在前十字带重建后,皮质脊柱激发性和四头肌表现的性别差异
Anne Leung1, Shailesh Kantak1,2, Sommer Hammoud3
1Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
概括
前十字带重建 (ACLR) 影响四头骨的功能在男性和女性中不同. 男人表现出更高的皮层脊髓刺激性 (CSE),而女性表现出较差的四头肌性能,这表明性别特定的康复需要.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
背景情况:
- 前十字带 (ACL) 破裂会导致四头肌持续功能障碍,增加二次损伤和骨关节炎的风险.
- 在ACL重建 (ACLR) 后,四头肌表现的皮层脊髓刺激性 (CSE) 降低和基于性别的差异被注意到.
研究的目的:
- 与对照组相比,在ACLR后调查CSE和四头肌功能障碍的性别差异.
- 在ACLR之后识别潜在的性别特异性神经适应或缺陷.
主要方法:
- 对比20个人4-9个月后ACLR与20个年龄,性别和活动匹配的对照.
- 使用异动力学动力测量和跨磁刺激测量四头肌性能 (峰值扭矩,扭矩发展速度) 和CSE (主动电机值,SR曲线斜率).
主要成果:
- 在手术肢体上观察到SR曲线斜率,峰值扭矩,RTD100和RTD200的显著差异.
- 在ACLR后的男性表现出较高的CSE (较的SR曲线斜率) 比在ACLR后的女性.
- 在ACLR后的女性,与男性和女性对照组相比,四头骨峰值扭矩较差,RTD较慢.
结论:
- 在ACLR后的男性中,较高的CSE可能代表了适应性神经反应.
- 在ACLR后的女性表现出显著的四头肌功能障碍,这表明更需要针对皮质驱动和神经肌肉恢复的干预措施.
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