Department of Physical Education, National Defence Academy, Japan.
J Sci Med Sport. 2013 Jan;16(1):45-8. doi: 10.1016/j.jsams.2012.04.007. Epub 2012 Jun 6.
Prolonged vibration stimulation to normal individuals could lead to muscle weakness attributable to attenuation of afferent feedback. This weakness is neurophysiologically similar to that seen in patients with knee injury. Theoretically, increasing input to gamma motor neurons could reverse this weakness. Sensory input to these neurons from skin could indirectly increase Ia afferent feedback. The present study examined the effect of this tactile stimulation in the form of Kinesiology tape on muscle weakness attributable to attenuation of afferent feedback.
Randomized, crossover design.
All participants were measured their eccentric maximal voluntary contractions under the 2 conditions (taping and non-taping). First, maximal voluntary contraction during eccentric contraction was measured as baseline. For the taping condition, Kinesiology tape was applied around each subject's knee joint during maximal voluntary contraction measurement after vibration. For the non-taping condition, tape was not applied during maximal voluntary contraction measurement after vibration. Mean percentage changes between pre- and post-vibration stimulation were compared between two conditions.
Maximal voluntary contraction and average electromyography of taping condition was significantly larger than that of non-taping condition.
Our results suggest that tactile stimulation in the form of Kinesiology tape inhibits the decline of both strength and electromyography. Alpha motor neuron activity attenuated by prolonged vibration would thus be partially rescued by tactile stimulation. These results indirectly suggest that stimulation of skin around the knee could counter quadriceps femoris weakness due to attenuated Ia afferent activity.
对正常人进行长时间的振动刺激会导致肌肉无力,这可归因于传入反馈的减弱。这种无力在神经生理学上与膝关节损伤患者所见的相似。理论上,增加γ运动神经元的输入可以逆转这种无力。来自皮肤的这些神经元的感觉输入可以间接地增加 Ia 传入反馈。本研究以肌动贴布形式的触觉刺激来检验这种传入反馈减弱所致肌肉无力的效果。
随机交叉设计。
所有参与者均在 2 种条件下(贴布和不贴布)测量其离心最大自主收缩。首先,在振动前测量离心收缩时的最大自主收缩,作为基线。在贴布条件下,在振动后进行最大自主收缩测量时,在每个受试者的膝关节周围贴上肌动贴布。在不贴布条件下,在振动后进行最大自主收缩测量时不贴布。比较两种条件下振动刺激前后的平均百分比变化。
贴布条件下的最大自主收缩和平均肌电图均显著大于不贴布条件。
我们的结果表明,肌动贴布形式的触觉刺激抑制了力量和肌电图的下降。因此,长时间振动引起的α运动神经元活动减弱部分可以通过触觉刺激得到挽救。这些结果间接表明,刺激膝关节周围的皮肤可以对抗因 Ia 传入活动减弱引起的股四头肌无力。