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Biomedical subjects

A Lundberg

Publications and source records attributed to A Lundberg.

At least 91 records · Page 5Linked to original sources

The pattern of monosynaptic Ia-connections to hindlimb motor nuclei in the baboon: a comparison with the cat.

The pattern of Ia-connections to motor nuclei of 17 hindlimb muscles (or groups of muscles) has been investigated in baboons by intracellular recording of Ia-e.ps.p.s evoked in motoneurons from different muscle nerves. The amplitudes are normalized to 70 mV resting potential and compared with similarly normalized Ia-e.ps.p.s in cats. As in the cat, Ia-excitation is drawn from a restricted number of muscles and the homonymous effect is usually dominating. Heteronymous connections to many motor nuclei are different in the two species. For example, hip extensors are generally more Ia-isolated from each other in baboons than in cats, and also knee flexors have fewer Ia-interconnections than in cats. A unidirectional Ia-synergism between some hip extensors and knee flexors in cats has changed to a bidirectional one in baboons, with a tendency to lateralization of the connections. Among ankle extensors, soleus has smaller heteronymous Ia-connections from its synergic ankle extensors than in cats. In baboons, plantaris is heteronymously Ia-excited from gastrocnemius-soleus but not from the intrinsic plantar muscles; whereas in cats there exists a considerable Ia-projection from the intrinsic plantar muscles but not from gastrocnemius-soleus. There is a corresponding difference in the insertion of the plantaris tendon, which shows that this muscle acts as toe extensor in cats but as ankle extensor in baboons. For most of the motor nuclei, the homonymous as well as the total aggregate of Ia-e.ps.p.s is smaller in the baboon than in the cat; but the amplitude range between different motor nuclei is larger in the baboon. Reciprocal Ia-i.ps.p.s are evoked only after spinal transection or when brain function is depressed. It is postulated that baboons, contrary to cats, have descending tonic inhibition of transmission in the reciprocal Ia-inhibitory pathway. The phylogenetic flexibility of Ia-connections is discussed and contrasted with their ontogenetic stability.

Action Potentials↗

Integration in descending motor pathways controlling the forelimb in the cat. 10. Inhibitory pathways to forelimb motoneurones via C3-C4 propriospinal neurones.

A further analysis has been made of inhibitory pathways to motoneurones via C3-C4 propriospinal neurones (PNs). Intracellular recording was made from triceps brachi motoneurones and effects from higher centres and forelimb afferents on corticospinal IPSPs were investigated after transection of the corticospinal tract at the C5/C6 border. The shortest latencies of the IPSPs evoked by stimulation of the pyramid were as brief as those of the pyramidal EPSPs (Illert et al. 1977). It is postulated that the minimal linkage of the pyramidal IPSPs is disynaptic via inhibitory C3-C4 PNs projecting directly to motoneurones. It was confirmed that pyramidal IPSPs usually are depressed by volleys in forelimb motor axon collaterals (Illert and Tanaka 1978). A quantitative comparison was made of the recurrent depression of pyramidal IPSPs and of IPSPs caused by activation of the Ia inhibitory interneurones. The result support the hypothesis of two parallel inhibitory cortico-motoneuronal pathways via C3-C4 PNs, one disynaptic via the inhibitory PNs and the other trisynaptic via excitatory PNs and Ia inhibitory interneurones. Pyramidal volleys also evoked late IPSPs which in some cases were not depressed from forelimb motor axon collaterals. It is postulated that the late IPSPs are partly due to activation of inhibitory C3-C4 PNs. Disynaptic pyramidal IPSPs were effectively facilitated by volleys in rubro-, tecto- and reticulospinal fibres - but not from vestibulospinal fibres - showing a convergence from the former descending tracts on common inhibitory C3-C4 PNs. Projection from forelimb afferents and corticospinal fibres on common inhibitory C3-C4 PNs was revealed by strong facilitation of disynaptic pyramidal IPSPs from cutaneous forelimb afferents. No corresponding effect was evoked from C2 neck afferents. Stimulation in the lateral reticular nucleus (LRN) evoked monosynaptic IPSPs in some motoneurones. The results of threshold mapping in and around the LRN suggest that the IPSPs are caused by antidromic stimulation of ascending collaterals of inhibitory neurones also projecting to motoneurones, possibly the inhibitory C3-C4 PNs.

Animals↗

Integration in descending motor pathways controlling the forelimb in the cat. 11. Inhibitory pathways from higher motor centres and forelimb afferents to C3-C4 propriospinal neurones.

Intracellular recording was made in the C3-C4 segments from cell bodies of a previously described system of propriospinal neurones (PNs), which receive convergent monosynaptic excitation from different higher motor centres and mediate disynaptic excitation and inhibition from them to forelimb motoneurones. Inhibitory effects in these PNs have now been investigated with electrical stimulation of higher motor centres and forelimb nerves. Short-latency IPSPs were evoked by volleys in the cortico-, rubro- and tectospinal tracts and from the reticular formation. Latency measurements showed that those IPSPs which required temporal summation were disynaptically mediated. After transection of the corticospinal tract in C2, only small and infrequent disynaptic IPSPs were evoked from the pyramid. It is postulated that disynaptic pyramidal IPSPs only to a small extent are evoked by monosynaptic excitation of reticulospinal inhibitory neurones known to project directly to the PNs, and that they are mainly mediated by inhibitory interneurones in the C3-C4 segments. Tests with spatial facilitation revealed monosynaptic excitatory convergence from tecto-, rubro- and probably also from reticulospinal fibres on inhibitory interneurones monosynaptically excited from corticospinal fibres (interneuronal system I). Disynaptic IPSPs were also evoked in the great majority of the PNs by volleys in forelimb muscle and skin nerves. A short train of volleys was usually required to evoke these IPSPs from group I muscle afferents. In the case of cutaneous nerves and mixed nerves single volleys were often effective, and the lack of temporal facilitation of IPSPs produced by a train of volleys showed strong linkage from these nerves. The results obtained after transection of the dorsal column at different levels show that the relay is almost entirely rostral to the forelimb segments. Test with spatial facilitation revealed that interneurones monosynaptically activated from forelimb afferents receive convergent excitation from corticospinal but not or only weakly so from tecto- or rubrospinal fibres. There was also convergence from group I muscle afferents and low threshold cutaneous afferents on common interneurones. It is postulated that the disynaptic IPSPs from forelimb afferents are mediated by inhibitory interneurones (interneuronal system II) other than those receiving convergent descending excitation. Volleys in corticospinal fibres, in addition to the disynaptic IPSPs, evoke late IPSPs in the PNs. Similar late IPSPs were evoked from the ipsilateral forelimb by stimulation of the FRA.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Integration in descending motor pathways controlling the forelimb in the cat. 12. Interneurones which may mediate descending feed-forward inhibition and feed-back inhibition from the forelimb to C3-C4 propriospinal neurones.

Extra- and intracellular recording was made from cells in the C3-C4 segments with the aim of finding interneurones of previously described inhibitory pathways to the C3-C4 propriospinal neurones, which may mediate descending feed-forward inhibition and feed-back inhibition from the forelimb, respectively. The lateral interneurones were found in the lateral part of lamina VII interspersed among the C3-C4 PNs and like them they receive convergent monosynaptic EPSPs and disynaptic IPSPs from the cortico-, rubro-, tecto- and reticulospinal tracts. Disynaptic IPSPs, but only rarely monosynaptic EPSPs, are evoked in them from forelimb nerves. The lateral interneurones do not project to the lateral reticular nucleus (LRN). The medial interneurones were found medially in laminae V and VI in a region where volleys in forelimb nerves evoke extracellular monosynaptic focal potentials (Rosén 1969). There is somatotopic organization of the projection from the forelimb to this region. Many neurones are strongly monosynaptically excited from group I muscle or/and cutaneous forelimb afferents. In addition, late discharges are evoked in many cells from cutaneous afferents and high threshold muscle afferents. Corticospinal volleys evoked monosynaptic excitation in the great majority of these cells and usually also late EPSPs or IPSPs. Typically, rubrospinal and tectospinal volleys evoked neither monosynaptic excitation nor late effects as those elicited from corticospinal fibres. In some of the interneurones, IPSPs were evoked from forelimb nerves. About 20% of the medial "interneurones" have an ascending projection to the caudal brain stem. Threshold mapping for antidromic stimulation revealed termination in the main cuneate nucleus, the external cuneate nucleus and/or the LRN and also a branch projecting to more rostral levels in the brain. A few of the neurones in the medial region are PNs projecting to the forelimb segments. It is postulated that interneurones both of the lateral and medial type are inhibitory and project to the C3-C4 PNs. It is further postulated that the former are intercalated in the descending feed-forward inhibitory pathway to the C3-C4 PNs and the latter in the feed-back inhibitory pathway from the forelimb to these PNs. The role of feed-forward and feed-back inhibition of transmission from the brain to forelimb motoneurones via the C3-C4 PNs is discussed.

Afferent Pathways↗

Longitudinal study of physical working capacity of young people with spastic cerebral palsy.

Nineteen adolescents with spastic diplegia and 12 able-bodied controls took part in a longitudinal study of aerobic capacity and physical working capacity during their teens. Absolute values for aerobic capacity and physical working capacity increased during the teens for both groups, which appears to contradict earlier descriptions of prematurely decreased physical working capacity among cerebral-palsied adolescents. On the other hand, net mechanical efficiency during submaximal bicycle ergometer tests decreased significantly in the diplegic group during their teens, and especially among those with severe motor handicap. This is of interest because these children are at risk of insufficient physical activity at school, partly because of the unsatisfactory design of physical education programmes for motor-handicapped children.

Adolescent↗

Propriospinal control of interneurons in spinal reflex pathways from tendon organs in the cat.

After chronic hemisection at C3, stimulation of propriospinal fibers in the dorsal quadrant at Th 10 facilitated disynaptic PSPs from Ib afferents in hindlimb motoneurons. Recording from interneurons monosynaptically activated from group I muscle afferents, and of extracellular focal synaptic potentials around them, revealed monosynaptic EPSPs from long propriospinal neurons. It is suggested that propriospinal neurons originating in the forelimb segments have direct excitatory connexions with inter-neurons of Ib reflex pathways to hindlimb motoneurons.

Animals↗

Effects of 4-aminopyridine on synaptic transmission in the cat spinal cord.

An analysis was made of effects of 0.1-1.0 mg/kg 4-aminopyridine (4-AP) i.v. on excitatory and inhibitory spinal reflex pathways in lightly anaesthetized or decerebrated cats. The effects appeared within the first minutes of the injection, reached maximum after about 10-15 min and remained stable during at least several hours. 4-AP enhanced the following synaptic actions on motoneurones: monosynaptic excitation from Ia afferents and descending tracts, disynaptic and polysynaptic excitation from group Ib, group II, cutaneous and high threshold muscle afferents, disynaptic inhibition from Ia and Ib afferents and recurrent and polysynaptic inhibition from different afferents. 4-AP also increased primary afferent depolarization and excitation of ascending tract cells by peripheral stimuli. In the case of the disynaptic inhibitory pathways it has been shown that 4-AP may enhance the excitation of the interposed interneurones but it also increases the action of these interneurones on the motoneurones; monosynaptic inhibition evoked in motoneurones by electrical stimulation of the axons of the inhibitory interneurones was used as a test response in these experiments. No indications were found of direct effects of 4-AP on excitability of afferent fibres or motoneurones to electrical stimuli. No systematic changes were either found in the membrane potential of motoneurones or in the duration of action potentials of these neurones or primary afferents. It is therefore concluded that small doses of 4-AP enhance synaptic transmission in the spinal cord by an action at a presynaptic level.

4-Aminopyridine↗

Electrophysiological evidence against the hypothesis that corticospinal fibres send collaterals to the lateral reticular nucleus.

Extracellular focal synaptic potentials (FSPs) were recorded in forelimb segments of cats in the region where corticospinal volleys (pyramidal stimulation) gave a maximal FSP. No FSP was recorded in this region on stimulation of the medial part of the lateral reticular nucleus (LRN), provided that ventral spinal pathways through which FSPs can be evoked from the LRN region were transected. It is postulated that the projection from the cerebral cortex to the LRN is not by collaterals from corticospinal neurones but rather by separate corticofugal neurones.

Animals↗

Paroxysmal atrial tachycardia in infancy: long-term follow-up study of 49 subjects.

A follow-up study of 49 individuals with paroxysmal atrial tachycardia in infancy is reported. Forty subjects had supraventricular tachycardia and nine had atrial flutter/fibrillation. The mean follow-up period was 24 years. Males whose ECGs showed preexcitation displayed the highest rate of recurrences (approximately 60%) in the long-term follow-up. Approximately 30% of the subjects without preexcitation in the ECG displayed episodes of supraventricular tachycardia in their third decade. Eight-six percent of the children of the subjects in the present series were males. The prognosis is good in the absence of congenital heart disease.

Adolescent↗

Integration in descending motor pathways controlling the forelimb in the cat. 7. Effects from the reticular formation on C3-C4 propriospinal neurones.

Effects of stimulation in the medullary reticular formation (RF) on C3-C4 propriospinal neurones (PNs) were investigated in two series of experiments: (1) indirectly by analyzing how propriospinal transmission to forelimb motoneurones is modified by reticular stimuli; (2) directly by intracellular recording from C3-C4 neurones, which were identified as propriospinal by their antidromic activation from the C6 segment. Propriospinally mediated disynaptic EPSPs evoked in motoneurones from the pyramid (Pyr) and the red nucleus (NR) were effectively facilitated by conditioning stimulation in the RF with a time course of facilitation indicating monosynaptic linkage to the PNs. Propriospinally mediated trisynaptic IPSPs were facilitated less regularly and sometimes instead depressed by conditioning stimulation in the RF. The depression is at least partly due to inhibition of the first order PNs. Recording from C3-C4 PNs revealed that many of them were excited or inhibited by single stimuli in the RF. The brief latency of the EPSPs evoked in these neurones shows monosynaptic linkage from fast reticulospinal fibres. Some IPSPs were similarly monosynaptically evoked from fast fibres and observations are presented suggesting that longer latency IPSPs are monosynaptically mediated by slower fibres. Facilitation of propriospinal transmission to motoneurones as well as the EPSPs and IPSPs in PNs were evoked from a region within or close to the nucleus reticularis gigantocellularis. Convergence of monosynaptic EPSPs from Pyr, NR, tectum, and RF was common in C3-C4 PNs. Linear summation of the EPSPs from RF with those evoked from cortico-, rubro-, or tectospinal tracts shows that the former are not due to stimulation of collaterals which the latter tracts may have in RF. Mediation of the EPSPs and IPSPs by descending, rather than by antidromically activated ascending fibres, was indicated by temporal facilitation produced by RF stimuli, subliminal for evoking monosynaptic PSPs in the PNs. Stimulation of the labyrinth did not evoke disynaptic PSPs in any of the PNs investigated. It is concluded that the C3-C4 PNs projecting to forelimb motoneurones can be excited not only from the cortico-, rubro-, and tectospinal tracts (Illert et at. 1977, 1978) but also by reticulospinal fibres.

Animals↗

Wheelchair driving. Evaluation of a new training outfit.

A training apparatus for wheelchair drivers has been constructed. Its purpose is to offer an alternative for outdoor training or in indoor halls. Wheelchair driving/training is performed on a simple system of rollers (originally designed for racing cyclists), which was tested by 10 skilled wheelchair drivers (participants in the Swedish national wheelchair basketball team) and 6 unskilled wheelchair drivers. Maximal working tests have been performed and compared with arm ergometer work. The results show that skilled wheelchair drivers are subject to a greater load on the oxygen transport system during wheelchair work on rollers as compared with arm ergometer work. This is probably because they are capable of increasing their working muscle mass in wheelchair driving by engaging the muscles of the trunk. Corresponding differences cannot be found for the unskilled wheelchair drivers. Wheelchair work on rollers also offers an adequate neuromuscular training for this category of participants in 'wheelchair' sports.

Adolescent↗