与无症状对照人群相比,在患有状肌病的运动员中确定皮层内,皮层脊髓和α运动神经元激发能力
Patrick Vallance1,2, Peter Malliaras1, Bill Vicenzino3
1Monash Musculoskeletal Research Unit, Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Scandinavian journal of medicine & science in sports
|February 9, 2024
概括
患有状肌病 (PT) 的运动员表现出膝盖延伸力降低,可能是由于阿尔法运动神经元刺激能力较低. 这项研究研究了与对照人群相比,PT运动员的皮质脊髓刺激性.
科学领域:
- 神经学 神经学
- 运动医学 运动医学
- 发动机控制器的控制器
背景情况:
- 状肌病 (PT) 与膝盖伸展的最大自愿力 (MVF) 的减少有关.
- 假设这种缺陷源于皮质脊髓刺激能力 (CSE) 的改变.
- CSE涉及神经通路,包括皮质脊髓管 (CST) 和α运动神经元.
研究的目的:
- 为了比较皮层内,CST和α运动神经元刺激性.
- 调查PT运动员与无症状对照者之间的差异.
主要方法:
- 与19名PT运动员和18名对照进行的横截面研究.
- 经磁刺激评估了CST刺激性和皮质脊髓抑制.
- 外围神经刺激评估了α摩托神经元刺激性和最大复合肌肉动作潜力 (MMAX).
主要成果:
- 患有PT的运动员表现出更长的沉默期持续时间.
- 在PT组中观察到MMAX的电刺激器输出更大.
- 与对照人群相比,在PT运动员中发现了下膝延伸MVF.
结论:
- 患有PT的运动员表现出降低的α运动神经元或神经肌肉结合激发能力,与较低的MVF相关.
- 神经兴奋性的潜在补偿性变化可能会发生,以保持对膝盖延伸器的驱动力.
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