Fowler W M, Abresch R T, Larson D B, Sharman R B, Entrikin R K
Department of PM&R, University of California, Davis.
Arch Phys Med Rehabil. 1990 Jul;71(8):552-7.
Exercise as a treatment for muscular dystrophy is controversial. Whereas vigorous high-resistive exercise increases skeletal muscle degeneration in animals with neuromuscular disorders, the effect of low-intensity, high-repetitive exercise has been conflicting. The purpose of this study was to determine if low-intensity, high-repetitive exercise has a beneficial effect on dystrophic mice. Dystrophy mice and unaffected littermates were exercised daily starting at age three weeks on a treadmill (4 m/min, 18 degrees incline, 100 meters, three weeks' duration). Exercise increased the dystrophic soleus twitch tension, the rate of twitch tension development, and the rate of twitch tension relaxation by 55%, 58%, and 48%, respectively (p less than .05). The twitch:tetanus ratio increased by 57% (p less than .05). Both the soleus and the extensor digitorum longus from the exercised dystrophic mice had significantly less degeneration (as shown by reduced internal nuclei, necrosis, fiber splitting, and moth-eaten fibers) than the nonexercised dystrophic mice (p less than .05). This study suggests that exercise training programs can be beneficial or at least not result in further muscle fiber degeneration if (1) the exercise program is started early in the course of the disease; (2) submaximal high-repetitive or even high-resistive exercise is used; and (3) the histopathologic degeneration is slowly progressive or in an arrested state.
运动作为治疗肌肉萎缩症的方法存在争议。尽管剧烈的高阻力运动可加剧患有神经肌肉疾病动物的骨骼肌退化,但低强度、高重复性运动的效果却存在矛盾。本研究的目的是确定低强度、高重复性运动对患肌肉萎缩症的小鼠是否有有益作用。从三周龄开始,对患肌肉萎缩症的小鼠和未受影响的同窝小鼠每天在跑步机上进行运动(速度4米/分钟,坡度18度,100米,持续三周)。运动使患肌肉萎缩症小鼠的比目鱼肌抽搐张力、抽搐张力发展速率和抽搐张力松弛速率分别提高了55%、58%和48%(p小于0.05)。抽搐与强直比率提高了57%(p小于0.05)。与未运动的患肌肉萎缩症小鼠相比,运动后的患肌肉萎缩症小鼠的比目鱼肌和趾长伸肌的退化明显更少(表现为内部细胞核减少、坏死、纤维分裂和蛀蚀状纤维减少)(p小于0.05)。本研究表明,如果满足以下条件,运动训练计划可能有益或至少不会导致进一步的肌纤维退化:(1)在疾病病程早期开始运动计划;(2)采用次最大强度的高重复性运动甚至高阻力运动;(3)组织病理学退化是缓慢进展的或处于停滞状态。