maturation

成熟期
  • 文章类型: Journal Article
    对于青少年足球运动员,良好的短跑和跳跃能力对他们的运动表现至关重要。补强训练在青少年足球运动员爆发力上的应用取决于成熟阶段,可以调解训练引起的适应。
    本系统综述和荟萃分析旨在探讨塑形训练对青少年足球运动员下肢爆发力的成熟效应,以垂直逆动跳跃(CMJ)和20米短跑为主要结果指标。
    对包括PubMed在内的各种数据库进行了广泛的文献搜索,WebofScience,Scopus,ProQuest,和中国国家知识基础设施(CNKI),涵盖从每个数据库建立到2023年2月6日的时间段。搜索是使用英语关键字进行的,例如\'Plyometric,\'\'青少年,\'\'足球,\'和\'爆炸强度。本研究利用Cochrane偏差风险评估工具对所有纳入文献进行标准化质量评估。此外,使用ReviewManager5.4软件对所有提取的数据进行数据分析。
    共17项研究,涉及681名10至19岁的青少年足球运动员。高度测量训练显著提高了CMJ在不同成熟阶段的表现,特别是在峰后高度速度阶段(POST-PHV)[MD=4.35,95%CI(2.11,6.59),P<0.01,I2=60%]。峰值前高度速度阶段(PRE-PHV)显示次优改善[MD=3.00,95%CI(1.63,4.37)],而中峰高度速度阶段(MID-PHV)显示出最小的改善[MD=2.79,95%CI(1.16,4.41),P<0.01,I2=49%]。然而,仅在PRE-PHV中观察到20m冲刺能力的改善[MD=-0.06,95%CI(-0.12,0),P<0.01,I2=0%]和MID-PHV[MD=-0.18,95%CI(-0.27,-0.08),P<0.01,I2=0%]阶段。
    光学训练是提高青少年足球运动员下肢爆发力的有效策略,训练效果与运动员的生理成熟度密切相关。考虑生物成熟度是本研究认为对于为这些青少年球员制定有效的培训计划至关重要的关键方面。
    UNASSIGNED: For adolescent soccer players, good sprinting and jumping abilities are crucial for their athletic performance. The application of plyometric training on boosting explosive strength in adolescent soccer players is contingent upon the maturation phase, which can mediate the training-induced adaptations.
    UNASSIGNED: This systematic review and meta-analysis aim to explore the maturation effect of plyometric training on the lower limb explosive power of adolescent soccer players, with vertical countermovement jump (CMJ) and 20-m sprint as the main outcome indicators.
    UNASSIGNED: An extensive search of the literature was carried out on various databases including PubMed, Web of Science, Scopus, ProQuest, and the China National Knowledge Infrastructure (CNKI), covering the time period from the establishment of each database to February 6, 2023. The search was conducted using English keywords such as \'Plyometric,\' \'Adolescent,\' \'football,\' and \'Explosive strength.\' This study utilized the Cochrane risk of bias assessment tool to conduct a standardized quality evaluation of all the included literature. Additionally, the Review Manager 5.4 software was employed to perform data analysis on all the extracted data.
    UNASSIGNED: A total of 17 studies involving 681 adolescent soccer players aged 10 to 19 were included. Plyometric training significantly improved CMJ performance across different maturation stages, especially in the post-peak height velocity stage (POST-PHV) [MD = 4.35, 95 % CI (2.11, 6.59), P < 0.01, I2 = 60 %]. The pre-peak height velocity stage (PRE-PHV) showed the next best improvement [MD = 3.00, 95 % CI (1.63, 4.37)], while the middle-peak height velocity stage (MID-PHV) showed the least improvement [MD = 2.79, 95 % CI (1.16, 4.41), P < 0.01, I2 = 49 %]. However, improvements in 20 m sprint ability were only observed in the PRE-PHV [MD = -0.06, 95 % CI (-0.12, 0), P < 0.01, I2 = 0 %] and MID-PHV [MD = -0.18, 95 % CI (-0.27, -0.08), P < 0.01, I2 = 0 %] stages.
    UNASSIGNED: Plyometric training serves as a potent strategy for boosting the lower limb explosive strength of adolescent soccer players, and the training effect is closely related to the players\' biological maturity. Considering biological maturity is a key aspect that this study deems essential for the formulation of effective training programs for these adolescent players.
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  • 文章类型: Systematic Review
    目的:尽管很明显,隧道透析导管(TDC)的既往病史会影响动静脉瘘(AVF)功能,尚不清楚其位置(AVF的对侧和同侧)是否对AVF成熟和失败率有任何影响.我们旨在记录这种可能的影响。
    方法:本系统综述和荟萃分析按照PRISMA指南进行。研究比较对侧TDC患者(CONTRA组)和同侧TDC患者(IPSI组)的结局。对比值比(OR)进行随机效应模型荟萃分析。主要结果是AVF功能成熟,辅助成熟,和故障率。
    结果:4项纳入763例患者的合格研究纳入荟萃分析。在AVF功能成熟方面没有显着差异(OR:1.49;95%CI:0.64-3.47;I2=83.4%),辅助成熟(OR:0.59;95%CI:0.29-1.19;I2=61.4%),2个研究组的失败率(OR:0.67;95%CI:0.29-1.58;I2=83.3%)。
    结论:TDC侧向性似乎不影响需要TDC放置和并发AVF产生的患者的瘘管成熟率。而是,静脉和患者相关特征可能在选择TDC进入部位中起更重要的作用。需要进一步的研究来验证这些结果。
    BACKGROUND: Although it is evident that a prior history of tunneled dialysis catheter (TDC) affects arteriovenous fistula (AVF) function, it is unclear whether its location (contralateral versus ipsilateral to AVF) has any effect on AVF maturation and failure rates. We aimed to document this possible effect.
    METHODS: This systematic review and meta-analysis were performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies comparing outcomes between patients with contralateral TDC (CONTRA group) and those with ipsilateral one (IPSI group) were examined for inclusion. A random effects model meta-analysis of the odds ratio (OR) was conducted. Primary outcomes were AVF functional maturation, assisted maturation, and failure rates.
    RESULTS: Four eligible studies comprising 763 patients were included in the meta-analysis. There were no significant differences in terms of AVF functional maturation (OR: 1.49; 95% confidence interval [CI]: 0.64-3.47; I2 = 83.4%), assisted maturation (OR: 0.59; 95% CI: 0.29-1.19; I2 = 61.4%), and failure rates (OR: 0.67; 95% CI: 0.29-1.58; I2 = 83.3%) between the 2 study groups.
    CONCLUSIONS: TDC laterality seems not to affect fistula maturation rate in patients requiring TDC placement and concurrent AVF creation, but rather, vein- and patient-related characteristics might play a more important role in choosing TDC access site. Further studies are needed to validate these results.
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  • 文章类型: Journal Article
    KarthikDhandapaniEwing肉瘤出现在骨骼(最常见)和软组织中,通常影响年轻人。肿瘤由在免疫组织化学(IHC)上显示CD99和FLI1阳性的小圆形细胞组成。我们描述了尤因肉瘤化疗后神经节细胞分化,这是一种罕见的现象。一名13岁女孩出现胸壁肿块。在与IHC相关的活检中,诊断为尤因肉瘤.她接受了新辅助化疗,然后切除了肿瘤。在微观评估上,肿瘤表现出明显的神经节分化,并表达神经元标志物。尽管化疗后成熟是其他原始儿科肿瘤预后较好的公认发现,这种神经分化是罕见的,只有少数病例报道在尤因肉瘤化疗后和前。这种似乎更好的分化的临床意义和预后尚未确定,需要阐明。
    Karthik DhandapaniEwing sarcoma arises in both bones (most common) and soft tissues and it commonly affects young adults. The tumor is composed of small round cells showing positivity for CD99 and FLI1 on immunohistochemistry (IHC). We describe ganglion cell differentiation post-chemotherapy in Ewing sarcoma which is a rare phenomenon. A 13-year-old girl presented with a chest wall mass. On biopsy correlating with IHC, the diagnosis was rendered as Ewing sarcoma. She underwent neoadjuvant chemotherapy followed by resection of the tumor. On microscopic evaluation, the tumor showed prominent ganglionic differentiation with expression of neuronal markers. Although maturation post-chemotherapy is an established finding with better prognosis in other primitive pediatric tumors, such neural differentiation is rare with only a few case reports in Ewing sarcoma both post- and pre-chemotherapy. Clinical significance and prognosis of such differentiation which appear to be better are not yet established and needs to be elucidated.
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  • 文章类型: Meta-Analysis
    背景:绝经后泌尿生殖系统综合征(GSM)是绝经后常见且令人不安的问题。与血管舒缩症状不同,它有一个进步的趋势。我们的研究旨在评估催产素凝胶与安慰剂凝胶在绝经后女性GSM中的疗效和安全性。
    方法:综合来自WebofScience的随机对照试验(RCT)的系统综述和荟萃分析,Scopus,PubMed,和Cochrane中央对照试验注册数据库,2023年1月18日。关键词如“催产素,\"\"阴道内,\"\"阴道,\"\"萎缩,使用了“”和“萎缩”。我们在分析中使用了ReviewManager(RevMan)5.4版。我们将风险比(RR)用于二分结果,将平均差(MD)用于连续结果;两者均以相应的95%置信区间(CI)表示,并使用Mantel-Haenszel或逆方差统计方法计算。使用Cochrane的Q检验和I2统计量作为统计不一致性和异质性的度量。RCT的Cochrane偏差风险工具用于纳入研究的质量评估。
    结果:纳入7项研究,共631例患者。关于成熟指数,催产素组的增加具有统计学意义(MD=12.34,95%CI(-12.52-37.19),P=0.33)。临床评估的阴道萎缩显示催产素组显著减少(RR=0.32,95%CI(0.23-0.10),P<0.00001)。对于性交困难,阴道pH,和阴道萎缩的组织学评估,两组间差异有统计学意义(RR=1.02,95%CI(0.82-1.27),P=0.84),(MD=-0.74,95%CI(-1.58-0.10),P=0.08),和(MD=-0.38,95%CI(-0.82-0.06),P=0.09),分别。通过子宫内膜厚度测量,两组之间的安全性没有显着差异(MD=0.00,95%CI(-0.23-0.23),P=0.99)。
    结论:尽管催产素已被提出作为治疗GSM的雌激素的可行替代品,我们的研究结果正好相反.较大,需要高质量的RCT来确认或反驳我们的结果.
    背景:PROSPERO注册号CRD42022334357。
    Genitourinary syndrome of menopause (GSM) is a common and disturbing issue in the postmenopausal period. Unlike vasomotor symptoms, it has a progressive trend. Our study aims to evaluate the efficacy and safety of oxytocin gel versus placebo gel in postmenopausal women with GSM.
    A systematic review and meta-analysis synthesizing randomized controlled trials (RCTs) from Web of Science, SCOPUS, PubMed, and Cochrane Central Register of Controlled Trials databases on January 18, 2023. Keywords such as \"oxytocin,\" \"intravaginal,\" \"vaginal,\" \"atrophic,\" and \"atrophy\" were used. We used Review Manager (RevMan) version 5.4 in our analysis. We used the risk ratio (RR) for dichotomous outcomes and the mean difference (MD) for continuous outcomes; both were presented with the corresponding 95% confidence interval (CI) and were calculated with the Mantel-Haenszel or inverse variance statistical method. Cochrane\'s Q test and the I2 statistic were used as measures of statistical inconsistency and heterogeneity. The Cochrane Risk of Bias Tool for RCTs was used for the quality assessment of the included studies.
    Seven studies with 631 patients were included. Regarding the maturation index, there was a statistically insignificant increase in the oxytocin arm (MD = 12.34, 95% CI (-12.52-37.19), P = 0.33). Clinically assessed vaginal atrophy showed a statistically significant reduction in the oxytocin group (RR = 0.32, 95% CI (0.23 - 0.10), P < 0.00001). For dyspareunia, vaginal pH, and histological evaluation of vaginal atrophy, there was a statistically insignificant difference between the two groups (RR = 1.02, 95% CI (0.82-1.27), P = 0.84), (MD = -0.74, 95% CI (-1.58-0.10), P = 0.08), and (MD = -0.38, 95% CI (-0.82-0.06), P = 0.09), respectively. There was no significant difference in the safety profile between the two groups as measured by endometrial thickness (MD = 0.00, 95% CI (-0.23-0.23), P = 0.99).
    Although oxytocin has been proposed as a viable alternative to estrogen in the treatment of GSM, our findings show the opposite. Larger, high-quality RCTs are needed to confirm or refute our results.
    PROSPERO registration number CRD42022334357.
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  • 文章类型: Journal Article
    卵母细胞是生命的基础,支持从受精细胞到独立的多细胞生物的发育。卵母细胞在受精后驱动第一个细胞周期的能力对胚胎存活和随后的成功妊娠至关重要。再加上毛囊组装的复杂过程,激活,分化,增长,和最终成熟,卵母细胞发育能力是在卵母细胞生长和减数分裂成熟过程中逐渐获得的。大多数生殖管理技术和干预措施都围绕着这些高度协调的过程,靶向卵泡和卵母细胞。因此,我们的目标是强调牛卵母细胞和卵泡发育的关键方面,并讨论以卵母细胞和卵泡为中心的生殖生物技术的最新进展。
    The oocyte is the basis of life, supporting development from a fertilized cell to an independent multicellular organism. The oocyte\'s competence to drive the first cell cycles postfertilization are critical to embryonic survival and subsequent successful pregnancy. Coupled with the complex processes of follicle assembly, activation, differentiation, growth, and terminal maturation, oocyte developmental competence is gradually acquired during oocyte growth and meiotic maturation. Most reproduction management technologies and interventions are centered around these highly coordinated processes, targeting the ovarian follicle and the oocyte within. Thus, our objective was to highlight key aspects of oocyte and follicle development in cattle, and to discuss recent advances in oocyte and follicle-centered reproductive biotechnologies.
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  • 文章类型: Journal Article
    本研究旨在回顾青少年田径(TAF)运动员的生理方面。2022年12月27日使用语法ABS(田径)和ABS(儿童)或ABS(青少年)搜索Scopus显示121个文档,和45个被考虑进行进一步分析。此外,进行了人工搜索,以识别Scopus中丢失的俄罗斯文学。不同学科的表现特征表现出差异,尤其是投掷者和其他运动员之间。性能上的性别差异(即,男孩比女孩的表现更好)始于青春期早期。在13岁以下的运动员中,相对年龄效应更为明显。尽管营养补充剂的广泛使用,发现维生素摄入不足。训练开始的年龄和体重被确定为初潮问题的危险因素。在体育教育中纳入田径训练计划有利于健康和身体健康。确定了与父母和教练密切合作的必要性,尤其是,关于培训开始年龄等主题的教育,相对年龄效应,和兴奋剂。总之,存在许多具有不同人体测量和生理特征的学科,这凸显了对特定学科方法的需求。
    The present study aimed to review the physiological aspects of adolescent track-and-field (TAF) athletes. A search of Scopus on 27/12/2022 using the syntax ABS (track-and-field) AND ABS (children) OR ABS (adolescent) showed 121 documents, and 45 were considered for further analysis. In addition, handsearching was conducted to identify Russian literature missing in Scopus. Differences were shown in performance characteristics among disciplines, especially between throwers and the other athletes. The sex difference in performance (ie, a better performance in boys than in girls) started in early adolescence. A relative age effect was more pronounced in athletes under 13 years old. Despite the wide use of nutritional supplements, an insufficient intake of vitamins has been found. The age of training onset and body weight were identified as risk factors for problems with menarche. The inclusion of track-and-field training programs in physical education was beneficial for health and physical fitness. The need to collaborate closely with parents and coaches was identified, especially, regarding education in topics such as the age of training onset, relative age effect, and doping. In conclusion, the existence of many disciplines with different anthropometric and physiological characteristics highlighted the need for a discipline-specific approach.
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  • 文章类型: Journal Article
    肾脏类器官具有彻底改变肾脏疾病治疗的潜力。然而,它们的生长和成熟受到血管生长不足的阻碍。通过PubMed搜索,我们已经确定了34项试图应对这一挑战的研究.研究人员正在探索各种方法,包括动物移植,器官芯片,和细胞外基质(ECM)。促进类器官成熟和血管化的最普遍方法包括将它们移植到动物体内进行体内培养。为宿主和类器官之间的类器官生长和嵌合血管网络的发展创造最佳环境。芯片上器官技术允许类器官的体外培养,使研究人员能够操纵微环境并研究影响类器官发育的关键因素。最后,已经发现ECM有助于在类器官分化期间形成血管。来自动物组织的ECM特别成功,尽管潜在的机制需要进一步的研究。基于这些最新研究的未来研究可能能够产生用于替代疗法的功能性肾组织。
    Kidney organoids possess the potential to revolutionize the treatment of renal diseases. However, their growth and maturation are impeded by insufficient growth of blood vessels. Through a PubMed search, we have identified 34 studies that attempted to address this challenge. Researchers are exploring various approaches including animal transplantation, organ-on-chips, and extracellular matrices (ECMs). The most prevalent method to promote the maturation and vascularization of organoids involves transplanting them into animals for in vivo culture, creating an optimal environment for organoid growth and the development of a chimeric vessel network between the host and organoids. Organ-on-chip technology permits the in vitro culture of organoids, enabling researchers to manipulate the microenvironment and investigate the key factors that influence organoid development. Lastly, ECMs have been discovered to aid the formation of blood vessels during organoid differentiation. ECMs from animal tissue have been particularly successful, although the underlying mechanisms require further research. Future research building upon these recent studies may enable the generation of functional kidney tissues for replacement therapies.
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  • 文章类型: Journal Article
    近年来,儿童和青少年的跑步人数急剧增加,需要更好地了解这个人群的跑步步态;然而,这方面的研究还很有限。在儿童和青少年时期,存在多种因素,这些因素可能会影响和塑造儿童的跑步机制,并导致跑步模式的高度可变性。这篇叙述性综述的目的是聚集在一起,评估目前关于影响整个青少年发育过程中跑步步态的不同因素的证据。因素被归类为有机,环境,或与任务相关的。年龄,身体质量和组成,和腿长是研究最多的因素,所有证据都支持对跑步步态的影响。性,培训,鞋类也得到了广泛的研究;然而,尽管有关鞋类的发现都支持对跑步步态的影响,关于性和培训的观点不一致。其余因素进行了适度的研究,除了强度,感知到的努力,以及证据特别有限的运行历史。然而,所有人都支持对跑步步态的影响。跑步步态是多因素的,所讨论的许多因素可能是相互依存的。因此,在单独解释不同因素的影响时应谨慎。
    In recent years, running has dramatically increased in children and adolescents, creating a need for a better understanding of running gait in this population; however, research on this topic is still limited. During childhood and adolescence multiple factors exist that likely influence and shape a child\'s running mechanics and contribute to the high variability in running patterns. The aim of this narrative review was to gather together and assess the current evidence on the different factors that influence running gait throughout youth development. Factors were classified as organismic, environmental, or task-related. Age, body mass and composition, and leg length were the most researched factors, and all evidence was in favour of an impact on running gait. Sex, training, and footwear were also extensively researched; however, whereas the findings concerning footwear were all in support of an impact on running gait, those concerning sex and training were inconsistent. The remaining factors were moderately researched with the exception of strength, perceived exertion, and running history for which evidence was particularly limited. Nevertheless, all were in support of an impact on running gait. Running gait is multifactorial and many of the factors discussed are likely interdependent. Caution should therefore be taken when interpreting the effects of different factors in isolation.
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  • 文章类型: Journal Article
    青春期是一个以大脑持续发育为标志的过渡阶段。这个时期伴随着海马体形状和功能的物理和神经化学修饰,前额叶皮质,和其他边缘系统结构。青春期的大脑成熟,这通常是由内在因素控制的,药物和酒精等环境影响会极大地改变。与许多其他成瘾物质不同,酗酒在青少年和年轻人中非常普遍和规范。这种青少年过度饮酒的重复模式已被证明会导致行为改变和神经认知障碍,包括焦虑增加,冒险的决策,和学习缺陷,这可能导致酒精使用障碍(AUD)的发展。这份手稿强调了导致青少年暴饮暴食的因素,讨论了青少年大脑中发生的成熟变化,然后评估青少年饮酒对大脑结构的影响,函数,人类研究和动物模型中的神经认知能力。简要讨论了性别/性别和COVID-19的影响。了解促进青少年暴饮暴食的因素及其不良后果可以作为开发治疗剂的催化剂,这些治疗剂可以减少或消除酒精对青少年大脑的破坏性影响。
    Adolescence is a transitional stage marked by continued brain development. This period is accompanied by physical and neurochemical modifications in the shape and function of the hippocampus, prefrontal cortex, and other limbic system structures. Brain maturation during adolescence, which is typically governed by intrinsic factors, can be dramatically altered by environmental influences such as drugs and alcohol. Unlike many other addictive substances, binge drinking is very common and normative among teenagers and young adults. This repeated pattern of excessive alcohol consumption in adolescents has been shown to cause behavioral changes and neurocognitive impairments that include increased anxiety, risky decision-making, and learning deficits, which could lead to the development of alcohol use disorder (AUD). This manuscript highlights factors that lead to adolescent binge drinking, discusses maturational changes that occur in an adolescent\'s brain, and then evaluates the effect of adolescent alcohol consumption on brain structure, function, and neurocognitive abilities in both human studies and animal models. The impact of gender/sex and COVID-19 are briefly discussed. Understanding the factors that promote the onset of adolescent binge drinking and its undesirable consequences could serve as a catalyst for developing therapeutic agents that would decrease or eradicate the damaging effects of alcohol on an adolescent brain.
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  • 文章类型: Systematic Review
    拮抗剂共激活是在运动任务期间激动剂和拮抗剂肌肉的同时激活。与年龄相关的共激活变化可能导致儿童和成人之间观察到的肌肉性能差异。我们的目的是系统地总结多关节动态和单关节等距和等速收缩过程中拮抗剂肌肉共激活的年龄相关差异。在电子数据库中搜索了同行评审的研究,比较了健康儿童和青少年/年轻人之间上肢或下肢肌肉的共激活。在最初确定的1083项研究中,25符合资格标准。13项研究检查了多关节动态运动,10个单关节等距收缩,和2个单关节等速收缩。在调查多关节动态收缩的研究中,83%(11/13研究)报告了至少一个与年龄相关的显着差异:在84%(9/11研究)中,儿童的共激活率较高,而16%(2/11研究)报告成人共激活较高。在单关节收缩中,只有25%(3/12研究)的儿童共激活显著增高.56%的研究检查了女性,没有明显的性别差异。在多关节动态收缩期间,儿童-成人在共激活方面的差异似乎更为普遍,一般来说,儿童的共激活率较高。当检查儿童-成人的肌肉功能差异时,重要的是要考虑潜在的年龄相关差异的共同激活,特别是在多关节动态收缩期间。
    Antagonist coactivation is the simultaneous activation of agonist and antagonist muscles during a motor task. Age-related changes in coactivation may contribute to observed differences in muscle performance between children and adults. Our aim was to systematically summarize age-related differences in antagonist muscle coactivation during multi-joint dynamic and single-joint isometric and isokinetic contractions. Electronic databases were searched for peer-reviewed studies comparing coactivation in upper or lower extremity muscles between healthy children and adolescents/young adults. Of the 1083 studies initially identified, 25 met eligibility criteria. Thirteen studies examined multi-joint dynamic movements, 10 single-joint isometric contractions, and 2 single-joint isokinetic contractions. Of the studies investigating multi-joint dynamic contractions, 83% (11/13 studies) reported at least one significant age-related difference: In 84% (9/11 studies) coactivation was higher in children, whereas 16% (2/11 studies) reported higher coactivation in adults. Among single-joint contractions, only 25% (3/12 studies) reported significantly higher coactivation in children. Fifty six percent of studies examined females, with no clear sex-related differences. Child-adult differences in coactivation appear to be more prevalent during multi-joint dynamic contractions, where generally, coactivation is higher in children. When examining child-adult differences in muscle function, it is important to consider potential age-related differences in coactivation, specifically during multi-joint dynamic contractions.
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