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对侧腿部电刺激诱发的股四头肌疲劳会损害同侧膝关节伸肌的表现。

Electrically induced quadriceps fatigue in the contralateral leg impairs ipsilateral knee extensors performance.

作者信息

Laginestra Fabio Giuseppe, Amann Markus, Kirmizi Emine, Giuriato Gaia, Barbi Chiara, Ruzzante Federico, Pedrinolla Anna, Martignon Camilla, Tarperi Cantor, Schena Federico, Venturelli Massimo

机构信息

Department of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy.

Department of Anaesthesiology, University of Utah, Salt Lake City, Utah.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2021 May 1;320(5):R747-R756. doi: 10.1152/ajpregu.00363.2020. Epub 2021 Mar 17.

Abstract

Muscle fatigue induced by voluntary exercise, which requires central motor drive, causes central fatigue that impairs endurance performance of a different, nonfatigued muscle. This study investigated the impact of quadriceps fatigue induced by electrically induced (no central motor drive) contractions on single-leg knee-extension (KE) performance of the subsequently exercising ipsilateral quadriceps. On two separate occasions, eight males completed constant-load (85% of maximal power-output) KE exercise to exhaustion. In a counterbalanced manner, subjects performed the KE exercise with no pre-existing quadriceps fatigue in the contralateral leg on one day (No-PreF), whereas on the other day, the same KE exercise was repeated following electrically induced quadriceps fatigue in the contralateral leg (PreF). Quadriceps fatigue was assessed by evaluating pre- to postexercise changes in potentiated twitch force (ΔQ; peripheral fatigue), and voluntary muscle activation (ΔVA; central fatigue). As reflected by the 57 ± 11% reduction in electrically evoked pulse force, the electrically induced fatigue protocol caused significant knee-extensors fatigue. KE endurance time to exhaustion was shorter during PreF compared with No-PreF (4.6 ± 1.2 vs 7.7 ± 2.4 min; < 0.01). Although ΔQ was significantly larger in No-PreF compared with PreF (-60% vs -52%, < 0.05), ΔVA was greater in PreF (-14% vs -10%, < 0.05). Taken together, electrically induced quadriceps fatigue in the contralateral leg limits KE endurance performance and the development of peripheral fatigue in the ipsilateral leg. These findings support the hypothesis that the crossover effect of central fatigue is mainly mediated by group III/IV muscle afferent feedback and suggest that impairments associated with central motor drive may only play a minor role in this phenomenon.

摘要

由需要中枢运动驱动的自愿运动引起的肌肉疲劳会导致中枢疲劳,进而损害另一条未疲劳肌肉的耐力表现。本研究调查了电刺激诱导(无中枢运动驱动)收缩引起的股四头肌疲劳对随后运动的同侧股四头肌单腿膝关节伸展(KE)表现的影响。在两个不同的时间段,八名男性完成了恒定负荷(最大功率输出的85%)的KE运动直至力竭。以平衡的方式,受试者在一天中对侧腿无预先存在的股四头肌疲劳的情况下进行KE运动(无预疲劳组),而在另一天,在对侧腿进行电刺激诱导的股四头肌疲劳后重复相同的KE运动(预疲劳组)。通过评估运动前至运动后增强抽搐力(ΔQ;外周疲劳)和自愿肌肉激活(ΔVA;中枢疲劳)的变化来评估股四头肌疲劳。如电诱发脉冲力降低57±11%所反映的那样,电刺激诱导的疲劳方案导致了明显的膝关节伸肌疲劳。与无预疲劳组相比,预疲劳组的KE耐力时间至力竭更短(4.6±1.2分钟对7.7±2.4分钟;P<0.01)。尽管与预疲劳组相比无预疲劳组的ΔQ显著更大(-60%对-52%,P<0.05),但预疲劳组的ΔVA更大(-14%对-10%,P<0.05)。综上所述,对侧腿电刺激诱导的股四头肌疲劳会限制KE耐力表现以及同侧腿外周疲劳的发展。这些发现支持了中枢疲劳的交叉效应主要由III/IV组肌肉传入反馈介导的假设,并表明与中枢运动驱动相关的损伤在这一现象中可能仅起次要作用。

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