关于感觉崩测试的生理学
James E McCarthy1, Pradeep Attaluri2, Peter Nicksic2
1Department of Plastic and Reconstructive Surgery, Legacy Health, Portland, OR.
The Journal of hand surgery
|March 8, 2024
概括
感觉崩测试,身体检查发现,通过观察在轻度神经刺激后抑制肩膀旋转的神经损伤. 这种反射通路将肢体撤回,以保护受伤的神经.
科学领域:
- 神经学 神经学
- 身体生理学 身体生理学
- 人体解剖学 解剖学 解剖学
背景情况:
- 感觉崩测试 (以前叫做抓伤崩测试) 是身体检查的结果.
- 它描述了受伤神经的光刺激后,外侧肩部旋转的暂时抑制.
- 它的存在和解剖学基础一直受到争议,具有可变的测试特征.
研究的目的:
- 审查哺乳动物的反射生理学,专注于感官路径,超金字塔系统和感觉.
- 为了描述感官崩测试的基础上的反射路径.
- 阐明感官崩测试的解剖学和生理学的基础.
主要方法:
- 对哺乳动物反射生理学文献的审查.
- 强调从上肢开始的感觉通路.
- 探索额外金字塔系统和感觉概念.
主要成果:
- 确定了一条清晰的反射通路,将受伤的神经刺激连接到侧向视网脊柱管,通过 Fasciculus cuneatus 的 afferent 通道.
- 这一途径抑制近端四肢伸展肌肉 (例如,肩膀) 并激活四肢 flexors.
- 反射作用于α和gamma运动神经元.
结论:
- 感觉崩测试证明了一个保护性反射机制.
- 这种反射会将受伤的肢体拉向干部,远离有害刺激.
- 它为观察到的肩部旋转抑制提供了生理学上的解释.
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