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人类行走与姿势及自主运动任务期间交互抑制的差异控制。

Differential control of reciprocal inhibition during walking versus postural and voluntary motor tasks in humans.

作者信息

Lavoie B A, Devanne H, Capaday C

机构信息

Centre de Recherche en Neurobiologie, Université Laval, Québec City, Quebec, Canada.

出版信息

J Neurophysiol. 1997 Jul;78(1):429-38. doi: 10.1152/jn.1997.78.1.429.

Abstract

Experiments were done to determine whether the strength of reciprocal inhibition from ankle flexors to extensors can be controlled independently of the level of ongoing motor activity in a task-dependent manner. In this paper we use the term reciprocal inhibition in the functional sense--inhibition of the antagonist(s) during activity of the agonist(s)--without reference to specific neural pathways that may be involved. The strength of reciprocal inhibition of the soleus alpha-motoneurons was determined by measuring the amplitude of the H reflex during voluntary, postural, and locomotor tasks requiring activity of the ankle flexor tibialis anterior (TA). Differences in the strength of reciprocal inhibition between tasks were determined from plots of the soleus H reflex amplitude versus the mean value of the TA electromyogram (EMG). Additionally, in tasks involving movement, the correlation between the H reflex amplitude and the joint kinematics was calculated. In most subjects (15 of 22) the soleus H reflex decreased approximately linearly with increasing tonic voluntary contractions of the TA. The H reflex also decreased approximately linearly with the TA EMG activity when subjects where asked to lean backward. There were no statistical differences between the regression lines obtained in these tasks. In some subjects (7 of 22), however, the H reflex amplitude was independent of the level of TA EMG activity, except for a sudden drop at high levels of TA activity (approximately 60-80% of maximum voluntary contraction). The type of relation between the soleus H reflex and the TA EMG activity in these tasks was not correlated with the maximum H reflex to maximum M wave (Hmax/Mmax) ratio measured during quiet standing. In marked contrast, during the swing phase of walking--over the same range of TA EMG activity as during the tonic voluntary contraction task--the H reflex was reduced to zero in most subjects (24 of 31). In seven subjects the H reflex during the swing phase was reduced to some 5% of the value during quiet standing. The same result was found when subjects were asked to produce a stepping movement with one leg (OLS) in response to an auditory "go" signal. Additionally, in the OLS task it was possible to examine the behavior of the H reflex during the reaction time and thus to evaluate the relative contribution of central commands versus movement-related afferent activity to the inhibition of the soleus H reflex. In 11 of 12 subjects the H reflex attained its minimum value before either the onset of EMG activity or movement of any of the leg joints. It is significant that the H reflex was most powerfully inhibited during the swing phase of walking and the closely related OLS task. The H reflex was also measured during isolated ankle dorsiflexion movements. The subjects were asked to track a target displayed on a computer screen with dorsiflexion movements of the ankle. The trajectory of the target was the same as that of the ankle during the swing phase of walking. The soleus H reflexes were intermediate in size between the values obtained in the tonic contraction task and the walking or OLS tasks. A negative, but weak, correlation (r2 < 0.68) between the soleus H reflex and the TA EMG was found in 3 of 10 subjects. Furthermore, there was no correlation between the H reflex amplitude and the ankle angular displacement or angular velocity. In this task, as in the OLS task, the H reflex began to decrease during the reaction time before the onset of TA EMG activity. We conclude that the strength of reciprocal inhibition of the soleus alpha-motoneuron pool can thus be controlled independently of the level of motor activity in the ankle flexors. The strength of the inhibition of the antagonist(s) depends on the task, and for each task the strength of the inhibition is not necessarily proportional to the level of motor activity in the agonist(s). (ABSTRACT TRUNCATED)

摘要

开展实验以确定踝部屈肌对伸肌的交互抑制强度是否能够以任务依赖的方式独立于正在进行的运动活动水平进行控制。在本文中,我们从功能意义上使用术语“交互抑制”——即主动肌活动期间拮抗肌的抑制——而不涉及可能涉及的特定神经通路。通过在需要踝部屈肌胫骨前肌(TA)活动的自主、姿势和运动任务期间测量H反射的幅度,来确定比目鱼肌α运动神经元的交互抑制强度。任务之间交互抑制强度的差异由比目鱼肌H反射幅度相对于TA肌电图(EMG)平均值的曲线图确定。此外,在涉及运动的任务中,计算H反射幅度与关节运动学之间的相关性。在大多数受试者(22名中的15名)中,随着TA的强直性自主收缩增加,比目鱼肌H反射大致呈线性下降。当受试者被要求向后倾斜时,H反射也随着TA的EMG活动大致呈线性下降。在这些任务中获得的回归线之间没有统计学差异。然而,在一些受试者(22名中的7名)中,H反射幅度与TA的EMG活动水平无关,除了在高水平的TA活动(大约最大自主收缩的60 - 80%)时突然下降。这些任务中比目鱼肌H反射与TA的EMG活动之间的关系类型与安静站立期间测量的最大H反射与最大M波(Hmax/Mmax)比值无关。明显不同的是,在步行的摆动期——在与强直性自主收缩任务相同的TA的EMG活动范围内——大多数受试者(31名中的24名)的H反射降至零。在7名受试者中,摆动期的H反射降至安静站立时值的约5%。当要求受试者响应听觉“开始”信号用单腿进行踏步运动(OLS)时,也得到了相同的结果。此外,在OLS任务中,可以检查反应时间期间H反射的行为,从而评估中枢指令与运动相关传入活动对比目鱼肌H反射抑制的相对贡献。在12名受试者中的11名中,H反射在TA的EMG活动或任何腿部关节运动开始之前达到其最小值。值得注意的是,在步行的摆动期和密切相关的OLS任务期间,H反射受到最强烈的抑制。在孤立的踝背屈运动期间也测量了H反射。要求受试者用踝部背屈运动跟踪显示在电脑屏幕上的目标。目标的轨迹与步行摆动期的踝部轨迹相同。比目鱼肌H反射的大小介于强直性收缩任务和步行或OLS任务中获得的值之间。在10名受试者中的3名中发现比目鱼肌H反射与TA的EMG之间存在负相关但较弱的相关性(r2 < 0.68)。此外,H反射幅度与踝部角位移或角速度之间没有相关性。在这个任务中,与OLS任务一样,H反射在TA的EMG活动开始之前的反应时间期间开始下降。我们得出结论,比目鱼肌α运动神经元池的交互抑制强度因此可以独立于踝部屈肌的运动活动水平进行控制。拮抗肌的抑制强度取决于任务,并且对于每个任务,抑制强度不一定与主动肌的运动活动水平成比例。(摘要截断)

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