Effect of moxibustion on knee joint stiffness characteristics in recreational athletes pre- and post-fatigue

Yufeng Zhang , Zirong Bai , Zhiye Zhang , Peng Yuan , Yilin Xu , Zun Wang , David Sutton , Jun Ren , Eamonn Delahunt , Dan Wang
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Abstract

Objective

Joint stiffness results from the coupling of the nervous system and joint mechanics, and thus stiffness is a comprehensive representation of joint stability. It has been reported that moxibustion can alleviate general weakness and fatigue symptoms and subsequently may influence joint stiffness. This study investigated whether moxibustion could enhance knee joint stiffness in recreational athletes pre- and post-fatigue.

Methods

Eighteen participants were randomized into intervention (5 males: 20.6 ± 1.5 yr; 4 females: 20.8 ± 1.5 yr) and control groups (5 males: 19.4 ± 0.9 yr; 4 females: 20.5 ± 0.6 yr). The intervention group received indirect moxibustion applied to acupoints ST36 (bilateral) and CV4 for 30 min every other day for 4 consecutive weeks. The control group maintained regular exercise without moxibustion. Peak torque (PT) of right knee extensor, relaxed and contracted muscle stiffness (MS) of vastus lateralis, and knee extensor musculoarticular stiffness (MAS) was assessed with an isokinetic dynamometer (IsoMed 2000), myometer, and free oscillation technique, respectively. Measurements were taken at three time points: pre-intervention, post-intervention/pre-fatigue, and post-fatigue.

Results

MAS (P = 0.006) and PT (P = 0.007) in the intervention group increased more from pre-to post-intervention compared with the control group. Post-fatigue MAS (P = 0.016) and PT (P = 0.031) increased more in the intervention group than in the control group.

Conclusion

Moxibustion enhanced PT and knee MAS, suggesting that this intervention could be used in injury prevention and benefit fatigue resistance in young recreational athletes.

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艾灸对休闲运动员疲劳前后膝关节僵硬特性的影响。
目的:关节刚度是神经系统和关节力学耦合的结果,因此刚度是关节稳定性的综合表征。据报道,艾灸可以缓解全身虚弱和疲劳症状,随后可能影响关节僵硬。方法:将18名运动员随机分为干预组(5名男性:20.6±1.5岁;4名女性:20.8±1.5年)和对照组(5例男性:19.4±0.9岁;4例女性:20.5±0.6岁)ST36穴(双侧)和CV4穴,隔日30min,连续4周。对照组在不艾灸的情况下保持规律的运动。分别用等速测功机(IsoMed 2000)、肌张力计和自由振荡技术评估右膝伸肌的峰值扭矩(PT)、股外侧肌的松弛和收缩肌肉硬度(MS)以及膝伸肌关节硬度(MAS)。在干预前、干预后/疲劳前和疲劳后三个时间点进行测量。结果:与对照组相比,干预组的MAS(P=0.006)和PT(P=0.007)在干预前后增加更多。与对照组相比,干预组疲劳后MAS(P=0.016)和PT(P=0.031)增加更多。结论:艾灸可增强PT和膝关节MAS,提示该干预措施可用于预防损伤,有利于青少年休闲运动员的抗疲劳能力。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
21
审稿时长
98 days
期刊介绍: The Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology (AP-SMART) is the official peer-reviewed, open access journal of the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) and the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS). It is published quarterly, in January, April, July and October, by Elsevier. The mission of AP-SMART is to inspire clinicians, practitioners, scientists and engineers to work towards a common goal to improve quality of life in the international community. The Journal publishes original research, reviews, editorials, perspectives, and letters to the Editor. Multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines will be the trend in the coming decades. AP-SMART provides a platform for the exchange of new clinical and scientific information in the most precise and expeditious way to achieve timely dissemination of information and cross-fertilization of ideas.
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