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一种用于评估骨骼肌僵硬度的新型手持设备的可靠性。

Reliability of a new, hand-held device for assessing skeletal muscle stiffness.

作者信息

Bizzini Mario, Mannion Anne F

机构信息

Musculoskeletal Research Centre, Schulthess Klinik Lengghalde 2, Zürich 8008, Switzerland.

出版信息

Clin Biomech (Bristol). 2003 Jun;18(5):459-61. doi: 10.1016/s0268-0033(03)00042-1.

Abstract

OBJECTIVE

The aim of the study was to examine the test-retest reliability of the Myoton-2 myometer for measuring skeletal muscle viscoelastic stiffness.

METHODS

Ten healthy volunteers took part. On day 1, the viscoelastic stiffness of the rectus femoris, vastus lateralis, biceps femoris, and gastrocnemius muscle (lateral and medial heads) was measured at rest using the Myoton-2 myometer. On day 2, the tests were repeated, and the rectus femoris was also examined during the maintenance of submaximal contractions of the quadriceps, and at a different resting muscle length.

RESULTS

The myometer showed good to excellent test-retest reliability for all muscles (ICCs 0.80-0.93), except for the vastus lateralis (ICC 0.40). Viscoelastic stiffness showed a linear increase with increasing quadriceps' force output, and was higher in stretched than in shortened resting muscle.

CONCLUSION

The Myoton-2 myometer is a reliable device for measuring the viscoelastic stiffness of resting muscle. Furthermore, viscoelastic stiffness showed the expected changes in response to increases in force output and muscle length, suggesting that the measurements were also valid.

RELEVANCE

The results of this pilot study show that the Myoton-2 myometer is a simple, precise instrument for measuring muscle viscoelastic stiffness. If the findings can be confirmed in larger studies, further research should be carried out to examine its potential applications in the field of musculoskeletal medicine.

摘要

目的

本研究旨在检验Myoton-2肌张力计测量骨骼肌粘弹性硬度的重测信度。

方法

10名健康志愿者参与研究。在第1天,使用Myoton-2肌张力计在静息状态下测量股直肌、股外侧肌、股二头肌和腓肠肌(外侧头和内侧头)的粘弹性硬度。在第2天,重复测试,并且在股四头肌维持次最大收缩期间以及在不同的静息肌肉长度下对股直肌进行检查。

结果

除股外侧肌(组内相关系数ICC为0.40)外,肌张力计对所有肌肉均显示出良好至极优的重测信度(ICC为0.80 - 0.93)。粘弹性硬度随股四头肌力量输出的增加呈线性增加,并且在拉伸状态下的静息肌肉中高于缩短状态下的静息肌肉。

结论

Myoton-2肌张力计是一种测量静息肌肉粘弹性硬度的可靠设备。此外,粘弹性硬度在力量输出和肌肉长度增加时呈现出预期的变化,表明测量也是有效的。

意义

这项初步研究的结果表明,Myoton-2肌张力计是一种测量肌肉粘弹性硬度的简单、精确的仪器。如果这些发现能够在更大规模的研究中得到证实,应该进一步开展研究以检验其在肌肉骨骼医学领域的潜在应用。

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