Reflex inhibition of human inspiratory muscles in response to contralateral phrenic nerve stimulation.

Abstract:

:In animals, high-intensity unilateral stimulation of the phrenic nerve results in short-latency inhibition of phrenic and intercostal nerve activity bilaterally. This study provides the first demonstration in human subjects of a short-latency inhibitory response in the contralateral scalene, parasternal intercostal and diaphragm muscles to single stimuli delivered at cervical level to the phrenic nerve. Electromyographic (EMG) responses were recorded with intramuscular and surface electrodes. An inhibitory response with an onset latency of approximately 35 ms followed by a long-latency excitatory response at approximately 100 ms were observed in the three inspiratory muscles. The inhibition was evident in single trials, averaged EMG, histograms of the discharge of single motor units, and even when the phrenic nerve stimulus intensity was relatively low. Thus, the inhibition may be mediated by large-diameter muscle afferents. The latency of this potent inhibitory response to contralateral phrenic nerve stimulation is too long to be mediated via a simple spinal circuit and may involve a brainstem projection.

authors

Butler JE,McKenzie DK,Gandevia SC

doi

10.1016/s1569-9048(03)00161-7

keywords:

subject

Has Abstract

pub_date

2003-10-16 00:00:00

pages

87-96

issue

1

eissn

1569-9048

issn

1878-1519

pii

S1569904803001617

journal_volume

138

pub_type

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