Kimura Shigefumi, Inaoka Pleiades Tiharu, Yamazaki Toshiaki
Department of Rehabilitation, Houju Memorial Hospital: 11-71 Midorigaoka, Nomi City, Ishikawa 923-1226, Japan.
Graduate Course of Rehabilitation Science, Division of Health Sciences, Graduate School of Medical Science, Kanazawa University: 5-11-80 Kodatsuno, Kanazawa, lshikawa 920-0942, Japan.
J Jpn Phys Ther Assoc. 2012;15(1):9-14. doi: 10.1298/jjpta.Vol15_002.
The purpose of this study was to determine the influence of passive stretching on inhibition of disuse atrophy and hemodynamics among longitudinal regions of the rat soleus muscle. Disuse muscle atrophy was induced by hindlimb suspension for two weeks. Muscle blood flow was evaluated using thallium-201 ((201)Tl) which is a radiotracer that has been reported to be useful to assess blood perfusion in skeletal muscle. Thirty-nine male Wistar rats were divided randomly into 5 groups: control (C: n = 10), a group with hindlimb suspension (HS: n = 7), a group with hindlimb suspension and stretching (ST: n = 7), a group receiving only a single session of stretching after the hindlimb suspension period that was killed just after stretching (HSB: n = 7), and a group receiving only a single session of stretching hindlimb suspension and stretching period that was killed just after stretching (STB: n = 8). From the results of the cross-sectional area (CSA) and the capillary-to-fiber ratio (C/F), muscle atrophy and inhibition of atrophy were shown more in proximal than in distal regions of experimental groups. These results suggest that the alterations of the C/F and CSA were different among muscle regions in experimental groups. These differences may depend on the level of stretching. Moreover, alteration of blood flow resulting from alteration of the mechanical environment had little influence on muscle atrophy or inhibition of atrophy.
本研究的目的是确定被动拉伸对大鼠比目鱼肌纵向区域废用性萎缩抑制和血流动力学的影响。通过后肢悬吊两周诱导废用性肌肉萎缩。使用铊-201((201)Tl)评估肌肉血流量,铊-201是一种放射性示踪剂,据报道可用于评估骨骼肌的血液灌注。39只雄性Wistar大鼠随机分为5组:对照组(C:n = 10)、后肢悬吊组(HS:n = 7)、后肢悬吊并拉伸组(ST:n = 7)、在后肢悬吊期后仅接受单次拉伸且在拉伸后立即处死的组(HSB:n = 7),以及在后肢悬吊和拉伸期仅接受单次拉伸且在拉伸后立即处死的组(STB:n = 8)。从横截面积(CSA)和毛细血管与肌纤维比值(C/F)的结果来看,实验组近端区域的肌肉萎缩和萎缩抑制比远端区域更明显。这些结果表明,实验组不同肌肉区域的C/F和CSA变化存在差异。这些差异可能取决于拉伸程度。此外,机械环境改变导致的血流变化对肌肉萎缩或萎缩抑制影响很小。