重复性等惯性负荷下腰椎旁肌的疲劳性:肌电图频谱指标、博格量表和耐力时间。

Lumbar paraspinal muscle fatigability in repetitive isoinertial loading: EMG spectral indices, Borg scale and endurance time.

作者信息

Kankaanpää M, Taimela S, Webber C L, Airaksinen O, Hänninen O

机构信息

Department of Physical Medicine and Rehabilitation, Kuopio University Hospital, Finland.

出版信息

Eur J Appl Physiol Occup Physiol. 1997;76(3):236-42. doi: 10.1007/s004210050242.

Abstract

The purpose of this study was to develop a submaximal repetitive isoinertial back muscle endurance test by defining the relationships between the power spectral indices of paraspinal muscle electromyographic (EMG) activities, endurance time and a subjective estimate of fatigue (Borg scale). Bilateral surface EMG recordings were obtained over the lumbar paraspinal muscles in ten individuals who were currently free from back pain. All subjects performed repetitive upper trunk extensions (25 degrees flexion and 5 degrees extension, 30 repetitions per min), while movement below the third lumbar vertebral body was mechanically restricted. The load level depended upon upper body mass, sex, and age. The tests continued for as long as the subjects were able to maintain the required repetition rate (endurance time). Median (MF) and mean power frequency (MPF) slopes were calculated by performing a fast Fourier transformation after confirmation of EMG stationarity by recurrence quantification analysis. MF and MPF correlations with endurance time/Borg scale were measured for the first 60 s (0.60-0.88/0.42-0.86), the first 90 s (0.62-0.89/0.52-0.90), the first 120 s (0.50-0.76/0.41-0.73), and the entire repetitive run (0.63-0.88/0.54-0.90). To test for the reproducibility of the spectral indices EMGs were recorded for 2 min during repetitive loading from the same subjects on two consecutive days. Corresponding spectral slopes of MF and MPF were correlated at 60 s (0.36-0.93), 90 s (0.58-0.92), and 120 s (0.70-0.94) at the L3-L4 and L5-S1 levels, indicating good reproducibility of results from alternate recording sessions at the L5-S1 level. It is concluded that paraspinal muscle spectral indices (MF and MPF) measured before the onset of total muscle fatigue are good predictors of endurance time and are closely related to the subjective perception of fatigue.

摘要

本研究的目的是通过定义椎旁肌肌电图(EMG)活动的功率谱指数、耐力时间和疲劳主观评估(Borg量表)之间的关系,开发一种次最大重复等惯性背部肌肉耐力测试。在10名目前无背痛的个体的腰椎旁肌上进行双侧表面肌电图记录。所有受试者进行重复性上躯干伸展(25度屈曲和5度伸展,每分钟30次重复),同时第三腰椎椎体以下的运动受到机械限制。负荷水平取决于上身质量、性别和年龄。测试持续进行,直到受试者能够维持所需的重复率(耐力时间)。在通过递归量化分析确认肌电图平稳后,通过快速傅里叶变换计算中位数(MF)和平均功率频率(MPF)斜率。在前60秒(0.60 - 0.88/0.42 - 0.86)、前90秒(0.62 - 0.89/0.52 - 0.90)、前120秒(0.50 - 0.76/0.41 - 0.73)以及整个重复测试过程(0.63 - 0.88/0.54 - 0.90)中测量MF和MPF与耐力时间/Borg量表的相关性。为了测试谱指数的可重复性,在连续两天对同一受试者进行重复加载期间记录2分钟的肌电图。在L3 - L4和L5 - S1水平,MF和MPF的相应谱斜率在60秒(0.36 - 0.93)、90秒(0.58 - 0.92)和120秒(0.70 - 0.94)时具有相关性,表明在L5 - S1水平上交替记录 sessions 的结果具有良好的可重复性。结论是,在肌肉完全疲劳开始之前测量的椎旁肌谱指数(MF和MPF)是耐力时间的良好预测指标,并且与疲劳的主观感知密切相关。

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