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超声定量评估胫前肌对神经肌肉电刺激的结构反应

Ultrasonographic quantification of architectural response in tibialis anterior to neuromuscular electrical stimulation.

作者信息

Simoneau-Buessinger Emilie, Leteneur Sébastien, Bisman Alix, Gabrielli François, Jakobi Jennifer

机构信息

Laboratoire d'Automatique, de Mécanique et d'Informatique industrielles et Humaines (LAMIH) - UMR CNRS 8201, Université de Valenciennes et du Hainaut-Cambrésis (UVHC), F-59313 Valenciennes, France.

Laboratoire d'Automatique, de Mécanique et d'Informatique industrielles et Humaines (LAMIH) - UMR CNRS 8201, Université de Valenciennes et du Hainaut-Cambrésis (UVHC), F-59313 Valenciennes, France.

出版信息

J Electromyogr Kinesiol. 2017 Oct;36:90-95. doi: 10.1016/j.jelekin.2017.07.008. Epub 2017 Jul 26.

Abstract

While muscle contraction in voluntary efforts has been widely investigated, little is known about contraction during neuromuscular electrical stimulation (NMES). The aim of this study was to quantify in vivo muscle architecture of agonist and antagonist muscles at the ankle joint during NMES. Muscle fascicle lengths and pennation angles of the tibialis anterior (TA) and lateral gastrocnemius muscles were assessed via ultrasonography in 8 healthy young males. Measures were obtained during maximal NMES and torque-matched voluntary dorsiflexion contractions. In the TA, NMES induced a shorter fascicle length (67.2±8.1mmvs 74.6±11.4mm; p=0.04) and a greater pennation angle (11.0±2.4° vs 9.3±2.5°; p=0.03) compared with voluntary torque-matched dorsiflexion contractions. Architectural responses in the antagonist lateral gastrocnemius muscle did not significantly differ from rest or between voluntary and electrically induced contractions (p>0.05). Contraction of the antagonist muscle was not a contributing factor to a greater fascicle shortening and increased pennation angle in the TA during NMES. TA architectural response during NMES likely arose from the contribution of muscle synergists during voluntary contractions coupled with a potentially localized contractile activity under the stimulation electrodes during NMES induced contractions.

摘要

虽然在自主运动中肌肉收缩已得到广泛研究,但对于神经肌肉电刺激(NMES)期间的收缩情况却知之甚少。本研究的目的是量化NMES期间踝关节处主动肌和拮抗肌的体内肌肉结构。通过超声检查评估了8名健康年轻男性胫前肌(TA)和外侧腓肠肌的肌束长度和羽状角。在最大NMES和扭矩匹配的自主背屈收缩期间进行测量。在TA中,与扭矩匹配的自主背屈收缩相比,NMES诱导出更短的肌束长度(67.2±8.1mm对74.6±11.4mm;p=0.04)和更大的羽状角(11.0±2.4°对9.3±2.5°;p=0.03)。拮抗肌外侧腓肠肌的结构反应与静息状态相比,以及在自主收缩和电刺激收缩之间均无显著差异(p>0.05)。在NMES期间,拮抗肌的收缩不是导致TA中肌束缩短增加和羽状角增大的因素。NMES期间TA的结构反应可能源于自主收缩期间肌肉协同肌的作用,以及NMES诱导收缩期间刺激电极下潜在的局部收缩活动。

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