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缺血预处理对电刺激收缩的影响。

Effects of ischemic pre-conditioning on electrically stimulated contractions.

作者信息

Allois Ruben, Pagliaro Pasquale, Leonardo Ermini, Roatta Silvestro

机构信息

Laboratory of Integrative Physiology, Department of Neuroscience, University of Torino, c.so Raffaello 30, 10125, Turin, Italy.

Department of Clinical and Biological Sciences, University of Torino, Turin, Italy.

出版信息

Eur J Appl Physiol. 2025 Jan;125(1):119-129. doi: 10.1007/s00421-024-05577-1. Epub 2024 Aug 21.

DOI:10.1007/s00421-024-05577-1
PMID:39168899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11747073/
Abstract

PURPOSE

Ischemic pre-conditioning (IPC) offers protection against future ischemic events and may improve sports performance due to several mechanisms at local and systemic levels. This study investigates the local effects on muscle contractility in electrically induced muscle contractions, thus effectively excluding any uncontrolled change in the motor drive.

METHODS

Twenty-one subjects were divided into two groups: 12 subjects in the IPC group (3 × 5/5 min right arm ischemia/reperfusion; cuff pressure 250 mmHg) and 9 subjects in the SHAM group (same treatment at 20 mmHg). The adductor pollicis was contracted by supramaximal stimulation of the ulnar nerve with single pulses, trains of stimuli (5, 8, 10 and 12 Hz, 1-s duration) and bursts (4 pulses, 25 Hz), all separated by 5-s intervals. The stimulation sequence was delivered before and 15 and 30 min after IPC/SHAM treatment. The isometric contraction force, the superficial electromyographic signal, and tissue oxygenation were continuously monitored.

RESULTS

A significant force decrease in time was observed at 8, 10 (p < 0.01) and 12 Hz (p < 0.05) along with a decrease in half-relaxation time in single twitches and bursts (p = 0.01), regardless of treatment. This general time-related weakening was more marked in IPC than SHAM at 5-Hz stimulation. No effects were observed on the magnitude of the superficial electromyographic signal.

CONCLUSION

Data indicate that IPC does not increase muscle force during electrically stimulated contractions, supporting the idea that IPC's ergogenic effects are not due to increased muscle contractility.

摘要

目的

缺血预处理(IPC)可预防未来的缺血事件,并可能由于局部和全身水平的多种机制而改善运动表现。本研究调查了电诱导肌肉收缩对肌肉收缩力的局部影响,从而有效排除了运动驱动中任何不受控制的变化。

方法

21名受试者分为两组:IPC组12名受试者(右上肢3次5/5分钟缺血/再灌注;袖带压力250 mmHg)和假手术组9名受试者(20 mmHg下相同处理)。通过用单脉冲、刺激串(5、8、10和12 Hz,持续1秒)和猝发(4个脉冲,25 Hz)超最大刺激尺神经使拇内收肌收缩,所有刺激间隔5秒。刺激序列在IPC/假手术处理前、处理后15分钟和30分钟进行。连续监测等长收缩力、表面肌电信号和组织氧合。

结果

无论治疗如何,在8、10(p<0.01)和12 Hz(p<0.05)时均观察到力量随时间显著下降,同时单收缩和猝发的半松弛时间减少(p = 0.01)。在5 Hz刺激下,这种与时间相关的普遍减弱在IPC组比假手术组更明显。未观察到对表面肌电信号幅度的影响。

结论

数据表明,IPC在电刺激收缩过程中不会增加肌肉力量,支持了IPC的促力作用不是由于肌肉收缩力增加的观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/b11c50b629e1/421_2024_5577_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/34cc063e630d/421_2024_5577_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/80bed86c1dd5/421_2024_5577_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/5f2d9467160f/421_2024_5577_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/b11c50b629e1/421_2024_5577_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/34cc063e630d/421_2024_5577_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/80bed86c1dd5/421_2024_5577_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/5f2d9467160f/421_2024_5577_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e38/11747073/b11c50b629e1/421_2024_5577_Fig4_HTML.jpg

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Int J Sports Med. 2023 Jul;44(8):545-557. doi: 10.1055/a-2038-3635. Epub 2023 May 9.
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Ischemic Preconditioning Improves the Bench-Press Maximal Strength in Resistance-Trained Men.缺血预处理可提高抗阻训练男性的卧推最大力量。
Int J Exerc Sci. 2023 Feb 1;16(4):217-229. doi: 10.70252/JLBH8684. eCollection 2023.
3
Ischemic Conditioning to Reduce Fatigue in Isometric Skeletal Muscle Contraction.
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Biology (Basel). 2023 Mar 16;12(3):460. doi: 10.3390/biology12030460.
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Potential physiological responses contributing to the ergogenic effects of acute ischemic preconditioning during exercise: A narrative review.运动期间急性缺血预处理产生促力效应的潜在生理反应:一项叙述性综述。
Front Physiol. 2022 Nov 28;13:1051529. doi: 10.3389/fphys.2022.1051529. eCollection 2022.
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Ischemic Preconditioning with High and Low Pressure Enhances Maximum Strength and Modulates Heart Rate Variability.缺血预处理与高低压增强最大力量和调节心率变异性。
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Methodological Variations Contributing to Heterogenous Ergogenic Responses to Ischemic Preconditioning.导致对缺血预处理产生不同运动能力增强反应的方法学差异。
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