Rahe-Meyer Niels, Weilbach Christian, Karst Matthias, Pawlak Matthias, Ahmed Aminul, Piepenbrock Siegfried, Winterhalter Michael
Department of Anaesthesiology, Hannover Medical School, Carl-Neuberg-Str, 1, D-30625 Hannover, Germany.
Biomed Eng Online. 2007 Jan 2;6:1. doi: 10.1186/1475-925X-6-1.
Current devices for measuring muscle contraction in vivo have limited accuracy in establishing and re-establishing the optimum muscle length. They are variable in the reproducibility to determine the muscle contraction at this length, and often do not maintain precise conditions during the examination. Consequently, for clinical testing only semi-quantitative methods have been used.
We present a newly developed myograph, an accurate measuring device for muscle contraction, consisting of three elements. Firstly, an element for adjusting the axle of the device and the physiological axis of muscle contraction; secondly, an element to accurately position and reposition the extremity of the muscle; and thirdly, an element for the progressive pre-stretching and isometric locking of the target muscle. Thus it is possible to examine individual in vivo muscles in every pre-stretched, specified position, to maintain constant muscle-length conditions, and to accurately re-establish the conditions of the measurement process at later sessions.
In a sequence of experiments the force of contraction of the muscle at differing stretching lengths were recorded and the forces determined. The optimum muscle length for maximal force of contraction was established. In a following sequence of experiments with smaller graduations around this optimal stretching length an increasingly accurate optimum muscle length for maximal force of contraction was determined. This optimum length was also accurately re-established at later sessions.
We have introduced a new technical solution for valid, reproducible in vivo force measurements on every possible point of the stretching curve. Thus it should be possible to study the muscle contraction in vivo to the same level of accuracy as is achieved in tests with in vitro organ preparations.
目前用于体内测量肌肉收缩的设备在确定和重新建立最佳肌肉长度方面准确性有限。它们在确定该长度下的肌肉收缩的可重复性方面存在差异,并且在检查过程中常常无法维持精确的条件。因此,在临床测试中仅使用了半定量方法。
我们展示了一种新开发的肌动描记器,一种用于肌肉收缩的精确测量设备,由三个部件组成。首先,一个用于调整设备轴与肌肉收缩生理轴的部件;其次,一个用于精确放置和重新放置肌肉末端的部件;第三,一个用于对目标肌肉进行渐进性预拉伸和等长锁定的部件。这样就能够在每个预拉伸的特定位置检查个体的体内肌肉,维持恒定的肌肉长度条件,并在后续实验中准确地重新建立测量过程的条件。
在一系列实验中,记录了不同拉伸长度下肌肉的收缩力并确定了这些力。确定了产生最大收缩力的最佳肌肉长度。在接下来围绕这个最佳拉伸长度进行更小刻度的一系列实验中,确定了产生最大收缩力的越来越精确的最佳肌肉长度。这个最佳长度在后续实验中也能被准确地重新建立。
我们引入了一种新的技术方案,可在拉伸曲线的每个可能点上进行有效的、可重复的体内力测量。因此,应该能够以与体外器官制备测试相同的精确程度来研究体内肌肉收缩。