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健康成年人短期固定对小腿肌肉组织硬度的急性影响。

Acute effect of short-term immobilization on lower leg muscle tissue hardness in healthy adults.

机构信息

Department of Physical Therapy, Faculty of Medical Sciences, Fukuoka International University of Health and Welfare, Fukuoka, Japan.

Konishi Daiichi Hospital, Fukuoka, Japan.

出版信息

J Back Musculoskelet Rehabil. 2023;36(4):941-946. doi: 10.3233/BMR-220339.

Abstract

BACKGROUND

Previous studies have reported altered neural activity in the motor cortex after short-term cast immobilization, even in healthy participants. However, the effects of short-term movement restriction on tissue structure are not well understood.

OBJECTIVE

To investigate the effects of short-term lower limb immobilization on muscle tissue hardness.

METHODS

Seventeen healthy participants were enrolled in the study. Each participant's non-dominant lower limb was fixed with a soft bandage and medical splint for 10 h. Gastrocnemius muscle tissue hardness was measured using a tissue hardness meter before cast application and immediately after cast removal. Measurements were performed five times for each lower limb, and the three values with the lowest coefficient of variance were adopted as the value of muscle tissue hardness.

RESULTS

Gastrocnemius muscle tissue hardness in the immobilized limb was lower after cast removal than that before cast application (from 53.6 to 51.8; p< 0.01), whereas the non-fixed limb showed an increase in muscle tissue hardness at the end of the experiment (from 52.9 to 54.3; p= 0.03).

CONCLUSION

The findings indicate that 10 h movement restriction induced a reduction in muscle tissue hardness, suggesting acute adverse effects of cast immobilization for orthopedic treatment.

摘要

背景

先前的研究报告指出,即使在健康参与者中,短期石膏固定也会改变运动皮层的神经活动。然而,短期运动受限对组织结构的影响还不太清楚。

目的

研究短期下肢固定对肌肉组织硬度的影响。

方法

本研究纳入了 17 名健康参与者。每位参与者的非优势下肢用软绷带和医用夹板固定 10 小时。在使用石膏之前和去除石膏之后,使用组织硬度计测量腓肠肌组织硬度。对每条下肢进行五次测量,选择变异系数最低的三个值作为肌肉组织硬度值。

结果

固定肢的腓肠肌组织硬度在去除石膏后低于使用石膏前(从 53.6 降至 51.8;p<0.01),而非固定肢在实验结束时肌肉组织硬度增加(从 52.9 增至 54.3;p=0.03)。

结论

这些发现表明,10 小时的运动限制会导致肌肉组织硬度降低,这表明骨科治疗中石膏固定会产生急性不良影响。

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