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一项为期 8 周的抗阻训练方案可有效适应股四头肌,但不能适应髌腱剪切模量的测量,该测量采用剪切波弹性成像技术。

An 8-week resistance training protocol is effective in adapting quadriceps but not patellar tendon shear modulus measured by Shear Wave Elastography.

机构信息

Department of Orthopaedic Surgery, Clementino Fraga Filho University Hospital, Rio de Janeiro, RJ, Brazil.

Biomedical Engineering Program, UFRJ, Rio de Janeiro, RJ, Brazil.

出版信息

PLoS One. 2019 Apr 16;14(4):e0205782. doi: 10.1371/journal.pone.0205782. eCollection 2019.

Abstract

Habitual loading and resistance training (RT) can lead to changes in muscle and tendon morphology as well as in its mechanical properties which can be measured by Shear Wave Elastography (SWE) technique. The objective of this study was to analyze the Vastus Lateralis (VL) and patellar tendon (PT) mechanical properties adaptations to an 8-week RT protocol using SWE. We submitted 15 untrained health young men to an 8-week RT directed for knee extensor mechanism. VL and PT shear modulus (μ) were assessed pre and post intervention with SWE. PT thickness (PTT), VL muscle thickness (VL MT) and knee extension torque (KT) were also measure pre and post intervention to ensure the RT efficiency. Significant increases were observed in VL MT and KT (pre = 2.40 ± 0.40 cm and post = 2.63 ± 0.35 cm, p = 0.0111, and pre = 294.66 ± 73.98 Nm and post = 338.93 ± 76.39 Nm, p = 0.005, respectively). The 8-week RT was also effective in promoting VL μ adaptations (pre = 4.87 ± 1.38 kPa and post = 9.08.12 ± 1.86 kPa, p = 0.0105), but not in significantly affecting PT μ (pre = 78.85 ± 7.37 kPa and post = 66.41 ± 7.25 kPa, p = 0.1287) nor PTT (baseline = 0.364 ± 0.053 cm and post = 0.368 ± 0.046 cm, p = 0.71). The present study showed that an 8-week resistance training protocol was effective in adapting VL μ but not PT μ. Further investigation should be conducted with special attention to longer interventions, to possible PT differential individual responsiveness and to the muscle-tendon resting state tension environment.

摘要

习惯性负荷和阻力训练(RT)可导致肌肉和肌腱形态以及机械性能发生变化,这些变化可以通过剪切波弹性成像(SWE)技术进行测量。本研究的目的是使用 SWE 分析 8 周 RT 方案对股外侧肌(VL)和髌腱(PT)机械性能的适应性。我们让 15 名未经训练的健康年轻男性接受了为期 8 周的针对膝关节伸肌机制的 RT。使用 SWE 在干预前后评估 VL 和 PT 的剪切模量(μ)。还在干预前后测量了 PT 厚度(PTT)、VL 肌肉厚度(VL MT)和膝关节伸展扭矩(KT),以确保 RT 的效率。结果显示,VL MT 和 KT 显著增加(干预前分别为 2.40±0.40cm 和 294.66±73.98Nm,干预后分别为 2.63±0.35cm 和 338.93±76.39Nm,p 值分别为 0.0111 和 0.005)。8 周 RT 也有效地促进了 VL μ 的适应性(干预前为 4.87±1.38kPa,干预后为 9.08.12±1.86kPa,p 值为 0.0105),但对 PT μ 没有显著影响(干预前为 78.85±7.37kPa,干预后为 66.41±7.25kPa,p 值为 0.1287),也没有影响 PTT(基线为 0.364±0.053cm,干预后为 0.368±0.046cm,p 值为 0.71)。本研究表明,8 周的抗阻训练方案有效适应了 VL μ,但对 PT μ 无效。进一步的研究应该特别关注更长的干预时间、可能的 PT 个体差异反应以及肌肉-肌腱的静息状态张力环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/6467440/7772eac1b2ea/pone.0205782.g001.jpg

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