背景:前交叉韧带重建后肌肉功能的恢复通常评估肌肉的最大力量,最近的研究认为还应考虑神经肌肉功能,比如肌肉等长发力率,即在肌肉等长收缩条件下测量不同时间间隔的力-时间曲线斜率。目的:阐述前交叉韧带重建后患者肌肉等长发力率的研...背景:前交叉韧带重建后肌肉功能的恢复通常评估肌肉的最大力量,最近的研究认为还应考虑神经肌肉功能,比如肌肉等长发力率,即在肌肉等长收缩条件下测量不同时间间隔的力-时间曲线斜率。目的:阐述前交叉韧带重建后患者肌肉等长发力率的研究现状与不足,分析术后不同时间内股四头肌和腘绳肌等长发力率的缺陷程度;等长发力率对术后患者功能表现的影响,为优化前交叉韧带重建后康复、减少患者二次损伤以及降低膝骨关节炎发生率提供重要信息。方法:检索中国知网、维普、万方和PubMed数据库,以“前交叉韧带,发力率”为中文检索词,以“anterior cruciate ligament,rate of force development,rate of torque development”为英文检索词,按照纳入和排除标准最终纳入69篇文献。结果与结论:(1)大多数研究发现前交叉韧带重建后半年内患者双侧肌肉等长发力率存在缺陷,双侧腘绳肌早期等长发力率(即肌肉收缩100 ms时间段内任意时间间隔的力-时间曲线斜率)在半年后有显著改善,但双侧股四头肌早期等长发力率长期缺陷,表明术后股四头肌神经肌肉功能长期受损。(2)有关晚期等长发力率(肌肉收缩100 ms后时间段内任意时间间隔的力-时间曲线斜率)的相关研究较少,无法得出确切结论。(3)关于着陆运动(跳跃落地和侧切等)和日常生活活动(走、跑),股四头肌早期等长发力率比等长峰值力矩相关性更强,运动过程中生物力学的异常改变被认为是患者二次损伤以及创伤性膝骨关节炎发生的重要风险因素,积极改善股四头肌早期等长发力率可能会降低二次损伤以及创伤性膝骨关节炎的发生率。(4)目前仅有很少的证据表明,全身振动训练能改善前交叉韧带重建后患者股四头肌早期等长发力率,建议今后在术后早期阶段应用神经肌肉电刺激干预股四头肌和腘绳肌,而在术后晚期阶段实施爆发力、高阻力训练,这可能会改善患者等长发力率。(5)短时间产生足够的肌肉力量才能有效保护前交叉韧带,而腘绳肌等长发力率与功能表现的关系尚不清楚,这可能会提供有关预防患者二次损伤的信息。(6)作者建议将等长发力率作为指导康复以及恢复运动的评估指标之一,除了关注对称性的改善以及与正常人的差异,还要考虑腘绳肌与股四头肌力量的比值,合适的比值范围才能保证肌肉快速发力时的平衡,这可能会降低再次损伤的发生,但比值的正常范围尚不清楚。(7)未来研究要考虑移植物类型和膝关节屈曲角度对等长发力率的影响,以尽可能找出患者存在的神经肌肉功能障碍,帮助患者更好地康复。展开更多
A large amount of igneous rocks in NE China formed in an extensional setting during Late Mesozoic. However, there is still controversy about how the Mongol-Okhotsk Ocean and the Paleo-Pacific Ocean effected the lithos...A large amount of igneous rocks in NE China formed in an extensional setting during Late Mesozoic. However, there is still controversy about how the Mongol-Okhotsk Ocean and the Paleo-Pacific Ocean effected the lithosphere in NE China. In this paper, we carried out a comprehensive study for andesites from the Keyihe area using LA-ICP-MS zircon UPb dating and geochemical and Hf isotopic analysis to investigate the petrogenesis and tectonic setting of these andesites. The U-Pb dating yields an Early Cretaceous crystallization age of 128.3±0.4 Ma. Geochemically, the andesites contain high Sr(686-930 ppm) and HREE contents, low Y(11.9-19.8 ppm) and Yb(1.08-1.52 ppm) contents, and they therefore have high Sr/Y(42-63) and La/Yb(24-36) ratios, showing the characteristics of adakitic rocks. Moreover, they exhibit high K2O/Na2O ratios(0.57-0.81), low Mg O contents(0.77-3.06 wt%), low Mg# value(17-49) and negative εHf(t) values(-1.7 to-8.5) with no negative Eu anomalies, indicating that they are not related to the oceanic plate subduction. Based on the geochemical and isotopic data provided in this paper and regional geological data, it can be concluded that the Keyihe adakitic rocks were affected by the Mongol-Okhotsk tectonic regime, forming in a transition setting from crustal thickening to regional extension thinning. They were derived from the partial melting of the thickened lower crust. The closure of the Mongol-Okhotsk Ocean may finish in early Early Cretaceous, followed by the collisional orogenic process. The southern part region of its suture belt was in a post-orogenic extensional setting in the late Early Cretaceous.展开更多
文摘背景:前交叉韧带重建后肌肉功能的恢复通常评估肌肉的最大力量,最近的研究认为还应考虑神经肌肉功能,比如肌肉等长发力率,即在肌肉等长收缩条件下测量不同时间间隔的力-时间曲线斜率。目的:阐述前交叉韧带重建后患者肌肉等长发力率的研究现状与不足,分析术后不同时间内股四头肌和腘绳肌等长发力率的缺陷程度;等长发力率对术后患者功能表现的影响,为优化前交叉韧带重建后康复、减少患者二次损伤以及降低膝骨关节炎发生率提供重要信息。方法:检索中国知网、维普、万方和PubMed数据库,以“前交叉韧带,发力率”为中文检索词,以“anterior cruciate ligament,rate of force development,rate of torque development”为英文检索词,按照纳入和排除标准最终纳入69篇文献。结果与结论:(1)大多数研究发现前交叉韧带重建后半年内患者双侧肌肉等长发力率存在缺陷,双侧腘绳肌早期等长发力率(即肌肉收缩100 ms时间段内任意时间间隔的力-时间曲线斜率)在半年后有显著改善,但双侧股四头肌早期等长发力率长期缺陷,表明术后股四头肌神经肌肉功能长期受损。(2)有关晚期等长发力率(肌肉收缩100 ms后时间段内任意时间间隔的力-时间曲线斜率)的相关研究较少,无法得出确切结论。(3)关于着陆运动(跳跃落地和侧切等)和日常生活活动(走、跑),股四头肌早期等长发力率比等长峰值力矩相关性更强,运动过程中生物力学的异常改变被认为是患者二次损伤以及创伤性膝骨关节炎发生的重要风险因素,积极改善股四头肌早期等长发力率可能会降低二次损伤以及创伤性膝骨关节炎的发生率。(4)目前仅有很少的证据表明,全身振动训练能改善前交叉韧带重建后患者股四头肌早期等长发力率,建议今后在术后早期阶段应用神经肌肉电刺激干预股四头肌和腘绳肌,而在术后晚期阶段实施爆发力、高阻力训练,这可能会改善患者等长发力率。(5)短时间产生足够的肌肉力量才能有效保护前交叉韧带,而腘绳肌等长发力率与功能表现的关系尚不清楚,这可能会提供有关预防患者二次损伤的信息。(6)作者建议将等长发力率作为指导康复以及恢复运动的评估指标之一,除了关注对称性的改善以及与正常人的差异,还要考虑腘绳肌与股四头肌力量的比值,合适的比值范围才能保证肌肉快速发力时的平衡,这可能会降低再次损伤的发生,但比值的正常范围尚不清楚。(7)未来研究要考虑移植物类型和膝关节屈曲角度对等长发力率的影响,以尽可能找出患者存在的神经肌肉功能障碍,帮助患者更好地康复。
基金supported by the National Natural Science Foundation of China (Grant No. 41872234 and 41340024)Self-determined Foundation of Key Laboratory of Mineral Resources Evaluation in Northeast Asia, Ministry of Land and Resources (Grant No. DBYZZ-18-08)Graduate Innovation Fund of Jilin University
文摘A large amount of igneous rocks in NE China formed in an extensional setting during Late Mesozoic. However, there is still controversy about how the Mongol-Okhotsk Ocean and the Paleo-Pacific Ocean effected the lithosphere in NE China. In this paper, we carried out a comprehensive study for andesites from the Keyihe area using LA-ICP-MS zircon UPb dating and geochemical and Hf isotopic analysis to investigate the petrogenesis and tectonic setting of these andesites. The U-Pb dating yields an Early Cretaceous crystallization age of 128.3±0.4 Ma. Geochemically, the andesites contain high Sr(686-930 ppm) and HREE contents, low Y(11.9-19.8 ppm) and Yb(1.08-1.52 ppm) contents, and they therefore have high Sr/Y(42-63) and La/Yb(24-36) ratios, showing the characteristics of adakitic rocks. Moreover, they exhibit high K2O/Na2O ratios(0.57-0.81), low Mg O contents(0.77-3.06 wt%), low Mg# value(17-49) and negative εHf(t) values(-1.7 to-8.5) with no negative Eu anomalies, indicating that they are not related to the oceanic plate subduction. Based on the geochemical and isotopic data provided in this paper and regional geological data, it can be concluded that the Keyihe adakitic rocks were affected by the Mongol-Okhotsk tectonic regime, forming in a transition setting from crustal thickening to regional extension thinning. They were derived from the partial melting of the thickened lower crust. The closure of the Mongol-Okhotsk Ocean may finish in early Early Cretaceous, followed by the collisional orogenic process. The southern part region of its suture belt was in a post-orogenic extensional setting in the late Early Cretaceous.
