潜伏触发点干针治疗对脊柱反射的神经生理学影响
Gretchen Seif1, Alan M Phipps2, Joseph M Donnelly3
1Department of Health Professions, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, United States.
Journal of neurophysiology
|December 20, 2024
概括
深度干针 (DDN) 暂时降低了受治疗的中部胃角肌肌肉刺激能力,但增加了 Soleus 的抑制反射. 这些发现表明DDN对脊髓产生复杂的影响,影响刺激和抑制途径.
科学领域:
- 神经学 神经学
- 身体生理学 身体生理学
- 康复医学 康复医学 康复医学
背景情况:
- 深度干针 (DDN) 是一种治疗肌肉触发点 (TrPs) 的治疗技术,与神经肌肉疼痛和有关.
- 确切的神经生理机制,底层的DDN的影响仍然不完全理解.
- 研究DDN对脊柱反射的影响对于阐明其治疗作用至关重要.
研究的目的:
- 为了检查DDN对脊柱反射的影响,特别是三肌肌肉中的H反射和M波.
- 评估DDN对相互抑制和被动脚运动范围 (ROM) 的影响.
- 确定DDN后这些神经生理变化的时间概况.
主要方法:
- 十七名患有潜伏的中部胃内膜 (MG) TrPs的成年人接受了DDN.
- 测量包括H反射,M波,索莱乌斯,MG和侧面胃半径 (LG) 的相互抑制,以及被动脚ROM.
- 这些参数被记录在DDN之后的即时,90分钟和72小时间隔之前和之后.
主要成果:
- MG最大M波幅在DDN后立即和90分钟下降,恢复72小时;LG和soleus M波保持不变.
- 在所有三肌 surae 肌肉中,最大 H 反射幅度没有显著变化.
- 索莱斯抑制在DDN后立即和72小时显著增加,伴随着被动脚ROM的增加.
结论:
- 在接受治疗的MG中,DDN对运动神经刺激能力 (M波) 产生了暂时的,肌肉特异性的影响.
- 增加的索莱斯抑制和脚ROM表明复杂的,潜在的差异性,调节脊柱刺激性和DDN的抑制.
- 这些发现突显了DDN在脊柱层面的复杂神经生理影响,特别是关于刺激和抑制通路的平衡.
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