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人类外周神经的强度-时间特性

Strength-duration properties of human peripheral nerve.

作者信息

Mogyoros I, Kiernan M C, Burke D

机构信息

Prince of Wales Medical Research Institute, Sydney, Australia.

出版信息

Brain. 1996 Apr;119 ( Pt 2):439-47. doi: 10.1093/brain/119.2.439.

Abstract

The strength-duration time constant (tau SD) is a property of nodal membrane and, while it depends on a number of factors, its measurement may shed light on axonal properties when taken in conjunction with measurements of axonal excitability. For example, tau SD increases with demyelination as the exposed membrane is enlarged by inclusion of paranodal and internodal membrane, it decreases with hyperpolarization and it increases with depolarization. The present study was undertaken in 20 normal volunteers to compare strength-duration curves for compound sensory and muscle action potentials, to determine the most appropriate curve fitting equation for the data, and to examine the reproducibility of the calculated time constant on different days, for potentials of different amplitude and at different sites along the nerve. Using a computerized threshold-tracking system, stimulus intensity was adjusted to produce an antidromic compound sensory action potential (CSAP) or an orthodromic muscle action potential of 30% of maximum. Stimulus duration was increased every minute in 20 microseconds steps from 20 microseconds to 1 ms. The time constant for compound sensory potentials (665 +/- 182 microsecond) was longer than that for compound EMG potentials (459 +/- 126 microseconds). Weiss's formula, which relates threshold charge to stimulus duration, provided an accurate fit for the experimental data, and the study validated that, using it, relatively few experimental measurements were required to calculate the time constant. In repeated studies on the same subject, time constants usually differed by < 400 microseconds for sensory axons and < 250 microseconds for motor axons. They were identical at different sites along the nerve and did not alter with the size of the compound action potential. These characteristics suggest that the determinations of strength-duration time constant could be suitable for clinical usage.

摘要

强度-持续时间时间常数(tau SD)是结区膜的一种特性,虽然它取决于多种因素,但与轴突兴奋性测量结果相结合时,其测量结果可能有助于了解轴突特性。例如,随着脱髓鞘,由于暴露的膜因包含结旁和结间膜而增大,tau SD会增加;随着超极化它会减小,随着去极化它会增加。本研究对20名正常志愿者进行,以比较复合感觉和肌肉动作电位的强度-持续时间曲线,确定数据最合适的曲线拟合方程,并检查不同日期计算的时间常数对于不同幅度以及沿神经不同部位的电位的可重复性。使用计算机化阈值跟踪系统,调整刺激强度以产生最大幅度30%的逆向复合感觉动作电位(CSAP)或顺向肌肉动作电位。刺激持续时间从20微秒以20微秒的步长每分钟增加到1毫秒。复合感觉电位的时间常数(665±182微秒)长于复合肌电图电位的时间常数(459±126微秒)。将阈值电荷与刺激持续时间相关联的韦斯公式能准确拟合实验数据,该研究证实,使用此公式计算时间常数所需的实验测量相对较少。在对同一受试者的重复研究中,感觉轴突的时间常数通常相差<400微秒,运动轴突的时间常数相差<250微秒。它们在神经的不同部位相同,并且不会随复合动作电位的大小而改变。这些特性表明强度-持续时间时间常数的测定可能适用于临床应用。

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