Influence of Vibration on the Excitability of Spinal α-Motoneurons under Static Conditions and during Evoked Stepping in Humans

摘要

The excitability of spinal a-motoneurons in healthy humans was investigated with vibrostimula-tion (20-60 Hz) applied to different groups of muscles both under stationary conditions and during vibration-evoked stepping movements with leg suspension. In 15 subjects, the H-reflex amplitude was compared under the conditions of vibration of the left leg quadriceps femoris (QFM) or biceps femoris (BFM) muscle, as well as under the conditions of vibration of the contralateral, motionless leg QFM muscle in three spatial positions of the body: upright, supine, and lying on the side with the left leg suspended. Under dynamic conditions, the H-reflex value was compared during evoked and voluntary steppings at eight intervals of the step cycle. In all body positions, the vibration of each ipsilateral leg muscle caused a significant H-reflex suppression, this suppression being more prominent under the air-stepping conditions. The vibration of the contralateral leg QFM had weak influence on the H-reflex amplitude. In seven subjects, the vibration of the ipsilateral and contralateral leg muscles generated stepping movements. During vibration-evoked air-stepping, the H-reflex had different amplitudes in different phases of the step cycle. At the same time, the differences between responses under voluntary and involuntary stepping conditions were revealed only in the step cycle phase corresponding to the stance phase. Thus, the different degrees of the H-reflex suppression by vibration in different spatial positions of the body seem to depend on the summary afferent inflows to the spinal cord interneurons involved in the regulation of locomotion and posture. Apparently, an increase in the spinal cord neuronal excitability, which is necessary for activating locomotor automatism under the leg unloading conditions, occurs during evoked air-stepping in the swing phase.