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跖屈肌的单侧离心收缩导致腿部灵活性的双侧改变。

Unilateral Eccentric Contraction of the Plantarflexors Leads to Bilateral Alterations in Leg Dexterity.

作者信息

Nagamori Akira, Valero-Cuevas Francisco J, Finley James M

机构信息

Division of Biokinesiology and Physical Therapy, University of Southern California Los Angeles, CA, USA.

Division of Biokinesiology and Physical Therapy, University of Southern CaliforniaLos Angeles, CA, USA; Department of Biomedical Engineering, University of Southern CaliforniaLos Angeles, CA, USA.

出版信息

Front Physiol. 2016 Nov 30;7:582. doi: 10.3389/fphys.2016.00582. eCollection 2016.

Abstract

Eccentric contractions can affect musculotendon mechanical properties and disrupt muscle proprioception, but their behavioral consequences are poorly understood. We tested whether repeated eccentric contractions of plantarflexor muscles of one leg affected the dexterity of either leg. Twenty healthy male subjects (27.3 ± 4.0 yrs) compressed a compliant and slender spring prone to buckling with each isolated leg. The maximal instability they could control (i.e., the maximal average sustained compression force, or lower extremity dexterity force, LED) quantified the dexterity of each leg. We found that eccentric contractions did not affect LED, but reduced force variability (LED). Surprisingly, LED increased in the non-exposed, contralateral leg. These effects were specific to exposure to eccentric contractions because an effort-matched exposure to walking did not affect leg dexterity. In the exposed leg, eccentric contractions (i) reduced voluntary error corrections during spring compressions (i.e., reduced 0.5-4 Hz power of LED); (ii) did not change spinal excitability (i.e., unaffected H-reflexes); and (iii) changed the structure of the neural drive to the α-motoneuron pool (i.e., reduced EMG power within the 4-8 Hz physiological tremor band). These results suggest that repeated eccentric contractions alter the feedback control for dexterity in the exposed leg by reducing muscle spindle sensitivity. Moreover, the unexpected improvement in LED in the non-exposed contralateral leg was likely a consequence of crossed-effects on its spinal and supraspinal feedback control. We discuss the implications of these bilateral effects of unilateral eccentric contractions, their effect on spinal and supraspinal control of dynamic foot-ground interactions, and their potential to facilitate rehabilitation from musculoskeletal and neuromotor impairments.

摘要

离心收缩会影响肌肉肌腱的力学特性并破坏肌肉本体感觉,但其行为后果却鲜为人知。我们测试了单腿跖屈肌的反复离心收缩是否会影响双腿的灵活性。20名健康男性受试者(27.3±4.0岁)用每条独立的腿挤压一个易于弯曲的细长柔性弹簧。他们能够控制的最大不稳定性(即最大平均持续压缩力,或下肢灵活性力,LED)量化了每条腿的灵活性。我们发现离心收缩不会影响LED,但会降低力的变异性(LED)。令人惊讶的是,未受刺激的对侧腿的LED增加了。这些影响是离心收缩所特有的,因为与努力程度相匹配的步行暴露不会影响腿部灵活性。在受刺激的腿中,离心收缩(i)减少了弹簧压缩过程中的自愿误差校正(即降低了LED的0.5 - 4Hz功率);(ii)没有改变脊髓兴奋性(即未影响H反射);(iii)改变了神经驱动至α运动神经元池的结构(即降低了4 - 8Hz生理震颤带内的肌电图功率)。这些结果表明,反复的离心收缩通过降低肌梭敏感性改变了受刺激腿的灵活性反馈控制。此外,未受刺激的对侧腿LED意外增加可能是其脊髓和脊髓上反馈控制交叉效应的结果。我们讨论了单侧离心收缩这些双侧效应的意义、它们对动态足-地相互作用的脊髓和脊髓上控制的影响以及它们促进肌肉骨骼和神经运动损伤康复的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/176c/5127811/4481bbcc0d8c/fphys-07-00582-g0001.jpg

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