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老年男性和女性在快速收缩过程中股四头肌激活减弱。

Attenuated activation of knee extensor muscles during fast contractions in older men and women.

作者信息

Kwon MinHyuk, Senefeld Jonathon W, Hunter Sandra K

机构信息

Exercise Science Program, Department of Physical Therapy, Marquette University, Milwaukee, WI, USA.

Department of Kinesiology and Health Promotion, California State Polytechnic University, Pomona, CA, USA.

出版信息

Eur J Appl Physiol. 2020 Oct;120(10):2289-2299. doi: 10.1007/s00421-020-04451-0. Epub 2020 Aug 13.

Abstract

AIM

Reduced physical function and increased risk of falls in older adults are accompanied by age-related reductions in torque development of leg muscles, although the mechanisms and potential sex differences are not understood.

PURPOSE

To determine the mechanistic origins (neural vs. muscular) for the age-related reduction in torque development, we compared the peak rates of torque development (RTD) during electrically-evoked and fast voluntary contractions of the knee extensors between young and older men and women.

METHODS

Sets of single- and double-pulse electrical stimulations evoked contractions of the knee extensor muscles in 20 young (23.0 ± 0.8 years; 10 women) and 20 older adults (78.2 ± 1.5 years; 10 women), followed by voluntary isometric knee extension contractions with torque development as fast as possible that matched the torque during electrically-evoked contraction (10-40% maximal torque).

RESULTS

Peak RTD during fast-voluntary contractions was 41% less than electrically-evoked contractions (p < 0.001), but more so for older adults (44%) than young (38%, p = 0.04), with no sex differences. Peak RTD during fast-voluntary contractions was more variable between contractions for the older than young adults (77%MVC s vs. 47%MVC s, p < 0.001). Additionally, older women exhibited greater variability than older men (81%MVC s vs. 72%MVC s, p = 0.04) with no sex-related differences within the young adults.

CONCLUSION

Older adults had slower and more variable RTD during voluntary contractions than young adults, particularly older women. The limited age-related differences in electrically-evoked RTD suggest the primary mechanism for the slower torque development of the knee extensor muscles in older men and women involve reduced neural activation.

摘要

目的

老年人身体功能下降且跌倒风险增加,同时伴有与年龄相关的腿部肌肉扭矩发展降低,尽管其机制和潜在的性别差异尚不清楚。

目的

为了确定与年龄相关的扭矩发展降低的机制起源(神经因素与肌肉因素),我们比较了年轻和老年男性及女性在膝关节伸肌的电诱发收缩和快速自主收缩过程中的峰值扭矩发展速率(RTD)。

方法

对20名年轻人(23.0±0.8岁;10名女性)和20名老年人(78.2±1.5岁;10名女性)进行单脉冲和双脉冲电刺激,诱发膝关节伸肌收缩,随后进行自主等长膝关节伸展收缩,使扭矩发展尽可能快,以匹配电诱发收缩期间的扭矩(最大扭矩的10%-40%)。

结果

快速自主收缩期间的峰值RTD比电诱发收缩时低41%(p<0.001),但老年人(44%)比年轻人(38%,p=0.04)降低得更多,且无性别差异。快速自主收缩期间的峰值RTD在老年人中比年轻人的收缩之间变化更大(77%MVC对47%MVC,p<0.001)。此外,老年女性比老年男性表现出更大的变异性(81%MVC对72%MVC,p=0.04),而年轻人中无性别相关差异。

结论

老年人在自主收缩期间的RTD比年轻人更慢且变化更大,尤其是老年女性。电诱发RTD中与年龄相关的差异有限,这表明老年男性和女性膝关节伸肌扭矩发展较慢的主要机制涉及神经激活减少。

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