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短暂的皮肤冷却可调节全身振动所产生的反射。

Brief skin cooling modulates the reflexes generated by whole-body vibration.

作者信息

Kalaoglu Eser, Alayoglu Orhun, Sezikli Selim, Atasoy Mucahit, Türker Kemal Sitki, Karacan Ilhan

机构信息

Istanbul Physical Therapy Rehabilitation Training and Research Hospital, Adnan Kahveci Blv. No: 145, 34186, Bahçelievler/Istanbul, Türkiye.

Physical Medicine and Rehabilitation Department, Istanbul Medipol University, Istanbul, Türkiye.

出版信息

Eur J Appl Physiol. 2025 Apr 13. doi: 10.1007/s00421-025-05784-4.

Abstract

BACKGROUND

Whole-body vibration (WBV) is a popular exercise method known for its neuromuscular benefits, though the underlying mechanisms remain unclear. WBV activates distinct reflexes based on vibration amplitude and voluntary muscle activity: low-amplitude vibration or voluntary contraction typically triggers the tonic vibration reflex (TVR), whereas high-amplitude vibration or quiet standing activates the bone myoregulation reflex (BMR). Muscle spindles, which are sensitive to sympathetic input, may exhibit increased responsiveness to vibration during brief skin cooling.

OBJECTIVES

This study investigated the reflex mechanisms activated by WBV during quiet standing and their modulation by skin cooling.

METHODS

Thirty healthy young adults participated. The latency of the soleus TVR, induced by Achilles tendon vibration, and the latency of the soleus BMR, induced by WBV, were measured. These assessments were repeated during the cold pressor test (CPT), involving left-hand immersion in cold water.

RESULTS

The soleus TVR latency was 36.2 ± 5.1 ms, while the soleus BMR latency was 40.4 ± 5.0 ms. During CPT, Achilles tendon vibration latency remained unchanged (36.2 ± 5.7 ms, p = 0.319). However, the WBV-induced reflex latency with CPT (36.0 ± 6.1 ms, p < 0.0001) was significantly shorter than the soleus BMR latency and aligned with the TVR latency (p = 0.711).

CONCLUSION

WBV activates BMR in a quiet standing position, but with skin cooling, the TVR predominates, likely due to heightened spindle sensitivity. These findings offer valuable insights into developing targeted WBV programs.

摘要

背景

全身振动(WBV)是一种广受欢迎的运动方法,以其对神经肌肉的益处而闻名,但其潜在机制仍不清楚。WBV根据振动幅度和自主肌肉活动激活不同的反射:低幅度振动或自主收缩通常会触发强直性振动反射(TVR),而高幅度振动或安静站立则会激活骨肌调节反射(BMR)。对交感神经输入敏感的肌梭在短暂皮肤冷却期间可能对振动表现出更高的反应性。

目的

本研究调查了安静站立期间WBV激活的反射机制及其受皮肤冷却的调节。

方法

30名健康的年轻成年人参与研究。测量了由跟腱振动诱发的比目鱼肌TVR潜伏期以及由WBV诱发的比目鱼肌BMR潜伏期。在冷加压试验(CPT)期间重复这些评估,CPT包括将左手浸入冷水中。

结果

比目鱼肌TVR潜伏期为36.2±5.1毫秒,而比目鱼肌BMR潜伏期为40.4±5.0毫秒。在CPT期间,跟腱振动潜伏期保持不变(36.2±5.7毫秒,p = 0.319)。然而,CPT时WBV诱发的反射潜伏期(36.0±6.1毫秒,p < 0.0001)明显短于比目鱼肌BMR潜伏期,且与TVR潜伏期一致(p = 0.711)。

结论

WBV在安静站立姿势下激活BMR,但在皮肤冷却时,TVR占主导,这可能是由于肌梭敏感性增强所致。这些发现为制定有针对性的WBV计划提供了有价值的见解。

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