Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, PR China.
Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Yuk Choi Road, Kowloon, Hong Kong, China.
BMC Musculoskelet Disord. 2021 Sep 27;22(1):829. doi: 10.1186/s12891-021-04519-8.
In aging, muscle stiffness is considered as one of the factors associated with the reduction of force generation capability. There have been inconsistent findings on age-related alteration in the passive stiffness of quadriceps muscle in the female adults. Thus, the aim of this study was to determine the effect of aging on the shear moduli of the superficial muscle heads of the quadriceps and to explore its relationship with knee extension force.
Passive shear moduli of the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) were measured at rest using shear wave elastography in 20 young and 20 senior female adults. Measurements were repeated at four knee joint positions, that is, 30°, 60°, 90°, and 105° of knee flexion. Maximal isometric voluntary knee extension force was assessed at 30°, 60°, and 90° of knee flexion.
As per our findings, senior adults were determined to have significantly higher passive muscle shear moduli in the RF (by 34% - 68%; all p < 0.05) and the VL muscle heads (by 13%-16%, all p < 0.05) at and beyond 60° of knee flexion. Age-related increase in the VM was evident at 105° knee flexion (by11%, p = 0.020). The RF shear modulus was negatively correlated to the maximal isometric voluntary contraction force measured at 60° (r = - 0.485, p = 0.030) in senior adults.
Senior female adults had greater passive stiffness at the superficial muscle heads of the quadriceps muscles when measured at long muscle length. Among the senior female adults, the passive stiffness of RF has been determined to have a negative association with the knee extensor force only at 60° knee flexion. No significant association was noted for other angles and muscles.
在衰老过程中,肌肉僵硬被认为是导致力量生成能力下降的因素之一。女性成年人的股四头肌被动僵硬与年龄相关的变化存在不一致的发现。因此,本研究旨在确定年龄对股四头肌浅表肌头部剪切模量的影响,并探讨其与膝关节伸展力的关系。
使用剪切波弹性成像技术,在 20 名年轻女性和 20 名老年女性中,在膝关节处于 30°、60°、90°和 105°屈曲位时,分别测量股直肌(RF)、股外侧肌(VL)和股内侧肌(VM)的静息状态下的被动剪切模量。在四个膝关节位置重复测量四次。最大等长自愿膝关节伸展力在膝关节 30°、60°和 90°处进行评估。
研究结果显示,老年女性在膝关节 60°及以上时,RF(增加 34%-68%,均 p<0.05)和 VL 肌头部(增加 13%-16%,均 p<0.05)的被动肌肉剪切模量显著更高。在 105°膝关节屈曲时,VM 与年龄相关的增加明显(增加 11%,p=0.020)。在老年女性中,RF 的剪切模量与在 60°时测量的最大等长自愿收缩力呈负相关(r=-0.485,p=0.030)。
在测量长肌长度时,老年女性股四头肌浅表肌头部的被动僵硬程度更大。在老年女性中,仅在 60°膝关节屈曲时,RF 的被动僵硬与膝关节伸肌力量呈负相关。在其他角度和肌肉中没有发现显著相关性。