Takamori Masayoshi, Akiyama Sumikazu, Ogata Hikari, Yokoi-Hayakawa Mika, Imaizumi-Ohashi Yoshie, Seo Yoshiteru, Mizushima Takashi
Department of Rehabilitation, Dokkyo Medical University School of Medicine: 880 Kitakobayashi, Mibu-machi, Shimotsuga-gun, Tochigi 321-0293, Japan.
Department of Physical Therapy, Aoi Medical Academy, Japan.
J Phys Ther Sci. 2020 May;32(5):337-341. doi: 10.1589/jpts.32.337. Epub 2020 May 1.
[Purpose] We aimed to detect muscle activity during a forearm pronation exercise using a 0.2 T MRI system. [Participants and Methods] We recruited healthy adult volunteers (7 males, 4 females). Transverse relaxation time (T) values for 10 forearm muscles were obtained from transverse multiple-spin-echo MR images of one-third of the ulna, lengthwise from the olecranon, in the resting state and after isotonic forearm pronation exercise at three strength levels (5, 15, and 25% of the maximum voluntary contraction). Z values were calculated as (T - T)/SD, where T, T and SD were T after exercise, 34 ms, and 3 ms, respectively. A Z value of 2.56 was used as the threshold for defining muscle activation. [Results] T values increased significantly in the pronator teres muscle (agonist), while those in the supinator muscle (antagonist) showed no change. The sensitivity and specificity values obtained were high and low, respectively, for all of the three exercise strength levels employed. In some of the participants, activity was detected in the flexor carpi radialis, extensor carpi ulnaris, and extensor digitorum. [Conclusion] Using T-map MRI, we detected activity in primary and secondary mover muscles. We also found individual variations in the use of forearm muscles during pronation.
[目的] 我们旨在使用0.2 T磁共振成像(MRI)系统检测前臂旋前运动期间的肌肉活动。[参与者与方法] 我们招募了健康的成年志愿者(7名男性,4名女性)。在静息状态以及等张前臂旋前运动后,以三种强度水平(最大自主收缩的5%、15%和25%),从尺骨三分之一处、从鹰嘴纵向的横向多自旋回波磁共振图像中获取10块前臂肌肉的横向弛豫时间(T)值。Z值计算为(T - T)/SD,其中T、T和SD分别为运动后的T、34毫秒和3毫秒。Z值为2.56用作定义肌肉激活的阈值。[结果] 旋前圆肌(主动肌)的T值显著增加,而旋后肌(拮抗肌)的T值无变化。在所采用的所有三种运动强度水平下,获得的敏感度和特异度值分别较高和较低。在一些参与者中,检测到桡侧腕屈肌、尺侧腕伸肌和指伸肌有活动。[结论] 使用T图MRI,我们检测到了主要和次要运动肌的活动。我们还发现旋前过程中前臂肌肉使用存在个体差异。