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可逆性背部冷阻断对脊髓反射产生的抑制持续性的影响。

Effect of reversible dorsal cold block on the persistence of inhibition generated by spinal reflexes.

作者信息

Miller J F, Paul K D, Jiang B, Rymer W Z, Heckman C J

机构信息

Veterans Administration, Lakeside Hospital, Chicago, USA.

出版信息

Exp Brain Res. 1995;107(2):205-14. doi: 10.1007/BF00230042.

Abstract

The effects of bilateral focal cooling of dorsolateral thoracic spinal cord on segmental reflex pathways to the triceps surae muscles were assessed in decerebrate cats from the reflex forces produced by single shocks or trains of electrical stimuli applied to the ipsilateral caudal cutaneous sural and the contralateral tibial nerves. The validity of the dorsal cold block technique as a substitute for acute surgical dorsal hemisection was established by showing that focal cooling reliably reproduced the stretch-induced "clasp knife" inhibition of triceps surae reflexive force seen following dorsal hemisection. Under control (warm) conditions, the inhibitory components of electrically evoked ipsilateral sural and contralateral tibial reflexes faded rapidly during sustained trains, with a resultant production of large-amplitude reflex force as measured from either the entire triceps surae or from the medial gastrocnemius muscle alone. Dorsal cold block greatly reduced the amplitude of reflexive force evoked by sustained electrical stimulation of either nerve. Indeed, the cold block completely reversed the sign of train-evoked reflexes to a net inhibition of reflex force output in one-half of the sural and one-half of the contralateral tibial stimulation experiments. Peak transient forces evoked by single shocks to the sural or contralateral tibial nerves were also sometimes reduced, but this result was more variable than for prolonged nerve stimulation. The persistence of activity in segmental inhibitory pathways during dorsal cold block, as indicated by instances of reflex sign reversal, suggests that descending bulbospinal pathways traversing the dorsolateral funiculi may be responsible for "fading" of segmental inhibitory reflex components in decerebrate cats with intact spinal cords during sustained afferent input. The possibility that the enhanced magnitude and duration of segmental inhibition during cold block will increase the likelihood of disruption of the size principle for motoneuron recruitment is also discussed.

摘要

在去大脑猫中,通过施加于同侧尾侧腓肠皮神经和对侧胫神经的单次电击或电刺激串所产生的反射力,评估胸段脊髓背外侧双侧局部冷却对腓肠肌节段反射通路的影响。通过显示局部冷却可靠地再现了在背侧半切术后所见的牵张诱导的腓肠肌反射力“折刀样”抑制,证实了背侧冷阻断技术作为急性手术性背侧半切术替代方法的有效性。在对照(温暖)条件下,电诱发的同侧腓肠反射和对侧胫反射的抑制成分在持续刺激串期间迅速消退,从整个腓肠肌或仅从内侧腓肠肌测量,会产生大幅度的反射力。背侧冷阻断大大降低了持续电刺激任一神经所诱发的反射力幅度。实际上,在一半的腓肠刺激实验和一半的对侧胫刺激实验中,冷阻断完全逆转了刺激串诱发反射的征象,变为对反射力输出的净抑制。单次电击腓肠或对侧胫神经所诱发的峰值瞬态力有时也会降低,但这一结果比长时间神经刺激的结果更具变异性。反射征象逆转的实例表明,在背侧冷阻断期间节段性抑制通路中活动的持续存在,提示穿越背外侧索的下行延髓脊髓通路可能是导致脊髓完整的去大脑猫在持续传入输入期间节段性抑制反射成分“消退”的原因。还讨论了冷阻断期间节段性抑制增强的幅度和持续时间增加运动神经元募集大小原则被破坏可能性的问题。

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