长时间局部肌肉振动对腕部和手指外屈肌最大握力和肌肉活动的抑制作用

Rikiya Shirato OT, PhD , Ren Shimanuki OT , Towa Shoji OT , Masaki Mugikura OT
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引用次数: 0

摘要

目的通过量化局灶性肌肉振动(FMV)对腕部和外源指屈肌最大握力和肌肉活动的抑制作用,确定有效的刺激时间。方法采用随机重复测量法设计。共有22名健康志愿者(平均年龄20.9岁)参加。在以下三种情况下,在前臂远端前表面施加86 Hz的FMV:无FMV(对照组),5分钟FMV和10分钟FMV。测定FMV前后最大握力。采用表面肌电同时记录了指浅屈肌、指深屈肌和尺腕屈肌的肌肉活动。FMV后的不适和并发症也进行了评估。结果与对照组相比,FMV 5分钟和10分钟后,指浅屈肌和尺腕屈肌的肌肉活动明显降低。相比之下,在两种FMV条件下,最大握力和FDP肌肉活动均未显着降低。两种情况下的不适感均明显高于对照组,但在FMV后15分钟有所下降,说明3种情况之间无显著差异。在FMV 5分钟和10分钟后,分别有13.6%和36.3%的参与者出现红肿。结论前臂远端5分钟FMV是一种有效的治疗方法,并发症少。然而,仅在该区域的FMV不足以抑制位于深层FDP的肌肉活动。
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Inhibitory Effects of Prolonged Focal Muscle Vibration on Maximal Grip Strength and Muscle Activity of Wrist and Extrinsic Finger Flexor Muscles

Objective

The objective of this study was to identify effective stimulus time by quantifying the inhibitory effects of focal muscle vibration (FMV) on maximal grip strength and muscle activities of the wrist and extrinsic finger flexors.

Methods

A randomized repeated-measures design was used in this study. A total of 22 healthy volunteers (mean age, 20.9 years) participated. An FMV of 86 Hz was applied to the anterior surface of the distal forearm under the following 3 conditions: no FMV (control), 5-minute FMV, and 10-minute FMV. Maximal grip strength was measured before and after FMV. The muscle activities of the flexor digitorum superficialis, flexor digitorum profundus (FDP), and flexor carpi ulnaris were simultaneously recorded using surface electromyography. Discomfort and complications following FMV were also assessed.

Results

Compared with the control group, a significant decrease in muscle activity was observed in both the flexor digitorum superficialis and flexor carpi ulnaris after 5 and 10 minutes of FMV. In contrast, there was no significant decrease in the maximal grip strength or FDP muscle activity after either FMV condition. The discomfort was significantly higher immediately after both FMV conditions than in the control group, but it decreased 15 minutes after FMV, indicating no significant difference among the 3 conditions. Redness and/or swelling were observed in 13.6% and 36.3% of the participants after 5 and 10 minutes of FMV, respectively.

Conclusion

Five-minute FMV to the distal forearm could be a useful therapeutic method with few complications. However, the FMV in this area alone was not sufficient to suppress the muscle activity of the FDP located in the deep layer.

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