在患有多发性硬化症的人群中,在同度收缩期间,力量控制和肌肉激活受损
Mélanie Henry1, Thomas Crompton1, Enrique Alvarez2
1Department of Integrative Physiology, University of Colorado Boulder, CO, USA.
概括
与健康个体相比,患有多发性硬化症 (MS) 的人在下腿肌肉中表现出受损的力量控制. 然而,这种运动障碍与自我报告相反,他们的腿之间并不不对称.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 神经学 神经学
背景情况:
- 运动障碍,特别是不对称的障碍,对患有多发性硬化症 (MS) 的个体产生重大影响,影响该人口的高达80%.
- 自我报告经常表明肢体参与的差异,但需要客观的神经控制评估.
研究的目的:
- 调查MS患者在力量产生期间下腿肌肉神经控制中的不对称性.
- 为了比较MS患者中受影响较多和影响较少的腿部之间的力量控制和肌肉活动.
主要方法:
- 18名多发性硬化症患者和17名健康对照人进行了脊椎 flexor和足部 flexor肌肉的亚最大同位数收缩.
- 评估力量控制,包括测量精度和稳定性,以及下腿肌肉的电肌图 (EMG) 活动.
主要成果:
- 与健康对照组相比,患有多发性硬化症的个体在肢体和任务上表现出明显较差的力量控制 (p ≤ 0.003).
- 多发性硬化参与者表现出改变的肌肉激活模式,包括在脚部曲过程中增加的对手活性 (p ≤0.042) 和在背部曲过程中增加的对手活性和共同收缩 (p <0.001).
- 在MS组中,在受影响较多或较少的腿之间没有发现显著的性能或肌肉活动差异.
结论:
- 这项研究揭示了MS中下腿肌肉力量控制的普遍缺陷,无论肢体不对称.
- 研究结果表明,MS中神经控制的改变会影响整体肌肉功能,而不是局限于一个肢体.
- 这些结果可以为开发针对多发性硬化症中运动障碍的目标康复策略提供信息.
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