Search results for "Reflex"

Convergence of nociceptive and non-nociceptive input onto the medullary dorsal horn in man

1998

Referred pain arising in orofacial pain states is probably due to convergence of different somatosensory input onto the medullary dorsal horn (MDH). To examine convergence between nociceptive and non-nociceptive input onto the MDH, the blink reflex (BR) was applied. R1- and R2-components can be evoked by innocuous stimuli, but only the R2 is elicited by painful heat. The BR was elicited by innocuous electrical stimuli applied to the supraorbital nerve. A conditioning painful heat pulse which did not evoke any BR was homotopically applied to the left forehead preceding the electrical stimulus by 75 ms. While R1 remained unchanged, the R2 was facilitated by about 30%. This study demonstrates …

Pain-evoked blink reflex

1997

The electrically evoked blink reflex (BR) consists of an ipsilateral R1 component (R1) at 11 ms and two bilateral components R2 at 33 ms and R3 at 83 ms. It is still unclear whether the R2 is mediated by activation of tactile or nociceptive afferents. For testing the nociceptive hypothesis, nociceptors of the supraorbital nerve were selectively activated by infrared laser stimuli in 10 subjects. Only painful laser stimuli evoked a bilateral early polyphasic BR response (LR2) at 71 ms. Stimulation of infraorbital and mental nerve dermatomes was equally effective. A late bilateral reflex response at 130 ms was occasionally observed. Regarding the nociceptor activation time of about 40 ms, ons…

Nociceptive masseter inhibitory reflexes evoked by laser radiant heat and electrical stimuli

1997

Electrical stimulation of the mental nerve evokes two suppression periods SP1 and SP2 in masseter muscle activity bilaterally. In order to investigate a possible nociceptive origin of the suppression periods, we compared the reflex responses evoked by electrical stimulation and by selective activation of nociceptors in hairy skin using painful infrared laser stimuli. The SP was elicited during more than 90% maximal voluntary contraction. Thresholds for detection, pain, and SP in the mental nerve area were determined by the method of limits. A suppression period was evoked by laser stimuli in nine of ten subjects bilaterally. The mean onset latency was 46.9 ms, the mean duration 58.9 ms. The…

Abolished laser-evoked potentials and normal blink reflex in midlateral medullary infarction.

1999

We investigated two patients presenting with the rare finding of almost isolated hemianalgesia with a sensory level on the contralateral side sparing the face. Clinical findings, electrophysiological studies (absent laser-evoked pain-related somatosensory potentials, normal electrically evoked somatosensory potentials, magnetically evoked potentials, and blink reflexes), and magnetic resonance imaging showed the ventrolateral medullar tegmentum containing the spinothalamic tract to be affected by lacunar infarction. The blink reflex R2 component was unimpaired in both patients.

Electrophysiological and MRI findings in 2 patients with Listeria rhombencephalitis.

1997

Potentiation of the mechanical behavior of the human skeletal muscle through prestretching

1979

Force-velocity and power-velocity curves in a vertical jump involving movements around several joints were derived from vertical ground reaction forces and knee angular velocities. The jumps were performed with weights from 10 to 160 kg added on the shoulders. The obtained curves from a semi-squatting static starting position resembled those reported for isolated muscles or single muscle groups. Vertical jumps were also performed in the conditions where the shortening of the leg extensors was preceded by prestretching of the active muscles either through a preparatory counter-movement or dropping down on the force-platform from the various heights ranging from 20 to 100 cm. Prestretching mo…

Changes in the probability of firing of motor units following electrical stimulation in human limb muscles

1986

Changes in the probability of motor unit firing was studied in ten different muscles (six muscles in the upper extremity and four muscles in the lower extremity) of eleven healthy human subjects. The responses were elicited by the electrical stimulation of cutaneous or mixed nerves during weak voluntary contraction of the muscle studied, and were recorded by averaging the rectified surface electromyogram. In eight of the ten muscles, well-detectable, short and long latency excitatory phases were observed. The most constant and well-identified excitatory responses were observed in the first interosseus dorsalis muscle in the hand, and in the extensor digitorum brevis muscle in the foot. Thes…

Autonomic cardiac regulation in obstructive sleep apnea syndrome: evidence from spontaneous baroreflex analysis during sleep

1997

Objective. To assess spontaneous baroreceptor-heart rate reflex sensitivity during sleep in patients with obstructive sleep apnea syndrome, a condition associated with increased cardiovascular morbidity and mortality and characterized by marked sympathetic activation, which is believed to originate from hypoxic chemoreceptor stimulation, although little is known of other possible mechanisms such as baroreflex impairment. Design and methods. In 11 patients with severe obstructive sleep apnea syndrome (mean ± SD age 46.8 ± 8.1 years, apnea/hypopnea index 67.9 ± 19.1 h), who were normotensive or borderline hypertensive during wakefulness by clinic blood pressure measurements, finger blood pres…

Effects of muscle action type on corticospinal excitability and triceps surae muscle-tendon mechanics.

2018

This study investigated whether the specific motor control strategy reported for eccentric muscle actions is dependent on muscle mechanical behavior. Motor evoked potentials, Hoffman reflex (H-reflex), fascicle length, pennation angle, and fascicle velocity of soleus muscle were compared between isometric and two eccentric conditions. Ten volunteers performed maximal plantarflexion trials in isometric, slow eccentric (25°/s), and fast eccentric (100°/s) conditions, each in a different randomized testing session. H-reflex normalized by the preceding M wave (H/M) was depressed in both eccentric conditions compared with isometric ( P < 0.001), while no differences in fascicle length and pe…

Electrophysiological brainstem investigations in obstructive sleep apnoea syndrome.

1996

Phasic inspiratory genioglossus activity prevents pharyngeal airway collapse in healthy subjects during sleep and is diminished or absent in obstructive sleep apnoea syndrome (OSAS), thus leading to pharyngeal obstruction. Case reports of OSAS after pontomedullary lesions indicate that impaired inspiratory genioglossal activity may result from brainstem lesions. We therefore investigated brainstem functions in 18 awake patients with OSAS using brainstem auditory evoked potentials, blink reflex, masseter reflex, masseter inhibitory reflex (in 11 of 18 patients), magnetic evoked potentials of the tongue and electrooculography with vestibular testing. Fifteen of 18 patients showed no electroph…