To explore the mechanisms underlying exercise-induced local muscle fatigue in patients with idiopathic Parkinson＇s disease （PD）,we used surface electromyography to record myoelectric signals from the tibialis anter...To explore the mechanisms underlying exercise-induced local muscle fatigue in patients with idiopathic Parkinson＇s disease （PD）,we used surface electromyography to record myoelectric signals from the tibialis anterior muscle during isometric contraction-induced fatigue until exhaustion.The results revealed no significant differences between patients with idiopathic PD and healthy controls in maximum voluntary contraction of the tibialis anterior muscle.The basic characteristics of surface electromyography were also similar between the two groups.The duration of isometric contraction at 50% maximum voluntary contraction was shortened in PD patients.In addition,PD patients exhibited a stronger increase in mean square amplitude,but a weaker decrease in median frequency and mean power frequency compared with healthy controls during isometric contraction.The skeletal muscles of PD patients revealed specificity of surface electromyography findings,indicating increased fatigability compared with healthy controls.展开更多
Objective：To review and assess the effect of single moxibustion for exercise-induced fatigue（EIF）.Methods：Computer-search for 8 medical databases and 5 clinical trail registries were conducted for randomized contr...Objective：To review and assess the effect of single moxibustion for exercise-induced fatigue（EIF）.Methods：Computer-search for 8 medical databases and 5 clinical trail registries were conducted for randomized controlled trials（RCTs）,added with hand-search for 10 Chinese acupuncture-moxibustion journals and additional references.Data from included RCTs were pooled by RevMan5.1.Methodology quality of RCTs was judged by Cochrane Collaboration assessment tool while quality of primary outcomes was evaluated by GRADE3.2.Results：Five RCTs were finally included,all reported in small sample size with high risk of bias.Comparisons on single moxibustion and rest relief（without treatment） were studied.Six outcomes were reported,all favored moxibustion to rest relief for EIF.Primary outcomes showed as rating of perceived exertion（RPE） with mean difference（MD）=-0.49,95%confidence interval（CI）[-0.80,-0.19],800-m race performance with MD=^-2.21,95%CI[-3.57,-0.85],and Harvard Step Index（HSI） with MD=14.75,95%CI[8.35,21.15].Moreover,all primary outcomes as RPE,800-m race performance and HSI were rated low quality.Conclusions：Single moxibustion might be considered effective for EIF.However,due to small samples of included RCTs,high risk of bias among studies and poor quality of primary outcomes and subjects restricted to Chinese athletes only,these results present limitation,and should be taken with caution for practice.More large-size studies with rigorous design are warranted to further test effectiveness of moxibustion for EIF.展开更多
目的:通过观察运动疲劳后大鼠初级运动皮层M1-纹状体通路局部场电位(Local field potential,LFPs)相位同步振荡活动,结合DA信号系统在运动疲劳后代谢表达变化,探讨皮层-纹状体通路电信号编码在运动疲劳中枢调控中的机制及其与黑质-纹状...目的:通过观察运动疲劳后大鼠初级运动皮层M1-纹状体通路局部场电位(Local field potential,LFPs)相位同步振荡活动,结合DA信号系统在运动疲劳后代谢表达变化,探讨皮层-纹状体通路电信号编码在运动疲劳中枢调控中的机制及其与黑质-纹状体DA系统的协同作用。方法:采用Wistar大鼠建立运动疲劳模型,分为对照组(CG),7天力竭运动即刻组(7FG)以及7天重复力竭运动24 h恢复组(24RG)。采用在体多通道电生理同步记录技术,结合实时视频录像观察M1及纹状体LFPs电振荡活动,分析皮层M1-纹状体同步振荡的相干性;采用免疫组化检测纹状体背外侧区DA受体及相关转运体蛋白在运动疲劳前后的表达。结果:1)与CG组相比,7FG组皮层M1区及纹状体α及β振荡增强(P<0.05),恢复24 h后较7FG组PSD值显著下降(P<0.05),且皮层M1-纹状体α及β振荡相干系数变大、同步性增强(P<0.05);2)与7FG组相比,24RG组相干系数及STWA比率均显著下降(P<0.05);3)与CG组相比,7FG组纹状体背外侧区D2DR表达降低,VMAT2表达上调且差异具有显著性(P<0.05);4)与7FG组相比,24RG组背外侧纹状体区D1DR表达显著降低(P<0.05)。结论:运动疲劳后,D2DR减少可能是导致突触后致密物厚度变化的原因之一,造成纹状体GABA能活动增强,使纹状体电活动增强,反馈至皮层影响皮层综合信号的输出,进而影响大鼠行为活动能力。表明皮层M1和纹状体脑区之间同步振荡活动的改变可能是运动疲劳症状产生的原因之一,且D2DR作为黑质-纹状体DA信号系统的关键受体,可作为改善运动疲劳的干预靶点。展开更多
文摘To explore the mechanisms underlying exercise-induced local muscle fatigue in patients with idiopathic Parkinson＇s disease （PD）,we used surface electromyography to record myoelectric signals from the tibialis anterior muscle during isometric contraction-induced fatigue until exhaustion.The results revealed no significant differences between patients with idiopathic PD and healthy controls in maximum voluntary contraction of the tibialis anterior muscle.The basic characteristics of surface electromyography were also similar between the two groups.The duration of isometric contraction at 50% maximum voluntary contraction was shortened in PD patients.In addition,PD patients exhibited a stronger increase in mean square amplitude,but a weaker decrease in median frequency and mean power frequency compared with healthy controls during isometric contraction.The skeletal muscles of PD patients revealed specificity of surface electromyography findings,indicating increased fatigability compared with healthy controls.
文摘Objective：To review and assess the effect of single moxibustion for exercise-induced fatigue（EIF）.Methods：Computer-search for 8 medical databases and 5 clinical trail registries were conducted for randomized controlled trials（RCTs）,added with hand-search for 10 Chinese acupuncture-moxibustion journals and additional references.Data from included RCTs were pooled by RevMan5.1.Methodology quality of RCTs was judged by Cochrane Collaboration assessment tool while quality of primary outcomes was evaluated by GRADE3.2.Results：Five RCTs were finally included,all reported in small sample size with high risk of bias.Comparisons on single moxibustion and rest relief（without treatment） were studied.Six outcomes were reported,all favored moxibustion to rest relief for EIF.Primary outcomes showed as rating of perceived exertion（RPE） with mean difference（MD）=-0.49,95%confidence interval（CI）[-0.80,-0.19],800-m race performance with MD=^-2.21,95%CI[-3.57,-0.85],and Harvard Step Index（HSI） with MD=14.75,95%CI[8.35,21.15].Moreover,all primary outcomes as RPE,800-m race performance and HSI were rated low quality.Conclusions：Single moxibustion might be considered effective for EIF.However,due to small samples of included RCTs,high risk of bias among studies and poor quality of primary outcomes and subjects restricted to Chinese athletes only,these results present limitation,and should be taken with caution for practice.More large-size studies with rigorous design are warranted to further test effectiveness of moxibustion for EIF.
文摘目的:通过观察运动疲劳后大鼠初级运动皮层M1-纹状体通路局部场电位(Local field potential,LFPs)相位同步振荡活动,结合DA信号系统在运动疲劳后代谢表达变化,探讨皮层-纹状体通路电信号编码在运动疲劳中枢调控中的机制及其与黑质-纹状体DA系统的协同作用。方法:采用Wistar大鼠建立运动疲劳模型,分为对照组(CG),7天力竭运动即刻组(7FG)以及7天重复力竭运动24 h恢复组(24RG)。采用在体多通道电生理同步记录技术,结合实时视频录像观察M1及纹状体LFPs电振荡活动,分析皮层M1-纹状体同步振荡的相干性;采用免疫组化检测纹状体背外侧区DA受体及相关转运体蛋白在运动疲劳前后的表达。结果:1)与CG组相比,7FG组皮层M1区及纹状体α及β振荡增强(P<0.05),恢复24 h后较7FG组PSD值显著下降(P<0.05),且皮层M1-纹状体α及β振荡相干系数变大、同步性增强(P<0.05);2)与7FG组相比,24RG组相干系数及STWA比率均显著下降(P<0.05);3)与CG组相比,7FG组纹状体背外侧区D2DR表达降低,VMAT2表达上调且差异具有显著性(P<0.05);4)与7FG组相比,24RG组背外侧纹状体区D1DR表达显著降低(P<0.05)。结论:运动疲劳后,D2DR减少可能是导致突触后致密物厚度变化的原因之一,造成纹状体GABA能活动增强,使纹状体电活动增强,反馈至皮层影响皮层综合信号的输出,进而影响大鼠行为活动能力。表明皮层M1和纹状体脑区之间同步振荡活动的改变可能是运动疲劳症状产生的原因之一,且D2DR作为黑质-纹状体DA信号系统的关键受体,可作为改善运动疲劳的干预靶点。
