下肢支持功能在比目鱼h反射运动前改变中的作用

E. Ivanchenko
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摘要

在对健康人的研究中,我们检查了对侧踝关节随意伸展运动前期比目鱼肌H反射振幅和背景肌电图强度的变化。被测试的人躺在俯卧的位置,腿部放松,或者站在站立的位置,双脚支撑,或者只有一只脚支撑,另外有一只手支撑。采用标准技术,经皮刺激腘窝区胫神经传入神经(1ms长电流脉冲),诱导比目鱼H反射。使用浅表电极,我们记录了比目鱼肌的整体肌电反射放电,并使用双通道数字示波器Handiscope HS3 (tiepieengineering,荷兰)进行放大和可视化。在其他测试中,我们还记录了比目鱼肌的紧张性背景肌电活动。经过全波整流和低频滤波后,我们估计了上述肌电信号的积分曲线包络振荡下的面积。卧位时,对侧踝关节的伸展可诱发比目鱼h反射的预期性易化。在调理运动前90 ~ 60 ms出现,30 ms达到最大值。运动前期比目鱼肌背景肌电活动未发生明显变化。因此,我们认为导致h反射促进的机制是突触前抑制在1a时的减少。双脚支撑站立时,对侧踝关节伸展引起比目鱼h反射的预期抑制,同时抑制条件反射运动前90-60 ms的背景肌电图。这些结果提示了肌张力的预期变化,并提示突触后机制参与了h反射的抑制。当运动的对侧肢体没有支撑时,对侧角关节伸展不会引起预期抑制,但会促进比目鱼h反射。它的时间轨迹与躺着时所观察到的相似。比目鱼肌背景肌电活动无明显变化。实验结果表明,与下肢肌肉相关的脊髓神经元回路的运动前变化的性质不仅取决于即将到来的自主运动的类型。它们是由对侧肢体运动引起的,在很大程度上取决于下肢支撑功能的实现或不实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of the supporting lower limb function in the premotor changes in the H-reflex of m. soleus
In studies on healthy humans we examined changes in the H reflex amplitude and the intensity of background EMG of the soleus muscle within the premotor period of voluntary extension of the contralateral ankle joint. The tested persons were in the lying prone position with relaxed legs, or in the standing position with support on both feet or only on one foot with additional hand support. The soleus H reflex was induced using the standard technique by transcutaneous stimulation (1 ms long current pulses) of the tibial nerve afferents in the region of the popliteal dimple. Using superficial electrodes, we recorded the integral EMG reflex discharge from the m. soleus , amplified, and visualized it using a two-channel digital oscillograph, Handiscope HS3 (TiePieEngeneering, Netherlands). In other tests, we also recorded tonic background EMG activity from the soleus muscle. After fullwave rectification and low-frequency filtration we estimated the area under the integral curve enveloping oscillations of the above mentioned EMG. In the lying position the extension of contralateral ankle joint evoked anticipatory facilitation of the testing soleus H-reflex. It manifested in 90–60 ms and reached the maximum 30 ms before the conditioning movement. Considerable changes of the soleus background EMG-activity did not occur during the premotor period. Consequently, it is supposed that the mechanism leading to the H-reflex facilitation is the decrease of presynaptic inhibition at 1a. In the standing position with support on both feet contralateral ankle joint extension caused anticipatory inhibition of the soleus H-reflex and simultaneous suppression of background EMG 90–60 ms before the conditioning movement. These results indicate the anticipatory changes of muscle tone and suggest participation of postsynaptic mechanism in the inhibition of the testing H-reflex. When the moving contralateral extremity had no support, the contralateral ancle joint extension did not cause anticipatory inhibition but facilitation of the soleus H-reflex. Its time course was similar to that observed in the lying position. The considerable changes of the soleus background EMG-activity did not arise. The results of the experiments indicate that the nature of premotor changes in the spinal neuron circuits, associated with the lower limb muscles, depends not only on the type of upcoming voluntary movement. Being caused by the contralateral limb movements, they depend greatly on the fulfillment or nonfulfillment of the support function by the lower limbs.
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