[The facilitation and inhibition of monosynaptic reflexes in the upper extremity of nursing infants].

V Gatev, B Angelova, I Litvinenko
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Abstract

The upper extremity H-reflex was investigated in healthy children, aged from 3 to 15 months. The electromyographic reflex responses of m. abduct or digiti min. and m. flexor carpi uln. were registered after electric stimulation of n. ulnaris. We constructed the curve of restoration of H-reflex after application of a couple of stimuli with equal duration and intensity, but over increasing intervals. We established changes in the excitation of H-reflex, obtained from m. flexor carpi uln., by increasing of the interval between the conditional and test stimuli. In the interval of 5 ms maximal facilitation was registered, while in the interval of 20 and 30 ms-maximal inhibition. In children aged from 3 to 9 months with persisting H-reflex in m. abductor digit min. we established possibility for its complete inhibition after application of a couple of stimuli with interval of 20 ms. In children aged from 9 to 15 months with vanished H-reflex in m. abductor digiti min. possibility for its obtaining was established after application of a couple of stimuli with interval of 5 ms. Quotation is made of evidences in favour of the hypothesis for the functional character of the disappearance of H-reflex in the small muscles of the arm in the first year of life of the children.

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哺乳婴儿上肢单突触反射的促进与抑制。
对3 ~ 15月龄健康儿童上肢h反射进行了研究。外展支曲霉、指跖支霉和腕屈支霉的肌电反射反应。经尺骨乳螨电刺激后登记。我们构建了h反射在持续时间和强度相等但间隔增加的刺激下的恢复曲线。我们建立了从腕屈肌获得的h反射兴奋的变化。,通过增加条件刺激和测试刺激之间的间隔。在5 ms时间间隔内观察到最大的促进作用,而在20和30 ms时间间隔内观察到最大的抑制作用。在3 ~ 9个月的儿童中,持续的外展指部h反射,我们建立了在间隔20 ms的几次刺激后其完全抑制的可能性。对于9 ~ 15个月的指外展肌h反射消失的患儿,在间隔5ms的几次刺激后,确定了其恢复的可能性。引用的证据有利于假设的功能特征的h反射消失的小肌肉的手臂在一岁的儿童。
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