肌腱振动诱发人拮抗腕肌的相性和强直性反射

F.W.J Cody, Natasha C Henley, Lisa Parker, Gillian Turner
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引用次数: 13

摘要

研究了正常人腕屈肌和伸肌在振动诱发增强、ia主导的桡侧腕屈肌传入放电时的肌电反射反应。三个主要反应阶段的特征,即(i)在刺激开始时引发的相“开”反应,(ii)在长时间刺激期间发生的紧张性反应水平,以及(iii)在刺激结束时引发的相“关”反应。FCR和桡侧腕伸肌(ECR)的相位“开”反射反应分别包括平均潜伏期为18.8 ms的自生兴奋峰和平均潜伏期为38.0 ms的互抑谷。FCR(激动剂)振动的延长(2 s)序列诱发了FCR的强直反射兴奋期,其平均水平比刺激前显著提高了20%,且在0.5 ~ 2.0 s的振动周期内没有变化。振动序列持续时间的逐渐减少(从2000 ms到100 ms)表明,在每个增强ia输入周期的退出中,相位失调的“关闭”波谷有规律地发生,具有一致的延迟(平均24.2 ms)。这表明负责的兴奋反射机制在每个测试的振动周期的整个持续时间内都是运行的。相对于“打开”的反应,相位“关闭”的额外潜伏期(平均5.4毫秒)可能归因于一些因素(例如,单一肌肉动作电位持续5-10毫秒和反射通路的后放电),这些因素不可避免地延迟了肌电图中明显的失导性减少的出现,而不是不同反射通路的参与。因此,短潜伏期(可能是单突触)反射兴奋贯穿于整个强直性兴奋反应。持续的FCR(拮抗剂)振动产生显著的强直性互抑反射抑制,刺激前肌电图为7%,ECR活性在0.5 ~ 2.0 s振动期间保持稳定。在ECR中缺乏明确的相位去抑制“关闭”反应表明,在持续振动过程中,寡突触反射抑制机制对强直性抑制活动的贡献相对较小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Phasic and tonic reflexes evoked in human antagonistic wrist muscles by tendon vibration

The electromyographic reflex responses of the voluntarily contracting wrist flexor and extensor muscles to periods of vibration-evoked enhanced, Ia-dominated afferent discharge from flexor carpi radialis (FCR) were studied in normal human subjects. Three main response phases were characterised, namely, (i) phasic `on' responses elicited at the commencement of stimulation, (ii) tonic response levels occurring during prolonged stimulation and (iii) phasic `off' responses elicited at the termination of stimulation. The phasic `on' reflex responses of FCR and extensor carpi radialis (ECR) comprised, respectively, a peak of autogenetic excitation of group mean latency 18.8 ms and a trough of reciprocal inhibition of group mean latency 38.0 ms. Prolonged (2 s) trains of FCR (agonist) vibration evoked a phase of tonic reflex excitation in FCR whose mean level was significantly increased, by 20%, above pre-stimulus activity and which did not change over the 0.5–2.0 s vibration period. Progressive reduction of the duration (from 2000 ms to 100 ms) of vibration trains demonstrated that phasic disfacilitatory `off' troughs regularly occurred, with a consistent latency (mean 24.2 ms), on withdrawal of each period of enhanced Ia-input. This indicates that the responsible excitatory reflex mechanism was operational for the entire duration of each of the vibration periods tested. The extra latency (on average 5.4 ms) of phasic `off' relative to `on' responses may be attributed to factors (e.g. 5–10 ms duration of unitary muscle action potentials and afterdischarge in reflex pathways) which inevitably delay the appearance of overt disfacilitatory reductions in EMG rather than the involvement of different reflex pathways. Thus, short-latency, possibly monosynaptic, reflex excitation contributed throughout the entire tonic excitatory response. Sustained FCR (antagonist) vibration produced a significant tonic reciprocal inhibitory reflex depression, by 7% pre-stimulus EMG, of ECR activity which remained steady during the 0.5–2.0 s vibration period. The absence of well-defined phasic disinhibitory `off' responses in ECR suggests that the contribution of oligosynaptic reflex inhibitory mechanisms to the tonic suppression of activity occurring during continuing vibration is relatively small.

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