运动想象任务是否改变手部FCR肌的h反射?

Seyyedeh Ensiyeh Hashemi, Mohammad Ali Ahmadi-Pajouh, Elham Shamsi
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摘要

运动是人类最重要的能力之一。神经系统疾病,如脊髓损伤、中风和帕金森病,可以改变患者生活的方方面面,从自我护理到社会行为。其中一个理论,在康复治疗中有很强的证据,就是通过恢复反射来治疗病人。另一方面,有大量证据表明,大脑在功能恢复中起着非常重要的作用。然而,一个悬而未决的问题是,这两种观点是如何协同工作的。本研究研究了大脑皮层活动对霍夫曼反射(Hoffmann reflex, H-reflex)的影响。比较运动想象任务前后h反射的振幅和延迟。12名健康受试者参加了本研究。受试者被要求想象手腕的屈伸,并在想象任务中记录h反射。记录桡侧腕屈肌肌电图。腕屈曲想像与无想像时h反射振幅差异有统计学意义(p值= 0.002)。然而,腕部伸展显像与无显像情况差异无统计学意义(p值= 0.622)。因此,研究结果可以指导研究者得出运动想象任务可能影响脊髓反射的结论。
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Does Motor Imagery Task Alter H-Reflex in FCR Muscle of The Human Hand?
Movement is one of the most important abilities of the human being. Neurological disorders, such as spinal cord injury, stroke and Parkinson's disease can change all aspects of a patient’s life, from self-care to social behavior. One of the theories, which has a very strong evidence in rehabilitation, works on recovery of reflexes in order to treat patients. On the other hand, there has been a great deal of evidence that cerebrum has a very important role in recovery of functions. However, one open question is how these two views work together. In this research, change in the Hoffmann reflex (H-reflex) due to cortical activities was studied. The amplitude and delay of H-reflex before and after the motor imagery task were compared. Twelve healthy subjects participated in this study. Subjects were requested to imagine flexion and extension of wrist, and H-reflex was recorded during the imagery task. The EMG was recorded from flexor carpi radialis (FCR) muscle. There was a statistically significant difference between the H-reflex amplitude in the wrist flexion imagery and no-imagery condition (p-value = 0.002). However, there was no significant difference in the wrist extension imagery and no-imagery condition (p-value = 0.622). Thus, results can guide researchers to the conclusion that the motor imagery task may affect spinal reflexes.
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