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儿童期肌肉的生理成熟

Physiological maturation of muscles in childhood.

作者信息

Lin J P, Brown J K, Walsh E G

机构信息

Royal Hospital for Sick Children, Edinburgh, UK.

出版信息

Lancet. 1994 Jun 4;343(8910):1386-9. doi: 10.1016/s0140-6736(94)92522-4.

Abstract

Little is known about the motor muscle physiology of growing children and it has been assumed that increasing motor dexterity and speed correspond solely to brain maturation, although there is evidence that muscles mature from studies of other mammalian species. Such a finding in children would throw light on the possible mechanics of motor delays in speech, hand function, athletic, and musical skills as well as helping towards a better understanding of pathological motor disorders such as the cerebral palsies. Our non-invasive observations of soleus-muscle relaxation times in healthy children suggest that a child's muscles are initially slow to relax but relaxation doubles in speed up to adult rates by early adolescence. Half-relaxation times halved from about 90 ms at age 3 to about 40 ms at age 10. On the basis of these studies, we suggest that muscle maturation rate-limits motor tasks; which should be borne in mind when considering motor development in muscles and when attempting to determine the effects of early brain or spinal cord damage. Such methods of measuring the dynamics of muscle open up new areas of research and offer the possibility of developing operationally-defined in-vivo measurements for use in motor assessment and for following up the effects on muscle or treatments such as physiotherapy, orthotics, surgery, and drugs.

摘要

对于成长中儿童的运动肌肉生理学,我们知之甚少。尽管从对其他哺乳动物物种的研究中有证据表明肌肉会成熟,但人们一直认为运动灵活性和速度的提高仅仅与大脑成熟有关。儿童的这一发现将有助于揭示言语、手部功能、运动和音乐技能方面运动迟缓的可能机制,也有助于更好地理解诸如脑瘫等病理性运动障碍。我们对健康儿童比目鱼肌放松时间的非侵入性观察表明,儿童的肌肉最初放松缓慢,但到青春期早期,放松速度会加快一倍,达到成人水平。半放松时间从3岁时的约90毫秒减半至10岁时的约40毫秒。基于这些研究,我们认为肌肉成熟速度限制了运动任务;在考虑肌肉运动发育以及试图确定早期脑或脊髓损伤的影响时,应牢记这一点。这种测量肌肉动态的方法开辟了新的研究领域,并提供了开发用于运动评估以及跟踪对肌肉的影响或诸如物理治疗、矫形、手术和药物等治疗效果的可操作定义的体内测量方法的可能性。

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