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1.
We analyzed the twitch and summated torque (tetanus) during repetitive activation and recovery of the human soleus muscle in individuals with spinal cord injury. Thirteen individuals with complete paralysis (9 chronic, 4 acute) had the tibial nerve activated every 1,500 ms with a 20-Hz train (7 stimuli) for 300 ms and a single pulse at 1,100 ms. The stimulation protocol lasted 3 min and included 120 twitches and 120 tetani. Minimal changes were found for the acute group. The chronic group showed a significant reduction in the torque and a significant slowing of the contractile speeds of both the twitch and tetanus. The decrease in the peak twitch torque was significantly greater than the decrease in the peak tetanus torque early during the fatigue protocol for the chronic group. The twitch time to peak and half relaxation time were prolonged during fatigue, which was associated with improved fusion of the tetanus torque. At the end of the fatigue protocol, the decrease in the peak twitch torque was not significantly different from the decrease in the peak tetanus torque. After 5 min of rest, the contractile speeds recovered causing the tetanus to become unfused, but the tetanus torque became less depressed than the twitch torque. The differential responses for the twitch and the tetanus suggest an interplay between optimal fusion created from contractile speed slowing and excitation contraction coupling compromise. These issues make the optimal design of functional electrical stimulation systems a formidable task.  相似文献   

2.
DR Sinacore  BL Bander  A Delitto 《Canadian Metallurgical Quarterly》1994,74(3):234-41; discussion 241-4
BACKGROUND AND PURPOSE: The purposes of this study were (1) to describe the characteristics of recovery of peak torque after a 1-minute bout of isokinetic exercise of the quadriceps femoris muscle, (2) to determine the short-term reliability of the recovery of peak torque, and (3) to determine whether the recovery of peak torque more closely associates with maximal endurance exercise capacity than does the decline in peak torque at the end of the fatigue test. SUBJECTS: Thirty-three nondisabled subjects, ranging in age from 23 to 34 years (X = 27, SD = 3.4), participated in the reliability portion (phase 1) of the study. A different group of 21 nondisabled subjects, ranging in age from 21 to 47 years (X = 27.5, SD = 5.2), participated in the correlational portion (phase 2) of the study. METHODS: The short-term reliability of percentage of decline in peak torque and recovery of peak torque was assessed in phase 1. Each subject performed two quadriceps femoris muscle fatigue tests (test-retest) on an isokinetic dynamometer. In phase 2, each subject performed a single fatigue test and a test of maximal oxygen uptake (VO2max) to examine the relationships between VO2max and percentage of decline in peak torque at the end of the fatigue test and recovery of peak torque. RESULTS: Intraclass correlation coefficient values at every 30-second interval during recovery were acceptable (ICC = .67-.87), indicating recovery of peak torque is a consistent measure of quadriceps femoris muscle performance. A high negative correlation (r = -.84) was found between the percentage of decline at 30 seconds of recovery and VO2max, but a lower negative correlation (r = -.48) was found between the percentage of decline in torque at the end of the fatigue test and VO2max. CONCLUSION AND DISCUSSION: These results suggest recovery of peak torque is a reliable measure of muscle performance and closely associates with maximal aerobic exercise capacity.  相似文献   

3.
The effects of increasing age on skeletal muscle fatigue and endurance were assessed in 22 healthy young (14 men and 8 women; mean age, 28 +/- 6 years) and 16 healthy old (8 men and 8 women; mean age, 73 +/- 3 years) individuals. All subjects performed 100 repeated maximum dynamic knee extensions at 90 degrees.s-1 (1.57 rad.s-1) using an isokinetic dynamometer (Cybex II). Peak torque was recorded during every contraction, and for each individual the maximal voluntary contraction (MVC), the fatigue rate, the endurance level, and the relative reduction in muscle force were determined. MVC and endurance level were significantly lower in old men and women, but there was no discernible difference in relative muscle force reduction and fatigue rate between young and old individuals. We conclude that thigh muscles of older individuals are weaker than those of younger individuals, but relative to their strength, older individuals have similar properties as younger individuals with respect to muscle fatigue and endurance.  相似文献   

4.
BACKGROUND: To determine the functional changes in the extraocular muscles in patients with thyroid-associated ophthalmopathy (TAO). PATIENTS AND METHODS: Horizontal saccades with an amplitude of 20 degrees were carried out over a period of 2 min. Eight patients with acute TAO and five patients with chronic TAO were compared with ten age-matched healthy individuals. Ocular movements were recorded using the "Ober 2" system based on infrared technology. For evaluation of fatigue effects, the parameters of the first five and the last five saccades were analysed. RESULTS: A significant difference of four and five, respectively, out of nine tested saccadic variables including maximum velocity (Vmax) was found both before and after fatigue. In comparison to normal subjects, patients with chronic TAO revealed mildly increased reduction of Vmax after fatigue. Results in patients with acute TAO were related to the action of the most severely affected muscle. On active contraction of the medial rectus muscle (adducting saccades), Vmax was not significantly decreased after fatigue. On passive elongation of the medial rectus muscle (abducting saccades), however, Vmax was initially markedly decreased and increased significantly after fatigue. CONCLUSIONS: Functional changes of extraocular muscles in patients with TAO can be demonstrated by saccadic analysis. The inverse change in velocity after fatigue in acute disease indicates an improvement of muscle elasticity during exertion and strongly supports the concept that early impairment of bulbar motility in active TAO results from contracture of myofilaments. Thus, analysis of the fatigue effect may help to differentiate between acute and chronic disease.  相似文献   

5.
A practical muscle fatigue index is studied in this paper using the correlation between the instantaneous frequencies (IF's) of the superimposed M wave and the mean power frequency (MPF) of the preceding background activity. A superimposed M wave is an M wave elicited during a sustained contraction and was recently introduced for studying muscle fatigue. We investigated the details of the distribution of a feature vector (mpf, if) in two-dimensional space. Our experimental results showed that MPF and IF's were closely correlated during the first phase of a short-term high-level sustained voluntary contraction and then became uncorrelated or sometimes showed negative correlation as muscular fatigue progressed. Combining the correlation coefficients and conventional myoelectric (ME) parameters, such as the MPF and the average rectified value of ME signals, we propose a fuzzy rule based muscular fatigue index that can be used for managing the inevitable variability among individual subjects collected as a group. Introducing fuzzy inference seemed effective, but further studies including detailed investigation of the level of voluntary effort, the muscle fiber type composition, and metabolic by-products will be needed to customize the membership functions and fuzzy rules more appropriately in each practical field.  相似文献   

6.
This study aimed to compare the effects of oral creatine (Cr) supplementation with creatine supplementation in combination with caffeine (Cr+C) on muscle phosphocreatine (PCr) level and performance in healthy male volunteers (n = 9). Before and after 6 days of placebo, Cr (0.5 g x kg-1 x day-1), or Cr (0.5 g x kg-1 x day-1) + C (5 mg x kg-1 x day-1) supplementation, 31P-nuclear magnetic resonance spectroscopy of the gastrocnemius muscle and a maximal intermittent exercise fatigue test of the knee extensors on an isokinetic dynamometer were performed. The exercise consisted of three consecutive maximal isometric contractions and three interval series of 90, 80, and 50 maximal voluntary contractions performed with a rest interval of 2 min between the series. Muscle ATP concentration remained constant over the three experimental conditions. Cr and Cr+C increased (P < 0.05) muscle PCr concentration by 4-6%. Dynamic torque production, however, was increased by 10-23% (P < 0.05) by Cr but was not changed by Cr+C. Torque improvement during Cr was most prominent immediately after the 2-min rest between the exercise bouts. The data show that Cr supplementation elevates muscle PCr concentration and markedly improves performance during intense intermittent exercise. This ergogenic effect, however, is completely eliminated by caffeine intake.  相似文献   

7.
The changes in muscle fiber conduction velocity (MFCV) and median frequency (MDF) during and after muscle fatigue were investigated in 9 younger (mean age: 29.3) and 7 elderly (mean age: 72.0) healthy subjects to determine if age has any effect on them. The surface EMG of the abductor digiti minimi muscle was examined at 50% of maximal voluntary contraction (MVC) during a prefatigue session. The subjects were instructed to continue applying maximal force until the force declined to 50% MVC. EMG signals were measured during brief subsequent contractions at 50% MVC until 60 minutes after fatigue as a postfatigue session. The decrement in MFCV and MDF at 50% MVC before and after fatigue was 73.4%, 67.3% in the younger and 71.2%, 66.7% in the elderly subjects, respectively. MFCV and MDF recovered to initial value after fatigue more slowly in the elderly subjects (recovery time: elderly: MFCV 6.0 min., MDF 6.0 min.; younger: MFCV 2.77 min., MDF 3.00 min.) (P < 0.05, Mann-Whitney test). The over-shooting recovery phase was recognized in both age groups, but the elderly subjects had a smaller and shorter one. The slower recovery in the elderly suggested that they possibly had less potential to recovery the membrane potential propagation, metabolic capacity and more type 1 fiber composition. The smaller and shorter overshooting in the elderly might be due to less increase of muscle swelling and/or less membrane hyperpolarization.  相似文献   

8.
The aims of this study were to investigate if low-frequency fatigue (LFF) dependent on the duration of repeated muscle contractions and to compare LFF in voluntary and electrically induced exercise. Male subjects performed three 9-min periods of repeated isometric knee extensions at 40% maximal voluntary contraction with contraction plus relaxation periods of 30 plus 60 s, 15 plus 30 s and 5 plus 10 s in protocols 1, 2 and 3, respectively. The same exercise protocols were repeated using feedback-controlled electrical stimulation at 40% maximal tetanic torque. Before and 15 min after each exercise period, knee extension torque at 1, 7, 10, 15, 20, 50 and 100 Hz was assessed. During voluntary exercise, electromyogram root mean square (EMGrms) of the vastus lateralis muscle was evaluated. The 20-Hz torque:100-Hz torque (20:100 Hz torque) ratio was reduced more after electrically induced than after voluntary exercise (P < 0.05). During electrically induced exercise, the decrease in 20:100 Hz torque ratio was gradually (P < 0.05) reduced as the individual contractions shortened. During voluntary exercise, the decrease in 20:100 Hz torque ratio and the increase in EMGrms were greater in protocol 1 (P < 0.01) than in protocols 2 and 3, which did not differ from each other. In conclusion, our results showed that LFF is dependent on the duration of individual muscle contractions during repetitive isometric exercise and that the electrically induced exercise produced a more pronounced LFF compared to voluntary exercise of submaximal intensity. It is suggested that compensatory recruitment of faster-contracting motor units is an additional factor affecting the severity of LFF during voluntary exercise.  相似文献   

9.
长期颈部前屈对颈椎造成严重影响。为定量评估长时间低头对颈椎疲劳造成的影响,选取20名健康受试者,保持低头角度40°~60°持续3 h。选择胸锁乳突肌,颈部夹肌和肩部斜方肌测量其表面肌电信号。经滤波、整流、振幅标准化等处理后,对每60 s的肌电值进行积分和求其平均功率频率。研究发现,积分肌电值的波动变化具有规律性,首次增大后的减小表征肌肉进入疲劳状态;不同肌肉的平均功率频率(mean power frequency,MPF)值具有明显差异,决定着该肌肉疲劳耐受性的持续时间,且在整个颈部前屈过程中MPF并非简单的线性关系。提出用MPF的导数来提取疲劳特征,用窗口化的MPF负数累积判定肌肉疲劳。结果表明,MPF负数累积能很好地判断肌肉疲劳,胸锁乳突肌在20 min内出现最终疲劳,而颈部夹肌和肩部斜方肌在20 min左右出现了短暂性疲劳,随后在75~100 min时又出现了最终疲劳。因此建议持续颈部前屈时长不超过20 min。   相似文献   

10.
OBJECTIVE: To investigate whether localised skeletal muscle training, which does not have a great influence on the heart, improves abnormalities of calf muscle metabolism in patients with chronic heart failure. METHODS: Seven cardiac patients in New York Heart Association class II and III undertook a random order crossover trial. Training consisted of unilateral calf plantar flexion exercise. Before and after training, the patients' metabolic responses were examined during the calf exercise test with phosphorus-31 nuclear magnetic resonance spectroscopy (31P-MRS) and calf blood flow with plethysmography. The new Borg scale was employed as a subjective fatigue scale. RESULTS: In a constant load exercise test (70% of maximum load achieved during the incremental exercise), standardised phosphocreatine and intracellular pH decreased less after training (p < 0.05, repeated measures analysis of variance). The new Borg scale improved significantly after training (p < 0.05). Blood flow did not change significantly in either test. CONCLUSIONS: In patients with chronic heart failure, localised calf skeletal muscle training improved oxidative capacity without changes in calf blood flow. This training also improved the subjective fatigue scale. This training method may therefore alleviate leg fatigue experienced in daily activities.  相似文献   

11.
The purpose of this study was to investigate the recovery of muscle force generating capacity (FGC) of the lower limbs following a session of cycle exercise (CE). Fourteen male cyclists (mean +/- SD age 25 +/- 4 yrs and VO2max 65.8 +/- 5 ml x kg(-1)min(-1)) performed tests assessing lower limb muscle FGC at rest (pre-test), as well as 6 and 24 hrs following CE performed on a mechanically-braked cycle ergometer. The CE consisted of 30 min at a workload corresponding to the lactate (Dmax) threshold (+/-15 W), and four 60 s rides at 120% VO2max with one min rest between each ride. At the completion of the CE a 6 or 24 hr recovery period was initiated, after which, each subject's muscle FGC was measured. The analysis of lower limb muscle FGC included, (1) 6 s all-out cycle test; (2) a maximal isokinetic leg extension at 60, 120 and 180 degrees x s(-1); and (3) a maximal concentric squat jump. Statistical analysis showed that compared to pre-test levels, a significant reduction in both isokinetic peak torque at 60 degrees x s(-1) and isoinertial maximum force occurred after 6 hrs of recovery. Although not significant, reductions also occurred at 6 hrs of recovery in isokinetic peak torque at 120 and 180 degrees x s(-1), as well as maximum rate of force development (RFD) during the squat jumps. No significant differences were observed between isokinetic peak torque, maximum force or RFD pre-test and following the 24 hr recovery period, indicating these tests had returned to normal by this time. No significant differences were found between peak power (PP) during the 6 s cycle test, pre-test and following either 6 or 24 hrs of recovery. These findings confirm earlier research that maximal voluntary strength is reduced for at least 6 hours following exhaustive dynamic exercise. The reduction in muscle FGC should be considered when resistance training is scheduled after endurance exercise.  相似文献   

12.
BACKGROUND: When H-reflexes are recorded during movement in human subjects, the stimulator current output is not a good indicator of sensory stimulation efficacy because of unavoidable nerve movement relative to the stimulus electrodes. Therefore, the M-wave amplitude has been used by researchers as an indicator of the efficacy of the stimulus. In this study we have examined the general validity of the hypothesis that the M-wave amplitude is directly proportional to the group I sensory afferent volley evoked by the stimulus. METHODS: A nerve recording cuff, stimulating electrodes, and EMG recording electrodes were implanted in cats. Nerve cuff recordings of centrally propagating volleys evoked by electrical stimuli were directly compared to M-waves produced by the same stimuli. Compound action potentials (CAPs) recorded in the sciatic nerve were compared with soleus M-waves during either tibial nerve or soleus muscle nerve stimulation. CAPs in the ulnar nerve were correlated with flexor carpi ulnaris M-waves during ulnar nerve stimulation. RESULTS AND CONCLUSIONS: Our findings indicate that for mixed nerve stimulation (e.g., tibial or ulnar nerve) the M-wave can be a reliable indicator of the centrally propagating sensory volley. Due to the high correlation between CAP and M-wave amplitude in these nerves, a small number of M-waves can give a good estimate of the size of the group I sensory volley. On the other hand, when nerves with only partially overlapping fibre diameter populations are stimulated (e.g., the soleus muscle nerve), the M-wave is not well correlated with the group I sensory volley and thus may not be used as a measure of the size of the input volley for H-reflex studies.  相似文献   

13.
The short latency stretch-reflex component (M1) and its interactions with muscle stiffness and with muscle performance were investigated before and after long-term stretch-shortening cycle (SSC) exercise. Dramatic fatigue induced reduction in maximal SSC performance capability, and electromyographic activity was accompanied by a consistent decrease in the M1 reflex component and eccentric peak stiffness of the muscle. It can be suggested, therefore, that the decreased muscle performance is not simply a direct effect of central or peripheral fatigue, but is partly due to impairment of the ability to utilize stiffness-related elastic energy.  相似文献   

14.
Twenty-two young male subjects were tested to estimate the behavior of the early and late phases of relaxation from a 3-s maximal voluntary contraction (MVC) under the influence of fatigue. Less demanding and more demanding protocols of intermittent hand grip exercise were used to fatigue muscle. Before and after fatigue, the early and late relaxation time, maximal relaxation rate, and half-relaxation time were measured. The results showed that during voluntary movement (a) the early phase of relaxation was independent of the mode of intermittent exercise and did not change significantly after fatigue; (b) the late relaxation time and absolute maximal relaxation rate were slower after both protocols, with the changes more pronounced following the more demanding protocol; and (c) the half-relaxation time and relative maximal relaxation rate were changed only in the more demanding protocol. It is concluded that unlike the relaxation following electrical stimulation of isolated muscle, the early phase of relaxation from voluntary contraction appears to be the most resistant to the type of intermittent fatiguing exercise used in the present study, whereas the late relaxation time was the most sensitive to this type of fatigue.  相似文献   

15.
Whole muscle contractile characteristics and fatigue resistance were studied in male patients with chronic heart failure (n = 6) and in healthy control subjects (n = 6). Maximum voluntary isometric strength in the major muscle groups of leg (plantar flexors and knee extensors) and arm (elbow extensors and elbow flexors), was found to be similar for both groups of subjects. However, a faster isometric twitch time course was observed in the plantar flexor and knee extensor muscles of heart failure chronic patients. The poor resistance to fatigue in the knee extensors of chronic heart failure patients was confirmed in the present study, but using twitch interpolation this was shown not to be due to poor activation. The plantar flexors of chronic heart failure patients also showed a tendency to be less resistant to fatigue, even when the muscle was activated by direct electrical stimulation. The present study shows that independent of muscle strength, patients with chronic heart failure may possess muscles that are faster to contract and less resistant to fatigue. However, it seems this increased fatigability is not due to poor muscle activation.  相似文献   

16.
We studied muscle fatigue in 19 paraplegic patients during an isometric sustained contraction. Both quadriceps (n = 38) were maximally stimulated for 126 s. We defined a nonlinear equation with four coefficients to fit the data and extract fatigue indices carrying information on the amount (asymptotic values, torque coordinate at the inflection point, total decrement from initial value) and the rate of torque decrease (maximum slope, time constant, time coordinate at the inflection point, time at which the torque reached 50% of initial value). Most of the indices reported in the literature provide information limited to the amount of torque decrease. Three of the coefficients we defined could be graphically estimated. The goodness of fit was very high (r2 = 0.993 +/- 0.001) but none of the indices provided information on both the amount and the rate of decrease. Major differences were encountered among the patients. Therefore, some of the computed indices varied to a great extent. We studied the curves exhibiting the same fatigue indices and defined a simple general fatigue index able to distinguish from muscles having different resistance to fatigue (asymptotic value x the time constant). This index is carrying both types of information and is expressed in relative torque x second (range from 1.81 to 22.82).  相似文献   

17.
Over 20 different missense mutations in the alpha subunit of the adult skeletal muscle Na channel have been identified in families with either myotonia (muscle stiffness) or periodic paralysis, or both. The V445M mutation was recently found in a family with myotonia but no weakness. This mutation in transmembrane segment IS6 is novel because no other disease-associated mutations are in domain I. Na currents were recorded from V445M and wild-type channels transiently expressed in human embryonic kidney cells. In common with other myotonic mutants studied to date, fast gating behavior was altered by V445M in a manner predicted to increase excitability: an impairment of fast inactivation increased the persistent Na current at 10 ms and activation had a hyperpolarized shift (4 mV). In contrast, slow inactivation was enhanced by V445M due to both a slower recovery (10 mV left shift in beta(V)) and an accelerated entry rate (1.6-fold). Our results provide additional evidence that IS6 is crucial for slow inactivation and show that enhanced slow inactivation cannot prevent myotonia, whereas previous studies have shown that disrupted slow inactivation predisposes to episodic paralysis.  相似文献   

18.
OBJECTIVES: To measure ground reaction force variables during lameness resulting from impaired tibial nerve function and to determine whether these variables changed significantly as recovery progressed. ANIMALS: 11 healthy Greyhounds of either sex, weighing between 22 and 39 kg. PROCEDURE: On 3 consecutive days before surgery, ground reaction forces were measured by force platform gait analysis at the trot. In dogs under general anesthesia, the left tibial nerve was crushed proximal to innervation of the gastrocnemius muscle. Gait analyses were repeated on days 8 to 10, 28 to 30, 43 to 45, 58 to 60, and 90 to 92 after surgery. Ground reaction force variables and stance time were compared among the 3-day clusters. RESULTS: 10 days after surgery, all dogs had weight-bearing lameness attributed to paralysis of muscles in the caudal compartment of the crus. Nerve regeneration resulted in functional recovery within 3 months. Decreases in vertical force were significant 10 days after surgery; thereafter, changes reflected gradual return of load bearing, with the most marked improvement between 10 and 45 days. At 90 days, vertical force variables were within 3% of presurgical values. Stance time for the left hind limb was significantly longer at 10, 30, and 45 days after surgery and was seen in all dogs, but returned to within 1 % of preoperative stance time at 90 days. The effect of tibial nerve dysfunction on braking or propulsive force was not significant. CONCLUSIONS AND CLINICAL RELEVANCE: The significant changes in vertical ground reaction forces in hind limbs of dogs during lameness that resulted from impaired tibial nerve function are detectable, as is response during recovery, by use of force platform analysis.  相似文献   

19.
OBJECTIVES: Patients with chronic fatigue syndrome complain of physical and mental fatigue that is worsened by exertion. It was predicted that the cognitive and motor responses to vigorous exercise in patients with chronic fatigue syndrome would differ from those in depressed and healthy controls. METHODS: Ten patients with chronic fatigue syndrome, 10 with depressive illness, and 10 healthy controls completed cognitive and muscle strength testing before and after a treadmill exercise test. Measures of cardiovascular functioning and perceived effort, fatigue, and mood were taken during each stage of testing. RESULTS: Depressed patients performed worst on cognitive tests at baseline. During the treadmill test, patients with chronic fatigue syndrome had higher ratings of perceived effort and fatigue than both control groups, whereas patients with depression reported lower mood. After exertion, patients with chronic fatigue syndrome showed a greater decrease than healthy controls on everyday tests of focused (p=0.02) and sustained (p=0.001) attention, as well as greater deterioration than depressed patients on the focused attention task (p=0.03). No between group differences were found in cardiovascular or symptom measures taken during the cognitive testing. CONCLUSIONS: Patients with chronic fatigue syndrome show a specific sensitivity to the effects of exertion on effortful cognitive functioning. This occurs despite subjective and objective evidence of effort allocation in chronic fatigue syndrome, suggesting that patients have reduced working memory capacity, or a greater demand to monitor cognitive processes, or both. Further insight into the pathophysiology of the core complaints in chronic fatigue syndrome is likely to be realised by studying the effects of exercise on other aspects of everyday functioning.  相似文献   

20.
The present investigation examined passive torque and electromyographic response in human skeletal muscle during passive static stretch within 60 s after maximal repetitive eccentric and concentric contractions. Passive torque (Nm) offered by the hamstring muscle group was measured during passive knee extension in a modified dynamometer in 10 subjects. The distal thigh was elevated to 0.52 rad from horizontal and the backrest was positioned at 1.57 rad. The lever arm moved the leg passively at 0.09 rad s-1 from a starting position of 1.48 rad below horizontal to the final position where it remained stationary for 90 s. Gross electrical activity of the human hamstring muscle group was recorded simultaneously. The effect of concentric or eccentric contraction was tested on separate days. Two stretch manoeuvres with a 45 min hiatus were administered on a control and experimental side. The experimental side performed 40 maximal effort repetitive concentric or eccentric hamstring muscle contractions at 1.05 rad s-1 prior to the second stretch. Passive torque during the 90 s stretch declined 30-35% on the experimental and control side in all stretches, P < 0.001, without a significant effect of prior contraction mode. Passive peak and final torques were lower on the experimental side, P < 0.01 after concentric contractions. Passive peak and final torques remained unchanged after eccentric contractions on the experimental side. The low level EMG response of the hamstring muscle during the stretch was unchanged after maximal repetitive concentric or eccentric contractions. These data demonstrate acute contraction specific alteration in passive torque in human skeletal muscle, which cannot be accounted for by EMG activity. Furthermore, the lack of difference on the control side implies that one 90 s stretch has no effect on passive torque of the muscle 45 min later.  相似文献   

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