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小腿肌肉锻炼对踝关节本体感觉的影响。

Effects of calf muscle conditioning upon ankle proprioception.

机构信息

The School of Sport, Exercise & Rehabilitation Sciences, The University of Birmingham, Birmingham, United Kingdom.

出版信息

PLoS One. 2020 Aug 31;15(8):e0236731. doi: 10.1371/journal.pone.0236731. eCollection 2020.

DOI:10.1371/journal.pone.0236731
PMID:32866151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7458279/
Abstract

Ankle proprioception is crucial for balance and relies upon accurate input from calf muscle spindles. Spindle input, in turn, depends upon the physiological and mechanical properties of surrounding muscle tissue. Altering these properties could affect ankle proprioception, with potential consequences for balance. Here we determine the effects of prior muscle cooling, stretch and contraction upon performance of a contralateral ankle joint matching task. Participants stood passively leaning against a board oriented 22° rearward from vertical. Their right ankle was rotated to a randomised position between ± 6° plantar/dorsiflexion. The task was to align the left ankle to the same position, without vision. In the first experiment, immediately prior to each testing session, participants either produced a strong calf muscle contraction in a fully plantarflexed (tiptoe) posture or underwent 15° dorsiflexion stretch. Contraction had no effect on task performance, whereas stretch produced a significant bias in ankle placement of 0.89 ± 0.6°, indicating that participants perceived their foot to be more plantarflexed compared to a control condition. In the second experiment, the right lower leg was cooled in iced water (≤ 5°C) for 10 minutes. Cooling increased joint matching error by ~0.4°, through a combination of increased bias and variability. These results confirm that conditioning the triceps surae muscles can alter perception of ankle joint position. Since body movement during quiet stance is in the order of 1°, the magnitude of these changes are relevant for balance.

摘要

踝关节本体感觉对于平衡至关重要,依赖于小腿肌肉梭的准确输入。而梭的输入又取决于周围肌肉组织的生理和机械特性。改变这些特性可能会影响踝关节本体感觉,从而对平衡产生潜在影响。在这里,我们确定了先前肌肉冷却、拉伸和收缩对进行对侧踝关节匹配任务的影响。参与者被动地站在一个与垂直方向向后倾斜 22°的板子上。他们的右脚踝被旋转到±6°的跖屈/背屈随机位置。任务是在没有视觉的情况下将左脚踝调整到相同的位置。在第一个实验中,在每次测试之前,参与者要么在完全跖屈(踮起脚尖)的姿势下进行强烈的小腿肌肉收缩,要么进行 15°的背屈拉伸。收缩对任务表现没有影响,而拉伸导致踝关节位置的明显偏差为 0.89±0.6°,表明与对照条件相比,参与者感觉他们的脚更跖屈。在第二个实验中,右小腿在冰水中冷却(≤5°C)10 分钟。冷却通过增加偏差和变异性,将关节匹配误差增加了约 0.4°。这些结果证实,调节小腿三头肌可以改变对踝关节位置的感知。由于在安静站立时身体运动的幅度约为 1°,这些变化的幅度与平衡有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/b9766d379561/pone.0236731.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/be156a1a21b8/pone.0236731.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/72db2b7a697c/pone.0236731.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/34c0cbf41d97/pone.0236731.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/a38bf784e435/pone.0236731.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/cd0954c33c31/pone.0236731.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/a8c5d7d1a9c0/pone.0236731.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/b9766d379561/pone.0236731.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/be156a1a21b8/pone.0236731.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/72db2b7a697c/pone.0236731.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/34c0cbf41d97/pone.0236731.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/a38bf784e435/pone.0236731.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/cd0954c33c31/pone.0236731.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/a8c5d7d1a9c0/pone.0236731.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8664/7458279/b9766d379561/pone.0236731.g007.jpg

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