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下肢血流限制对年轻健康成年人静态及受扰动稳定站立的影响

The Effect of Lower-Body Blood Flow Restriction on Static and Perturbated Stable Stand in Young, Healthy Adults.

作者信息

Willberg Christina, Zentgraf Karen, Behringer Michael

机构信息

Institute of Sport Sciences, Movement Sciences and Training in Sports, Goethe University Frankfurt, Frankfurt, Germany.

Institute of Sport Sciences, Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt, Germany.

出版信息

Front Hum Neurosci. 2021 Oct 22;15:756230. doi: 10.3389/fnhum.2021.756230. eCollection 2021.

Abstract

Muscular fatigue can affect postural control processes by impacting on the neuromuscular and somatosensory system. It is assumed that this leads to an increased risk of injury, especially in sports such as alpine skiing that expose the body to strong and rapidly changing external forces. In this context, posture constraints and contraction-related muscular pressure may lead to muscular deoxygenation. This study investigates whether these constraints and pressure affect static and dynamic postural control. To simulate impaired blood flow in sports within a laboratory task, oxygen saturation was manipulated locally by using an inflatable cuff to induce blood flow restriction (BFR). Twenty-three subjects were asked to stand on a perturbatable platform used to assess postural-related movements. Using a 2 × 2 within-subject design, each participant performed postural control tasks both with and without BFR. BFR resulted in lower oxygenation of the m. quadriceps femoris ( = 0.024) and was associated with a significantly lower time to exhaustion (TTE) compared to the non-restricted condition [ = 16.22, < 0.001, η = 0.46]. Perturbation resulted in a significantly increased TTE [ = 7.28, = 0.014, η = 0.277]. There were no significant effects on static and dynamic postural control within the saturation conditions. The present data indicate that BFR conditions leads to deoxygenation and a reduced TTE. Postural control and the ability to regain stability after perturbation were not affected within this investigation.

摘要

肌肉疲劳可通过影响神经肌肉和体感系统来影响姿势控制过程。据推测,这会增加受伤风险,尤其是在高山滑雪等使身体暴露于强大且快速变化的外力的运动中。在这种情况下,姿势限制和与收缩相关的肌肉压力可能导致肌肉脱氧。本研究调查这些限制和压力是否会影响静态和动态姿势控制。为了在实验室任务中模拟运动中受损的血流,通过使用充气袖带局部操纵氧饱和度以诱导血流限制(BFR)。23名受试者被要求站在一个可扰动的平台上,该平台用于评估与姿势相关的运动。采用2×2受试者内设计,每位参与者在有和没有BFR的情况下都执行姿势控制任务。与非限制条件相比,BFR导致股四头肌的氧合降低( = 0.024),并且与显著更低的疲劳时间(TTE)相关[ = 16.22, < 0.001,η = 0.46]。扰动导致TTE显著增加[ = 7.28, = 0.014,η = 0.277]。在饱和度条件下,对静态和动态姿势控制没有显著影响。目前的数据表明,BFR条件会导致脱氧和TTE降低。在本研究中,姿势控制和扰动后恢复稳定性的能力未受影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3be/8570169/102e00922489/fnhum-15-756230-g001.jpg

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