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通过神经内运动轴突刺激评估人类趾伸肌单运动单位的收缩特性。

Contractile properties of single motor units in human toe extensors assessed by intraneural motor axon stimulation.

作者信息

Macefield V G, Fuglevand A J, Bigland-Ritchie B

机构信息

John B. Pierce Laboratory, New Haven, Connecticut 06519, USA.

出版信息

J Neurophysiol. 1996 Jun;75(6):2509-19. doi: 10.1152/jn.1996.75.6.2509.

DOI:10.1152/jn.1996.75.6.2509
PMID:8793760
Abstract
  1. Single motor axons innervating human toe extensor muscles were selectively stimulated through a tungsten microelectrode inserted percutaneously into the peroneal nerve. Twitch and tetanic forces were measured from a strain gauge over the proximal phalanx of the toe generating the greatest force. Twitch data were obtained from 19 single motor units in nine subjects: 8 motor units supplied extensor hallucis longus (EHL), 5 motor units supplied extensor digitorum longus (EDL), and 6 motor units supplied extensor digitorum brevis (EDB). Unpotentiated twitch forces ranged from 6.3 to 78.1 mN (20.0 +/- 4.0 mN, mean +/- SE), with the distribution highly skewed toward small forces. Twitch contraction and half-relaxation times were 74.8 +/- 3.9 and 78.6 +/- 6.0 ms, respectively. Compared with motor units in human thenar muscles, those in human toe extensor muscles were stronger but slower. However, as in thenar motor units, twitch force and contraction time were not related. 2. Force-frequency relationships were determined for 13 units (5 EDL, 5 EHL, 3 EDB) by stimulating each unit with short trains (1.0-5.0 s) of constant frequency (2-100 Hz). Peak force was related to stimulus frequency in a sigmoid fashion. The steep region of the curve extended from 5.5 +/- 0.7 (SE) Hz to 16.3 +/- 1.1 Hz for all units, and the stimulus frequency required to generate half-maximal force (9.6 +/- 0.6 Hz) was close to the center of the steep range. This frequency, which was inversely related to twitch contraction time, was lower than the frequency required to develop half-maximal force of human thenar motor units (12 +/- 4 Hz, mean +/- SD). The slopes of the regression lines relating force to frequency, computed over the steep range for each unit, were also lower for the toe extensors (3.7 +/- 0.7 mN/Hz) than for the thenar muscles (6 +/- 1 mN/Hz). 3. Maximal tetanic forces ranged from 29.9 to 188.1 mN (89.0 +/- 16.5 mN, mean +/- SE), and were generated at stimulus frequencies from 15 to 100 Hz (median 50 Hz). The stimulation frequency required for fused tetani (absence of noticeable force fluctuation) was generally less than that required for maximum tetanic force. The mean twitch-tetanus ratio, calculated for unpotentiated twitches, was 0.22 +/- 0.02 (range 0.15-0.41). This ratio was higher than for human thenar motor units (0.14 +/- 0.06, mean +/- SE). After twitch potentiation of 10 units, the mean twitch-tetanus ratio increased to 0.28 +/- 0.04. 4. The effects of preceding each stimulus train with a short interstimulus interval (10 ms) on force production at each frequency were examined in nine motor units. Peak forces at the onset of each contraction were higher when such an "initial doublet" preceded stimulus trains of < or = 20 Hz, but the mean force at the end of each stimulus train was not significantly affected at any frequency. 5. Eight units were stimulated with a train that increased in frequency continuously from 2 to 80 Hz, and then decreased symmetrically. This pattern resulted in peak forces that were higher on the descending limb of the stimulus train, the force-frequency relationship tracing a hysteresis loop. Hysteresis was exhibited because damping in the neuromuscular system causes the mechanical output of muscle to lag behind neural input. Thus, in non-steady-state conditions (as in most forms of natural activity), somewhat higher firing rates may be required to attain a particular level of force; once attained, force output will be transiently unresponsive to diminution of firing rate. 6. We conclude that there are differences in the contractile properties of single motor units in human toe extensor muscles (involved in posture and locomotion) and thenar muscles (involved in prehension and manipulation). Twitch-tetanus ratios were greater for motor units in the toe extensors, and this property accounted for the lower force sensitivity of these units to increases in frequency. (ABSTRACT TRUNCATED)
摘要
  1. 通过经皮插入腓总神经的钨微电极,选择性刺激支配人类趾伸肌的单根运动轴突。通过应变仪测量产生最大力量的趾近端指骨上的颤搐和强直力量。从9名受试者的19个单运动单位获取颤搐数据:8个运动单位支配拇长伸肌(EHL),5个运动单位支配趾长伸肌(EDL),6个运动单位支配趾短伸肌(EDB)。未增强的颤搐力量范围为6.3至78.1 mN(20.0±4.0 mN,平均值±标准误),其分布高度偏向小力量。颤搐收缩时间和半松弛时间分别为74.8±3.9和78.6±6.0 ms。与人类大鱼际肌中的运动单位相比,人类趾伸肌中的运动单位更强但更慢。然而,与大鱼际运动单位一样,颤搐力量和收缩时间无关。2. 通过用恒定频率(2 - 100 Hz)的短串刺激(1.0 - 5.0 s)刺激13个单位(5个EDL、5个EHL、3个EDB)来确定力量 - 频率关系。峰值力量与刺激频率呈S形相关。所有单位曲线的陡峭区域从5.5±0.7(标准误)Hz延伸至16.3±1.1 Hz,产生半最大力量所需的刺激频率(9.6±0.6 Hz)接近陡峭范围的中心。该频率与颤搐收缩时间呈反比,低于产生人类大鱼际运动单位半最大力量所需的频率(12±4 Hz,平均值±标准差)。在每个单位的陡峭范围内计算的力量与频率关系的回归线斜率,趾伸肌(3.7±0.7 mN/Hz)也低于大鱼际肌(6±1 mN/Hz)。3. 最大强直力量范围为29.9至188.1 mN(89.0±16.5 mN,平均值±标准误),在15至100 Hz(中位数50 Hz)的刺激频率下产生。融合强直(无明显力量波动)所需的刺激频率通常小于最大强直力量所需的频率。为未增强的颤搐计算的平均颤搐 - 强直比为0.22±0.02(范围0.15 - 0.41)。该比值高于人类大鱼际运动单位(0.14±0.06,平均值±标准误)。在10个单位的颤搐增强后,平均颤搐 - 强直比增加到0.28±0.04。4. 在9个运动单位中检查了在每个刺激串之前以短的刺激间隔(10 ms)对每个频率下力量产生的影响。当这样的“初始双峰”先于≤20 Hz的刺激串时,每次收缩开始时的峰值力量更高,但在任何频率下每个刺激串结束时的平均力量均未受到显著影响。5. 用从2 Hz连续增加到80 Hz然后对称降低频率的一串刺激刺激8个单位。这种模式导致在刺激串的下降支上峰值力量更高,力量 - 频率关系描绘出一个滞后环。出现滞后是因为神经肌肉系统中的阻尼导致肌肉的机械输出滞后于神经输入。因此,在非稳态条件下(如大多数自然活动形式),可能需要稍高的放电频率才能达到特定的力量水平;一旦达到,力量输出将暂时对放电频率的降低无反应。6. 我们得出结论,参与姿势和运动的人类趾伸肌和参与抓握和操作的大鱼际肌中的单运动单位的收缩特性存在差异。趾伸肌中运动单位的颤搐 - 强直比更大,并且该特性解释了这些单位对频率增加的力量敏感性较低的原因。(摘要截断)

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