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向心收缩和离心收缩对健康青年和老年参与者初级运动皮层的不同影响。

Differential effects of concentric and eccentric contractions on the primary motor cortex in healthy young and elderly participants.

作者信息

Desachy Marion, Héraud Nelly, Lagarde Julien, Pla Simon, Varray Alain

机构信息

EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France.

Direction Scientifique et Recherche, Groupe Clariane, Lodève, France.

出版信息

Front Aging Neurosci. 2025 Jun 6;17:1553277. doi: 10.3389/fnagi.2025.1553277. eCollection 2025.

Abstract

INTRODUCTION

Aging is associated with a decline in musculoskeletal function, particularly muscle weakness, which affects a significant proportion of older adults and is associated with reduced quality of life and increased mortality. Two major contributors to age-related muscle weakness are muscle atrophy and cortical alterations. Eccentric exercise has been identified as a promising intervention to counteract these declines, as it has the potential to increase both muscle mass and cortical activity in young people. However, while the benefits of eccentric contractions on muscle mass in older adults are well documented, their effects on cortical activity, particularly in the lower limbs, remain unclear. The aim of this study was to compare cortical activity during concentric and eccentric quadriceps contractions of young and older adults.

METHODS

This prospective study included 32 healthy participants: 17 young (23 ± 4 years, 6 women, 11 mens) and 15 older (62 ± 7 years, 7 women, 8 mens). Muscle strength was assessed using an isokinetic ergometer, muscular activity with electromyography electrodes positioned on quadriceps, and cortical activity using electroencephalography (EEG). Participants performed 40 concentric and 40 eccentric voluntary contractions against 20% of their maximal voluntary isometric contraction. EEG data were processed to analyze motor-related cortical potentials, specifically the negative potential (NP). The NP was divided into two main components: latency and amplitude as indicators of cortical activity during movement preparation and execution.

RESULTS

There were no significant differences in participants characteristics between groups, except for age. Muscular activity was lower during eccentric than concentric contractions ( < 0.05). Cortical activity was significantly lower in older compared to young adults, which was reflected in reduced NP latency across several electrodes (Cz, = 0.03; C4, = 0.02; FC2, = 0.02). However, regarding NP amplitude, it was significantly higher during eccentric contractions in Cz, C4, FC5, and C2 electrodes ( < 0.05) across both age groups.

CONCLUSION

This study is the first to investigate cortical activity during eccentric lower limb contractions in older adults. The results suggest that eccentric contractions induce greater cortical activation compared to concentric, even in older adults who generally exhibit reduced cortical activity. These findings support the potential of eccentric as an effective intervention to improve motor function and muscle strength in older adults.

摘要

引言

衰老与肌肉骨骼功能下降有关,尤其是肌肉无力,这影响了很大一部分老年人,并与生活质量下降和死亡率增加相关。与年龄相关的肌肉无力的两个主要因素是肌肉萎缩和皮质改变。离心运动已被确定为一种有前景的干预措施来对抗这些下降,因为它有可能增加年轻人的肌肉质量和皮质活动。然而,虽然离心收缩对老年人肌肉质量的益处已有充分记录,但其对皮质活动的影响,特别是对下肢的影响,仍不清楚。本研究的目的是比较年轻人和老年人股四头肌向心收缩和离心收缩期间的皮质活动。

方法

这项前瞻性研究包括32名健康参与者:17名年轻人(23±4岁,6名女性,11名男性)和15名老年人(62±7岁,7名女性,8名男性)。使用等速测力计评估肌肉力量,使用放置在股四头肌上的肌电图电极评估肌肉活动,并使用脑电图(EEG)评估皮质活动。参与者以其最大自主等长收缩的20%进行40次向心和40次离心自主收缩。对EEG数据进行处理以分析与运动相关的皮质电位,特别是负电位(NP)。NP分为两个主要成分:潜伏期和振幅,作为运动准备和执行期间皮质活动的指标。

结果

除年龄外,两组参与者特征无显著差异。离心收缩期间的肌肉活动低于向心收缩(<0.05)。与年轻人相比,老年人的皮质活动显著降低,这反映在多个电极(Cz,=0.03;C4,=0.02;FC2,=0.02)的NP潜伏期缩短。然而,关于NP振幅,在两个年龄组的Cz、C4、FC5和C2电极上,离心收缩期间显著更高(<0.05)。

结论

本研究首次调查了老年人下肢离心收缩期间的皮质活动。结果表明,即使在通常皮质活动降低的老年人中,离心收缩也比向心收缩诱导更大的皮质激活激活。这些发现支持了离心运动作为改善老年人运动功能和肌肉力量的有效干预措施的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/877f/12179092/273dd365b03f/fnagi-17-1553277-g001.jpg

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