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评估神经肌肉电刺激对马骨骼肌纤维特性和氧化能力的影响。

Evaluation of neuromuscular electrical stimulation on fibre characteristics and oxidative capacity in equine skeletal muscles.

作者信息

Bergh A, Nordlöf H, Essén-Gustavsson B

机构信息

Department of Anatomy, Swedish University of Agricultural Sciences, Sweden.

出版信息

Equine Vet J Suppl. 2010 Nov(38):671-5. doi: 10.1111/j.2042-3306.2010.00180.x.

Abstract

REASONS FOR PERFORMING STUDY

Neuromuscular electrical stimulation (NMES) is used to increase or maintain muscle strength during rehabilitation. Human studies investigating different protocols show that some treatments induce changes in muscle characteristics. Despite the frequent use of NMES in horses, no studies have been published describing its efficacy.

OBJECTIVES

To investigate the effects of a NMES protocol on equine fibre types and areas, glycogen concentrations and enzyme activities.

METHODS

NMES was administrated to m. gluteus medius and m. longissimus dorsi, on one side of 6 healthy Standardbred horses. The contralateral side of each muscle served as a nonstimulated control. The horses were stimulated at 50 Hz a day, with 21-39 mA, for 45-60 min, 5 days a week for 4 weeks. Needle biopsies were obtained from the muscles on both sides before and after the experimental period. Muscle samples were analysed for fibre type proportions and area using histochemical methods and for glycogen and enzyme activities (citrate synthase, 3-OH-acyl CoA dehydrogenase, hexokinase and lactate dehydrogenase) using biochemical methods. Muscle contractions at the location and depth of the muscle biopsy were confirmed by diagnostic ultrasound. Nonparametric tests (Mann-Whitney, Wilcoxon sign-rank) were used for statistical analysis.

RESULTS

No significant differences were observed in the percentage of types I, IIA or IIX fibres, fibre areas, glycogen levels or enzyme activities either when comparing stimulated and nonstimulated muscles before and after the NMES treatment, or when comparing the left and right muscle samples.

CONCLUSIONS

The NMES treatment was well tolerated by the horses, but the present protocol did not induce significant muscle adaptations. Further studies are needed to describe the effect of more intense and/or prolonged NMES treatment protocols on muscles of healthy horses, and to describe if stimulation protocols induce positive changes in atrophied muscles.

摘要

开展本研究的原因

在康复过程中,神经肌肉电刺激(NMES)被用于增强或维持肌肉力量。针对不同方案的人体研究表明,某些治疗会引起肌肉特征的变化。尽管NMES在马匹中经常使用,但尚未有研究发表来描述其疗效。

目的

研究一种NMES方案对马肌纤维类型和面积、糖原浓度及酶活性的影响。

方法

对6匹健康的标准赛马一侧的臀中肌和背最长肌进行NMES治疗。每块肌肉的对侧作为非刺激对照。马匹每天以50Hz、21 - 39mA的电流刺激45 - 60分钟,每周5天,共4周。在实验期前后从两侧肌肉获取针吸活检样本。使用组织化学方法分析肌肉样本的纤维类型比例和面积,使用生化方法分析糖原和酶活性(柠檬酸合酶、3 - 羟基酰基辅酶A脱氢酶、己糖激酶和乳酸脱氢酶)。通过诊断超声确认肌肉活检部位及深度的肌肉收缩情况。采用非参数检验(曼 - 惠特尼检验、威尔科克森符号秩检验)进行统计分析。

结果

在比较NMES治疗前后刺激侧与非刺激侧肌肉,以及比较左右两侧肌肉样本时,I型、IIA或IIX型纤维的百分比、纤维面积、糖原水平或酶活性均未观察到显著差异。

结论

马匹对NMES治疗耐受性良好,但当前方案未引起明显的肌肉适应性变化。需要进一步研究来描述更强和/或更长时间的NMES治疗方案对健康马匹肌肉的影响,以及刺激方案是否能在萎缩肌肉中诱导出积极变化。

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