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重复性手部运动期间人体竖脊肌的阶段性活动。

Phasic activity in the human erector spinae during repetitive hand movements.

作者信息

Zedka M, Prochazka A

机构信息

Division of Neuroscience, University of Alberta, Edmonton, Canada.

出版信息

J Physiol. 1997 Nov 1;504 ( Pt 3)(Pt 3):727-34. doi: 10.1111/j.1469-7793.1997.727bd.x.

Abstract
  1. Phasic activity in the human back muscle erector spinae (ES) was studied during repetitive hand movements. The hand movements were elicited voluntarily by the subject or induced passively by the experimenter through a servomotor or through cyclical electrical stimulation of muscles acting about the wrist. The aim of the study was to determine whether the rhythmical activation of ES was of supraspinal, intersegmental or segmental origin. 2. When voluntary rhythmical hand movements were performed as fast as possible, cyclical ES EMG bursts occurred at the same frequency. This frequency was significantly higher than that reached when the task was to contract the back muscles as rapidly as possible. This suggests that the ES activity during the fast hand movements was not generated by direct commands descending to the ES muscles from the motor area of the cerebral cortex responsible for voluntary back muscle activation. 3. During imposed rhythmical hand movements, ES EMG bursts remained entrained to the hand movements, even when movement frequencies far exceeded those attainable voluntarily either for the hand or the back. This showed that ES EMG responses could be evoked by the hand movements even when these were not generated by descending neural commands. Two alternative mechanisms of ES activation were considered: (a) propriospinal transmission of afferent input entering the spinal cord from the upper extremity; (b) afferent input from ES and other trunk muscles, responding to local oscillations transmitted mechanically from the hand to the lower back. 4. Activation of ES via proprioceptive signals from the forearm was unlikely since (a) simultaneous electrical stimulation of wrist extensor and wrist flexor muscles did not result in repetitive ES EMG bursting; (b) cyclical vibration of the wrist extensors did not evoke ES EMG bursting; (c) when the forearm was constrained and the hand was moved passively, the lower trunk accelerations and cyclical ES EMG both occurred at a harmonic of the hand movement frequency. 5. We conclude that the repetitive ES EMG bursting during hand movements was probably due to a local segmental reflex rather than to descending commands. Remote mechanical oscillations of the trunk caused by hand movements evidently elicited proprioceptive reflexes in ES that presumably contributed to trunk stabilization.
摘要
  1. 研究了人类背部竖脊肌(ES)在重复性手部运动过程中的阶段性活动。手部运动由受试者自主引发,或由实验者通过伺服电机或通过对手腕周围肌肉进行周期性电刺激被动诱发。该研究的目的是确定ES的节律性激活是源于脊髓以上、节段间还是节段性。2. 当尽可能快地进行自主节律性手部运动时,ES肌电图爆发以相同频率出现。该频率显著高于以尽可能快的速度收缩背部肌肉时所达到的频率。这表明快速手部运动期间的ES活动不是由负责自主背部肌肉激活的大脑皮质运动区向ES肌肉下达的直接指令产生的。3. 在施加的节律性手部运动期间,即使运动频率远远超过手部或背部自主可达的频率,ES肌电图爆发仍与手部运动同步。这表明即使手部运动不是由下行神经指令产生的,ES肌电图反应也可由手部运动诱发。考虑了两种ES激活的替代机制:(a)从上肢进入脊髓的传入输入的脊髓 propriospinal 传递;(b)来自ES和其他躯干肌肉的传入输入,对手部机械性传递至下背部的局部振荡做出反应。4. 通过来自前臂的本体感觉信号激活ES不太可能,因为(a)同时电刺激腕伸肌和腕屈肌不会导致重复性ES肌电图爆发;(b)腕伸肌的周期性振动不会诱发ES肌电图爆发;(c)当前臂受到约束且手部被动移动时,下躯干加速度和周期性ES肌电图均以手部运动频率的谐波出现。5. 我们得出结论,手部运动期间重复性ES肌电图爆发可能是由于局部节段性反射而非下行指令。手部运动引起的躯干远程机械振荡显然诱发了ES中的本体感觉反射,并可能有助于躯干稳定。

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