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肌肉拉伸后肌肉力量产生的丧失并不伴有皮质脊髓兴奋性的改变。

The loss of muscle force production after muscle stretching is not accompanied by altered corticospinal excitability.

机构信息

Centre for Exercise and Sports Science Research (CESSR), School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA, 6027, Australia.

School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Australia.

出版信息

Eur J Appl Physiol. 2019 Oct;119(10):2287-2299. doi: 10.1007/s00421-019-04212-8. Epub 2019 Aug 27.

Abstract

PURPOSE

The aim of the present study was to determine whether depression of maximal muscular force and neural drive subsequent to prolonged ( ≥ 60 s) passive muscle stretching is associated with altered corticospinal excitability or intracortical (GABA-mediated) inhibition.

METHODS

Fourteen healthy adult males were tested before and after 5 min (5 × 60-s stretches) of intense, passive static stretching of the plantar flexor muscles. Two protocols (A and B) were conducted in a randomized order. Transcranial magnetic stimulation was delivered to the contralateral motor cortex at rest (Protocol A) and during maximal voluntary contractions (Protocol B). Changes in maximal voluntary isometric torque, voluntary surface electromyographic activity of triceps surae muscles (normalized to M-wave; EMG/M), motor-evoked potentials (MEP), and cortical silent period (cSP; Protocol B) in soleus elicited by transcranial magnetic stimulation were examined 10 min after stretch.

RESULTS

In both protocols A and B, significant decreases were observed immediately after stretching in maximal voluntary plantar flexion torque ( - 20.1 ± 15.9%, P = 0.004; and - 17.2 ± 13.5%, P = 0.006) and EMG/M ( - 18.0 ± 18.2%, P = 0.023; and - 13.0 ± 9.3%, P = 0.003). Decreases in torque and EMG/M were highly correlated (r = 0.67-0.85, P < 0.05). However, no changes were observed in MEP amplitudes during rest ( + 29.3 ± 50.0%) or maximum voluntary contraction ( + 1.9 ± 16.8%), or in cSP ( + 2.1 ± 15.1%).

CONCLUSIONS

Impaired neural drive contributed to the stretch-induced force loss; however, changes in corticospinal excitability and intracortical inhibition could not explain the phenomenon.

摘要

目的

本研究旨在确定长时间(≥60 秒)被动肌肉拉伸后最大肌肉力量和神经驱动的抑制是否与皮质脊髓兴奋性或皮质内(GABA 介导)抑制的改变有关。

方法

14 名健康成年男性在接受 5 分钟(5×60 秒伸展)强烈的被动静态伸展足底屈肌前后接受测试。两种方案(A 和 B)以随机顺序进行。在休息时(方案 A)和最大自主收缩时(方案 B),经颅磁刺激(TMS)施加于对侧运动皮层。在伸展后 10 分钟,检查 TMS 诱发的比目鱼肌最大等长等张扭矩、比目鱼肌表面肌电图(EMG/M,标准化为 M 波)、运动诱发电位(MEP)和皮质静息期(cSP;方案 B)的变化。

结果

在方案 A 和 B 中,伸展后即刻均观察到最大主动足底屈曲扭矩(分别为-20.1±15.9%,P=0.004;和-17.2±13.5%,P=0.006)和 EMG/M(分别为-18.0±18.2%,P=0.023;和-13.0±9.3%,P=0.003)明显降低。扭矩和 EMG/M 的降低高度相关(r=0.67-0.85,P<0.05)。然而,在休息时(+29.3±50.0%)或最大自主收缩时(+1.9±16.8%),MEP 幅度或 cSP 均无变化(+2.1±15.1%)。

结论

神经驱动受损导致拉伸引起的力量损失;然而,皮质脊髓兴奋性和皮质内抑制的变化不能解释这一现象。

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