佩戴踝关节支具后,腓骨长肌反射激活增加的情况会随时间逐渐减弱。
Increased reflex activation of the peroneus longus following application of an ankle brace declines over time.
作者信息
Nishikawa Tetsuo, Ozaki Takuma, Mizuno Kosaku, Grabiner Mark D
机构信息
Department of Orthopaedic Surgery, Kobe University School of Medicine, Kobe 650 0017, Japan.
出版信息
J Orthop Res. 2002 Nov;20(6):1323-6. doi: 10.1016/S0736-0266(02)00054-2.
Two experiments were performed to document the time-dependent characteristics of the peroneus longus short latency stretch reflex amplitude following application of an ankle brace. In Experiment 1, stretch reflexes were induced in 15 weightbearing subjects during an unbraced condition and braced condition. In Experiment 2, stretch reflexes were induced in 15 weightbearing subjects before and after 3 h of wearing the brace. In Experiment 1. the amplitude of the stretch reflex increased in the braced condition by about 25% relative to the non-braced condition (p = 0.006). In Experiment 2 the amplitude of the stretch reflex increased about 18% immediately after application of the brace relative to the non-braced condition (p = 0.037). After 3 h, the stretch reflex amplitude was not different from that of initial non-braced condition. Given the importance of the peroneus longus muscle in ankle complex stability, further attention should be directed to whether the increased stretch reflex gain can be exploited during rehabilitation from ankle complex injuries. The findings provide a framework by which the effect of ankle braces on ankle joint proprioception, muscle activation profiles and balance may be physiologically interpreted.
进行了两项实验,以记录在佩戴踝关节支具后,腓骨长肌短潜伏期牵张反射幅度随时间变化的特征。在实验1中,对15名负重受试者在未佩戴支具和佩戴支具的情况下诱发牵张反射。在实验2中,对15名负重受试者在佩戴支具3小时前后诱发牵张反射。在实验1中,与未佩戴支具的情况相比,佩戴支具时牵张反射的幅度增加了约25%(p = 0.006)。在实验2中,佩戴支具后立即与未佩戴支具的情况相比,牵张反射的幅度增加了约18%(p = 0.037)。3小时后,牵张反射幅度与最初未佩戴支具时的情况无差异。鉴于腓骨长肌在踝关节复合体稳定性中的重要性,应进一步关注在踝关节复合体损伤康复过程中,增加的牵张反射增益是否可被利用。这些发现提供了一个框架,通过该框架可以从生理学角度解释踝关节支具对踝关节本体感觉、肌肉激活模式和平衡的影响。