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The treatment of apneas of prematurity mainly involves the use of drugs (methylxanthines, doxapram). Despite evidence of the efficacy, some adverse effects may occur raising the question of other therapies. This brief review analyses the usefulness of methods influencing the ventilatory reflexes: cutaneous and proprioceptive stimulation and nasal continuous positive airways pressure proposed previously.
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The aim of the study was to estimate the effect of the neck proprioception on the postural reflexes in the cases of the cervical pathology in the whiplash injury and degenerative disease of the cervical vertebral column. The investigation using ENG and stabilometry was performed in 81 patients. Experimental observations were done among 10 pigeons with limitation of the neck proprioceptors action by special neck tutor. Their postural reflexes were analysed during balance test on the seesaw. Our conclusion is, that disorders of the proprioceptors impulastion can damage the postural reflexes even in patients with normal labyrinth function.
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A brief anatomical description of topographical arrangements of respiratory neurons in the fish respiratory medulla introduces a discussion centered on neural controls of reflex breathing movements during rhythmic and ram gill ventilation, especially the role of proprioception in "load matching." Paralysis experiments show that proprioceptive signals are processed in medullary respiratory areas of the brain. Some neurons depend completely on proprioceptive input for their activity, while others "mix" proprioceptive and rhythmic information. The existence of direct proprioceptive control loops is revealed by fast compensating changes in electrical activity of respiratory muscles following mechanical interference with respiratory movements. Responses of respiratory neurons to short artificial twitches of respiratory muscles show that some neurons process proprioceptive information at higher levels of integration, often with a long latency and after effect. Other neurons react immediately to the stimulus and often show properties of elements in proprioceptive control systems in which length receptors facilitate and tension receptors inhibit motor neuron activity. Stimulus-response averaging applied to neuron activity and respiratory electromyograms, and to electrical stimuli and neurograms, leads to the conclusion that motor neurons and neurons mediating sensory signals from the respiratory muscles are situated close together in the medullary respiratory areas. Neuroanatomical studies are discussed which indicate that the sensory projection fields of some trigeminal fibers terminate adjacent to the cranial motor nuclei. These presumably project onto motor neurons forming fast disynaptic reflex arcs relaying sensory trigeminal information.
1. Electromyographic activity (EMG) is detectable in the feline stapedius muscle 6-10 ms after the onset of an intense sound presented to either ear. Stapedius reflexes evoked by ipsilateral and contralateral sound were measured electromyographically before and after brain stem lesions were made. In some cases, stapedius motor axons were cut; in others, brain stem regions containing motoneuron cell bodies were destroyed electrolytically. 2. Electrolytic lesions that contacted an anatomically separate cluster of stapedius motoneurons (the ventromedial perifacial group) greatly reduced responses to contralateral sound without noticeably affecting responses to ipsilateral sound. 3. Electrolytic lesions in other brain stem areas had different effects; one appeared to reduce responses to ipsilateral sound selectively, whereas others reduced both responses or had little effect. 4. After subsets of stapedius motor axons were cut at the facial colliculus in the floor of the fourth ventricle, responses to contralateral sound were almost eliminated, while substantial responses to ipsilateral sound remained. 5. The results are consistent with the hypothesis that inputs from the two cochleas are distributed inhomogeneously across the stapedius motoneuron pool in such a way as to produce a segregation of function, with motoneurons in one brain stem region responding preferentially (or exclusively) to contralateral sound and motoneurons in other regions responding preferentially (or exclusively) to ipsilateral sound. This topographic organization of acoustic input to the stapedius motoneuron pool produces a "central partitioning" in the acoustic stapedius reflexes similar in some respects to the partitioning observed in proprioceptive spinal reflexes.
There are various methods of measuring proprioception at the knee. Beard et al (1993) have described a delay in reflex hamstring contraction in anterior cruciate deficient knees. We have repeated their experiment and were unable to detect any significant difference in reflex hamstring contraction between the injured and uninjured legs. We discuss possible neurophysiological and biomechanical causes for the conflicting results and conclude that this method may not be a valid measure of proprioception.
The influence of afferent articular and periarticular input on muscle tone, joint mobility, proprioception and pain is of considerable interest to practitioners using manipulation. It has long been hypothesized that dysfunctional articulations may generate altered patterns of afferent input. This article reviews the relevant studies that have investigated the impact of articular input on efferent activity under normal conditions and under conditions of altered joint function. The findings suggest that sensory input does have a substantial effect on efferent function and sensation. Furthermore, the studies indicate that the pattern of articular input may be significantly modified by joint inflammation, trauma and effusion and result in changes of muscle tone, joint mobility, proprioception and pain.
1. In the decerebrate cat descending cervico-lumbar reflex interactions from neck muscle nerves are absent, and those from forepaw nerves are reduced or absent.2. Lesions restricted to the anterior pole of the suprasylvian gyrus regularly abolish descending cervico-lumbar reflex interactions from neck muscle nerves. The same lesions may reduce or abolish descending cervico-lumbar reflex interactions from forepaw nerves.3. The ascending cortical looping pathway utilized in descending cervico-lumbar reflex interactions is crossed, and the descending pathway from the cerebral cortex is bilateral.
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The effect of asymmetrical tonic reflexes on the upper limb in man was studied by analyzing errors in reproducing a targeted movement in right elbow extension following head rotation and vibration of the neck muscles. Overshoot of reproduction was observed only when the head was rotated to the left in contrast to no rotation or with rotation to the right. However, there was no influence on errors of reproduction after vibration of the neck muscles. These observations suggest that the proprioception in the rotated head controls the kinesthetic input by peripheral sensory receptors, namely, vestibular input plays a greater role in the accurate positioning of the upper limb, especially in inhibiting sensory input from the opposite side of the rotated head.
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This study was undertaken to elucidate the role of extraocular proprioception in the vestibulo-ocular reflex, using pigmented rabbits. The presence of extraocular afferent projections in the ophthalmic branch (OB) of the trigeminal nerve was confirmed by retrograde transport of horseradish peroxidase. The OB of the left trigeminal nerve was transected at its junction with the trigeminal ganglion. Vestibular nystagmus was produced by rotating the animal clockwise and counter-clockwise in the horizontal plane in a dark room. The number and direction of the quick phase of nystagmus induced by rotation in the eye on the operated side were not different from those in the eye on the unoperated side or from those before the transection. However, the eye on the operated side moved slowly and unstably without directional preponderance during and after rotation at an angular velocity of 30 degrees/sec. In the sham-operated and unoperated groups, when the angular velocity was increased to over 90 degrees/sec, the eyes deviated in the anticompensatory direction to the head movement (the same direction as the head movement) during and immediately after the rotation. At an angular velocity of over 30 degrees/sec, however, the eye on the operated side exhibited anticompensatory response more frequently and markedly than that on the unoperated side. These results suggest that extraocular proprioception is important for fixation of the eye position in spacial relation to the head, and that loss of the sensation readily induces anticompensatory oculomotor response to head movement.
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