ELECTRICAL-STIMULATION OVER MUSCLE TENDONS IN HUMANS - EVIDENCE FAVORING PRESYNAPTIC INHIBITION OF IA FIBERS DUE TO THE ACTIVATION OF GROUP-III TENDON AFFERENTS
A. Priori et al., ELECTRICAL-STIMULATION OVER MUSCLE TENDONS IN HUMANS - EVIDENCE FAVORING PRESYNAPTIC INHIBITION OF IA FIBERS DUE TO THE ACTIVATION OF GROUP-III TENDON AFFERENTS, Brain, 121, 1998, pp. 373-380
Electrical stimulation over muscle tendons produces a transient suppre
ssion of voluntary EMG activity; its onset latency is similar to 55 ms
in the forearm extensor muscles. This phenomenon has been attributed
to the activation of a polysynaptic inhibitory pathway originating fro
m II, afferent fibres. To clarify its origin we conducted several expe
riments in IO nor-mal healthy subjects. The EMG silence after tendon s
timulation appeared at relatively high stimulus intensities (>50 mA);
conditioning cutaneous stimulation left it unchanged, and the inhibiti
on had a short recovery cycle (50 ms). Tendon stimulation still evoked
EMG suppression during an ischaemic block of fast-conducting afferent
s. The motor potentials evoked bq, transcranial magnetic stimulation o
f the motor cortex during the EMG silence remained almost unchanged, w
hereas the H reflex was strongly inhibited Hence we conclude that tend
on stimulation activates slow-conducting tendon afferents, possibly gr
oup III fibres, connected not through a polysynaptic pathway originati
ng from Ib afferents but through nit oligo-or disynaptic inhibitory ci
rcuit. The EMG suppression after tendon stimulation probably represent
s a dysfacilitation of the alpha-motor neurons due to presynaptic inhi
bition of In fibres produced by tendon afferent input to the spinal co
rd.