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Double Stimuli Paradigms Should Be Careful Interpreted When Applying Lumbar Magnetic Stimulation

机译:应用腰部磁刺激时应仔细解释双重刺激范例

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We investigated the neural structures activated by transcutaneous magnetic stimulation of the spinal cord, by examining the evoked electromyographic responses in the lower limbs. Only in few cases posterior root-muscle reflexes could be elicited by activation of the posterior root afferent fibers. Generally, M-waves were elicited by direct stimulation of the alpha motoneuron axons within the anterior root or spinal nerve. However, the double stimulus paradigm in the interpretation of the muscle responses by their refractory behavior was inefficient Stimulation evoked strong contrac tion of the paraspinal muscles by the first stimulus and in creased the distance between magnetic coil and the back dur ing the second pulse, i.e. changed the stimulation conditions. To avoid misinterpretation of the data, additional neurophysi ological methods to condition the responses should be applied for their identification, such as tendon vibration.
机译:我们通过检查下肢诱发的肌电图反应,研究了经皮的经皮磁刺激脊髓激活的神经结构。仅在少数情况下,可通过激活后根传入纤维来引起后根-肌肉反射。通常,通过直接刺激前根或脊髓神经内的α运动神经元轴突引发M波。然而,双重刺激范例无法通过其难治性行为来解释肌肉反应,这种刺激方式效率低下。刺激在第一次刺激时引起了脊柱旁肌的强烈矛盾,并在第二次脉冲期间增加了电磁线圈和背部之间的距离,即改变了刺激条件。为了避免对数据的误解,应使用其他调节反应的神经生理学方法进行识别,例如腱振动。

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