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Iliotibial Band Trigger Points and Plantar Heel Pain: A Cross-Sectional Study 髂胫束触发点与足底跟痛:一项横断面研究
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.10
S. S. Wani, D. Pradhan, P. Verma, K. Sateesh
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引用次数: 0
Knee Spacers in Periprosthetic Joint Infections: A Narrative Review 膝关节垫片治疗假体周围关节感染:综述
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.06
F. Oliva, S. Ziello, N. Maffulli
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引用次数: 0
Morphological Changes and Pathological Findings in the Achilles Tendons of Diabetic Patients: A Meta-Analysis of Comparative Clinical Studies 糖尿病患者跟腱的形态学改变和病理表现:一项比较临床研究的荟萃分析
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.02
K. Yammine, E. Daccache, C. Assi
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引用次数: 0
Analysis of Muscle Strength and Electromyographic Activity during Different Deadlift Positions 不同硬举姿势肌肉力量和肌电活动的分析
Q4 ORTHOPEDICS Pub Date : 2023-05-08 DOI: 10.3390/muscles2020016
Vinícius Marques Moreira, L. Lima, A. Mortatti, Thiago M. F. Souza, F. V. Lima, S. Oliveira, C. E. Cabido, F. Aidar, M. Costa, Thiago Pires, Tatiana Acioli, R. Fermino, C. Assumpção, Túlio Banja
The aim of the study was to analyze muscle activation in the three positions of the deadlift (DL). Twenty male participants (33.4 ± 3.9 years; 42.2 ± 9.1 months of experience with DL; 91.0 ± 14.8 kg; and 1.78 ± 0.06 m) pulled a bar through isometric actions in three DL positions: lift-off, mid-pull, and lockout. Isometric strength, knee angle, and activation of the rectus femoris (RF), biceps femoris (BF), lateral gastrocnemius (GAL), and erector spinae (ERE) muscles were collected. The analysis of variance showed that the maximum isometric force presented differences between the positions (p = 0.001; η2 = 0.973) considered large with higher values at the mid-pull position. Interactions were found between muscles and position (p = 0.001; η2 = 0.527) considered large. The RF and ERE showed greater activation in the lift-off position, while in the mid-pull position, there was greater activation of the BF and GAL muscles. The DL positions produce different activations in the bi-articular and uni-articular muscles. The lift-off requires more activation from the RF and ERE positions. The mid-pull position, despite generating greater force, presented greater activations in the BF and GAL. The ERE showed higher activations as the external torque was greater.
该研究的目的是分析硬举(DL)的三个位置的肌肉激活情况。男性20例(33.4±3.9岁);42.2±9.1个月DL经验;91.0±14.8 kg;(1.78±0.06 m)通过等距动作在三个DL位置上拉动杆:起跳、中拉和锁定。收集等长强度、膝关节角度和股直肌(RF)、股二头肌(BF)、腓肠肌外侧(GAL)和竖脊肌(ERE)的激活情况。方差分析表明,最大等距力在不同位置之间存在差异(p = 0.001;η2 = 0.973)认为较大,中拉位置值较高。肌肉和体位之间存在相互作用(p = 0.001;η2 = 0.527)被认为较大。RF和ERE在起跳位置表现出更大的激活,而在中拉位置,BF和GAL肌肉表现出更大的激活。DL位置在双关节和单关节肌肉中产生不同的激活。发射需要RF和ERE位置的更多激活。中拉位置,尽管产生更大的力,但在BF和GAL中表现出更大的激活。随着外部扭矩的增大,ERE表现出更高的激活。
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引用次数: 0
MSM Supplementation Is Associated with Reduced Inflammation and Improved Innate Immune Response following In Vitro LPS-Stimulation in Humans after a Bout of Downhill Running 补充MSM与人类在一轮下坡跑步后体外lps刺激后炎症减少和先天免疫反应改善有关
Q4 ORTHOPEDICS Pub Date : 2023-05-06 DOI: 10.3390/muscles2020015
B. McFarlin, J. Vingren, D. Hill, Elizabeth A. Bridgeman
Exercise-induced muscle injury and the subsequent release of Damage-Associated Molecular Patterns (DAMP) result in soreness and inflammation. Dietary supplements may accelerate the rate of recovery by supporting resolution of inflammation. The purpose of this study was to determine if methylsulfonylmethane (MSM) supplementation (30 d prior to exercise and during recovery) altered mRNA expression in LPS-exposed blood leukocytes after a bout of downhill running. Exercise consisted of 60 min of downhill running (−15% grade). Blood (baseline, pre-exercise, 4, 24, 48, and 72 h post-exercise) was diluted (1:10) and combined with LPS (20 µg/mL) for 24 h. Total RNA was isolated from leukocytes and analyzed for 574 immune-associated mRNA (Nanostring nCounter; ROSALIND.BIO). Data were expressed as log2 fold change from baseline for each condition (MSM and placebo). Compared to placebo, MSM supplementation was associated with an improved inflammation response (15 mRNA) and viral immune response (2 mRNA). The largest number of changes were found at 4 and 24 h post-exercise. The key finding in the present study is that MSM supplementation can improve inflammation management and the innate immune response after exercise.
运动引起的肌肉损伤和随后释放的损伤相关分子模式(DAMP)导致疼痛和炎症。膳食补充剂可以通过支持炎症的消退来加速恢复的速度。本研究的目的是确定甲基磺酰甲烷(MSM)补充(运动前30天和恢复期间)是否会改变一轮下坡跑步后暴露于lps的血液白细胞的mRNA表达。运动包括60分钟的下坡跑(- 15%坡度)。将血液(基线、运动前、运动后4、24、48和72 h)稀释(1:10),并与LPS(20µg/mL)联合24小时。从白细胞中分离总RNA,分析574种免疫相关mRNA (Nanostring nCounter;ROSALIND.BIO)。数据表示为每一种情况(MSM和安慰剂)与基线相比的log2倍变化。与安慰剂相比,MSM补充剂与炎症反应(15mrna)和病毒免疫反应(2mrna)的改善相关。运动后4小时和24小时变化最大。本研究的关键发现是MSM补充剂可以改善运动后的炎症管理和先天免疫反应。
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引用次数: 0
Heat Shock Proteins: Important Helpers for the Development, Maintenance and Regeneration of Skeletal Muscles 热休克蛋白:骨骼肌发育、维持和再生的重要帮手
Q4 ORTHOPEDICS Pub Date : 2023-04-18 DOI: 10.3390/muscles2020014
S. Pomella, M. Cassandri, Francesco Antoniani, Samuele Crotti, L. Mediani, Beatrice Silvestri, Margherita Medici, R. Rota, A. Rosa, S. Carra
The skeletal muscle is a highly plastic tissue that shows a remarkable adaptive capacity in response to acute and resistance exercise, and modifies its composition to adapt to use and disuse, a process referred to as muscle plasticity. Heat shock proteins (HSPs), a class of evolutionarily conserved molecular chaperones, have been implicated in the regulation of skeletal muscle plasticity. Here, we summarize key findings supporting the notion that HSPs are important components required to maintain skeletal muscle integrity and functionality. HSPs participate in the transcriptional program required for myogenesis and are activated following muscle exercise and injury. Their dysfunction, either as a consequence of improper expression or genetic mutations, contributes to muscle atrophy and leads to the development of myopathies and peripheral motor neuropathies. Denervation/reinnervation and repeated rounds of nerve degeneration/regeneration have been observed in motor neuropathies, suggesting that an imbalance in HSP expression and function may impair the repair of the neuromuscular junctions. Boosting HSP activity may help preventing muscle atrophy by promoting muscle differentiation and helping the repair of NMJs. Boosting HSP function may also help to combat the development of rhabdomyosarcoma (RMS), a highly aggressive type of pediatric soft tissue sarcoma whose cells have skeletal muscle features but are unable to fully differentiate into skeletal muscle cells.
骨骼肌是一种高度可塑性的组织,在急性和阻力运动中表现出显著的适应能力,并改变其成分以适应使用和废弃,这一过程称为肌肉可塑性。热休克蛋白(HSPs)是一类进化上保守的分子伴侣蛋白,参与了骨骼肌可塑性的调节。在这里,我们总结了支持热休克蛋白是维持骨骼肌完整性和功能所需的重要组成部分这一概念的关键发现。热休克蛋白参与肌肉生成所需的转录程序,并在肌肉运动和损伤后被激活。由于表达不当或基因突变,它们的功能障碍导致肌肉萎缩,并导致肌病和周围运动神经病变的发展。在运动神经病中观察到去神经支配/再神经支配和反复的神经变性/再生,这表明热休克蛋白表达和功能的不平衡可能会损害神经肌肉连接的修复。提高HSP活性可能通过促进肌肉分化和帮助修复NMJs来预防肌肉萎缩。提高HSP功能也可能有助于对抗横纹肌肉瘤(RMS)的发展,横纹肌肉瘤是一种高度侵袭性的儿童软组织肉瘤,其细胞具有骨骼肌特征,但不能完全分化为骨骼肌细胞。
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引用次数: 0
Two Cases of Myofibrillar Myopathies: Genetic and Quality of Life Study 2例肌原纤维肌病:遗传与生活质量研究
Q4 ORTHOPEDICS Pub Date : 2023-04-06 DOI: 10.3390/muscles2020013
C. Angelini, C. Ceolin, Alicia Aurora Rodríguez, V. Nigro
We describe two cases of myofibrillar myopathies, due to different gene mutations. The first was a girl with cardiomyopathy and sensory axonal neuropathy that underwent cardiac transplantation at 15 years and suffers from rotatory scoliosis due to BAG3 mutation. The second is a male patient, with evident limb-girdle weakness since age 3. Two muscle biopsies were performed at ages 3 and 15, with muscle MRI, and LDB3 gene sequence analysis also carried out. Muscle biopsies revealed the presence of dystrophic changes in the first biopsy and myopathic abnormalities in the second, and the MRI images of the lower limbs showed an asymmetrical involvement in the thigh of quadriceps muscles and in the calf of gastrocnemius muscles. The patient was responsive to treatment with an intermittent steroid regimen and muscle-strengthening exercises. Considerations on both muscle–bone interaction and psychological and socioeconomic conditions are carried out for both cases.
我们描述两例肌原纤维肌病,由于不同的基因突变。第一个病例是一名患有心肌病和感觉轴索神经病变的女孩,她在15岁时接受了心脏移植,并因BAG3突变而患有旋转性脊柱侧凸。第二例为男性患者,自3岁起出现明显的四肢无力。分别在3岁和15岁时进行了两次肌肉活检,并进行了肌肉MRI检查,并进行了LDB3基因序列分析。肌肉活检显示第一次活检出现营养不良改变,第二次活检出现肌病异常,下肢MRI图像显示股四头肌大腿和腓肠肌小腿不对称受累。患者对间歇性类固醇治疗方案和肌肉强化锻炼有反应。考虑到肌肉和骨骼的相互作用以及心理和社会经济条件对这两种情况进行了考虑。
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引用次数: 0
An Update of Clinical, Epidemiological, and Psychosocial Features in Gamma-Sarcoglycanopathy 伽玛-肌糖病的临床、流行病学和社会心理特征的最新进展
Q4 ORTHOPEDICS Pub Date : 2023-04-03 DOI: 10.3390/muscles2020012
N. Chabbi, C. Angelini, Alicia Aurora Rodríguez
Limb-girdle muscular dystrophies (LGMDs) represent a group of muscle diseases due to monogenic mutations encoding muscle proteins that are defective for heterozygous and homozygous mutations prevalent in certain regions. Advances in knowledge of their pathophysiology have shed light on these rare diseases, which were, until recently, difficult to diagnose. This paper has described the process of diagnosis in autosomal recessive limb-girdle dystrophy that in Tunisia are due to the c.521del mutation in gamma-sarcoglycanopathy and to ethnically specific mutations in other countries such as Italy. The epidemiology, pathophysiology clinical features, and the main socioeconomic needs as well as research progress are discussed. We discuss an Italian case for its psychosocial impact and socioeconomic consideration and compare this case with Tunisian patients.
肢带性肌肉营养不良症(LGMDs)是一组肌肉疾病,由于编码肌肉蛋白的单基因突变导致某些区域普遍存在杂合和纯合突变的缺陷。病理生理学知识的进步已经揭示了这些罕见的疾病,直到最近,很难诊断。本文描述了常染色体隐性肢带营养不良症的诊断过程,在突尼斯是由于c.521del突变在γ -肌糖病和种族特异性突变在其他国家,如意大利。讨论了该病的流行病学、病理生理、临床特点、主要社会经济需求及研究进展。我们讨论了一个意大利的情况下,其社会心理影响和社会经济的考虑,并与突尼斯患者比较这一情况。
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引用次数: 1
The Role of Mitochondria in Mediation of Skeletal Muscle Repair 线粒体在骨骼肌修复中的调解作用
Q4 ORTHOPEDICS Pub Date : 2023-03-24 DOI: 10.3390/muscles2020011
S. Alway, H. Paez, Christopher R Pitzer
Musculoskeletal health is directly linked to independence and longevity, but disease and aging impairs muscle mass and health. Complete repair after a pathological or physiological muscle injury is critical for maintaining muscle function, yet muscle repair is compromised after disuse, or in conditions such as metabolic diseases, cancer, and aging. Regeneration of damaged tissue is critically dependent upon achieving the optimal function of satellite cells (muscle stem cells, MSCs). MSC remodeling in muscle repair is highly dependent upon its microenvironment, and metabolic health of MSCs, which is dependent on the functional capacity of their mitochondria. Muscle repair is energy demanding and mitochondria provide the primary source for energy production during regeneration. However, disease and aging induce mitochondrial dysfunction, which limits energy production during muscle regeneration. Nevertheless, the role of mitochondria in muscle repair likely extends beyond the production of ATP and mitochondria could provide potentially important regulatory signaling to MSCs during repair from injury. The scope of current research in muscle regeneration extends from molecules to exosomes, largely with the goal of understanding ways to improve MSC function. This review focuses on the role of mitochondria in skeletal muscle myogenesis/regeneration and repair. A therapeutic strategy for improving muscle mitochondrial number and health will be discussed as a means for enhancing muscle regeneration. Highlights: (a). Mitochondrial dysfunction limits muscle regeneration; (b). Muscle stem cell (MSC) function can be modulated by mitochondria; (c). Enhancing mitochondria in MSCs may provide a strategy for improving muscle regeneration after an injury.
肌肉骨骼健康与独立和长寿直接相关,但疾病和衰老会损害肌肉质量和健康。病理性或生理性肌肉损伤后的完全修复对于维持肌肉功能至关重要,然而肌肉修复在废弃后,或在代谢疾病、癌症和衰老等情况下受到损害。受损组织的再生严重依赖于卫星细胞(肌肉干细胞,MSCs)的最佳功能。肌肉修复中的间充质干细胞重塑高度依赖于其微环境,而间充质干细胞的代谢健康依赖于其线粒体的功能能力。肌肉修复需要能量,线粒体在再生过程中提供能量生产的主要来源。然而,疾病和衰老会导致线粒体功能障碍,从而限制肌肉再生过程中的能量产生。然而,线粒体在肌肉修复中的作用可能超出了ATP的产生,线粒体可能在损伤修复过程中为间充质干细胞提供潜在的重要调节信号。目前肌肉再生研究的范围从分子延伸到外泌体,主要是为了了解改善MSC功能的方法。本文综述了线粒体在骨骼肌肌肉发生/再生和修复中的作用。改善肌肉线粒体数量和健康的治疗策略将作为增强肌肉再生的手段进行讨论。(a).线粒体功能障碍限制肌肉再生;(b)线粒体可调节肌肉干细胞(MSC)功能;(c).增强MSCs中的线粒体可能为促进损伤后肌肉再生提供了一种策略。
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引用次数: 1
Skeletal Muscle Ultrasonography and Muscle Fitness Relationships: Effects of Scanning Plane and Echogenicity Correction 骨骼肌超声与肌肉健康的关系:扫描平面和回声校正的影响
Q4 ORTHOPEDICS Pub Date : 2023-03-23 DOI: 10.3390/muscles2020010
C. Voskuil, Monique D. Dudar, Yan Zhang, J. Carr
This study examines the relationships between ultrasonography measurements of skeletal muscle size and echo intensity (EI) with muscle strength and local muscle endurance in a habitually resistance-trained population. Twenty young, healthy participants underwent imaging of the biceps brachii in the sagittal and transverse planes and with the extended field of view (EFOV) technique. Linear regression was used to examine measures of muscle thickness (MT), muscle cross-sectional area (mCSA), EI, and corrected EI (cEI) in each scanning plane for their associations with strength (1RM biceps curl) and local muscle endurance (4x failure @ 50%1RM). The strongest predictor of 1RM strength and local muscle endurance was sagittal MT (adj. R2 = 0.682) and sagittal cEI (adj. R2 = 0.449), respectively. Strength and transverse MT (R2 = 0.661) and the EFOV mCSA (R2 = 0.643) demonstrated a positive relationship. Local muscle endurance and cEI in the transverse plane (R2 = 0.265) and the EFOV scan (R2 = 0.309) demonstrated a negative relationship. No associations were shown with uncorrected EI. While each scanning plane supports the muscle size-strength and echogenicity-endurance relationships, sagittal plane imaging demonstrated the strongest associations with muscle fitness. These findings provide important methodological insights regarding ultrasound imaging and muscle fitness relationships.
本研究探讨了骨骼肌大小和回声强度(EI)的超声测量与肌肉力量和局部肌肉耐力在习惯性阻力训练人群之间的关系。20名年轻健康的参与者接受了肱二头肌矢状面和横切面以及扩展视场(EFOV)技术的成像。线性回归用于检查每个扫描平面的肌肉厚度(MT)、肌肉横截面积(mCSA)、EI和校正EI (cEI),以了解它们与力量(1RM二头肌弯曲)和局部肌肉耐力(4x失败@ 50%1RM)的关联。矢状面MT (adj. R2 = 0.682)和矢状面cEI (adj. R2 = 0.449)分别是1RM强度和局部肌肉耐力的最强预测因子。强度与横MT (R2 = 0.661)和EFOV mCSA (R2 = 0.643)呈正相关。局部肌肉耐力与横切面cEI呈负相关(R2 = 0.265), EFOV扫描呈负相关(R2 = 0.309)。未校正的EI没有关联。虽然每个扫描平面都支持肌肉大小-力量和回声-耐力的关系,但矢状面成像显示与肌肉健康的关系最强。这些发现为超声成像和肌肉健康关系提供了重要的方法学见解。
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引用次数: 0
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MLTJ-Muscles Ligaments and Tendons Journal
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