[Does a "transcortical" loop of the long-latency muscle reflex exist?].

F Podivinský
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Abstract

EMG responses were produced by electric stimulation of the dermal branches of the nn. digilates of the index finger of the right hand and recorded from the m. interosseus dorsalis I. during its slight isometric contraction. The mean initial latency of a long-latency muscular reflex was 50.68 ms in men and 49.13 in women. The author mentions some arguments indicating the probable existence of a transcortical loop: The latency of long-latency reflexes increases gradually from proximal to distal muscles. The short-latency component of the somatosensory evoked potential N20 appears mid-time between the time of the stimulus and the onset of the long-latency reflex and thus the time interval in the long-latency reflex is sufficient for a transcortical loop. The author found a facilitation of the muscular reflex response as well as of the preparatory cortical potential during the preparatory period of voluntary flexion of the fingers during concurrent electric stimulation of the peripheral nerve. The late reflex component increases considerably and is better synchronized during the movement of the thumb instead of isometric contraction, because during kinetic innervation afferent impulses reach the precentral cortex at a higher facilitated level. These results document well the modifiable, plastic behaviour of transcortical reflexes. The method of long-latency reflexes can be used in electrophysiological diagnosis of disorders of the CNS and it is promising also in therapeutic stimulation rehabilitation and in locomotor reeducation.

是否存在长潜伏期肌肉反射的“跨皮层”循环?
电刺激神经网络的皮肤分支产生肌电图反应。右手食指的趾趾,记录于背骨间肌I.在其轻微的等距收缩时。长潜伏期肌肉反射的平均初始潜伏期男性为50.68 ms,女性为49.13 ms。作者提出了一些论证,表明可能存在一个跨皮质环:长潜伏期反射的潜伏期从近端到远端肌肉逐渐增加。体感诱发电位N20的短潜伏期分量出现在刺激时间和长潜伏期反射开始之间的中间时间,因此长潜伏期反射的时间间隔足以形成一个跨皮层环路。作者发现,同时电刺激周围神经时,在手指随意屈曲的准备阶段,肌肉反射反应和预备皮层电位均有促进作用。在拇指运动而不是等距收缩期间,晚期反射成分显著增加,并且更好地同步,因为在运动神经支配期间,传入脉冲以更高的便利水平到达中央前皮层。这些结果很好地证明了跨皮层反射的可修改的塑性行为。长潜伏期反射法可用于中枢神经系统疾病的电生理诊断,在治疗性刺激康复和运动再教育中也有应用前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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