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肌肉长度对股直肌损伤及膝伸肌离心运动保护作用的影响。

Muscle length influence on rectus femoris damage and protective effect in knee extensor eccentric exercise.

机构信息

School of Management, Shizuoka Sangyo University, Iwata, Japan.

School of Medical and Health Sciences, Centre for Exercise and Sports Science Research, Edith Cowan University, Joondalup, WA, Australia.

出版信息

Scand J Med Sci Sports. 2021 Mar;31(3):597-609. doi: 10.1111/sms.13890. Epub 2020 Dec 16.

Abstract

This study tested the hypothesis that the magnitude of rectus femoris (RF) damage and the repeated bout effect (RBE) would be greater after knee extensor eccentric exercise performed in a supine (long RF lengths) than a sitting (short RF lengths) position, and the muscle length effects would be more prominent at the proximal than distal RF. Young untrained men were placed to one of the two groups (n = 14 per group). S group performed the knee extensor eccentric exercise in the sitting position for the first bout and the supine position for the second bout, and L group performed the exercise in the supine position for two bouts, with 4 weeks between bouts. Dependent variables included evoked and maximal voluntary isometric contraction (MVC) torque, electromyography (EMG) during MVC, muscle soreness, and shear modulus, which were measured before and 1-3 days after each exercise bout. After the first bout, L group in comparison with S group showed greater (P < .05) changes in hip flexor MVC torque (average of 1-3 days post-exercise: -11.1 ± 9.4% vs -5.0 ± 7.5%), proximal RF EMG (-22.4 ± 16% vs -9.0 ± 21.9%), and proximal RF shear modulus (33.2 ± 22.8% vs 16.9 ± 13.5%). No significant differences between groups were evident for any of other variables after the first bout including knee extensor MVC torque, and for the changes in all variables after the second bout. These results supported the hypothesis that RF damage would be greater for the spine than sitting position especially at the proximal region, but did not support the hypothesis about the RBE.

摘要

本研究旨在验证以下假设

在仰卧位(股直肌长度较长)进行膝伸肌离心运动比在坐位(股直肌长度较短)进行时,股直肌(RF)损伤的程度和重复运动效应(RBE)更大,且肌肉长度的影响在 RF 的近端比远端更为显著。 14 名未经训练的年轻男性被随机分为两组(每组 n = 14)。S 组先在坐位进行第一回合膝伸肌离心运动,再在仰卧位进行第二回合,L 组则连续两回合均在仰卧位进行,两回合之间间隔 4 周。观察指标包括诱发和最大自主等长收缩(MVC)扭矩、MVC 时的肌电图(EMG)、肌肉酸痛和剪切弹性模量,分别在每次运动回合前后进行测量。与 S 组相比,L 组在第一回合后显示出更大的(P < 0.05)髋关节屈肌 MVC 扭矩变化(平均 1-3 天:-11.1 ± 9.4% vs -5.0 ± 7.5%)、近端 RF EMG(-22.4 ± 16% vs -9.0 ± 21.9%)和近端 RF 剪切弹性模量(33.2 ± 22.8% vs 16.9 ± 13.5%)。第一回合后,两组间在膝伸肌 MVC 扭矩和第二回合后在所有变量的变化上均无显著差异。这些结果支持 RF 损伤在脊柱上比在坐位时更大的假设,尤其是在近端区域,但不支持 RBE 的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a59/7986188/228e2fcb7bd0/SMS-31-597-g006.jpg

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