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儿童与成人在神经肌肉疲劳方面的差异取决于肌肉。

Child-adult differences in neuromuscular fatigue are muscle dependent.

作者信息

Piponnier Enzo, Martin Vincent, Bontemps Bastien, Chalchat Emeric, Julian Valérie, Bocock Olivia, Duclos Martine, Ratel Sébastien

机构信息

Clermont-Auvergne University, AME2P, Clermont-Ferrand, France.

Clermont University Hospital, Clermont-Ferrand, France.

出版信息

J Appl Physiol (1985). 2018 Oct 1;125(4):1246-1256. doi: 10.1152/japplphysiol.00244.2018. Epub 2018 Aug 9.

Abstract

The aim of the present study was to compare the development and etiology of neuromuscular fatigue of the knee extensor (KE) and plantar flexor (PF) muscles during repeated maximal voluntary isometric contractions (MVICs) between children and adults. Prepubertal boys ( = 21; 9-11 yr) and men ( = 24; 18-30 yr) performed two fatigue protocols consisting of a repetition of 5-s isometric MVIC of the KE or PF muscles interspersed with 5-s passive recovery periods until MVIC reached 60% of its initial value. The etiology of neuromuscular fatigue of the KE and PF muscles was investigated by means of noninvasive methods, such as the surface electromyography, single and doublet magnetic stimulation, twitch interpolation technique, and near-infrared spectroscopy. The number of repetitions performed was significantly lower in men (15.4 ± 3.8) than boys (38.7 ± 18.8) for the KE fatigue test. In contrast, no significant difference was found for the PF muscles between boys and men (12.1 ± 4.9 and 13.8 ± 4.9 repetitions, respectively). Boys displayed a lower reduction in potentiated twitch torque, low-frequency fatigue, and muscle oxygenation than men whatever the muscle group considered. In contrast, voluntary activation level and normalized electromyography data decreased to a greater extent in boys than men for both muscle groups. To conclude, boys experienced less peripheral and more central fatigue during repeated MVICs than men whatever the muscle group considered. However, child-adult differences in neuromuscular fatigue were muscle-dependent since boys fatigued similarly to men with the PF muscles and to a lower extent with the KE muscles. Child-adult differences in neuromuscular fatigue during repeated maximal voluntary contractions are specific to the muscle group since children fatigue similarly to adults with the plantar flexor muscles and to a lower extent with the knee extensor muscles. Children experience less peripheral fatigue and more central fatigue than adults, regardless of the muscle group considered.

摘要

本研究的目的是比较儿童和成人在重复进行最大自主等长收缩(MVIC)期间,膝伸肌(KE)和跖屈肌(PF)的神经肌肉疲劳的发展及病因。青春期前男孩(n = 21;9 - 11岁)和男性(n = 24;18 - 30岁)进行了两项疲劳实验方案,包括重复进行5秒的KE或PF肌肉等长MVIC,并穿插5秒的被动恢复期,直至MVIC达到其初始值的60%。通过非侵入性方法,如表面肌电图、单脉冲和双脉冲磁刺激、抽搐插值技术和近红外光谱法,研究KE和PF肌肉神经肌肉疲劳的病因。在KE疲劳测试中,男性(15.4 ± 3.8次)完成的重复次数显著低于男孩(38.7 ± 18.8次)。相比之下,男孩和男性的PF肌肉重复次数没有显著差异(分别为12.1 ± 4.9次和13.8 ± 4.9次)。无论考虑哪一组肌肉,男孩在增强抽搐扭矩、低频疲劳和肌肉氧合方面的降低程度均低于男性。相比之下,两个肌肉组的男孩的自主激活水平和标准化肌电图数据下降幅度均大于男性。总之,无论考虑哪一组肌肉,男孩在重复MVIC期间比男性经历的外周疲劳更少,中枢疲劳更多。然而,儿童与成人在神经肌肉疲劳方面的差异取决于肌肉,因为男孩在PF肌肉方面与男性疲劳程度相似,而在KE肌肉方面疲劳程度较低。儿童与成人在重复最大自主收缩期间神经肌肉疲劳的差异因肌肉组而异,因为儿童在跖屈肌方面与成人疲劳程度相似,而在膝伸肌方面疲劳程度较低。无论考虑哪一组肌肉,儿童比成人经历的外周疲劳更少,中枢疲劳更多。

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