Sabatier Manning J, Wedewer Wesley, Barton Ben, Henderson Eric, Murphy John T, Ou Kar
Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia
Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia.
Physiol Rep. 2015 Mar;3(3). doi: 10.14814/phy2.12308.
The purpose of this study was to test the hypothesis that downslope treadmill walking decreases spinal excitability. Soleus H-reflexes were measured in sixteen adults on 3 days. Measurements were taken before and twice after 20 min of treadmill walking at 2.5 mph (starting at 10 and 45 min post). Participants walked on a different slope each day [level (Lv), upslope (Us) or downslope (Ds)]. The tibial nerve was electrically stimulated with a range of intensities to construct the M-response and H-reflex curves. Maximum evoked responses (Hmax and Mmax) and slopes of the ascending limbs (Hslp and Mslp) of the curves were evaluated. Rate-dependent depression (RDD) was measured as the % depression of the H-reflex when measured at a rate of 1.0 Hz versus 0.1 Hz. Heart rate (HR), blood pressure (BP), and ratings of perceived exertion (RPE) were measured during walking. Ds and Lv walking reduced the Hmax/Mmax ratio (P = 0.001 & P = 0.02), although the reduction was larger for Ds walking (29.3 ± 6.2% vs. 6.8 ± 5.2%, P = 0.02). The reduction associated with Ds walking was correlated with physical activity level as measured via questionnaire (r = -0.52, P = 0.04). Us walking caused an increase in the Hslp/Mslp ratio (P = 0.03) and a decrease in RDD (P = 0.04). These changes recovered by 45 min. Exercise HR and BP were highest during Us walking. RPE was greater during Ds and Us walking compared to Lv walking, but did not exceed "Fairly light" for Ds walking. In conclusion, in healthy adults treadmill walking has a short-term effect on soleus H-reflex excitability that is determined by the slope of the treadmill surface.
本研究的目的是检验下坡跑步机行走会降低脊髓兴奋性这一假设。在三天内对16名成年人的比目鱼肌H反射进行了测量。在以2.5英里/小时的速度进行20分钟跑步机行走之前以及之后(分别在开始后的10分钟和45分钟)各测量一次。参与者每天在不同的坡度上行走[水平(Lv)、上坡(Us)或下坡(Ds)]。用一系列强度对胫神经进行电刺激以构建M反应和H反射曲线。评估曲线的最大诱发反应(Hmax和Mmax)以及上升支的斜率(Hslp和Mslp)。以1.0赫兹与0.1赫兹的测量频率下H反射的抑郁百分比来测量频率依赖性抑郁(RDD)。在行走过程中测量心率(HR)、血压(BP)和自觉用力程度(RPE)。下坡行走和水平行走降低了Hmax/Mmax比值(P = 0.001和P = 0.02),尽管下坡行走的降低幅度更大(29.3±6.2%对6.8±5.2%,P = 0.02)。与下坡行走相关的降低与通过问卷测量的身体活动水平相关(r = -0.52,P = 0.04)。上坡行走导致Hslp/Mslp比值增加(P = 0.03)和RDD降低(P = 0.04)。这些变化在45分钟时恢复。运动时的心率和血压在上坡行走时最高。与水平行走相比,下坡和上坡行走时的RPE更高,但下坡行走时未超过“相当轻松”。总之,在健康成年人中,跑步机行走对比目鱼肌H反射兴奋性有短期影响,这取决于跑步机表面的坡度。