Malouin F, Simard T
Arch Phys Med Rehabil. 1978 Mar;59(3):144-51.
Effects of vibratory stimulation and maximal isometric contraction on a fine motor control task were evaluated in 17 human subjects. Electromyographic audiovisual feedback cues derived from two fine-wire bipolar electrodes, inserted to a depth of 12 and 6 mm respectively, were used to train the subjects to isolate a motor unit in the extensor carpi radialis brevis muscle. A specially designed compressed air driven vibrator providing vibratory stimulation with an amplitude of 2 mm and a frequency range of 120-160 cycles per second was applied to the muscle tendon. A significant decrease was found in the subjects; ability to isolate the pretest motor unit during and after continuous and interrupted periods of vibration and following a maximal isometric contraction of the extensor carpi radials brevis muscle. Individual variations in the subjects' responses to the forms of application of the vibratory stimulus, electrode preference and feedback specificity were observed. Results suggest that marked spatial recruitment of motor units, brought into action by the vibration stimulus or by the maximal isometric contraction, interfered with inhibitory mechanisms necessary to achieve isolation and control of a single motor unit. A therapeutic application of vibration, based on the marked spatial recruitment observed during and after vibration, is proposed for muscle reeducation.
在17名人类受试者中评估了振动刺激和最大等长收缩对精细运动控制任务的影响。从分别插入12毫米和6毫米深度的两根细钢丝双极电极获得的肌电视听反馈线索,用于训练受试者分离桡侧腕短伸肌中的一个运动单位。一个专门设计的压缩空气驱动振动器,以2毫米的振幅和120 - 160赫兹的频率范围提供振动刺激,作用于肌腱。结果发现,在持续和间断振动期间及之后,以及在桡侧腕短伸肌进行最大等长收缩后,受试者分离测试前运动单位的能力显著下降。观察到受试者对振动刺激应用形式、电极偏好和反馈特异性的反应存在个体差异。结果表明,由振动刺激或最大等长收缩引发的运动单位明显的空间募集,干扰了实现单个运动单位分离和控制所需的抑制机制。基于振动期间和之后观察到的明显空间募集,提出了振动在肌肉再教育方面的治疗应用。