在健康志愿者的标准跑步机测试之前和之后,超声波引导下腿肌肉的压缩能力
Kay van Heeswijk1, Bert van Essen2, Loes Janssen1
1Department of Surgery, Máxima Medical Center, P.O. Box 7777, Veldhoven 5500 MB, The Netherlands.
Military medicine
|September 23, 2025
概括
基于超声波的软组织压缩性分析检测到运动后前肌 (ATM) 隔间厚度的变化. 根据使用的解剖学基准,肌肉压缩性变化有所不同,这表明了运动诱导的腿部疼痛 (ELP) 的新型诊断方法.
科学领域:
- 肌肉骨超声波 肌肉骨超声波
- 生物力学 生物力学
- 运动医学 运动医学
背景情况:
- 运动引起的腿部疼痛 (ELP) 影响军事人员和运动员.
- 慢性劳力区综合征 (CECS) 诊断涉及具有局限性的侵入性压力测量.
- 需要新的非侵入性方法来评估CECS和ELP.
研究的目的:
- 评估一种新的非侵入性超声波技术,用于评估前肌 (ATM) 隔间厚度和可压缩性.
- 为了确定这种方法是否能检测到健康志愿者的运动后变化.
主要方法:
- 健康的志愿者在休息时和经过标准化跑步机测试后对ATM进行了超声波测量.
- 用两种不同的深层解剖标志物 (骨间膜[IM]和过渡区IM到骨[TZIT]) 来测量隔间厚度.
- 应用了10 mmHg (d10) 和80 mmHg (d80) 的外部探针压力来计算压缩性.
主要成果:
- 超声波检测到运动后ATM隔间厚度的显著变化,无论使用的地标.
- 肌肉压缩性在使用TZIT基准 (运动后下降) 时显示出显著的变化,但在IM基准时没有.
- 结果表明,解剖学地标的选择影响了压缩性变化的检测.
结论:
- 非侵入性超声波软组织压缩性分析可以检测运动引起的ATM隔间厚度变化.
- 观察到的压缩性变化取决于所使用的内部解剖学地标.
- 未来的研究将在体力运动引起的腿部疼痛的个体中调查下腿肌肉的压缩性.
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