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在全身振动刺激叠加的分级等长收缩过程中,不同振动频率、振幅和收缩水平对下肢肌肉的影响。

Effects of different vibration frequencies, amplitudes and contraction levels on lower limb muscles during graded isometric contractions superimposed on whole body vibration stimulation.

作者信息

Pujari Amit N, Neilson Richard D, Cardinale Marco

机构信息

School of Engineering, University of Aberdeen, Aberdeen, UK.

School of Engineering and Technology, University of Hertfordshire, Hertfordshire, UK.

出版信息

J Rehabil Assist Technol Eng. 2019 Feb 7;6:2055668319827466. doi: 10.1177/2055668319827466. eCollection 2019 Jan-Dec.

Abstract

BACKGROUND

Indirect vibration stimulation, i.e., whole body vibration or upper limb vibration, has been investigated increasingly as an exercise intervention for rehabilitation applications. However, there is a lack of evidence regarding the effects of graded isometric contractions superimposed on whole body vibration stimulation. Hence, the objective of this study was to quantify and analyse the effects of variations in the vibration parameters and contraction levels on the neuromuscular responses to isometric exercise superimposed on whole body vibration stimulation.

METHODS

In this study, we assessed the 'neuromuscular effects' of graded isometric contractions, of 20%, 40%, 60%, 80% and 100% of maximum voluntary contraction, superimposed on whole body vibration stimulation (V) and control (C), i.e., no-vibration in 12 healthy volunteers. Vibration stimuli tested were 30 Hz and 50 Hz frequencies and 0.5 mm and 1.5 mm amplitude. Surface electromyographic activity of the vastus lateralis, vastus medialis and biceps femoris were measured during V and C conditions with electromyographic root mean square and electromyographic mean frequency values used to quantify muscle activity and their fatigue levels, respectively.

RESULTS

Both the prime mover (vastus lateralis) and the antagonist (biceps femoris) displayed significantly higher (P < 0.05) electromyographic activity with the V than the C condition with varying percentage increases in EMG root-mean-square (EMGrms) values ranging from 20% to 200%. For both the vastus lateralis and biceps femoris, the increase in mean EMGrms values depended on the frequency, amplitude and muscle contraction level with 50 Hz-0.5 mm stimulation inducing the largest neuromuscular activity.

CONCLUSIONS

These results show that the isometric contraction superimposed on vibration stimulation leads to higher neuromuscular activity compared to isometric contraction alone in the lower limbs. The combination of the vibration frequency with the amplitude and the muscle tension together grades the final neuromuscular output.

摘要

背景

间接振动刺激,即全身振动或上肢振动,作为一种康复应用的运动干预手段,受到了越来越多的研究。然而,关于在全身振动刺激基础上叠加分级等长收缩的效果,目前缺乏相关证据。因此,本研究的目的是量化和分析振动参数和收缩水平的变化对叠加在全身振动刺激上的等长运动神经肌肉反应的影响。

方法

在本研究中,我们评估了在全身振动刺激(V)和对照(C,即无振动)条件下,12名健康志愿者进行最大自主收缩的20%、40%、60%、80%和100%的分级等长收缩的“神经肌肉效应”。测试的振动刺激频率为30Hz和50Hz,振幅为0.5mm和1.5mm。在V和C条件下,测量股外侧肌、股内侧肌和股二头肌的表面肌电活动,分别用肌电均方根值和肌电平均频率值来量化肌肉活动及其疲劳程度。

结果

与C条件相比,在V条件下,原动肌(股外侧肌)和拮抗肌(股二头肌)的肌电活动均显著更高(P<0.05),肌电均方根(EMGrms)值的变化百分比在20%至200%之间。对于股外侧肌和股二头肌,平均EMGrms值的增加取决于频率、振幅和肌肉收缩水平,50Hz-0.5mm刺激诱导的神经肌肉活动最大。

结论

这些结果表明,与单独的等长收缩相比,叠加在振动刺激上的等长收缩会导致下肢更高的神经肌肉活动。振动频率与振幅以及肌肉张力的组合共同决定了最终的神经肌肉输出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/583d/6582277/576051ec3276/10.1177_2055668319827466-fig1.jpg

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