Jenkins Nathaniel D M, Palmer Ty B, Cramer Joel T
Department of Nutrition and Health Sciences, The University of Nebraska-Lincoln, Lincoln, NE, USA.
Clin Physiol Funct Imaging. 2014 Nov;34(6):434-41. doi: 10.1111/cpf.12113. Epub 2013 Dec 3.
The purpose of this exploratory study was to quantify the test-retest reliability, intertrial variability and correlations between variables calculated during voluntary and evoked muscle actions.
During three separate trials of isometric leg extension muscle actions with 14 men [mean age (± SD) = 21.9 (± 3.2) years; height = 179.2 (± 8.0) cm; mass = 77.7 (± 10.9) kg], peak torque (PT(V)), time to peak torque (TPT(V)), rate of torque development (RTD(V)), time to peak rate of torque development (TRTD(V)), electromechanical delay (EMD(V)) and EMG amplitude (EMG(RMS)) were quantified for voluntary muscle actions. Peak twitch torque (PTE ), time to peak twitch torque (TPT(E)), rate of torque development (RTD(E)), time to peak rate of torque development (TRTD(E)), electromechanical delay (EMD(E)), peak-to-peak M-wave (Mp-p) and M-wave area (M(area)) were calculated for evoked twitches. All electromyographic measurements were recorded over the vastus lateralis.
Voluntary intraclass correlation coefficients (ICC) were 0.84-0.96, except for TRTD(V) (0.30) and EMD(V) (0.74). Evoked ICC were 0.80-0.95, except for EMD(E) (0.52). Relative standard errors of measurement for TPT and TRT(D) were greater for voluntary than evoked, whereas the value for PTE was greater than PT(V). There were low to moderate correlations (r = -0.41-0.51) between common voluntary and evoked variables.
Evoked variables showed lower intertrial variability than voluntary. Overall, voluntary and evoked muscle actions provide unique, complimentary information regarding neuromuscular function that cannot be used interchangeably.
本探索性研究的目的是量化重测信度、试验间变异性以及在自主和诱发肌肉动作期间计算的变量之间的相关性。
对14名男性[平均年龄(±标准差)=21.9(±3.2)岁;身高=179.2(±8.0)厘米;体重=77.7(±10.9)千克]进行三次独立的等长伸腿肌肉动作试验,对自主肌肉动作量化峰值扭矩(PT(V))、达到峰值扭矩的时间(TPT(V))、扭矩发展速率(RTD(V))、达到峰值扭矩发展速率的时间(TRTD(V))、机电延迟(EMD(V))和肌电图振幅(EMG(RMS))。计算诱发抽搐的峰值抽搐扭矩(PTE)、达到峰值抽搐扭矩的时间(TPT(E))、扭矩发展速率(RTD(E))、达到峰值扭矩发展速率的时间(TRTD(E))、机电延迟(EMD(E))、峰峰值M波(Mp-p)和M波面积(M(面积))。所有肌电图测量均在股外侧肌上记录。
自主肌肉动作的组内相关系数(ICC)为0.84 - 0.96,但TRTD(V)(0.30)和EMD(V)(0.74)除外。诱发肌肉动作的ICC为0.80 - 0.95,但EMD(E)(0.52)除外。自主肌肉动作中TPT和TRT(D)的相对测量标准误差大于诱发肌肉动作,而PTE的值大于PT(V)。常见的自主和诱发变量之间存在低至中等程度的相关性(r = -0.41 - 0.51)。
诱发变量的试验间变异性低于自主变量。总体而言,自主和诱发肌肉动作提供了关于神经肌肉功能的独特、互补信息,不能相互替代使用。