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负重开始时间对大鼠比目鱼肌废用性萎缩的影响。

Influence of the time when weight bearing is started on disuse atrophy in rat soleus muscle.

作者信息

Yamazaki T, Haida N, Tachino K

机构信息

Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kanazawa University, 5-11-80 Kodatsuno, Kanazawa 920-0942, Japan.

出版信息

J Jpn Phys Ther Assoc. 2001;4(1):13-8. doi: 10.1298/jjpta.4.13.

Abstract

Prevention of disuse muscle atrophy is an important problem in physical therapy. Although several reports have been published concerning the effect of weight bearing on the prevention of disuse atrophy of lower extremity muscles, few basic clinical data are available. The present study was undertaken to examine differences in the progression of disuse muscle atrophy in terms of the time when weight bearing is started. The experimental materials consisted of the soleus muscles of 30 male Wistar rats (weight: 220 ± 6 g). The rats were divided into the control group (CON) and the experimental group, and disuse muscle atrophy caused by non-weight bearing was induced by hindlimb suspension for two weeks in the latter group. The experimental group was subdivided into four groups: no weight bearing permitted (SUS), and daily weight bearing permitted from 1, 4 and 7 days after the start of suspension (1-D, 4-D and 7-D). The relative weight of the soleus muscles did not differ for CON and 1-D or for 7-D and SUS. The mean cross-sectional area of type I fibers was 68% of that of CON for 1-D, 61% for 4-D, 52% for 7-D and 52% for SUS. This parameter showed significant differences any two groups, except for between 7-D and SUS. The results were regarded as normal in view of differences in the total time of weight bearing. The data also suggested that disuse muscle atrophy can be prevented quantitatively if weight bearing is initiated from the day following the start of suspension, and that early start of weight bearing is more effective for controlling atrophy progression.

摘要

预防废用性肌肉萎缩是物理治疗中的一个重要问题。尽管已经发表了多篇关于负重对预防下肢肌肉废用性萎缩影响的报告,但基本临床数据却很少。本研究旨在探讨从开始负重的时间角度来看废用性肌肉萎缩进展的差异。实验材料为30只雄性Wistar大鼠(体重:220±6克)的比目鱼肌。将大鼠分为对照组(CON)和实验组,后一组通过后肢悬吊两周诱导非负重引起的废用性肌肉萎缩。实验组再细分为四组:不允许负重(SUS),以及从悬吊开始后第1、4和7天开始允许每日负重(1-D、4-D和7-D)。CON组与1-D组以及7-D组与SUS组之间比目鱼肌的相对重量没有差异。I型纤维的平均横截面积,1-D组为CON组的68%,4-D组为61%,7-D组为52%,SUS组为52%。除了7-D组和SUS组之间外,该参数在任意两组之间均显示出显著差异。鉴于负重总时间的差异,这些结果被认为是正常的。数据还表明,如果在悬吊开始后的第二天就开始负重,废用性肌肉萎缩可以得到定量预防,而且早期开始负重对控制萎缩进展更有效。

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