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智力残疾个体的神经肌肉疲劳与恢复情况

Neuromuscular fatigue and recovery profiles in individuals with intellectual disability.

作者信息

Borji Rihab, Zghal Firas, Zarrouk Nidhal, Martin Vincent, Sahli Sonia, Rebai Haithem

机构信息

Research Unit Education, Motor Skills, Sports and Health (EM2S, UR15JS01), Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia.

Laboratory of Metabolic Adaptations to Exercise in Physiological and Pathological Conditions, Blaise Pascal University, Clermont-Ferrand 63000, France.

出版信息

J Sport Health Sci. 2019 May;8(3):242-248. doi: 10.1016/j.jshs.2017.03.015. Epub 2017 Mar 31.

Abstract

PURPOSE

This study aimed to explore neuromuscular fatigue and recovery profiles in individuals with intellectual disability (ID) after exhausting submaximal contraction.

METHODS

Ten men with ID were compared to 10 men without ID. The evaluation of neuromuscular function consisted in brief (3 s) isometric maximal voluntary contraction (IMVC) of the knee extension superimposed with electrical nerve stimulation before, immediately after, and during 33 min after an exhausting submaximal isometric task at 15% of the IMVC. Force, voluntary activation level (VAL), potentiated twitch (Ptw), and electromyography (EMG) signals were measured during IMVC and then analyzed.

RESULTS

Individuals with ID developed lower baseline IMVC, VAL, Ptw, and RMS/M ratio (root-mean-square value normalized to the maximal peak-to-peak amplitude of the M-wave) than controls ( < 0.05). Nevertheless, the time to task failure was significantly longer in ID . controls ( < 0.05). The 2 groups presented similar IMVC decline and recovery kinetics after the fatiguing exercise. However, individuals with ID presented higher VAL and RMS/M ratio declines but lower Ptw decline compared to those without ID. Moreover, individuals with ID demonstrated a persistent central fatigue but faster recovery from peripheral fatigue.

CONCLUSION

These differences in neuromuscular fatigue profiles and recovery kinetics should be acknowledged when prescribing training programs for individuals with ID.

摘要

目的

本研究旨在探究智力残疾(ID)个体在次最大收缩力耗尽后的神经肌肉疲劳和恢复情况。

方法

将10名患有ID的男性与10名无ID的男性进行比较。神经肌肉功能评估包括在以15%的等长最大自主收缩(IMVC)进行的次最大等长任务耗尽之前、之后立即以及之后33分钟内,对膝关节伸展进行短暂(3秒)的等长最大自主收缩(IMVC)并叠加电神经刺激。在IMVC期间测量力量、自主激活水平(VAL)、增强抽搐(Ptw)和肌电图(EMG)信号,然后进行分析。

结果

与对照组相比,患有ID的个体基线IMVC、VAL、Ptw和RMS/M比值(均方根值归一化到M波的最大峰峰值幅度)较低(<0.05)。然而,ID组的任务失败时间明显长于对照组(<0.05)。两组在疲劳运动后呈现相似的IMVC下降和恢复动力学。然而,与无ID的个体相比,患有ID的个体VAL和RMS/M比值下降更高,但Ptw下降更低。此外,患有ID的个体表现出持续的中枢疲劳,但从外周疲劳中恢复更快。

结论

在为患有ID的个体制定训练计划时,应认识到神经肌肉疲劳情况和恢复动力学的这些差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e1/6523034/1f21b1d0df6a/jshs388-fig-0001.jpg

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