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离心运动后的神经肌肉功能障碍。

Neuromuscular dysfunction following eccentric exercise.

作者信息

Saxton J M, Clarkson P M, James R, Miles M, Westerfer M, Clark S, Donnelly A E

机构信息

Department of Exercise Science, University of Massachusetts, Amherst, USA.

出版信息

Med Sci Sports Exerc. 1995 Aug;27(8):1185-93.

PMID:7476064
Abstract

This study examined the effects of exercise-induced muscle damage on tremor and proprioception components of neuromuscular function. Six male and six female volunteers (aged 18-30 yr) performed 50 maximal eccentric muscle actions using the forearm flexors of the nondominant arm. Forearm flexor tremor and perception of voluntary force and joint position were monitored to assess changes in neuromuscular function. Data were analyzed using REANOVA. Serum creatine kinase activity increased from a baseline value of 68 +/- 13 IU.l-1 to 2849 +/- 852 IU.l-1 5 d after exercise (P < 0.05). This was accompanied by prolonged impaired joint range of motion (P < 0.01) and reduced maximum strength (P < 0.01). Muscle soreness peaked 3 d postexercise (P < 0.01; Wilcoxon test). Tremor amplitude was increased (P < 0.01) until 48 h after exercise, whereas the power frequency spectrum was unaffected. Perception of joint position at elbow angles of 1.57 rad (P < 0.01) and 2.09 rad (P < 0.05) and perception of force (P < 0.01) were significantly impaired when the control arm acted as the reference. Joint positions were more accurately reproduced when the experimental arm acted as its own reference. The increase in tremor amplitude and loss of proprioceptive function in the days after damage-inducing eccentric exercise suggest significant impairment of neuromuscular function.

摘要

本研究考察了运动诱导的肌肉损伤对神经肌肉功能的震颤和本体感觉成分的影响。六名男性和六名女性志愿者(年龄18 - 30岁)使用非优势臂的前臂屈肌进行了50次最大离心肌肉动作。监测前臂屈肌震颤以及对随意力和关节位置的感知,以评估神经肌肉功能的变化。数据采用重复测量方差分析进行分析。运动后5天,血清肌酸激酶活性从基线值68±13 IU·l⁻¹增加到2849±852 IU·l⁻¹(P < 0.05)。同时伴有关节活动范围的长期受损(P < 0.01)和最大力量的降低(P < 0.01)。肌肉酸痛在运动后3天达到峰值(P < 0.01;Wilcoxon检验)。震颤幅度在运动后48小时内增加(P < 0.01),而功率频谱未受影响。以对照臂作为参照时,在1.57弧度(P < 0.01)和2.09弧度(P < 0.05)的肘关节角度下的关节位置感知以及力的感知(P < 0.01)均显著受损。当实验臂以自身作为参照时,关节位置能更准确地再现。在诱发损伤的离心运动后的几天里,震颤幅度的增加和本体感觉功能的丧失表明神经肌肉功能受到了显著损害。

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