Department of Rehabilitation, Kumamoto-Saiseikai Hospital, Kumamoto, Japan.
Graduate school of Health Science, Kumamoto Health Science University, Kumamoto, Japan.
PLoS One. 2020 Sep 30;15(9):e0239473. doi: 10.1371/journal.pone.0239473. eCollection 2020.
Fibromyalgia patients experience cardiovascular complications in addition to musculoskeletal pain. This study aimed to investigate the cardiac effects of a prolonged shallow water gait in a fibromyalgia-induced young mouse model.
To produce a fibromyalgia mouse model, wild-type mice were administered an intraperitoneal injection of reserpine once a day for three days, and two primary experiments were performed. First, three types of gait tests were performed before and after the reserpine injections as follows: (i) 5 minutes of free gait outside the water, (ii) 1 minute of free gait in shallow warm water, and (iii) 5 minutes of free gait in shallow warm water. Second, electrocardiogram recordings were taken before and after the three gait tests. The average heart rate and heart rate irregularity scores were analyzed.
Exercise-induced cardiac arrhythmia was observed at 1-minute gait in shallow water during the acute stage of induced FM in young mice. Further, both cardiac arrhythmia and a decrease in HR have occurred at 5-minute gait in shallow water at the same mice. However, this phenomenon was not observed in the wild-type mice under any test conditions.
Although a short-term free gait in shallow warm water may be advantageous for increasing the motor activity of FM-model mice, we should be aware of the risk of prolonged and excessive exercise-induced cardiac arrhythmia. For gait exercises in shallow water as a treatment in FM patients. We suggest a gradual increase in exercise duration may be warranted.
纤维肌痛患者除了肌肉骨骼疼痛外,还会出现心血管并发症。本研究旨在探讨一种延长的浅水环境下步行对纤维肌痛诱导的年轻小鼠模型的心脏影响。
为了制备纤维肌痛小鼠模型,野生型小鼠每天腹腔注射利血平一次,连续三天,并进行了两项初步实验。首先,在利血平注射前后进行了三种步态测试,如下所示:(i)在水外自由行走 5 分钟,(ii)在浅温水自由行走 1 分钟,(iii)在浅温水自由行走 5 分钟。其次,在三种步态测试前后进行心电图记录。分析平均心率和心率不规则评分。
在诱导 FM 的年轻小鼠的急性期,在浅水中行走 1 分钟时观察到运动诱发的心律失常。此外,在同一批小鼠的浅水中行走 5 分钟时,既出现心律失常,又出现 HR 下降。然而,在任何测试条件下,野生型小鼠均未观察到这种现象。
尽管在浅温水环境中进行短期的自由步态可能有利于增加 FM 模型小鼠的运动活动,但我们应该意识到长时间和过度运动引起的心律失常的风险。对于纤维肌痛患者的浅水环境下的步态锻炼,我们建议可能需要逐渐增加运动时间。