蓝斑核对上呼吸道阻力肌—颏舌肌功能的影响

本实验在３８只经氨基甲酸乙酯麻醉的健康家兔上进行,观察了电、化学刺激蓝斑核（ＬＣ）对颏舌肌功能的影响。结果如下：（１）长串电脉冲刺激蓝斑核使颏舌肌肌电活动明显增强,表现为长吸性肌电积分幅度升高,膈肌亦出现与颏舌肌同步的肌电活动增强。（２）ＬＣ内微量注射胞体兴奋剂谷氨酸钠,也引起明显的颏舌肌和膈肌肌电活动增强。（３）上述电、化学刺激的区域对照和盐水对照实验,均未出现有意义的肌电改变。提示：电、化学刺激ＬＣ可特异性增强上呼吸道阻力肌──颏舌肌的紧张性活动,具有减小上呼吸道阻力的作用,这对于某些上呼吸道阻塞性疾病发病机制的研究可能具有重要的意义。     

Abdominal muscle activity during breathing with and without inspiratory and expiratory loads in healthy subjects

Central Nervous System modulates the motor activities of all trunk muscles to concurrently regulate the intra-abdominal and intra-thoracic pressures. The study aims to evaluate the effect of inspiratory and expiratory loads on abdominal muscle activity during breathing in healthy subjects. Twenty-three higher education students (21.09 ± 1.56 years; 8 males) breathed at a same rhythm (inspiration: two seconds; expiration: four seconds) without load and with 10% of the maximal inspiratory or expiratory pressures, in standing. Surface electromyography was performed to assess the activation intensity of rectus abdominis, external oblique and transversus abdominis/internal oblique muscles, during inspiration and expiration. During inspiration, transversus abdominis/internal oblique activation intensity was significantly lower with inspiratory load when compared to without load (p = 0.009) and expiratory load (p = 0.002). During expiration, the activation intensity of all abdominal muscles was significantly higher with expiratory load when compared to without load (p < 0.05). The activation intensity of external oblique (p = 0.036) and transversus abdominis/internal oblique (p = 0.022) was significantly higher with inspiratory load when compared to without load. Transversus abdominis/internal oblique activation intensity was significantly higher with expiratory load when compared to inspiratory load (p < 0.001).Transversus abdominis/internal oblique seems to be the most relevant muscle to modulate the intra-abdominal pressure for the breathing mechanics.     

The Influence of Stress and Energy Level on Learning Muscle Relaxation During Gross-Motor Task Performance Using Electromyographic Feedback

The aim was to investigate the influence of mood on learning muscle relaxation. Self-reported mood (assessed by the Stress-Energy Checklist) at baseline was related to learning muscle relaxation induced by electromyographic feedback training during performance of a gross-motor task. Feedback training was provided either intermittently (Intermittent Feedback Task, IF, n=12) or continuously (Continuous Feedback Task, CF, n=9). Results reveal a negative correlation between the learning effect at short-term and energy dimension for the IF Task. It can be concluded that mood experienced prior to a learning task is relevant for the learning effect and this effect may be dependent on the schedule of feedback used.     

The effects of electromyographic feedback training on suppression of the oral-lingual movements associated with tardive dyskinesia

The efficacy of electromyographic feedback training in reducing the magnitude and frequency of the oral-lingual movements associated with tardive dyskinesia (TD) was investigated in a groups design. Twenty adult male inpatients diagnosed as having TD using the Abnormal Involuntary Movements Scale (AIMS) were randomly assigned to one of two treatment conditions. Following identification, all participants were initially reduced to the lowest effective dosage of neuroleptics, and then discontinued from anticholinergics. Following one month on this regimen, they were given a course of feedback training consisting of ten 14-minute sessions. Group one participants were provided with a tone contingent upon oral-lingual movements above a yoked threshold. Group two participants were given noncontingent feedback tones generated randomly. Weekly AIMS were administered as well as an initial baseline during each session to determine current level of oral-lingual activity. An analysis of session effects indicated significantly more suppression of oral-lingual activity in the contingent group versus the noncontingent feedback group. Jaw and forehead activity also measured showed reductions of similar magnitudes for both groups.This work was sponsored in part by a Research Advisory Grant from the Department of Veterans Affairs awarded to Joanne Intrator. We gratefully acknowledge the valuable contributions of K. Duvvi, S. Kemble, and L. Kolman.     

EMG stability as a biofeedback control

Factors that may confound comparisons between electromyographic (EMG) biofeedback training and its control conditions include feedback quality and experience of success. We investigated the usefulness of a control procedure designed to overcome these potential sources of confounding. The procedure consisted of training muscle tension stability. We used it as a control for frontal EMG relaxation training in children with asthma. To equate the groups for feedback quality and experience of success, we gave each child in the control condition audio feedback decreasing in pitch when muscle tension was at or near baseline levels, and feedback increasing in pitch when muscle tension was either substantially above or below baseline levels. Children in both groups were instructed to decrease the pitch of the tone. In comparison to children in the relaxation condition, the children in the control condition exhibited stable levels of muscle tension throughout eight training sessions. We concluded that feedback for stable muscle tension may be a useful control procedure for EMG biofeedback training whenever experimental and control procedures differ in either feedback quality of degree to which they permit subjects to experience success.This research was supported by NIH-Grant HL 27402. We are grateful to Paul Schnitter who constructed the EMG stability feedback device.     

Pharmacological blockade of gap junctions induces repetitive surging of extracellular potassium within the locust CNS

The maintenance of cellular ion homeostasis is crucial for optimal neural function and thus it is of great importance to understand its regulation. Glial cells are extensively coupled by gap junctions forming a network that is suggested to serve as a spatial buffer for potassium (K⁺) ions. We have investigated the role of glial spatial buffering in the regulation of extracellular K⁺ concentration ([K⁺]_o) within the locust metathoracic ganglion by pharmacologically inhibiting gap junctions. Using K⁺-sensitive microelectrodes, we measured [K⁺]_o near the ventilatory neuropile while simultaneously recording the ventilatory rhythm as a model of neural circuit function. We found that blockade of gap junctions with either carbenoxolone (CBX), 18β-glycyrrhetinic acid (18β-GA) or meclofenamic acid (MFA) reliably induced repetitive [K⁺]_o surges and caused a progressive impairment in the ability to maintain baseline [K⁺]_o levels throughout the treatment period. We also show that a low dose of CBX that did not induce surging activity increased the vulnerability of locust neural tissue to spreading depression (SD) induced by Na⁺/K⁺-ATPase inhibition with ouabain. CBX pre-treatment increased the number of SD events induced by ouabain and hindered the recovery of [K⁺]_o back to baseline levels between events. Our results suggest that glial spatial buffering through gap junctions plays an essential role in the regulation of [K⁺]_o under normal conditions and also contributes to a component of [K⁺]_o clearance following physiologically elevated levels of [K⁺]_o.     

A role for the cerebellum in the control of limb movement velocity

Accepting, rejecting or modifying the many different theories of the cerebellum's role in the control of movement requires an understanding of the signals encoded in the discharge of cerebellar neurons and how those signals are transformed by the cerebellar circuitry. Particularly challenging is understanding the sensory and motor signals carried by the two types of action potentials generated by cerebellar Purkinje cells, the simple spikes and complex spikes. Advances have been made in understanding this signal processing in the context of voluntary arm movements. Recent evidence suggests that mossy fiber afferents to the cerebellar cortex are a source of kinematic signals, providing information about movement direction and speed. In turn, the simple spike discharge of Purkinje cells integrates this mossy fiber information to generate a movement velocity signal. Complex spikes may signal errors in movement velocity. It is proposed that the cerebellum uses the signals carried by the simple and complex spike discharges to control movement velocity for both step and tracking arm movements.     

下肢康复训练方法的研究现状

下肢运动功能障碍严重影响了患者的日常生活及步行的功能,严重时会造成偏瘫等现象,越来越多的研究者致力于寻找新的有效的下肢康复训练方法。目前临床常用的下肢康复训练方法有肌电生物反馈与综合康复训练结合法、针灸联合康复训练法、电刺激疗法和步态训练法。本文针对近年来下肢康复训练方法的多样性进行了系统回顾及总结,尤其对早期介入的减重步态训练康复模式进行了综述及展望。     

Early vs. late rate of torque development: Relation with maximal strength and influencing factors

We re-examined the relationship between rate of torque development (RTD) and maximal voluntary contractions (MVC) torque, and investigated some possible neuromuscular determinants of early (≤100 ms) and late (≥200 ms) RTD. Seventeen healthy men performed maximal explosive isometric knee extensions at five joint angles, from which MVC torque, RTD at different time intervals (50–250 ms), and early quadriceps EMG activity (EMG₅₀) were evaluated. Quadriceps muscle thickness (MT) was quantified by longitudinal ultrasonography. The relationship between MVC torque, EMG₅₀ and MT against RTD was assessed with Pearson’s and repeated measures correlation coefficients. Moderate-to-strong correlation coefficients were observed between MVC torque and RTD (r = 0.50–0.88, p < 0.001), with stronger relationships for late RTD than for early RTD. Weak-to-strong correlation coefficients were observed amongst RTD and EMG₅₀ (r = 0.37–0.83, p < 0.001), with stronger relationships for early RTD than for late RTD. Only late RTD was significantly correlated with MT, though only moderately (r = 0.50–0.52, p < 0.05). These findings suggest that early and late knee extension RTD are potentially governed by different neuromuscular factors. Neuromuscular activation seems to have a greater influence on early RTD than on late RTD, and vice versa for muscle mass.     

Feedforward activation of the quadratus lumborum during rapid shoulder joint abduction

This study aimed to clarify the difference in the onset of EMG activity between eight trunk muscles, including the anterior (QL-a) and posterior (QL-p) layers of the quadratus lumborum during rapid shoulder joint abduction. Thirteen healthy men participated in this study. Electromyography of the QL-a, QL-p, transversus abdominis (TrA), internal oblique (IO), external oblique (EO), rectus abdominis (RA), lumbar multifidus (LMF), lumbar erector spinae (LES) on non-movement side, and middle deltoid (MD) on the movement side were measured. Subjects who were standing in a relaxed position performed rapid shoulder abduction with the dominant hand after light stimulus with or without a 3 kg wrist weight. Two-way ANOVA (muscles × weight conditions) was used to compare the onset of trunk muscles relative to that of MD. There was a significant main effect of the muscles. The onset of the QL-a, QL-p, and TrA was significantly earlier than that of the IO, EO, LMF, and LES (P < 0.01). This result suggests that the activities of the QL-a, QL-p, and TrA have a crucial role in controlling the center of mass within the base of support and stabilizing the lumbar spine in the coronal plane during shoulder abduction.