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拉伸对人体腓肠肌肌腱单元被动特性的急性影响:保持-放松拉伸与静态拉伸差异分析

Acute Effects of Stretching on Passive Properties of Human Gastrocnemius Muscle-Tendon Unit: Analysis of Differences Between Hold-Relax and Static Stretching.

作者信息

Nakamura Masatoshi, Ikezoe Tome, Tokugawa Takahiro, Ichihashi Noriaki

机构信息

Graduate School of Medicine, Kyoto University, Kyoto, Japan.

出版信息

J Sport Rehabil. 2015 Aug;24(3):286-92. doi: 10.1123/jsr.2014-0164. Epub 2015 Jan 5.

Abstract

CONTEXT

Hold-relax stretching (HRS) and static stretching (SS) are commonly used to increase joint range of motion (ROM) and decrease muscle stiffness. However, whether there are differences between acute effects of HRS and SS on end ROM, passive torque, and muscle stiffness is unclear. In addition, any differences between the mechanisms by which HRS and SS lead to an increase in end ROM are unclear.

OBJECTIVE

To compare the acute effects of HRS and SS on the passive properties of the gastrocnemius muscle-tendon unit (MTU), end ROM, passive torque, and muscle stiffness in vivo and to investigate the factors involved in increasing end ROM.

DESIGN

Crossover experimental design.

PARTICIPANTS

30 healthy men (21.7 ± 1.2 y) with no history of neuromuscular disease or musculoskeletal injury involving the lower limbs.

INTERVENTION

Both HRS and SS of 30 s were repeated 4 times, lasting a total of 2 min.

MAIN OUTCOME MEASURES

End ROM, passive torque, and muscle stiffness were measured during passive ankle dorsiflexion using a dynamometer and ultrasonography before and immediately after HRS and SS.

RESULTS

The results showed that end ROM and passive torque at end ROM significantly increased immediately after both HRS and SS, whereas muscle stiffness significantly decreased. In addition, the percentage change in passive torque at end ROM on use of the HRS technique was significantly higher than that after use of the SS technique. However, the percentage change in muscle stiffness after SS was significantly higher than that with HRS.

CONCLUSION

These results suggest that both HRS and SS can effectively decrease muscle stiffness of the gastrocnemius MTU and that HRS induces a change in the passive torque at end ROM--i.e., sensory perception--rather than changing muscle stiffness.

摘要

背景

保持 - 放松拉伸(HRS)和静态拉伸(SS)常用于增加关节活动范围(ROM)并降低肌肉僵硬度。然而,HRS和SS对最终ROM、被动扭矩和肌肉僵硬度的急性影响之间是否存在差异尚不清楚。此外,HRS和SS导致最终ROM增加的机制之间的任何差异也不清楚。

目的

比较HRS和SS对腓肠肌肌腱单元(MTU)的被动特性、最终ROM、被动扭矩和体内肌肉僵硬度的急性影响,并研究增加最终ROM的相关因素。

设计

交叉实验设计。

参与者

30名健康男性(21.7 ± 1.2岁),无下肢神经肌肉疾病或肌肉骨骼损伤史。

干预

30秒的HRS和SS均重复4次,共持续2分钟。

主要观察指标

在HRS和SS之前及之后立即使用测力计和超声检查,在被动踝关节背屈过程中测量最终ROM、被动扭矩和肌肉僵硬度。

结果

结果表明,HRS和SS后,最终ROM和最终ROM时的被动扭矩均立即显著增加,而肌肉僵硬度显著降低。此外,使用HRS技术时最终ROM处被动扭矩的百分比变化显著高于使用SS技术后。然而,SS后肌肉僵硬度的百分比变化显著高于HRS。

结论

这些结果表明,HRS和SS均可有效降低腓肠肌MTU的肌肉僵硬度,并且HRS引起最终ROM处被动扭矩的变化——即感觉感知——而非改变肌肉僵硬度。

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