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老年人踝关节跖屈肌的力量控制受损。

Force control is impaired in the ankle plantarflexors of elderly adults.

作者信息

Tracy Brian L

机构信息

Department of Health and Exercise Science, Colorado State University, 220 Moby-B Complex, Fort Collins, CO 80523-1582, USA.

出版信息

Eur J Appl Physiol. 2007 Nov;101(5):629-36. doi: 10.1007/s00421-007-0538-0. Epub 2007 Aug 15.

Abstract

This study determined the amplitude of force fluctuations for the ankle dorsiflexor (DF) and plantarflexor (PF) muscles of young and elderly adults. Maximal voluntary contraction (MVC) force and isometric DF and PF steadiness (2.5-80% MVC) was assessed in 11 young (23+/-3 years, 5 women, 6 men) and 10 elderly (73+/-6 years, 5 women, 5 men) adults. The coefficient of variation (CV) and power spectrum of the force was measured from the steadiness trials. MVC force was lower for elderly adults for PF (38% lower, P=0.002) but not DF (20% lower, P=0.14). For PF, the CV of force was greater for elderly than young adults at 2.5% (2.64 vs. 1.71%) and 5% MVC (1.78 vs. 1.24%), similar at 10, 50, and 80% MVC, and greater for young than elderly at the 30% MVC target force. For DF, the CV of force was similar for young and elderly at all target forces (P>0.05). The CV of force was 49% lower for the PF compared with DF muscles across all target forces (P<0.0001). This difference was significantly greater at the 2.5 (58%), 5 (58%), and 10% MVC (44%) target forces compared with higher target forces. The power spectra of the force fluctuations for both muscles were consistently dominated by frequencies below 2 Hz. For elderly adults, the neuromuscular factors that underlie both muscle strength and force fluctuations during low-force contractions are impaired in the ankle plantarflexors but not the dorsiflexors.

摘要

本研究测定了年轻人和老年人踝背屈肌(DF)和跖屈肌(PF)的力量波动幅度。对11名年轻人(23±3岁,5名女性,6名男性)和10名老年人(73±6岁,5名女性,5名男性)进行了最大自主收缩(MVC)力量以及等长DF和PF稳定性(2.5%-80%MVC)评估。通过稳定性试验测量力量的变异系数(CV)和功率谱。老年人PF的MVC力量较低(低38%,P=0.002),但DF的MVC力量较低(低20%,P=0.14)。对于PF,老年人在2.5%MVC(2.64%对1.71%)和5%MVC(1.78%对1.24%)时力量的CV大于年轻人,在10%、50%和80%MVC时相似,在30%MVC目标力量时年轻人大于老年人。对于DF,在所有目标力量下年轻人和老年人力量的CV相似(P>0.05)。在所有目标力量下,PF力量的CV比DF肌肉低49%(P<0.0001)。与较高目标力量相比,在2.5%(58%)、5%(58%)和10%MVC(44%)目标力量时这种差异明显更大。两块肌肉力量波动的功率谱始终由低于2Hz的频率主导。对于老年人,在低力量收缩期间,导致肌肉力量和力量波动的神经肌肉因素在踝跖屈肌中受损,但在背屈肌中未受损。

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