Miller B F, Gruben K G, Morgan B J
University of California-Berkeley, Berkeley, CA, USA.
Phys Ther. 2000 Jan;80(1):53-60.
Transcutaneous electrical nerve stimulation (TENS) increases regional blood flow when applied at intensities sufficient to cause skeletal muscle contraction. It is not known whether increases in blood flow elicited by TENS differ from those caused by voluntary muscle contraction. The purpose of this study, therefore, was to compare the hemodynamic effects of these 2 types of muscle contraction.
Fourteen people with no known pathology, aged 18 to 49 years (mean=28, SD=8), served as subjects. Calf blood flow (venous occlusion plethysmography), heart rate (electrocardiogram), blood pressure (automated sphygmomanometry), and force (footplate transducer) were measured during electrically induced and voluntary contractions.
Both modes of exercise caused rapid, but short-lived vasodilation (calf vascular resistance [mean(SEM]: (53%(3% for voluntary contractions versus (57%(4% for electrically induced contractions). The vasodilation caused by electrically induced contractions persisted for at least 15 seconds in the postexercise period, whereas the vasodilation elicited by voluntary contractions had resolved by this time point.
The hemodynamic changes elicited by voluntary and electrically induced muscle contractions are similar in magnitude but different in duration.
经皮电刺激神经疗法(TENS)在施加足以引起骨骼肌收缩的强度时会增加局部血流量。目前尚不清楚TENS引起的血流量增加是否与自主肌肉收缩引起的血流量增加有所不同。因此,本研究的目的是比较这两种类型肌肉收缩的血流动力学效应。
14名无已知病理状况、年龄在18至49岁(平均 = 28岁,标准差 = 8岁)的人作为受试者。在电诱导收缩和自主收缩期间测量小腿血流量(静脉阻塞体积描记法)、心率(心电图)、血压(自动血压计)和力量(踏板传感器)。
两种运动方式均引起快速但短暂的血管舒张(小腿血管阻力[平均值(标准误)]:自主收缩时为53%(3%),电诱导收缩时为57%(4%))。电诱导收缩引起的血管舒张在运动后持续至少15秒,而自主收缩引起的血管舒张在该时间点已消退。
自主和电诱导肌肉收缩引起的血流动力学变化幅度相似,但持续时间不同。