兔被动踝关节运动时胫腓神经肌肉传入活动的神经袖记录。

R R Riso, F K Mosallaie, W Jensen, T Sinkjaer
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引用次数: 60

摘要

在消除足部触觉输入的兔准备中,使用袖带电极记录踝关节动觉的肌肉传入活动。目的是确定这种活动是否可以为控制功能电刺激(FES)系统提供有用的信息,以恢复脊柱损伤患者的活动能力。兔的踝关节被动屈伸,同时记录胫骨和腓神经的活动。在不同的初始踝关节位置,以5度/秒到30度/秒的速度,从10度到60度的运动中,研究了对梯形刺激的反应。记录的信号主要反映了初级和次级肌肉传入的活动。背屈拉伸踝关节伸肌,并在胫神经中产生速度依赖的活动,在刺激平台期这种活动减弱到强直水平。腓骨神经在背屈时沉默,但在踝关节伸展时腓骨肌肉伸展时被激活。两个神经的反应以相互的方式表现,但表现出相当大的滞后,因为放松拉伸到驱动肌肉的运动产生了先前拉伸诱导活动的立即停止。胫骨神经和腓神经反应的一个显著区别是,激活屈肌传入神经的关节位置变化范围大于激活伸肌传入神经的关节位置变化范围。踝关节高速旋转增加了刺激斜坡期的动态拉伸诱发反应,但对刺激平台期的紧张性活动没有影响。通过改变初始位置预拉伸肌肉增加了对斜面运动的反应,然而,对于腓神经来说,当预拉伸使屈肌接近其最大长度时,对斜面运动提供的额外拉伸的反应减弱。结果表明,整个神经记录的肌肉传入活动可能对FES辅助站立的控制有用,因为它可以指示被动运动的踝关节的旋转方向,以及关于运动速率和静态关节位置的粗略信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nerve cuff recordings of muscle afferent activity from tibial and peroneal nerves in rabbit during passive ankle motion.
Activity from muscle afferents regarding ankle kinesthesia was recorded using cuff electrodes in a rabbit preparation in which tactile input from the foot was eliminated. The purpose was to determine if such activity can provide information useful in controlling functional electrical stimulation (FES) systems that restore mobility in spinal injured man. The rabbit's ankle was passively flexed and extended while the activity of the tibial and peroneal nerves was recorded. Responses to trapezoidal stimulus profiles were investigated for excursions from 10 degrees to 60 degrees using velocities from 5 degrees/s to 30 degrees/s and different initial ankle positions. The recorded signals mainly reflect activity from primary and secondary muscle afferents. Dorsiflexion stretched the ankle extensors and produced velocity dependent activity in the tibial nerve, and this diminished to a tonic level during the stimulus plateau. The peroneal nerve was silent during dorsiflexion, but was activated by stretch of the peroneal muscles during ankle extension. The responses of the two nerves behaved in a reciprocal manner, but exhibited considerable hysteresis, since motion that relaxed the stretch to the driving muscle produced an immediate cessation of the prior stretch induced activity. A noted difference between the tibial and peroneal nerve responses is that the range of joint position change that activated the flexor afferents was greater then for the extensor afferents. Ankle rotation at higher velocities increased the dynamic stretch evoked responses during the stimulus ramp but showed no effect on the tonic activity during the stimulus plateau. Prestretching the muscles by altering the initial position increased the response to the ramp movement, however, for the peroneal nerve, when the prestretch brought the flexor muscles near to their maximal lengths, the response to additional stretch provided by the ramp movement was diminished. The results indicate that the whole nerve recorded muscle afferent activity may be useful for control of FES assisted standing, because it can indicate the direction of rotation of the passively moved ankle joint, along with coarse information regarding the rate of movement and static joint position.
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