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抗阻振动训练可减轻56天卧床休息期间的下肢肌肉萎缩。

Resistive vibration exercise reduces lower limb muscle atrophy during 56-day bed-rest.

作者信息

Belavý D L, Miokovic T, Armbrecht G, Rittweger J, Felsenberg D

机构信息

Center for Muscle and Bone Research, Charité Campus Benjamin Franklin, Free University and Humboldt-University Berlin, Berlin, Germany.

出版信息

J Musculoskelet Neuronal Interact. 2009 Oct-Dec;9(4):225-35.

Abstract

OBJECTIVES

The current study aimed to examine the effectiveness of a resistive vibration exercise countermeasure during prolonged bed-rest in preventing lower-limb muscle atrophy.

METHODS

20 male subjects underwent 56-days of bed-rest and were assigned to either an inactive control, or a countermeasure group which performed high-load resistive exercises (including squats, heel raises and toe raises) with whole-body vibration. Magnetic resonance imaging of the lower-limbs was performed at two-weekly intervals. Volume of individual muscles was calculated.

RESULTS

Countermeasure exercise reduced atrophy in the triceps surae and the vastii muscles (F>3.0, p<.025). Atrophy of the peroneals, tibialis posterior and toe flexors was less in the countermeasure-subjects, though statistical evidence for this was weak (F<or=2.3, p>or=.071). Atrophy in the hamstring muscles was similar in both groups (F<1.1, p>.38). The adductor longus, sartiorius and rectus femoris muscles showed little loss of muscle volume during bed-rest (F<1.7, p>.15).

CONCLUSIONS

The countermeasure exercise programme was effective in reducing atrophy in the extensors of the knee and ankle but not the hamstrings.

摘要

目的

本研究旨在探讨在长期卧床期间进行抗阻振动运动对策对预防下肢肌肉萎缩的有效性。

方法

20名男性受试者接受了56天的卧床休息,并被分为非活动对照组或对策组,对策组进行包括深蹲、提踵和足趾上抬在内的高负荷抗阻运动并伴有全身振动。每两周对下肢进行一次磁共振成像检查。计算各个肌肉的体积。

结果

对策运动减少了小腿三头肌和股四头肌的萎缩(F>3.0,p<.025)。对策组受试者的腓骨肌、胫后肌和足趾屈肌的萎缩程度较小,不过这方面的统计学证据较弱(F≤2.3,p≥.071)。两组的腘绳肌萎缩情况相似(F<1.1,p>.38)。在卧床休息期间,长收肌、缝匠肌和股直肌的肌肉体积几乎没有减少(F<1.7,p>.15)。

结论

对策运动方案在减少膝关节和踝关节伸肌的萎缩方面有效,但对腘绳肌无效。

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