Taylor J S, Friedman R F, Munson J B, Vierck C J
Department of Neuroscience, University of Florida, Gainesville, Florida 32610-0244, USA.
J Neurosci. 1997 Jul 1;17(13):5004-15. doi: 10.1523/JNEUROSCI.17-13-05004.1997.
Resistive force and electromyograms from triceps surae muscles were measured during dorsiflexion of both ankles of awake cats before and after interruption of one dorsolateral funiculus (DLF). DLF lesions produced ipsilateral increases in dynamic and static reflex force that persisted over 66 weeks. The increase in dynamic reflex force was velocity sensitive, as demonstrated by a greater effect for 60 degrees /sec than for 10 degrees /sec dorsiflexion. Also, the lesions increased dynamic force to a greater extent than static force (increased dynamic index). Background force (recorded immediately before each reflex response) was elevated ipsilaterally. However, increases in reflex force were observed when preoperative and postoperative background forces were matched within 10% and were associated with equivalent resting levels of electromyographic (EMG) activity. Resistive reflex force was significantly correlated with EMG responses to dorsiflexion and was not determined by nonreflexive mechanical stiffness of the muscles. Contralateral background and reflex force and associated EMG activity were decreased slightly, comparing preoperative and postoperative records. Clinical testing revealed ipsilateral postoperative increases in extensor tone, increased resistance to hindlimb flexion, hypermetria during positive support responses, and appearance of the Babinski reflex. However, the most reliable tests of DLF lesion effects were the quantitative measures of dynamic and static reflex amplitude. The enhancement of stretch reflexes is suggestive of spasticity. However, hyperactive stretch reflexes, hypertonicity, and the Babinski reflex were observed soon after interruption of the ipsilateral DLF, in contrast to a gradual development of positive signs that is characteristic of a more broadly defined spastic syndrome from large spinal lesions. Also, other signs that often are included in the spastic syndrome, including clonus, increased flexor reflex activity, and flexor spasms, did not result from DLF lesions. Thus, unilateral DLF lesions provide a model of spasticity but produce only several components of a more inclusive spastic syndrome.
在切断一侧背外侧索(DLF)之前和之后,测量清醒猫双踝背屈时腓肠肌的阻力和肌电图。DLF损伤导致同侧动态和静态反射力增加,这种增加持续超过66周。动态反射力的增加对速度敏感,60度/秒背屈时的效应大于10度/秒背屈时。此外,损伤对动态力的增加幅度大于静态力(动态指数增加)。同侧背景力(在每次反射反应前立即记录)升高。然而,当术前和术后背景力在10%范围内匹配且与等效的肌电图(EMG)静息活动水平相关时,可观察到反射力增加。阻力反射力与背屈时的EMG反应显著相关,并非由肌肉的非反射性机械僵硬度决定。比较术前和术后记录,对侧背景力、反射力及相关的EMG活动略有降低。临床测试显示术后同侧伸肌张力增加、对后肢屈曲的阻力增加、阳性支持反应时动作过度以及出现巴宾斯基反射。然而,对DLF损伤效应最可靠的测试是动态和静态反射幅度的定量测量。牵张反射增强提示痉挛。然而,与大型脊髓损伤所致更广泛定义的痉挛综合征典型的阳性体征逐渐发展不同,同侧DLF切断后很快就观察到了亢进的牵张反射、张力亢进和巴宾斯基反射。此外,通常包含在痉挛综合征中的其他体征,包括阵挛、屈肌反射活动增加和屈肌痉挛,并非由DLF损伤所致。因此,单侧DLF损伤提供了一种痉挛模型,但仅产生了更全面的痉挛综合征的几个组成部分。