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在健康老年成年人的桡骨中,肌肉横截面积和握力扭矩收缩类型与通过外周定量计算机断层扫描(pQCT)得出的骨强度指数同样相关。

Muscle cross sectional area and grip torque contraction types are similarly related to pQCT derived bone strength indices in the radii of older healthy adults.

作者信息

Frank A W, Lorbergs A L, Chilibeck P D, Farthing J P, Kontulainen S A

机构信息

College of Kinesiology, University of Saskatchewan, Canada.

出版信息

J Musculoskelet Neuronal Interact. 2010 Jun;10(2):136-41.

Abstract

OBJECTIVES

We sought to identify the variance in radius bone strength indices explained by forearm muscle cross sectional area (MCSA) and isometric (ISO), concentric (CON), or eccentric (ECC) grip torque in healthy men and postmenopausal women when gender and body size were controlled for. Additionally we assessed variance in various grip contractions explained by MCSA.

METHODS

pQCT estimated bone strength of the radius and forearm MCSA were measured from 45 healthy adults (59.4-/+7.2 yrs). Isokinetic dynamometry was used to assess peak grip torque. Regressions were adjusted for gender and radius length.

RESULTS

Peak grip torques were not independent predictors (p>0.05) of distal radius bone strength in compression (bone strength index; BSI(c)) when gender was included in the prediction model. Gender was not a contributor to any model that included MCSA (p>0.05). At the diaphysis all torque measures, MCSA, gender, and length, significantly contributed to predict similar portions (79-80%) of the stress strain index (SSI(p); strength in torsion). MCSA accounted for 68-76% of variance in grip torque (p<0.05).

CONCLUSIONS

When estimating radius bone strength, forearm MCSA is a comparable predictor to CON, ISO, and ECC grip torques and is also a good surrogate of these contraction types.

摘要

目的

我们试图确定在控制性别和身体尺寸的情况下,健康男性和绝经后女性中,由前臂肌肉横截面积(MCSA)以及等长(ISO)、向心(CON)或离心(ECC)握力扭矩所解释的桡骨强度指数的差异。此外,我们评估了由MCSA所解释的各种握力收缩的差异。

方法

对45名健康成年人(59.4±7.2岁)进行了pQCT测量桡骨强度以及前臂MCSA。使用等速测力法评估峰值握力扭矩。回归分析对性别和桡骨长度进行了校正。

结果

当预测模型中纳入性别时,峰值握力扭矩不是桡骨远端抗压强度(骨强度指数;BSI(c))的独立预测因素(p>0.05)。性别对任何包含MCSA的模型均无贡献(p>0.05)。在骨干处,所有扭矩测量值、MCSA、性别和长度对预测应力应变指数(SSI(p);抗扭强度)的相似部分(79-80%)均有显著贡献。MCSA占握力扭矩方差的68-76%(p<0.05)。

结论

在估计桡骨强度时,前臂MCSA是与CON、ISO和ECC握力扭矩相当的预测指标,也是这些收缩类型的良好替代指标。

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