研究生: |
楊昌斌 |
---|---|
論文名稱: |
一氧化氮對肌腱損傷後復健的影響 |
指導教授: |
謝伸裕
Hsieh, Shen-Yu 林嘉志 Lin, Chia-Chih |
學位類別: |
碩士 Master |
系所名稱: |
體育學系 Department of Physical Education |
論文出版年: | 2002 |
畢業學年度: | 90 |
語文別: | 中文 |
中文關鍵詞: | 運動復健 、一氧化氮 |
論文種類: | 學術論文 |
相關次數: | 點閱:250 下載:10 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
摘 要
對需於短時間將傷害復健的運動員而言,傳統的復健療程仍太長。本實驗透過動物模式,橫向割斷大鼠的阿基里斯肌腱,3天後進行運動復健及一氧化氮(NO)處裡,為期共19天,觀察復原情形。復健方式:每天游泳一次,每次15分鐘。本實驗以36隻大鼠隨機分為六組:控制運動組、控制不運動組、SNP(NO促進劑)運動組、SNP不運動組、L-NAME(NO抑制劑)運動組、L-NAME不運動組。結果發現:依阿基里斯腱功能評估指數發現恢復快慢次序分別為SNP運動組(-0.6+3.2)、SNP不運動組(-6.3+2.7)、控制運動組(-13.7+4.2)、L-NAME運動組(-23.9+4.3)、控制不運動組(-26+3.2)、L-NAME不運動組(-33.0+6.0)。SNP運動組、控制運動組與L-NAME運動組三組間均達顯著差異水準;SNP運動組與SNP不運動組間也達顯著差異水準。結論:肌腱損傷時,給予SNP能促進NO量,配合運動復健,對受傷組織功能恢復的最有利。但如果抑制NO的合成,會延緩運動復健時肌腱功能的恢復。
關鍵詞:NO、SNP、L-NAME、運動復健
The Effect of Nitric Oxide on Tendon Injury Rehabilitation
June , 2002 Graduate student:Chang-Bin Yang
Advisor:Sandy Shen-Yu Hsieh
Advisor:Jia-Zhi Lin
Abstract
Fast recovery is very important for athlete with muscular injury. However,
Traditional method of rehabilitation usually takes a long time. This experiment used an animal model by cutting off the rat's Achilles tendon in order to observe that nitric oxide (NO) and swimming exercise have any effect on tendon healing. Thirty-six rats were randomly assigned into 6 groups:control with exercise, control without exercise, SNP(NO doner)treatment with exercise, SNP treatment without exercise, L-NAME(NOS inhibiter)treatment with exercise, L-NAME treatment without exercise. The exercise was swimming for 15 minutes each day for 19 days. The Achilles tendon recovery rate as indicated by Achilles Function Index were:SNP treatment with exercise group(-0.6+3.2),SNP treatment without exercise group(-6.3+2.7),control with exercise group(-13.7+4.2),L-NAME treatment with exercise group(-23.9+4.3),control without exercise group(-26+3.2),L-NAME treatment without exercise group(-33.0+6.0).There are significant different among SNP treatment with exercise ,control with exercise and L-NAME treatment with exercise. Significant different between SNP treatment with exercise and SNP treatment without exercise is also observed. Conclusion:With tendon injury, treating with SNP and rehabilitation exercise is the most effective method for tendon's functional recovery. However, inhibit the NO synthesis will delay the recovery process.
Key words:NO,SNP,L-NAME, rehabilitation exercise
引用文獻
中文部分
林嘉志。(1999)。運動訓練對氧化態低密度脂蛋白抑制流體媒介之血管舒張作用的生理影響(P.11)。未出版博士論文。國立台灣師範大學體育研究所,台北市,台灣。
徐中盈。(1999)。運動治療學:基礎與技術(26-27頁)。台北市:合記圖書出版社。
劉可威。(1999)。高壓氧如何促進傷口癒合。國防醫學,30(6),518-522。
西文部分
Albina, J.E., Mills, C.D., Barbul A, Thirkill, C.E., Henry, W.L., Mastrofrancesco, B., Caldwell, M.D. (1988). Arginine metabolism in wounds . American Journal of Physical Medicine & Rehabilitation, E459-467.
Albina, J.E., Mills, C.D., Henry, W.L. , Caldwell, M.D. (1990). Temporal expression of different pathways of L-arginine metabolism in healing wounds . Journal of Immunology, 144, 3877-3880.
Beskin, J. L., Sanders, R.A., Hunter, S.C., and Hughston, J.C. (1987). Surgical repair of Achilles tendon ruptures. American Journal of Sports Medicine, 15, 1-8.
Burroughs, P., Laurence, E. (1990).The effect of enforced exercise on the healing of ligament injuries. American Journal of Sports Medicine, 18, (4), 376-378.
Best, T.M., Collins, A., Lilly, E.G., Seaber , A.V., Goldner, R.D., and Murrell, G.A.C.(1993). Achilles tendon healing: a correlation be-tween functional and mechanical performance in the rat . Journal of Orthopaedic Research, 11, 897-906.
Carter, T.R., Fowler, P.J., and Blocker, K.(1990). Functional post-
operative treatment after Achilles tendon repair . American Journal of Sports Medicine, 18, 544.
Chirpaz-Oddou, M.F., Favre-Juvin, A., Flore, P., Eterradossi, j., Delaire, M., Grimbert, F. and Therminarias, A.(1997).Nitric oxide response in exhaled air during an incremental exhaustive exercise . Journal of Applied Physiology, 82,(4), 1311-1318.
Hruska, R.E., Kennedy, A.V., and Urbaniak, J.R.(1979). Quantitative aspects of normal locomotion in rats . Life Science, 25, 171-180.
Jozsa, L., Lehto, M., Kannus, P., Kvist, M., Reffy, A., Vieno, T., Jarvinen, M, Demel, S., Elek, E. (1989) . Fibronectin and laminin in Achilles tendon . Acta Orthopaedica Scandinavica, 60, 469-471.
Gelberman, R.H., Vandeberg, J.S., Manske, P.R., Akeson, W.H. (1985). The early stages of flexor tendon healing: A morphologic study of the first fourteen days. The Journal of Hand Surgery, 10, 776-784.
Gleperin, A.(1993). Nitric oxide mediates network oscillations of olfactory interneurons in a terrestrial mollusc. Nature ,369, 61–63.
Green, D. J., Fowler, D. T., O’dricoll, J. G., Blanksby, B. A. and Taylor, R.R.(1996). Endothelium-derived nitric oxide activity in forearm vessels of tennis players. Journal of Applied Physiology, 81,(2), 943-948.
Knowles, R.G., Palacios, M., Palmer, R.M., Moncada, S.(1989). Formation of nitric oxide from L-arginine in the central nervous system: a transduction mechanism for stimulation of the soluble guanylate cyclase. Proceedings of the National Academy of Sciences of the United States of America, 86, 5159–5162.
Kolpakov, V., Gordon, D., Kulik, T. J. (1993) . Nitric oxide-generating compounds innibit total protein and collagen synthesis in cultured vascular smooth muscie cells . Circulation Research, 76, 305-309.
Kingwell, B. A., Bridget S., Garry L.J., and Anthony, M.D.(1997). Four weeks of cycle training increases basel production of nitric oxide from the forearm. American Journal of Physiology, 272, H1070-1077.
Lowenstein, C. J., and Snyder, S. H. (1992). Nitric oxide , a novel biologic messenger . Cell, 70, (5) , 705-707.
Lowenstein, C.J., Glatt, C.S., Bredt, D.S., Snyder, S.H.(1992). Cloned and expressed macrophage nitric oxide synthase contrasts with the brain enzyme. Proceedings of the National Academy of Sciences of the United States of America, 89, 6711–6715.
Leadbetter, W.B. (1992) . Cell-matrix response in tendon injury . Clinics in Sports Medicine, 11, 533-578.
McCarthy, M.R., Best, T.M., Goldner, R.D.(1992). The clinical use of continuous passive motion in physical therapy . Journal of Orthopaedic and Sports Physical Therapy ,15, 132.
Moncada, S., Higgs, A.(1993).The L-arginine-nitric oxide pathway. The New England Journal of Medicine, 329, 2002–2012.
Murrell, G.A.C., Lilly, E.G., Daves, H., Best, T.M., Goldner, R.D., and Seaber, A.V.(1992). The achiles functional index . Journal of Orthopaedic Research ,10, 398-404.
Murrell, G.A.C., Phil, D. (1993). Achilles tendon injuries:A comparison of surgical repair versus no repair in a rat model . Foot & Ankle, 14,(7),400-406.
Murrell, G.A.C., Szaba, C., Hannafin, J.A., Jang, D., Dolan, M.M., Deng, X., Murrel, D.F., and Warren, R.F.(1997).Modulation of tendon healing by nitric oxide. Inflammation Research, 46,(1), 19-27.
Murrell, G.A.C., Phil, D., Jang, D., Deng, X.H., Hannafin, J.A., and Warren, R.F.(1998). Effects of exercise on Achilles tendon healing
in a rat model . Foot & Ankle Internationl ,19,(9), 598-603.
Nathan, C.F., Hibbs, J.B.(1991). Role of nitric oxide synthesis in macrophage antimicrobial activity. Current Opinion in Immunology, 3, 65–70.
Rand, M.J.(1992). Nitrigenic transmission: nitric oxide as a mediator of non-adrenergic, non-cholinergic neuro-effector transmission. Clinical and Experimental Pharmacology & Physiology, 19, 147–169.
Reichner, J.S., Meszaros, A.J., Louis, C.A., Henry, W.L.Jr., Mastrofrancesco, B., Martin, B.A., Albina, J.E.(1999). Morecular and metabolic evidence for the restricted expression of inducibe nitric oxide synthase in healing wounds . American Journal of Pathology 154,(4), 1097-1104.
Roberts, Christian K., R. James Barnard, Arnie Jasman, and Thomas W. Balon.(1999). Acute exercise increase nitric oxide synthase activity in skeletal muscle . American Journal of Physiology, 277, E390-394.
Salter, R.B., Hamilton, H.W., Wedge, J.H., Tile, M., Torode, I.P., O'Driscoll, S.W., Murnaghan, J.J., Saringer, J.H.(1984). Clinical application of basic research on continuous passive motion for disorders and injuries of synovial joints . Journal of Orthopaedic Research ,1, 325.
Stamler, J.S., Singel, D.J., Loscalzo, J.(1992). Biochemistry of nitric oxide and its redox-activated Forms . Science, 258, (5090), 1898-1902.
Shew, R.L., Papka, R.E., McNeill, D.L., Yee, J.A.(1993). NADPH-diaphorase- positive nerves and the role of nitric oxide in CGRP relaxation of uterine contraction. Peptides, 14, 637–641.
Szabo, C., Wu, C., Mitchell, J.A., Gross, S.S., Thiemermann, C., Vane, J.R. (1993). Platelet-activating factor contributes to the induction
of nitric oxide synthase by bacterial lipopolysaccharide. Circulation Research, 73, 73.
Sessa, W.C., Pritchard, K., Seyedi, N., Wang, J. and Hintze, T.H.(1994). Chronic exercise in dog increases coronary vascular nitric oxide production and endothelial cell nitric oxide synthase gene expression . Circulation Research, 74, 349-353.
Schaffer, M.R., Efron, P.A., Thornton, F.J., Klingel, K., Gross, S.S., Brabul, A.(1997). Nitric oxide , an autocrine regulator of wound fibroblast synthetic function . Journal of Immunology, 158, (5), 2375-2381.
Turner, C.H., Takano, Y., Owan, I., Murrell, G.A,.(1996). Nitric oxide inhibitor L-NAME suppresses mechanically induced bone formation in rats . American Journal of Physiology, 270, (4 Pt 1), E634-E639.
Thornton, F. J., Schäffer, M. R., Witte, M. B., Moldawer, L. L., Mackay,
S. L. D., Abouhamze, A., Tannahill, C. L., and Barbul. A.(1998).
Enhanced collagen accumulation following direct transfection of the inducible nitric oxide synthase gene in cutaneous wounds. Biochemical and Biophysical Research Communications, 246, 654-659.
Vodovotz, Y., Russell, D., Xie, Q-W., Bogdan, C., Nathan, C.(1995). Vesicle membrane association of nitric oxide synthase in primary mouse macrophages . Journal of Immunology, 154, 2914-2925.