致。与双脚着地条件相比,单脚着地条件下MLR潜伏期的变化提示了沿神经回路的突触延迟以及传入冲动穿过脊髓所需的时间。