胃肠调节类中西药对胃肠道平滑肌的双向调节作用

在不同条件下，单味、复方中药对胃肠道平滑肌可产生双向调节作用。其可能机理为多层次网络系统的平衡调节等。从整体、离体器官、分子水平，单一、配对西药也对胃肠道平滑肌产生双向调节作用。这种双向调节作用充分体现网络系统平衡调节的整体性的哲学内涵，遵循对立统一规律辩证哲学观。     

Does exercise-induced muscle damage impair subsequent motor skill learning?

Motor skill learning is a fundamental aspect of human behavior based on the calibration of internal models via sensory information such as proprioception. Some conditions, as exercise-induced muscle damage (EIMD), disrupt proprioceptive information, and may cause learning impairment. Such possible relation between EIMD and motor skill learning has not yet been investigated and it is the aim of this study. For this purpose, thirty male university students (19.3 ± 1.8 years) were equally assigned to two groups: EIMD and CON group. The EIMD group received a treatment to induce muscle damage consisting of a weight lifting protocol directed to the agonist muscles related to the task prior to the pretest and to the learning sessions. EIMD was verified and compared between groups and along the process (0–168 h) by means of the degree of delayed onset muscle soreness (DOMS), perceived total quality recovery and maximal isometric strength (MIS). To investigate motor skill learning, both groups practiced a dart throwing task for four sessions with 150 trials in each session. Recovery status and DOMS were recovered at 96 h in the EIMD group, and MIS was not recovered throughout 168 h. In contrast, muscle damage parameters were not altered across 168 h in the CON group. Accuracy and consistency were compared within and between groups in a pretest posttest design. The EIMD group showed less accurate and consistent results on the long term (delayed posttest). Results confirmed our hypothesis that EIMD, a common condition in sports and in rehab practices, may hinder motor skill learning, possibly due to neurological aspects such as proprioceptive information, its relation to central nervous system reorganization and internal model consolidation.     

Time and direction preparation of the long latency stretch reflex

This study investigated time and direction preparation of motor response to force load while intending to maintain the finger at the initial neutral position. Force load extending or flexing the index finger was given while healthy humans intended to maintain the index finger at the initial neutral position. Electromyographic activity was recorded from the first dorsal interosseous muscle. A precue with or without advanced information regarding the direction of the forthcoming force load was given 1000 ms before force load. Trials without the precue were inserted between the precued trials. A long latency stretch reflex was elicited by force load regardless of its direction, indicating that the long latency stretch reflex is elicited not only by muscle stretch afferents, but also by direction-insensitive sensations. Time preparation of motor response to either direction of force load enhanced the long latency stretch reflex, indicating that time preparation is not mediated by afferent discharge of muscle stretch. Direction preparation enhanced the long latency stretch reflex and increased corticospinal excitability 0–20 ms after force load when force load was given in the direction stretching the muscle. These enhancements must be induced by preset of the afferent pathway mediating segmental stretch reflex.     

EMG scanning: Normative data

Surface EMG was recorded from both right and left aspects of 18 muscle groups for the purpose of establishing a data base of normative EMG levels. A scanning electrode permitted easy and rapid EMG measurement from 52 male and 51 female college students, both sitting and standing. Several a posteriori analyses of variance revealed sex differences in the masseter, occipital, posterior cervical, upper trapezius, latissimus dorsi, and anterior tibialis. Similarly, there were side differences for the anterior temporalis, occipitalis, splenius capitus, trapezius, paraspinalis, and soleus. The analyses also revealed interactions among sex, position, and side for various measures on the trapezius. The data show that females tend to muscle brace more than males in the upper extremities. The study provides data for normative comparisons and helps to plan and interpret future EMG studies.     

同一学习中海马不同区的习得性长时程突触增强的形成

本研究探查大鼠分辨学习中海马齿状回(DG)和CA_3区突触效应的变化及其相互关系,以探讨同一学习中海马不同区突触可塑性变化的特点及其相互关系,进一步论证习得性长时程增强(LTP)是学习和记忆的神经基础。发现:(1)穿通纤维的单个刺激可在DG和CA_3同时记录到潜伏期、峰值和波形各异的群体峰电位(PS);在一定范围内PS随刺激强度的增加而增大,但DG的PS增大程度比CA_3的小;据此,检测刺激的强度应选在该范围内。(2)随着行为训练,DG和CA_3区的突触传递同时产生LTP,两者LTP的发展是显著正相关关系(P<0.01),PS峰值同时达到最高水平,且先于分辨反应达学会标准,首次表明在同一学习中大鼠海马的DG和CA_3的习得性LTP是同时产生的。本研究还表明,在慢性实验下同时记录和分析行为学习中海马两个区突触效应的变化及其相互关系是可能的,这给从神经环路角度研究学习和记忆的突触机制提供了有用的模型。     

瘦素与慢性阻塞性肺疾病患者营养不良和呼吸肌疲劳的关系探讨

目前大量研究表明血清瘦素在慢性阻塞性肺疾病（COPD）患者营养不良病理生理机制中发挥重要作用,COPD患者多伴有呼吸肌疲劳,严重呼吸肌疲劳最终导致呼吸衰竭而危及生命,本文旨在综述瘦素、营养不良及呼吸肌疲劳之间的联系,以期从新的角度和细胞因子水平来探讨呼吸肌疲劳,为临床治疗呼吸肌疲劳,最终治疗呼吸衰竭提供新的方向。     

Spatial and temporal characteristics of the spine muscles activation during walking in patients with lumbar instability due to degenerative lumbar disk disease: Evaluation in pre-surgical setting

Our purpose was to investigate the spatial and temporal profile of the paraspinal muscle activation during gait in a group of 13 patients with lumbar instability (LI) in a pre-surgical setting compared to the results with those from both 13 healthy controls (HC) and a sample of 7 patients with failed back surgery syndrome (FBSS), which represents a chronic untreatable condition, in which the spine muscles function is expected to be widely impaired.Spatiotemporal gait parameters, trunk kinematics, and muscle activation were measured through a motion analysis system integrated with a surface EMG device. The bilateral paraspinal muscles (longissimus) at L3-L4, L4-L5, and L5-S1 levels and lumbar iliocostalis muscles were evaluated.Statistical analysis revealed significant differences between groups in the step length, step width, and trunk bending and rotation. As regard the EMG analysis, significant differences were found in the cross-correlation, full-width percentage and center of activation values between groups, for all muscles investigated.Patients with LI, showed preserved trunk movements compared to HC but a series of EMG abnormalities of the spinal muscles, in terms of left-right symmetry, top-down synchronization, and spatiotemporal activation and modulation compared to the HC group. In patients with LI some of such EMG abnormalities regarded mainly the segment involved by the instability and were strictly correlated to the pain perception. Conversely, in patients with FBSS the EMG abnormalities regarded all the spinal muscles, irrespective to the segment involved, and were correlated to the disease’s severity. Furthermore, patients with FBSS showed reduced lateral bending and rotation of the trunk and a reduced gait performance and balance.Our methodological approach to analyze the functional status of patients with LI due to spine disease with surgical indications, even in more complex conditions such as deformities, could allow to evaluate the biomechanics of the spine in the preoperative conditions and, in the future, to verify whether and which surgical procedure may either preserve or improve the spine muscle function during gait.     

Changes in Movement Symmetry Associated With Strengthening and Fatigue of Agonist and Antagonist Muscles

The hypothesis that strengthening or fatiguing procedures applied on active muscles can affect the symmetry of rapid, discrete movements was tested. Subjects (N = 12) performed rapid, consecutive elbow flexions and extensions between 2 targets before and after (a) applying a strength training program, (b) fatiguing elbow flexors, and (c) fatiguing elbow extensors. The results demonstrated that an increase in strength of elbow extensors caused by applied strength training is associated with an increase in the symmetry ratio (i.e., acceleration time divided by deceleration time) of elbow flexion movements. The symmetry ratio also increased and decreased in movements when agonists and antagonists were fatigued, respectively. Because the strength training and fatiguing procedures are both known to affect muscle force, the data are interpreted as changes in muscles' ability to exert the force while acting as agonists or antagonists. Namely, muscles need equal impulses of force (torque multiplied by time) to accelerate and, thereafter, to decelerate the limb while performing a rapid, discrete movement. The symmetry ratio may therefore be changed so that more time will be provided for muscles that become relatively weaker (compared with their antagonists) because a strengthening or fatiguing procedure has been applied, whereas a shorter time period should be sufficient for action of their stronger antagonists. Although, in the literature, the studied phenomenon has been discussed as a predominantly motor control phenomenon, the present data suggest that the movement symmetry could also be related to agonists' and antagonists' ability to exert force, particularly while performing rapid, discrete movements.     

Avatar body dimensions and men's body image

Two online surveys examined the significance of the visual analogues, or ‘avatars’, men (total N = 266) create and use online. Two-dimensional (adiposity × muscle) somatomorphic matrices revealed that avatars are generally thinner than their creator's actual body and similar to their ideal, but more muscular than either their actual or ideal. Men's ratings of the importance of their avatar's appearance correlated with their actual weight and muscle concerns, and disparity between their avatar and actual body dimensions predicted their offline context body change concerns additional to that accounted for by disparity between their ideal and actual bodies. Together with the observation that men also reported higher self-esteem, less social interaction anxiety and less social phobia while online (which correlated with the time they spent online), these results suggest that the physical dimensions of avatars used in social interactions online may serve a compensatory function.     

Gastrocnemius and soleus are selectively activated when adding knee extensor activity to plantar flexion

The gastrocnemius is a biarticular muscle that acts not only as a plantar flexor, but also as a knee flexor, meaning that it is an antagonist during knee extension. In contrast, the soleus is a monoarticular plantar flexor. Based on this anatomical difference, these muscles’ activities should be selectively activated during simultaneous plantar flexion and knee extension, which occur during many activities of daily living. This study examined the selective activation of gastrocnemius and soleus activities when voluntary isometric activation of knee extensors was added to voluntary isometric plantar flexion. Ten male volunteers performed isometric plantar flexion at 10%, 20%, and 30% of maximum effort. During each plantar flexion task, isometric knee extension was added at 0%, 50%, and 100% of maximum effort. When knee extension was added, the average rectified value of the electromyographic activity of the medial gastrocnemius was significantly depressed (P = .002), whereas that of the soleus was significantly increased (P < .001) regardless of the plantar flexion level. These results suggest that plantar flexion with concurrent knee extensor activity leads to selective activation of the soleus and depression of the synergistic activity of the gastrocnemius.