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人类下肢去负荷10天对肌肉功能的影响。

Changes in muscle function in response to 10 days of lower limb unloading in humans.

作者信息

Berg H E, Tesch P A

机构信息

Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.

出版信息

Acta Physiol Scand. 1996 May;157(1):63-70. doi: 10.1046/j.1365-201X.1996.476217000.x.

Abstract

Force-generating capacity and electromyographic (EMG) activity of the knee extensor muscles were studied before and after short-term (10 d) unilateral lower limb unloading and during 4 days of recovery. Ten healthy males used crutches to prevent one of their lower limbs from weight-bearing while maintaining joint mobility as well as daily ambulatory activities. Knee extensor torque and quadriceps rectified EMG during maximal voluntary isometric contraction (MVC) was measured repeatedly before and after the intervention. Also, EMG at a fixed submaximal level (100 Nm; 30-45% MVC) and maximal angular velocity (AVmax), during unresisted knee extension, were assessed. Maximum torque decreased (P < 0.05) by 13 +/- 8% in response to unloading while maximum EMG activity did not change after unloading or during recovery (P = 0.35). Submaximum EMG increased (P < 0.05) by 25 +/- 16% after unloading. Maximum and submaximum torque/EMG ratio decreased (P < 0.05) after unloading. AVmax decreased (P < 0.05) by 9 +/- 8% after unloading. The post value, however, was not different from that of the weight-bearing limb. Torque, EMG and AVmax were recovered (P > 0.05) after 4 days of resumed weight-bearing. The pronounced decrease and the rapid recovery in maximum torque appears not to be attributed to a change in muscle mass alone. Because the findings of unchanged maximum EMG and increased EMG at a submaximal force level suggest no change in neural drive, we propose that unspecific tissue factors in part impair muscle function in response to short-term loss of weight-bearing activity. Results also indicate that recovery in muscle function after short-term unloading seems to be completed in a time span shorter than the period of preceding inactivity.

摘要

研究了短期(10天)单侧下肢卸载前后以及恢复4天期间膝关节伸肌的力量产生能力和肌电图(EMG)活动。10名健康男性使用拐杖以防止其一侧下肢负重,同时保持关节活动度以及日常行走活动。在干预前后反复测量最大自主等长收缩(MVC)期间的膝关节伸肌扭矩和股四头肌整流EMG。此外,还评估了在无阻力膝关节伸展期间固定的次最大水平(100 Nm;30 - 45% MVC)和最大角速度(AVmax)时的EMG。卸载后最大扭矩降低(P < 0.05)13±8%,而卸载后或恢复期间最大EMG活动没有变化(P = 0.35)。卸载后次最大EMG增加(P < 0.05)25±16%。卸载后最大和次最大扭矩/EMG比值降低(P < 0.05)。卸载后AVmax降低(P < 0.05)9±8%。然而,恢复后的值与负重肢体的值没有差异。恢复负重4天后,扭矩、EMG和AVmax恢复(P > 0.05)。最大扭矩的显著降低和快速恢复似乎并非仅归因于肌肉质量的变化。由于最大EMG不变以及次最大力量水平下EMG增加的结果表明神经驱动没有变化,我们提出非特异性组织因素在一定程度上会因短期负重活动丧失而损害肌肉功能。结果还表明,短期卸载后肌肉功能的恢复似乎在比之前不活动期更短的时间内完成。

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