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人类大脚趾的运动检测。

Movement detection at the human big toe.

作者信息

Refshauge K M, Taylor J L, McCloskey D I, Gianoutsos M, Mathews P, Fitzpatrick R C

机构信息

Prince of Wales Medical Research Institute, High Street, Randwick, Sydney, NSW 2031, Australia.

出版信息

J Physiol. 1998 Nov 15;513 ( Pt 1)(Pt 1):307-14. doi: 10.1111/j.1469-7793.1998.307by.x.

Abstract
  1. To be detected, movements of the interphalangeal joint of the big toe must be greater than at other joints. This poor acuity may arise because the anatomy of the foot and ankle results in poor coupling between the toe and the muscles that operate it. To vary this coupling, the effect of ankle position on proprioceptive acuity at the toe was measured. 2. We measured proprioceptive acuity at the toe with the ankle in different positions and found that ankle plantarflexion did improve acuity. This implies that, with the ankle at mid-range or dorsiflexed, toe movement is inadequately transferred to muscle fascicles. 3. To determine actual changes in fascicle length of the toe extensor, movements of extensor hallucis longus near the toe and at the muscle-tendon junction were measured during surgical exposure in one subject. Ankle position greatly affected movement transfer from toe to muscle-tendon junction: no tendon movement was transferred with the ankle dorsiflexed, but all movement was transferred with the ankle plantarflexed. 4. When the relationship between joint rotation and muscle fascicle length measured in vivo was used to express the smallest detectable movements of the toe as proportional changes in muscle fascicle length, these detectable changes were similar to those at all other limb joints. This suggests that change in muscle fascicle length is of major interest to the nervous system.
摘要
  1. 为了被检测到,大脚趾指间关节的运动必须大于其他关节。这种敏锐度较差的情况可能是因为足踝的解剖结构导致脚趾与操作它的肌肉之间的耦合不佳。为了改变这种耦合,我们测量了踝关节位置对脚趾本体感觉敏锐度的影响。2. 我们在踝关节处于不同位置时测量了脚趾的本体感觉敏锐度,发现踝关节跖屈确实提高了敏锐度。这意味着,当踝关节处于中立位或背屈时,脚趾的运动无法充分传递到肌束。3. 为了确定趾伸肌肌束长度的实际变化,在一名受试者手术暴露过程中,测量了拇长伸肌在靠近脚趾处和肌腱连接处的运动。踝关节位置极大地影响了从脚趾到肌腱连接处的运动传递:当踝关节背屈时,没有肌腱运动传递,但当踝关节跖屈时,所有运动都被传递。4. 当使用在体内测量的关节旋转与肌束长度之间的关系,将脚趾最小可检测运动表示为肌束长度的比例变化时,这些可检测变化与所有其他肢体关节的变化相似。这表明肌束长度的变化是神经系统主要关注的。

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