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单次脊柱推拿对运动员力量和皮质驱动的影响。

The effects of a single session of spinal manipulation on strength and cortical drive in athletes.

机构信息

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.

Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.

出版信息

Eur J Appl Physiol. 2018 Apr;118(4):737-749. doi: 10.1007/s00421-018-3799-x. Epub 2018 Jan 11.

Abstract

PURPOSE

The primary purpose of this study was to investigate whether a single session of spinal manipulation (SM) increases strength and cortical drive in the lower limb (soleus muscle) of elite Taekwondo athletes.

METHODS

Soleus-evoked V-waves, H-reflex and maximum voluntary contraction (MVC) of the plantar flexors were recorded from 11 elite Taekwondo athletes using a randomized controlled crossover design. Interventions were either SM or passive movement control. Outcomes were assessed at pre-intervention and at three post-intervention time periods (immediate post, post 30 min and post 60 min). A multifactorial repeated measures ANOVA was conducted to assess within and between group differences. Time and session were used as factors. A post hoc analysis was carried out, when an interactive effect was present. Significance was set at p ≤ 0.05.

RESULTS

SM increased MVC force [F(3,30) = 5.95, p < 0.01], and V-waves [F(3,30) = 4.25, p = 0.01] over time compared to the control intervention. Between group differences were significant for all time periods (p < 0.05) except for the post60 force measurements (p = 0.07).

CONCLUSION

A single session of SM increased muscle strength and corticospinal excitability to ankle plantar flexor muscles in elite Taekwondo athletes. The increased MVC force lasted for 30 min and the corticospinal excitability increase persisted for at least 60 min.

摘要

目的

本研究的主要目的是探究单次脊柱推拿(SM)是否会增加优秀跆拳道运动员下肢(比目鱼肌)的力量和皮质驱动。

方法

采用随机对照交叉设计,从 11 名优秀跆拳道运动员中记录比目鱼肌诱发的 V 波、H 反射和跖屈肌最大自主收缩(MVC)。干预措施为 SM 或被动运动控制。在干预前和三个干预后时间点(即刻后、30 分钟后和 60 分钟后)评估结果。采用多因素重复测量方差分析评估组内和组间差异。时间和阶段作为因素。当存在交互作用时,进行事后分析。显著性设定为 p≤0.05。

结果

与对照组相比,SM 随着时间的推移增加了 MVC 力量[F(3,30)=5.95,p<0.01]和 V 波[F(3,30)=4.25,p=0.01]。在所有时间点,组间差异均有统计学意义(p<0.05),除了 60 分钟后力量测量(p=0.07)。

结论

单次 SM 增加了优秀跆拳道运动员踝关节跖屈肌的肌肉力量和皮质脊髓兴奋性。MVC 力量的增加持续了 30 分钟,皮质脊髓兴奋性的增加至少持续了 60 分钟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a27/5843672/a1bcf1df8c0f/421_2018_3799_Fig1_HTML.jpg

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