Arnold Elizabeth, Farmer Ben, Keightley Melissa, Lee Dustin, Rigel Taylor, Hoque Maruf, Sabatier Manning J
Emory University School of Medicine, Dept of Rehabilitation Medicine, United States; Division of Physical Therapy, Atlanta GA, United States.
Emory University School of Medicine, Dept of Rehabilitation Medicine, United States; Division of Physical Therapy, Atlanta GA, United States.
Neurosci Lett. 2017 Feb 3;639:18-24. doi: 10.1016/j.neulet.2016.12.048. Epub 2016 Dec 21.
The purpose of this study was to determine if the effect of downslope walking (DSW) on spinal excitability depends on walking duration and slope steepness, and if findings from the soleus (Sol) generalize to the tibialis anterior (TA). Sol and TA Hmax and Mmax were measured before and after four DSW doses (time/slope, min/%) on separate days (10/-15, 20/-15, 10/-25, 20/-25, n=14), and one 20-min bout of level walking (LW, n=12), always at 2.5 mph. Heart rate (HR) and ratings of perceived exertion (RPE) were measured during walking. DSW for all doses except 10/-15 caused greater Sol Hmax/Mmax depression than LW (p≤0.02), and 20/-25 caused greater Hmax/Mmax depression than 10/-15 (p≤0.01). TA H-reflex curves were substantially smaller than Sol H-reflex curves, and this study was unable to detect an effect of LW or DSW on TA Hmax/Mmax. Although HR and RPE were significantly higher during DSW at -25% than at -15% slope, group HR and RPE nevertheless peaked at relatively low values of 101.4±14.2 bpm and 12.6±2.3, respectively. In conclusion, DSW duration and slope steepness interact to determine the magnitude of Sol H-reflex depression, but these effects do not generalize to the TA.
本研究的目的是确定下坡行走(DSW)对脊髓兴奋性的影响是否取决于行走持续时间和坡度陡度,以及比目鱼肌(Sol)的研究结果是否适用于胫骨前肌(TA)。在不同日期对14名受试者进行四次DSW剂量(时间/坡度,分钟/%)(10/-15、20/-15、10/-25、20/-25)前后测量Sol和TA的最大Hoffmann反射(Hmax)和最大肌肉反应(Mmax),并对12名受试者进行一次20分钟的水平行走(LW),速度始终为2.5英里/小时。在行走过程中测量心率(HR)和自觉用力程度(RPE)。除10/-15外,所有剂量的DSW导致Sol的Hmax/Mmax降低幅度均大于LW(p≤0.02),且20/-25导致的Hmax/Mmax降低幅度大于10/-15(p≤0.01)。TA的H反射曲线明显小于Sol的H反射曲线,本研究未能检测到LW或DSW对TA的Hmax/Mmax的影响。尽管在-25%坡度的DSW过程中HR和RPE显著高于-15%坡度,但组内HR和RPE分别在相对较低的值101.4±14.2次/分钟和12.6±2.3时达到峰值。总之,DSW持续时间和坡度陡度相互作用,决定了Sol的H反射降低幅度,但这些影响并不适用于TA。