脊柱动员力时间特征:一个范围的文献综述
Lindsay M Gorrell MChiroprac1, Luana Nyirö1, Mégane Pasquier2
1Department of Chiropractic Medicine, Integrative Spinal Research Group, University Hospital Balgrist and University of Zürich, Zürich, Switzerland.
PloS one
|November 14, 2023
概括
手动脊柱动员 (SMob) 在不同研究中显示了不同的力-时间特征. 需要详细的报告,以了解脊柱疼痛管理的临床剂量反应效应.
科学领域:
- 肌肉骨治疗的生物机械分析.
- 物理治疗中的证据综合.
背景情况:
- 脊柱动员 (SMob) 是一种常见的脊柱疼痛的保守治疗方法.
- 目前对SMob生物力学的理解受限于不良的方法报告.
研究的目的:
- 综合关于手动应用脊柱动员的力-时间特征的文献.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 从创立开始到2022年10月,搜索了多个数据库 (MEDLINE,Embase,CINAHL,ICL,PEDro,Cochrane)
- 提取了研究特征,SMob应用和力-时间参数的数据.
主要成果:
- 包括36项研究 (7,607个记录中的0.5%).
- SMob最常用于腰椎 (50%) 和椎 (36.1%) 脊柱.
- 报告的力-时间特征包括峰值力 (0-128N),持续时间 (10-120s),频率 (0.1-4.5Hz) 和力幅度 (1-102N).
结论:
- 脊柱动员的力-时间特征存在显著的变化.
- 峰值力是最常见的参数.
- 未来的研究需要详细报告力-时间特征,以探索临床剂量-反应关系.
更多相关视频
相关概念视频
Cross-bridge Cycle
As muscle contracts, the overlap between the thin and thick filaments increases, decreasing the length of the sarcomere—the contractile unit of the muscle—using energy in the form of ATP. At the molecular level, this is a cyclic, multistep process that involves binding and hydrolysis of ATP, and movement of actin by myosin.
Motor Unit Stimulation
When the neuron of a motor unit fires an action potential, it triggers a series of events, leading to a twitch contraction in the muscle fibers. The process of excitation-contraction coupling is crucial in relaying the action potential to the muscle fibers.
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
Muscle Stimulation Frequency
The contraction strength of muscles is regulated by motor neurons, which modulate the frequency of action potentials dispatched to the motor units based on the body's requirements. This process of varying the muscle stimulation frequency allows muscles to contract with a force that is precisely tailored to the needs of the moment, whether lifting a feather or a heavy box.
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...


