Objective:We reviewed and appraised the existing evidence of in vivo manifestations of residual force enhancement in human skeletal muscles and assessed,through a meta-analysis,the effect of an immediate history of ec...Objective:We reviewed and appraised the existing evidence of in vivo manifestations of residual force enhancement in human skeletal muscles and assessed,through a meta-analysis,the effect of an immediate history of eccentric contraction on the subsequent torque capacity of voluntary and electrically evoked muscle contractions.Methods:Our search was conducted from database inception to May 2020.Descriptive information was extracted from,and quality was assessed for,45 studies.Meta-analyses and metaregressions were used to analyze residual torque enhancement and its dependence on the angular amplitude of the preceding eccentric contraction.Results:Procedures varied across studies with regards to muscle group tested,angular stretch amplitude,randomization of contractions,time window analyzed,and verbal command.Torque capacity in isometric(constant muscle tendon unit length and joint angle)contractions preceded by an eccentric contraction was typically greater compared to purely isometric contractions,and this effect was greater for electrically evoked muscle contractions than voluntary contractions.Residual torque enhancement differed across muscle groups for the voluntary contractions,with a significant enhancement in torque observed for the adductor pollicis,ankle dorsiflexors,ankle plantar flexors,and knee extensors,but not for the elbow and knee flexors.Meta-regressions revealed that the angular amplitude of the eccentric contraction(normalized to the respective joints full range of motion)was not associated with the residual torque enhancement observed.Conclusion:There is evidence of residual torque enhancement for most,but not all,muscle groups,and residual torque enhancement is greater for electrically evoked than for voluntary contractions.Contrary to our hypothesis,and contrary to generally accepted findings on isolated muscle preparations,residual torque enhancement in voluntary and electrically evoked contractions does not seem to depend on the angular amplitude of the preceding eccentric contraction.展开更多
目的浅析椎动脉型颈椎病(cervical spondylotic vertebral arteriopathy,CSA)患者实施基于“筋骨平衡”理论针刺推拿疗法对其中医症状积分、颈性眩晕症状与功能评估量表(cervical vertigo symptom and function assessment scale,ESCV)...目的浅析椎动脉型颈椎病(cervical spondylotic vertebral arteriopathy,CSA)患者实施基于“筋骨平衡”理论针刺推拿疗法对其中医症状积分、颈性眩晕症状与功能评估量表(cervical vertigo symptom and function assessment scale,ESCV)评分、颈椎曲度及脑血流参数的影响。方法选择该院2019年12月—2021年12月就诊的CSA患者86例实施研究,随机数字表法分作观察组与对照组,各43例;其中对照组脱落2例,剔除1例,共完成40例;观察组脱落1例,剔除1例,共完成41例;对照组予以常规牵引疗法,观察组予以基于“筋骨平衡”理论针刺推拿疗法;比较两组治疗前与治疗后中医症状积分、ESCV评分、颈椎曲度及脑血流参数的变化,并对比两组疗效。结果治疗后,观察组中医症状积分皆显著低于对照组(P<0.05)。治疗后,观察组ESCV评分和颈椎曲度皆明显高于对照组(P<0.05)。治疗后,观察组椎底动脉及左、右椎动脉的Vs与Vd水平均显著高于对照组(P<0.05)。观察组总有效率显著高于对照组[95.12%(39/41)vs 80.00%(32/40),P<0.05]。结论基于“筋骨平衡”理论针刺推拿疗法对CSA患者疗效显著,有效改善中医症状积分、ESCV评分以及颈椎曲度,增强脑血流参数。展开更多
文摘Objective:We reviewed and appraised the existing evidence of in vivo manifestations of residual force enhancement in human skeletal muscles and assessed,through a meta-analysis,the effect of an immediate history of eccentric contraction on the subsequent torque capacity of voluntary and electrically evoked muscle contractions.Methods:Our search was conducted from database inception to May 2020.Descriptive information was extracted from,and quality was assessed for,45 studies.Meta-analyses and metaregressions were used to analyze residual torque enhancement and its dependence on the angular amplitude of the preceding eccentric contraction.Results:Procedures varied across studies with regards to muscle group tested,angular stretch amplitude,randomization of contractions,time window analyzed,and verbal command.Torque capacity in isometric(constant muscle tendon unit length and joint angle)contractions preceded by an eccentric contraction was typically greater compared to purely isometric contractions,and this effect was greater for electrically evoked muscle contractions than voluntary contractions.Residual torque enhancement differed across muscle groups for the voluntary contractions,with a significant enhancement in torque observed for the adductor pollicis,ankle dorsiflexors,ankle plantar flexors,and knee extensors,but not for the elbow and knee flexors.Meta-regressions revealed that the angular amplitude of the eccentric contraction(normalized to the respective joints full range of motion)was not associated with the residual torque enhancement observed.Conclusion:There is evidence of residual torque enhancement for most,but not all,muscle groups,and residual torque enhancement is greater for electrically evoked than for voluntary contractions.Contrary to our hypothesis,and contrary to generally accepted findings on isolated muscle preparations,residual torque enhancement in voluntary and electrically evoked contractions does not seem to depend on the angular amplitude of the preceding eccentric contraction.
