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采用线性混合效应模型的横断面研究分析:红外热成像测量全身振动时下肢皮肤后部温度的评估。

Evaluation of the temperature of posterior lower limbs skin during the whole body vibration measured by infrared thermography: Cross-sectional study analysis using linear mixed effect model.

机构信息

Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Instituto Biologia Roberto Alcântara Gomes e Policlínica Américo Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

PLoS One. 2019 Mar 13;14(3):e0212512. doi: 10.1371/journal.pone.0212512. eCollection 2019.

Abstract

BACKGROUND

Whole body vibration exercise (WBVE) has been shown to improve muscular strength and power, and increase peripheral blood flow. The aim of this study was to evaluate the behavior of the skin temperature (Tsk) on regions of the lower limbs from an acute bout of WBVE.

METHODS AND FINDINGS

Cross-sectional study approved by local ethics committee (Certificado de Apresentação para Apreciação Ética-CAAE-19826413.8.0000.5259) and Trial registration (Registro Brasileiro de Ensaios Clínicos-REBEC-RBR-738wng). Using Infrared thermography (IRT), Tsk and thermal symmetry of the posterior lower extremities (thigh, knee, calf and heel) were examined in 19 healthy participants. IRT was assessed during 60-second WBVE exposures of 0, 30 and 50 Hz. From the adjusted linear mixed effects model, vibration frequency, time and regions of the lower extremity were significant (p<0.001). However, the variable laterality was not significant (p = 0.067) and was excluded from the adjusted statistical model. The adjusted model was significant (p<0.00001) and all variables in the model were significant (p<0.01) indicating that Tsk decreases with time, independently of the vibration frequency. The value of the Pseudo-R-Squared for the model was 0.8376. The presented mathematical model of the current study may be useful to justify the patterns observed for all vibration frequencies between and 0 and 50 Hz. The main limitations of the study were the reduced time of the intervention and not having evaluated other regions of the body.

CONCLUSIONS

The acute exposure of 60-second mechanical vibration has effect on the behavior of Tsk of the posterior region of the lower limbs, which is likely to be associated with a decrease on the blood flow due to WBVE. It is speculated that during WBVE a greater supply of blood is required where the body responds by shunting blood flow from the skin to working muscle in the first seconds of exercise. Further investigative work is required to verify this hypothesis.

摘要

背景

全身振动训练(WBVE)已被证明可改善肌肉力量和功率,并增加外周血流量。本研究的目的是评估单次急性 WBVE 对下肢皮肤温度(Tsk)的影响。

方法和发现

本研究经当地伦理委员会批准(Certificado de Apresentação para Apreciação Ética-CAAE-19826413.8.0000.5259)并在临床试验注册平台(Registro Brasileiro de Ensaios Clínicos-REBEC-RBR-738wng)进行了注册。本研究共纳入了 19 名健康志愿者,采用红外热成像(IRT)技术,检测了下肢后侧(大腿、膝盖、小腿和脚跟)在 60 秒的 0、30 和 50 Hz 全身振动暴露下的 Tsk 和热对称性。经过调整后的线性混合效应模型分析,振动频率、时间和下肢区域均具有统计学意义(p<0.001)。然而,侧位变量没有统计学意义(p = 0.067),因此被排除在调整后的统计模型之外。调整后的模型具有统计学意义(p<0.00001),模型中的所有变量均具有统计学意义(p<0.01),表明 Tsk 随时间降低,与振动频率无关。模型的 Pseudo-R-Squared 值为 0.8376。本研究提出的数学模型可能有助于解释在 0 到 50 Hz 之间的所有振动频率下观察到的模式。本研究的主要局限性在于干预时间较短,且没有评估身体的其他区域。

结论

60 秒机械振动的急性暴露对下肢后侧 Tsk 的变化有影响,这可能与 WBVE 导致的血流量减少有关。推测在 WBVE 过程中,由于需要更多的血液供应,身体会通过将血流从皮肤分流到运动肌肉来做出反应,这种情况在运动的最初几秒钟内就会发生。需要进一步的研究来验证这一假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d8/6415782/e87d378b454a/pone.0212512.g001.jpg

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