Merletti R, Lo Conte L R, Cisari C, Actis M V
NeuroMuscular Research Center, Boston University.
Scand J Rehabil Med. 1992;24(1):25-36.
The initial values and the time course of muscle fiber conduction velocity and of surface myoelectric signal spectral variables were studied during voluntary or electrically elicited contractions of the tibialis anterior muscle of 15 healthy elderly human subjects. Age ranged from 65 to 84 years. Isometric voluntary contractions were performed at 20% MVC (Maximal Voluntary Contraction) and 80% MVC for 20 s. Tetanic electrical stimulation was then applied to the main muscle motor point for 20 s with surface electrodes. Two stimulation rates (20 Hz and 40 Hz) and two stimulation amplitudes were used to induce different degrees of fatigue. One stimulation amplitude was supramaximal, the second was adjusted to induce a response (M-wave) about 30% of the maximal. Results were compared with those reported in previous work on healthy adults (age range 18 to 43 years). The main findings of this work are: (a) when voluntary contraction level is increased from 20% MVC to 80% MVC conduction velocity and spectral variables increase; this increase is significantly smaller in elderly subjects, (b) during sustained contractions at 80% MVC the decrease of conduction velocity and spectral variables is significantly smaller in elderly subjects, (c) during contractions induced by supramaximal stimulation at 40 Hz the decrease of conduction velocity and spectral variables is not significantly different in the two age groups. It is concluded that points a and b reflect the age related decrease of number and size of fast twitch fibers indicated by histological data. Point c is discussed and possible explanations are suggested.
在15名健康老年受试者的胫骨前肌进行自主收缩或电诱发收缩期间,研究了肌纤维传导速度和表面肌电信号频谱变量的初始值及时间进程。年龄范围为65至84岁。等长自主收缩在20%最大自主收缩(MVC)和80%MVC下进行20秒。然后用表面电极对主要肌肉运动点进行20秒的强直电刺激。使用两种刺激频率(20Hz和40Hz)和两种刺激幅度来诱发不同程度的疲劳。一种刺激幅度为超强刺激,另一种调整为诱发约为最大反应(M波)30%的反应。将结果与先前关于健康成年人(年龄范围18至43岁)的研究报告结果进行比较。这项研究的主要发现是:(a)当自主收缩水平从20%MVC增加到80%MVC时,传导速度和频谱变量增加;在老年受试者中这种增加明显较小,(b)在80%MVC的持续收缩期间,老年受试者中传导速度和频谱变量的降低明显较小,(c)在40Hz超强刺激诱发的收缩期间,两个年龄组中传导速度和频谱变量的降低没有显著差异。得出的结论是,a点和b点反映了组织学数据表明的与年龄相关的快肌纤维数量和大小的减少。对c点进行了讨论并提出了可能的解释。