按法对肱二头肌延迟性肌肉酸痛志愿者血清T-AOC和CK-MM水平的影响

Effect of An-pressing manipulation on the serum levels of T-AOC and CK-MM in volunteers with delayed onset muscle soreness in biceps brachii

目的：观察按法对男性健康志愿者肱二头肌延迟性肌肉酸痛（DOMS）的影响.方法：男性大学生志愿者共30名,随机分成空白组、模型组和治疗组,每组10名.空白组不接受任何干预;模型组接受非利侧上肢主动负重离心运动造模,不接受任何治疗;治疗组接受造模和按法治疗.各组分别于造模前、造模后即刻以及造模后24、48、72、96和120 h进行主观体力等级评定量表（RPE）、主观酸痛感觉阈和酸痛等级测定;于造模前、造模后即刻、以及造模后24、48和72 h测定血清总抗氧化能力（T-AOC）;于造模前、造模后24、48和72 h测定血清肌酸激酶同工酶MM（CK-MM）.结果：造模后24、48、72和120 h,治疗组的酸痛等级均低于模型组（均P＜0.05）;造模后即刻及造模后24、48、72、96和120 h,治疗组的RPE评分均低于模型组（均P＜0.05）;造模后即刻及造模后24、48、72和96 h,治疗组的主观酸痛感觉阈高于模型组（均P＜0.0S）.造模后即刻,治疗组T-AOC值高于模型组和空白组（均P＜0.05）;造模后48 h和72 h,治疗组CK-MM值均低于模型组（P＜0.05）.结论：按法通过加强机体抗氧化能力与肌肉细胞的抗损伤能力对肱二头肌DOMS有一定的治疗作用,可以有效减轻酸痛,加速疲劳损伤的恢复.

Objective：To observe the effect of An-pressing manipulation on biceps brachii with delayed onset muscle soreness （DOMS） in healthy male volunteers.Methods：A total of 30 male college student volunteers were randomly divided into a blank group,a model group and a treatment group,10 cases in each group.Subjects in the blank group did not receive any intervention;subjects in the model group received active weight-bearing eccentric exercise on the non-favored side of the upper limb to establish the models,while not receiving any treatment;subjects in the treatment group received both the same modeling and An-pressing manipulation treatment.The subjective rating of perceived exertion （RPE）,subjective soreness sensation threshold and soreness grade were evaluated before modeling,immediately after modeling,and 24,48,72,96 and 120 h after modeling.Serum total antioxidant capacity （T-AOC） was measured before modeling,immediately after modeling,and 24,48 and 72 h after modeling.Serum creatine kinase MM isoenzyme （CK-MM） was measured before modeling and 24,48 and 72 h after modeling.Results：At 24,48,72 and 120 h after treatment,the soreness grades of the treatment group were lower than those of the model group （all P〈0.05）.The RPE scores of the treatment group were lower than those of the model group （all P〈0.05） immediately after modeling,at 24,48,72,96 and 120 h after modeling.The subjective soreness sensation threshold of the treatment group was higher than that of the model group immediately after modeling,at 24,48,72 and 96 h after modeling （all P〈0.05）.Immediately after modeling,T-AOC value in the treatment group was higher than that in the model group and blank group （both P〈0.05）.CK-MM of the treatment group was lower than that of the model group at 48 h and 72 h after modeling （P〈0.05）.Conclusion：An-pressing manipulation shows a certain therapeutic effect on biceps brachii with DOMS by strengthening the body＇s antioxidant and anti-damage abilities,which can effectively reduce the pain and accelerate the recovery from fatigue damage.