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Changes in Voluntary Activation Assessed by Transcranial Magnetic Stimulation during Prolonged Cycling Exercise

机译:长时间骑自行车运动时经颅磁刺激评估的自愿激活变化

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摘要

Maximal central motor drive is known to decrease during prolonged exercise although it remains to be determined whether a supraspinal deficit exists, and if so, when it appears. The purpose of this study was to evaluate corticospinal excitability and muscle voluntary activation before, during and after a 4-h cycling exercise. Ten healthy subjects performed three 80-min bouts on an ergocycle at 45% of their maximal aerobic power. Before exercise and immediately after each bout, neuromuscular function was evaluated in the quadriceps femoris muscles under isometric conditions. Transcranial magnetic stimulation was used to assess voluntary activation at the cortical level (VATMS), corticospinal excitability via motor-evoked potential (MEP) and intracortical inhibition by cortical silent period (CSP). Electrical stimulation of the femoral nerve was used to measure voluntary activation at the peripheral level (VAFNES) and muscle contractile properties. Maximal voluntary force was significantly reduced after the first bout (13±9%, P<0.01) and was further decreased (25±11%, P<0.001) at the end of exercise. CSP remained unchanged throughout the protocol. Rectus femoris and vastus lateralis but not vastus medialis MEP normalized to maximal M-wave amplitude significantly increased during cycling. Finally, significant decreases in both VATMS and VAFNES (∼8%, P<0.05 and ∼14%, P<0.001 post-exercise, respectively) were observed. In conclusion, reductions in VAFNES after a prolonged cycling exercise are partly explained by a deficit at the cortical level accompanied by increased corticospinal excitability and unchanged intracortical inhibition. When comparing the present results with the literature, this study highlights that changes at the cortical and/or motoneuronal levels depend not only on the type of exercise (single-joint vs. whole-body) but also on exercise intensity and/or duration.
机译:尽管有待确定是否存在椎上神经功能障碍,如果存在,何时出现,尚需延长运动时间,最大中央运动驱动力会降低。这项研究的目的是评估4小时循环运动之前,期间和之后的皮质脊髓兴奋性和肌肉自愿激活。十名健康受试者以最大最大有氧能力的45%在人体工程周期上进行了3次80分钟的运动。运动前和每次发作后立即在等轴测条件下评估股四头肌的神经肌肉功能。经颅磁刺激用于评估皮质水平上的自主激活(VATMS),通过运动诱发电位(MEP)引起的皮质脊髓兴奋性以及皮质静默期(CSP)引起的皮质内抑制作用。股神经的电刺激被用于测量外周水平的自愿性激活(VAFNES)和肌肉收缩特性。第一次回合后最大自愿力量显着降低(13±9%,P <0.01),运动结束时最大自愿力量进一步降低(25±11%,P <0.001)。在整个协议中,CSP保持不变。在循环过程中,将股直肌和外侧股大肌标准化为最大M波幅值的正常MEP而不是内侧股大肌MEP显着增加。最后,观察到VATMS和VAFNES均显着降低(运动后分别为8%,P <0.05和14%,P <0.001)。总之,长时间骑自行车运动后VAFNES的降低部分是由于皮质水平的不足,伴随着皮质脊髓兴奋性的增加和皮质内抑制的保持不变。当将当前结果与文献进行比较时,这项研究强调了皮质和/或单动性神经元水平的变化不仅取决于运动的类型(单关节vs.全身),而且还取决于运动强度和/或持续时间。

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