Shirato Rikiya, Sakamoto Hiroya, Sugiyama Tatsuya, Suzuki Misato, Takahashi Runa, Tanaka Tatsuya
Department of Occupational Therapy, Faculty of Human Science, Hokkaido Bunkyo University, Eniwa, Japan.
Department of Rehabilitation, Hitsujigaoka Hospital, Sapporo, Japan.
J Chiropr Med. 2019 Jun;18(2):97-105. doi: 10.1016/j.jcm.2018.10.003. Epub 2019 Jun 22.
The purpose of this study was to quantify the effects of prolonged vibratory stimulus on the maximal voluntary contraction (MVC) force and muscle activity of the triceps brachii and to clarify the effective stimulus time.
Twenty-five healthy volunteers with a mean age of 21.4 years participated. A vibratory stimulus at 86 Hz was applied to the triceps brachii tendon for 5 and 10 minutes. Before and after these stimuli, the elbow extension MVC force was measured using a handheld dynamometer. Muscle activities of the lateral, long, and medial heads of the triceps brachii were also recorded by surface electromyography.
The median MVC force significantly decreased to 82.7% after 5 minutes of vibratory stimulus and to 83.3% after 10 minutes of vibratory stimulus ( < .001). The median percentage of integrated electromyography of the triceps also significantly decreased to 78.2 (lateral head), 83.8 (long head), and 81.5 (medial head) after 5 minutes of vibratory stimulus and to 77.7, 81.4, and 77.2, respectively, after 10 minutes of vibratory stimulus ( < .001). There were no differences in the decrease in the MVC force and median percentage of integrated electromyography between 5 and 10 minutes of vibratory stimulus ( > .05).
Prolonged vibratory stimulus (5 minutes) to the triceps brachii tendon appeared to have an inhibitory effect on MVC force and muscle activity. The present results suggest that prolonged vibratory stimulus could be an effective treatment capable of reducing muscle tonus of the triceps brachii.
本研究旨在量化长时间振动刺激对肱三头肌最大自主收缩(MVC)力量和肌肉活动的影响,并明确有效刺激时间。
25名平均年龄为21.4岁的健康志愿者参与研究。以86Hz的频率对肱三头肌腱施加振动刺激5分钟和10分钟。在这些刺激前后,使用手持测力计测量肘伸展MVC力量。肱三头肌外侧头、长头和内侧头的肌肉活动也通过表面肌电图进行记录。
振动刺激5分钟后,MVC力量中位数显著下降至82.7%,振动刺激10分钟后降至83.3%(P<0.001)。振动刺激5分钟后,肱三头肌肌电图积分中位数百分比也显著下降,外侧头降至78.2,长头降至83.8,内侧头降至81.5;振动刺激10分钟后,分别降至77.7、81.4和77.2(P<0.001)。振动刺激5分钟和10分钟之间,MVC力量下降和肌电图积分中位数百分比下降无差异(P>0.05)。
对肱三头肌腱进行长时间振动刺激(5分钟)似乎对MVC力量和肌肉活动有抑制作用。目前的结果表明,长时间振动刺激可能是一种能够降低肱三头肌肌张力的有效治疗方法。