Physiotherapy Unit, Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano (Mi), Italy.
Physiotherapy Unit, Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano (Mi), Italy; Humanitas University, Department of Biomedical Sciences, via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy.
J Biomech. 2020 Dec 2;113:110075. doi: 10.1016/j.jbiomech.2020.110075. Epub 2020 Oct 24.
Shoulder complex control of motion is influenced by neuromuscular function and can be quantified through the analysis of helical axes (HAs) dispersion. Muscle fatigue is a variable able to influence neuromuscular control, altering muscle activation timing and proprioception. The aim of the study was to describe shoulder complex HAs dispersion after muscle fatigue during upper limb movements of young healthy subjects. Thirty healthy right-handed volunteers (age 23.2 ± 2.6 years) were asked to perform a test made up of 15 humerothoracic flexion and rotation movements using both upper limbs in two different recording sessions. After each session, muscles of the tested movement were fatigued in isometric condition at dominant side. After fatigue, subjects repeated the test. Kinematics was recorded by an optoelectronic system and HAs dispersion was computed using Mean Distance (MD) and Mean Angle (MA) for the entire Range of Motion (RoM) and in portions of RoM. After fatigue of shoulder flexion muscles, greater MD (p = 0.001) and MA (p = 0.019) were found on the dominant side. After fatigue of shoulder rotation muscles, greater MD and MA were found on the dominant (p = 0.002 for MD; p = 0.047 for MA) and non-dominant (p = 0.038 for MD; p = 0.019 for MA) sides. Independently of fatigue, greater MA was found in portions of RoM with higher external resistance torque in flexion and rotation tasks. Muscle fatigue increases shoulder complex HAs dispersion, probably due to alteration in neuromuscular control. This data should be considered when exercise involving upper arms are proposed to subjects undergoing fatigue.
肩部复合运动的控制受神经肌肉功能的影响,可以通过螺旋角(HA)分散的分析来量化。肌肉疲劳是一个能够影响神经肌肉控制的变量,它会改变肌肉的激活时间和本体感觉。本研究的目的是描述年轻人健康受试者在上肢运动中肌肉疲劳后肩部复合 HA 的分散。30 名健康右利手志愿者(年龄 23.2±2.6 岁)被要求在两次不同的记录会话中使用双侧上肢完成由 15 次肩胸屈伸和旋转运动组成的测试。在每次会话后,在优势侧的等长条件下对测试运动的肌肉进行疲劳。疲劳后,受试者重复测试。运动学由光电系统记录,HA 分散通过整个运动范围(RoM)和 RoM 部分的均距(MD)和均角(MA)计算。在肩屈肌疲劳后,在优势侧发现更大的 MD(p=0.001)和 MA(p=0.019)。在肩旋转肌疲劳后,在优势侧(MD 为 p=0.002;MA 为 p=0.047)和非优势侧(MD 为 p=0.038;MA 为 p=0.019)发现更大的 MD 和 MA。无论是否疲劳,在屈伸和旋转任务中,外部阻力扭矩较大的 RoM 部分,MA 更大。肌肉疲劳增加了肩部复合 HA 的分散,可能是由于神经肌肉控制的改变。在向疲劳受试者提出涉及上臂的运动时,应考虑这些数据。
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