61 15-3/374
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`<l>E,[(EPAJlbHOE rocY ,[(APCTBEHHOE EIOJ:OI(ETHOE
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`«BEJIMKOJIYKCKMI rocY ~CTBEHHAfI AKA,nEMlliI <I>I13I¥IECKOM
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`EEIDIEB AH,[(PEH rEHHA,lU>EBWI
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`BJIIDIHHE MArHHTHOH CTIIMY JUID:HH HA CHJIOBLIE
`B03MO)KHOCTII CKEJIETHLIX Ml>IWU:
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`03.03.01 - q>H3HOJIOnra
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`,l1;HccepTa~IUI Ha COHCKam:Ie yqeHOH CTeneHH
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`KaH,n;H,n;aTa 6HonorHqeCKHX HayK
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`.n;mcrop 6HonomqecKHx HayK,
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`-2015
`
`LUMENIS EX1029
`Page 1
`
`

`

`2
`
`orJIABJIEHHE
`BBE~IIBE .............................................................................................................. 4
`r JIABA 1. 0B30P Jlli1'EP A TYPhI ......................................................................... 9
`1. 1. O6r.qaJI xapaKTepHCTHKa Mblme-crnon CHJibl .................................................. 9
`
`1.2. MeTO)J;bl pa3BHTIDI Mhlllle'CJ.HOH CHJII:,I ............................................................ 18
`
`1.3. MarIDITHaJI CTHMYJIHU.IDI B HCCJie)J;0BalIIDIX 'CJ.eJI0BeKa .................................. 27
`
`r JIABA 2. 0Pr AHM3Af.U151 M METO,nhl MCCJIE,[(0BAHIDI ......................... 35
`
`2.1. I<oHTHHreHT H opraHH3au;IDI HCCJie,n;oBaHIDI ................................................. 35
`
`2.2. MeTo.n.1:,1 Hccne.r:r;oBaHIDI ................................................................................. 3 6
`
`2.3. y CJI0BIDI perHCTpaIJ,HH 3JieKTpOMHOrpaqm-qecKHX napaMelp0B BO BpeM.SI
`npoBe,neHH.SI 3KcnepHMeHTa ....................................................... ~ .......................... 40
`
`2.4. MeTO,lJ.1:,1 MaTeMaTH'tJeCKOll CTanICTHKH ........................................................ .42
`
`f JIABA 3. 0C0BEHH0CTM BhI3BAHHbIX l\1bIIllEl.ffibIX 0TBET0B IIPM
`MAf1illTH0M I1 3JIEKTPI1IIECK0M CTifMY JUII..Uill
`IIEPM<I>EPWIECK0ro I-IEPBA ........................................................................... 43
`
`3 .1. H3MeHeHH.SI napaMe-rpoB Bbl3BaHHI:,IX MbUIIe'CJ.HbIX 0TBeT0B rrpH Y13enwi:eHHH
`c:0:n1:,1 o,nnoKpaTHOH MarHHTHOH a 3neKTpH'CJ.eCK0H cTHMYJIHU.HH n. tibial is ....... .44
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`3 .2. H3MeHeHIDI BeJIH'CJ.HHbl BpaiqaTeJibH0f0 M0MeHTa np:a Il0BbIIlleHHH 'CJ.aCT0Thl
`H HHTeHCHBH0CTH pHTMHqecKHX CTHMYJijJIJ.H0HHbIX B03,neiiCTBHll ..................... 50
`
`3.3. BJIIDIHHe MarHHTHO:H CTHMYIDIIJJiH Ha HMrryJibCHyro aKTHBH0CTb 0T,nem,HI:,IX
`,n;BMraTeJibHbIX e,nHHHU. m. gastrocnemius ............................................................ 58
`
`rJIABA 4. BJilUIHHE MArHMTH0CTMMYJifill;I10HH0M TPEHMP0BKM
`HA CH.IT0BbIE B03M0)KH0CTI1 CKEJIETHbIX Mblllll( ....... ~ ...................... 63
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`4.1. l13MeHeHHe IlOKa3aTeneii MbiilleqHOH CHm,I npH MarHHTHOH CTMM)'IDIU.HH
`MbIIIII.I; .........•...........•..........................................••................•.•......•.•.. , .............•..... 63
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`4.2. ,ll;HHaMHKa Mhlllle'CJ.HOH CHJibl nocne nper<pameHHH
`MarHHTHOCTMM)'JUlU.HOHHOH 'I'peHHp0BKH ..................................... ••••• •••.••••••.•.••••• 72
`
`fJIABA 5. O6CY)K,[\EHI1E PE3YJibTAT0B ...................................................... 80
`
`BhIB0~I ................................................................................................................ 89
`
`TIP AKTHlIECKME PEK0:t\,IBH~ ............................................................... 91
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`CIIBC0K JIBTEP ATYPhI ..................................................................................... 92
`
`LUMENIS EX1029
`Page 2
`
`

`

`3
`
`CilHCOK COKPA~EHHH
`
`AT<l> - aAeHo3HHTJ)IHpocq>0pHrui KHcnoTa
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`BMO - BbI3BaHHbIH MOTOpHbIH oTBeT
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`1'IBM - MaKCHMaJII>HbIH Bpa:maTeJU,HI>IH MoMeHT
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`MTI - ~oToHeiipoHHI>Iii nyn
`MTIC - MaKcHManhHIDI npoH3BOJibHasI cHJia
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`MC - MarHHTHrur CTHMYJUIUIDr
`PHK - p:a6oeyKJieHHOBruI. KHcrroTa
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`CIT - coMaToTponHI>IH ropMOH
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`T-TecrrI>I
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`l(H:C - ueHTpanhHaJI HepBHaJI cHcTeMa
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`3:Mf' - 3rreKTJ)OMHorpaMMa
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`3MC - 3JieKTpOMHOCTRMYIDIUIDI
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`3C - :meKrpH1:IecKrur CTHMYIDIUHJI
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`GM - RKpOHO)l(HaJI MI>Imu;a
`SOL- KaM6arroBHAHruI Mb1mua
`TA - nepeAHIDI 6om,me6epu;oBaJI MI>IIIIUa
`
`LUMENIS EX1029
`Page 3
`
`

`

`4
`
`BBE~HHE
`
`AirryaJihHOCTh HCCJIC,U:OBaHHSI. CHJIOBble B03M0)KH0CTH
`
`qeJI0BeKa
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`II03BOJUIIOT OKa3bIBaTJ, ~eJJeHanpaaIIeHHOe BJIIUIHHe Ha OKpy)KaJOIIzylO cpe,n;y H
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`o6ecrreqHBaTI, a.r(anTaI(1no opraHH3Ma qenoBeKa K pa:mFNHbIM ycnoBHHM ero
`(A.H.
`
`)KH3He.r(eHTeJThHOCTM Ha BCeX
`
`:nanax
`
`IlOCTHaTaJibHOrO OHToreHe3a
`
`Bopo61,ea, 1989; M.L. Foss, S.J. Keteyian, 2008; A.B. CaMcoHoBa, 2011; A.A.
`
`1IenHOKOB, 2014). Oco6o BIDKH0e 3HaqeHHe CHJI0Bbie B03M0)KH0CTH HMeI0T B
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`cnopTHBHOH ,n;e~ITeJII:.H0CTH, TaK KaK pe3yJII:.TaTT:,I B PHAe BH.r(0B cnopTa BO MH0r0M
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`onpe.r(eJUilOTCH CHJI0BI:.IMH cnoco6HOCT.SIMH cnopTCMeH0B (B.M. 3aI(FIOpCKHH,
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`2009; A.H. He1'pe6a FI ,n;p., 2011 ).
`K HacTo~IQeMY BpeMeHH HaKonneH 06u1apm,1ii 3KcnepHMeHTam,HbIH
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`MaTepmm 06 3cpcpeKTHBHOCTII pa3JIHllHbIX MeT0.r(0B H TI0,ro(0)];0B K pa3BHTHIO
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`c:0.noBbIX crroco6HocTeil: qerroBeKa (E.C. llleHKMaH H AP,, 2006; M.H. Stone et al.,
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`2007; B.E. qypcHHOB, 2011; OJI. BHHorpa,n;oBa H .n:p., 2014). HMeIOTCSI cBe.r(eHIDI
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`0 q_JH3HonornqecKHX MexaHH3Max, Jie)Ka~ B OCHOBe pa3BHTIDI CHJibl CKeneTHbIX
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`Ml>IIIII( (R.M. Enoka, 1988; IO.B. KopHrHHa, 2003; P.M. I'opo.n;HHqeB, 2005; J.
`
`Gondin et al., 2014).
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`l(eJibIH
`pSI,n; HCCJie,n;oBaHHH
`cneI(HaJIHCT0B
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`Herpa,n;HI(HOHHI:.IX MeTO,II;OB IIOBI:,IIIIemur CHJIOBbIX B03MO)KHOCTeH qeJIOBeKa (M.II.
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`PaToB, 1979; B.r. <l>e,n;oToBa, 2010; G. Attene et al., 2014), cpe,n;H K0Top1,1x
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`Han6orree BcecropoHHe 0ITHCaH:&I MeT0.r(:HqeCKHe Il0,II;X0,ll.bl K pa3BHTHIO CHJlbl
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`CKeneTHI:,IX MbIIIIll; nocpe.r(CTBOM HX 3ne:ccrpOCTHM)'JUII(HH B COCTO.SIHHH IIOKO.SI H
`IIpH Herrocpe,n.cTBeHH0M BI:.III0JIHeH.HH MbIIIIeqHo:a pa6on,I (.JI.M. KoI(, 1971; r.<1.>.
`KonecHHKOB, 1977; A.A. HHKonaeB, 1999; J. Gondin et al., 2005).
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`3neKTpOCTHMYJISII(HOHHIDI rpeHHp0BKa MbIIIIeqHOH CHJibl HMeeT HeK0T0pbie
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`.... ...,J[]..l'.L'1, CBJI3aHHbie c no.srnrreHHeM 6oneBbIX onzym;eHHH H .r(HCKOMcpopTa,
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`: t31:tKC>Hc,w1"e"'•n...... BbI3bIBaeMbIX B03,U.eHCTBHeM 3JieKrpHqecKoro pa3,U.paJKeHH.SI. TaKHe
`
`LUMENIS EX1029
`Page 4
`
`

`

`5
`
`He,n;ocTaTKH He CBOHCTBeHHI,I BblCOKOHHTeHCHBHOH MarHHTHOH CTHMYIDII(HH,
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`KOTOpaH no MeXaHH3MY B036y)K,n;eHH.H MI,ImeqHI,IX H Hepmn,ix KJieTOK aHaJior.aqHa
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`3JieKTpHqecKOH CTHMYJI.Hll;I1H. B CB5I3M C 3THM 6blJIM npoBe,n;eHbl :accne,n;oBaHH.sI no
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`H3yqemno BJIHHHHH CMCTeMaTHlieCKOH MarHHTHOH CTHMYJI.SII(HH CKeJieTHbIX Mblllil(
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`B COCTO.HHHH nOKO.SI Ha npO.SIBJieHHe CHJIOBbIX cnoco6HOCTeH y 3,D;OpOBbIX MOJIO,z:(hlX
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`mo,n;e:ii (P.M. ropo,n;HlftieB H
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`,n;p., 2007), KOTOpbie noKa3aJIH 3cpq>eKTHBHOCTb
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`MarHHTHOCTHMYIDIIl;IiOHHOH 1-peHHpOBKH Ha cmry CKeJieTHblX Mbillil(. IlpH TaKOH
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`TpeHHpOBKe Heo6xo,D;MMO B03,n;eiicTBOBaTb Ha Mblllil(y oqeHb MOIUHblMH
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`CTHMYJiaMM, HO TeXHHqecKHe B03MO)KHOCTH
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`,D;IDKe HOBeHIIlHX MarHHTHblX
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`onpe,n;erreHHoe
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`HHTeHCHBHbIX CTHM)'JIOB. C yqeTOM 3TOro o6c:ro.HTeJibCTBa H a.HaJIH3a CBe,n;eHHH
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`JIHTepazypbI npe,D;CTaBJI.HJIOCb onpaB,n;aHHblM H3yqHTh B03MO)KHOCTH H3MeHeHIDI
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`CMJIOBI>IX crroco6HOCTe:ii MbilliU nocpe,n;CTBOM 6onee cna6oro no HHTeHCHBHOCTH
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`MarHHTHoro B03,n;eii:cTBIDI Ha MblIIII(bI-aroHHCThl ,D;BH)KeHH.SI B npouecce ero
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`Henocpe,D;CTBeHHOrO BbIIlOJIHemra.
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`Oo'beKT HCCJIC)lOBaHUH - MexaHH3Mbl Bml.SIHIDI MarHHTHOH CTHM)'IDII.J;HH
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`MbIIIIU Ha HX q>yHKl(HOHaJibHbie CBOHCTBa.
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`Ilpe,nMeT UCCJIC)lOBaHHSI -
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`,D;HHaMHKa CHJIOBMX B03MO)KHOCTeii MbIIIIU npH
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`Bo3,n;eii:cTBHH MarHHTHOH CTHMYJIHUHH.
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`runoTe3a - npe,nnonaranocb, qTo pHTMiftiecKIDI MarHHTHruI CTHM)'JI.HUIDI
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`MbIIIIU, Bbl3bIBaIOIIJ;ruI aKTHBaumo ,nonoJIHHTeJibHbIX ABHraTeJII,HbIX e,nHHHI(, 6y,neT
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`cnoco6cTBOBaTb pa3BHTHIO MbimeqHQH CHJibI.
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`D;eJib pa60Tbl 3aKJiroqan:acb B H3yqeHHH B03MO:>KHOCTeH TIOBbillieHIDI
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`MbIIIletJHOH CHJibI rrocpe,n;CTBOM pHTMlfC{eCKOH MafHHTHOH CTHM)'IDIIJ,HH MbIIIIIJ, Ha
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`HX npoH3BOJ1bHOro COKpameHIDI.
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`3a)la"IH HCCJIC)lOBaHHH:
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`BbI5IBHTb
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`oco6eHHOCTH
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`pecpneKTOpHbIX MhIUietJHbIX OTBeTOB,
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`111.il:►13:E,IBa.eMblX HaHOCHMOH Ha nepHq>epH11eCKHH HepB O,D;HOKpaTHOH MarHHTHOH
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`•• , •. ...., ... ...,i. pa3JIHqHo:ii HHTeHCHBHOCTH.
`
`LUMENIS EX1029
`Page 5
`
`

`

`6
`
`2.
`
`JifayqHTb BJIIDIHHe pHTMHlieCKOH MamHTHOH CTHM)'JI51I.J;HH MblillU,
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`pa3nHqarom;eHC51 no qacT0Te H HHTeHCHBH0CTH CTHMYJI0B, Ha CHJI0Bble Mblllle'lJHble
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`cnoco6HocTH.
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`3. Orrpe,n;enHTb
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`oco6eHHOCTH H3MeHeHHH MbimeqHoii CHJihI npH
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`B03,D;eHCTBHH MarHHTHOH H 3JieKTpH'lJeCKOH CTHM)'IDIUHH C ueJibIO pa3pa6oTKH
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`0ilTHMaJibH0f0 pe)I(HMa MarHHTH0CTHM)'JIHI.J;HOHHOH Tpe~Hp0BKH ,D;JIH pa3BHTIDI
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`CHJI0BblX cnoco6HOCTeH MhIIIIU roneHH.
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`4. Hccne,n;oaaTh H3MeHeHHe
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`cHnoB.&rx cnoco6HocTeii qerroaeKa no,n;
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`BJIIDIHHeM eypca pHTMHlieCKOH MarHHTHOH CTHM)'IDIUHH, HaHOCHMOH Ha Ml>IIIII.I;bl
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`Henocpe,D;CTBeHH0 B xo,n;e HX C0KpameHHjl.
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`HayquaH HOBH3Ha. B pa6oTe nonyqeHbl H0BF.,Ie cse,n;emra 06 H3MeHeHHH
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`peq_>JieKTOpHOH B036y,n;HMOCTH MOTOHeiipOHOB CilHHHoro M03ra npH yBeJIHtieHHH
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`HHTeHCHBH0CTH O,D;HOKpaTHOH MarHHTHOH CTHM)'AAUHH nepmpepH1ieCKOfO HepBa.
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`IloKa3aHO, qTQ MaKCHManhHbie peqmeKTOpHble MbillleqHI,Ie 0TBeTbI, BhI3bIBaeMbie
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`BbIC0K0HHTeHCHBHbIM MarHHTHbIM B03,D;eHCTBHeM,
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`,D;0CTHfaIOTCjl npH MeHbIIIeM
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`npeBI,rmeHHH nopora, qeM B c.nyqae HCil0Jib30BaHlijl 3JieKT_PHqeCKOH CTHM)'AAUHH
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`nepmpepH'lleCKOfO HepBa.
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`B:wrnneHO MeHbrnee
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`ysenHlieHHe CHil0B0f0
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`BpaII(aTeJII,H0f0 M0MeHTa npH
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`Il0BbillleHHH qacT0Tbl H HHTeHCHBH0CTH
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`pHTMHqeCK0f0 MarHHTH0f0 B03,[(eHCTBIDI Ha Mbllll[(bl, qeM npH 3JieKTpH1ieCK0M
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`pa.3,n;pIDKeHHH H a TO
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`)Ke apeMjl 0TCJTCTBHe 6oneBI,IX H
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`,D;HCKOM<pOpTHbIX
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`ouzym;eHHH B ycn0BH.SIX HaHeceHIDI MarHHTHbIX CTHM)'JI0B. BnepBbie ycTaH0BJieHo,
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`tfT0
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`IDITHa)];[(anI,n;HeBHbIH
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`I<ypC MafHHTHOH CTIIM)'IDI[(HH CKeneTHbIX MhIIIIU,
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`ocymecTBAAeMOM Ha q>oHe HX np0H3B0ilbH0ro C0KpaII.J;eHHjl, Il0BbIIUaeT CHJI0Bbie
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`.. cnoco6HOCTH MbIIIIU, 0TpIDKaIOIUMeCH B npHp0cTe MaKCHMa.JibH0f0 CHJI0B0f0
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`; )l3parr(aTeJibH0f0 M0MeHTa H yBeJIH'lJeHHH M0II.J;H0CTH HHCX0MJIII.ero ,n;pai1:Ba Ha
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`y,,,-;
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`CilHHH0f0 M03ra. Onpe,n;eneHbl
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`1?:U~paMeTpOB 3JieKTpH"tJeCKOH aKTHBH0CTH MI:,IIIIU:, Ile)I(a!I~l'.le B 0CH0Be Il0BbIIIIeHH51
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`' HJII>!HX C0KpaII(eHIDI B pe3yJibTaTe MarHHTHOCTHMyIDIUHOHHOM T_PeHHp0BKH.
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`\ TeopeTHqecKaH 3HaqHMOCTb. Ilony-qeHHbie B pa6oTe ,n;aHH:&Ie pacmHpSIIOT
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`¢M~HHhie npe,n;cTaBJieHHH 0 MexaHH3MaX BilIDIHIDI BhIC0K0HHTeHCHBH0f0
`
`LUMENIS EX1029
`Page 6
`
`

`

`I
`
`7
`
`MarIDITHOro B03,ll.eHCTBJ:rn Ha opraHH3M qenoBeKa. CBe,ll.eHH.SI O
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`ITOBbiilleHHH
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`CHJlOBbIX crroco6HOCTeH rrocpe,l(CTBOM MarHHTHOCTHM)'JUIIJ,HOHHOH 'rpeHHpOBKH
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`M:blillll, HMeIOT 3HaqeHHe
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`,ll.IDI pa3BHTIDI TeopeTHqecKHX npe,ll.cTaBJieHHH O
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`cpaKTOpax, orrpe;::i;eIDIIOJI(HX 3<pcpeKTHBHOCTb pa3JIHqHI,IX no npHpO,l(e BHeillHHX
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`CTHMYIDIIJ,HOHHblX B03,D.eHCTBHH Ha HepBHO-Mbiillel.JHblll armapaT lfeJloBeKa.
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`IlpaKTnqecKaH 3HaqHMOCTL. Pa3pa6oTaHHbIH MeTO)].HqeCKHH
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`IlO)];XO)].
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`IIOBbIIIIeHHJI MblmeqHoH
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`CHJibI
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`nocpe)].CTBOM MaIBHTHOCTHM)'IDIIJ,HOHHOH
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`TJ)eHHpOBKH MbII.Im )].OilOJIIDieT cneKTp HeTpa,n;HIJ,HOHHbIX MeTO)].HK )].JUI pa3BHTIDI
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`,ll.BHraTeJII,HbIX cnoco6HOCTeii qeJIOBeKa. MarHHTHasI CTHMYJUIIJ,IDI Mblillll, MO)KeT
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`6bITb HCTIOJib30BaHa B KJIHHJiqeCKOH npaKTHKe npH pea6HJIHTaIJ,HOHHOM
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`BOCCTaHOBneHHH )];BHraTem,HbIX cpyHKIJ,HH naIJ,HeHTOB nocne ' TIOBpe.iK,Zl;eHIDI H
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`3a6oneBaHHH CilHHHOro M03ra H CKeJieTH&IX MbIIIIIJ,. TionyqeHH:&Ie ,JJ;aHHbie 06
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`H3MeHeHHH peqmeKTOpHI,IX MbIIIIeqHbIX OTBeTOB li CHJIOBOfO Bpam;aTeJibHOro
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`MOMeHTa rrpH
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`)'BeJIH1IeHHH CHJlbl H qacTOTbl MarHlffHOH H 3JieKTpH1IeCKOH
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`CTHMYIDIIJ,HH nepmpepHt.JeCKOro HepBa H .CaMIDC MbIII.lll; MO)KHO npRMeH.SITb npH
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`MO,U.eJIHpOBaHHH HanpaBJieHHOro
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`B03)].eHCTBIDI
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`CHJIOBI,IX
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`'IpeHHpOBOl.JHbIX
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`rrporpaMM Ha q>yHKIJ,HOHam,Hoe COCTOHHHe Mbllliel.JHOro arrnapaTa crropTCMeHOB.
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`OcHOBHble Il0JI0aceHHH, BbIH0CHMbie Ha 3am,u-ry: ·
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`1.
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`IlocTaICTHBaIJ,HOHHbIH scpcpeKT, Bbl3bIBaeMbIH
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`IDITHa,n;IJ,aTli,U.HeBHOH
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`MarHHTHOCTHMYIDIIJ,HOHHOH 'IpeHHpOBKOH, coxpaIDieTC.SI )].O TPHHa,n;IJ,aTH cyToK,
`l!TO OTpa)KaeTC.51 B ITOBbiilleHHOM ypOBHe KaK M:&IIIIel.lHOH CHJlbI, Ta.K H napaMeTµOB
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`3Jie:rcrpHqecKOH
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`aKTHBHOCTH MbiillIJ,-arOHHCTOB B
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`rrpon:ecce
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`?;/, ~arHHTHOCTMMYIDIUHOHHOH TpeHHp0BKM Mbllllll, conp0B0)l()].aeTCSI H3MeHeHHeM
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`B036y,rr.HMOCTH MOTOHeMpOHHbIX nynoB,
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`o6ecrret.JHBaIOIIJ,HX
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`MaKCHMaJibHasI aMrrnH-ry.n.a pecpneKTOpHbIX MbillleqHI,IX OTBeTOB,
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`MarHHTHOH CTHM)'lliiD;HeH H 3IleKTpliqecKHM
`
`LUMENIS EX1029
`Page 7
`
`

`

`8
`
`CBH,ll;eTeJTbCTByeT O
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`npHMepHO O,UHHaKOBOM
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`KOJIH1leCTBe
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`acpcpepeHTHbIX H
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`3cpcpepeHTHE,IX HepBHbIX BOJIOKOH npH
`
`o6oHX BH,n;ax
`
`CTHMYJIHUHOHHOro B03,Ue:ilcTBHH.
`
`Anpo6anm1 pa60Tbl. ITo MaTepHaJiaM
`
`,UHCCepTaUHH ony6JIHKOB8HO 9
`
`rre'l!aTHbIX pa6oT, B TOM 1IHCJie 2 CT8TbH .B )K)'pHa.nax, BX0,n:HIIJ;HX B nepe'l!eHb
`
`Be,IzyrrzyIX peueH3HpyeMbIX H8Y'l!HbIX )K)'pHaJIOB H H3,U8HHH, peKOMeH,UOB8HHbIX
`
`BAK MHHHCTepCTBa o6pa3oBaHHH H Ha)'KH PoccHHCKOH cl>e,uepau;HH. Pe3yJibTaTbI
`
`Hccne,noBaHHH ,n;oJI0)KeHbI H o6cyJK,U;eHbI Ha: VII H VIII . BcepoccH:acKoM c
`
`Me)K,zzyHapO,UHbIM y-qacTHeM
`
`lllKone-KOH<pepeHUHH no cpH3HOJIOrHH MbIIIIIJ; H
`
`Mblillel!HOM
`
`,neHTeJibHOCTH «HoBbie
`
`IlO,UXO,Ubl K H3yqeHHIO KJiaCCH'lleCKHX
`
`npo6neM»
`
`(MocKBa, 2013, 2015); BcepoccHMCKOM Hay-q1w-npaKTH1IeCKOM
`
`KOHcpepeHI.J;HH
`
`«MHHoBaUHOHH:&Ie
`
`TeXH0JI0rMH
`
`Il0BbiilleHIDI
`
`cnopTHBHOM
`
`pa60Tocnoco6HocTH» (Bem-IKHe J1)'KH, 2013); XXII c'be3,ne <pH3HonorHqecKoro
`
`o6mecTBa HM. H.IT.
`
`IlaBJIOBa
`
`(Bonrorpa,u, 2013 ); V PoccHMCKOM
`
`c
`
`y-qaCTHeM
`
`KOHcpepeHI.J;HH
`
`«YnpaBJieHHe
`
`,UBH)KeHHeM»
`
`Pe3yJI:&T8Tbl HCCJie,UOB8HHH H MeTO,UHKa ou;eHKH CHJIOBbIX B03MO)KHOCTeH
`
`MarHHTHOM CTHMYJIHI.J;HeM MblllU BHe,upem.1 H npHMeHHIOTCH B cnopTHBHO(cid:173)
`
`K0MITJieKce «Orpeneu;» 000 «ra3npoM TJ)aHcra3 CaHKT-
`
`IIeTep6ypr»
`
`IlcKOBCKOe
`
`JIIIYM:r,
`
`MYHHUHilaJibH0M
`
`aBT0H0MH0M
`
`.. p6pa30BaTeJII>HOM y-qpe)K,UeHHe ,U0il0JIHHTeJI:&H0ro o6pa30BaHID.£ ,neTeii «,I(eTCKO(cid:173)
`
`!( 1:<'H(?llleCKaH cnopTHBHaH IIIK0Jia N2 2 «3Kcnpecc».
`
`C-rpyKcypa H 06'beM AHCcepTanuu. ,I(HccepTaI.J;IDI, o6'beMOM 115 CTpaHHU
`
`i~aTHoro TeKCTa, C0CT0HT H3 BBe,UeHHH H 5 rnaB, BKJIIO"'iaIOIIJ;HX o63op
`
`0ilHCaHHe MeT0,U0B HCCJie,UoBaHHH, H3JI0)KeHHe
`
`rrorryqeHHbIX
`
`, ?
`
`.
`
`,<-,_I;,,'';;<
`
`co6CTBeHHbIX HCCJie,noBaHHM H HX o6cy)K,1leHHe, BbIB0,U0B,
`
`'~ecKHX peKoMeH,naUHH, CilHCKa JIHTepazypbI H ,UByx aKT0B BHe,npeHHH.
`
`c9,n;ep)KHT 13 pHC)'HK0B H 12 Ta6JIHU, EH6JIHorpa<pHH BKJII01IaeT 196
`
`HCT0'l!HHK0B (107 0TeqecTBeHHbIX, 89 HHOCTpaHHbIX).
`
`LUMENIS EX1029
`Page 8
`
`

`

`9
`
`r JIABA 1. Oli30P JlllTEP ATYPbl
`
`1.1. 06maH xapaKrepHCTHKa MbIIDCCIHOii CHJlbl
`
`CHJIOBhie B03MO)KHOCTH qenoBeKa HMeIOT cymecTBeHHOe 3HaqeHHe B ero
`
`Il0Bce.n;HeBHOli H TPY,ll;0B0M
`
`.n;e.sITeJibH0CTH. Oco6o Ba)KeH ypoBeHh pa3BHTIDI
`
`CHnOBblX B03MO)KHOCTeii
`
`,r(mI )];OCTH)KeHH.sI BbICOKHX pe3yJibTaTOB BO MHOrHX
`
`BH,n;ax cnopTa (IO.B. BepxoniaHc~Hii, 1993; B.H. IlnaToH9B, 2004; A.A.
`
`Bacm1eHKO, 2006). Ilo.n; CHJIOM IT0HHMaeTC.sI cnoco6HOCTh tJeJioBeKa npeo,r(0JieBaTI,
`
`BHelllHee conpOTHBITeHHe HJIH npoTHBO,r(eHCTBOBaTb eMy 3a CtJeT aKTHBHOCTH
`
`MhllllI( (B.M. 3au;HopcKHH, 2009). B <pH3HonorHH pa3JIH1IaIOT a6comoTHYJO H
`
`0TH0CHTeJII>H)'lO MhillletIH)'lO cHrry (P.V. Komi, 1986; C.IO. EepmHu;KHH, 2005).
`
`A6cOJIIOTHOH CHITOH Ha3bIBaIOT 0TH0llleHHe MaKCHManhHOH MbillletIHOH CHJibI K
`
`<pH3HonorHtiecKOMY nonepetiHHKY Mhillll.J;bI (ITJioma,n;H nonepe'lrnoro pa3pe3a acex
`
`Mbillle'tJHhIX BOITOKOH). lliMep.sieTC.sI 0Ha B HbIOT0Hax HITH KHJiorpaMMax CHITbI Ha 1
`
`C¥2 (H/cM2 HITH KrlcM2). 0THOllleHHe MaKCHManhHOH MhimeqHoH CHITbl K ee
`
`a:HaT0MH'tJeCK0MY norrepeqHHKY - T0rrmHHe B u;enoM, onpe,nen.sieMOH qHcIT0M H
`; '"':\:-,-'.,, ·'<,
`-
`. •.·.•·.· TOJII.UHHOH OT.!(eJibHbIX MbillietIHbIX BOJIOKOH, Ha3bIBaeTC.sI OTHOCHTeJihHOH CHJIOH.
`'",
`',,z_,,,,,i,,
`
`V
`
`-
`
`:'\>",,',•<,'
`
`-.\:,, :/-
`
`;>i;~'.,.<oHa H3Mep.sieTC.sI B Tex )Ke e,r(HHHI(aX. IlpH cpaBHeHHH CHJIOBbIX B03MO)KHOCTeH
`\f·i::(::,f hid,n;eii pa3Horo Beca o6bitIHO pacCtIHTblBaIOT BeJIHqHHY CHITbI, npHXo,n;.simeiic.si Ha
`Kr co6cTBeHHoro aeca (B.B. Ky3Heuoa, 1975; IO.B .. Kop.sirHHa, 2003; A.H.
`)'H)KHH, 2007; P.H. ,D;opoxoB H ,r(p., 2009).
`> J3
`
`,n;e.si:TeJibHOCTH opraHH3Ma CHJia npOHBJIHeTCH npH
`
`ecTeCTBeHHOli
`
`MbillietIHhlX
`
`THrrax
`COKpameHHli:
`qecKOM, 3KCI(eHTpHtieCKOM H H30KHHeTH'tJeCKOM (H.Il. AHHCHMOBa,
`.IQ. Epaaa.H, 1985; T.Jl. HeMHpoBcKrur, 2003; H.M. Tap6eeBa, 2013).
`
`H30Me'fl)ff'tieCKOM,
`
`•.'.>~>.•·
`IiqecKoe -
`
`3TO COKpameHHe Mblllil(bl, rrpH KOTopoM OHa pa3BHBaeT
`
`LUMENIS EX1029
`Page 9
`
`

`

`10
`
`ycHJUie
`
`6e3 H3MeHeIDUI CBOeii MHHbI. KoHIJ;eHT!)HlieCKOe C0I<pam.eHHe
`
`ocym.ecTBJUleTC.SI rrpH yKopoqeHHH ,[(JIHHbl MbIIIIIJ;bI, Kor.n;a BHeIIIHIDI Harpy3Ka
`
`Mem,IIIe Harrp.SI:>KeHH.SI MbIIIIIJ;bl. 3Kcu;eH-rpHqecKoe corq,a:w;eHHe rrp0HCX0)J.HT B TOM
`
`cnyqae, ecnH BHenuurn Harpy3Ka 6onhIIIe pa3BHBaeMoro MbilllUeii ycHJIHH, a caMa
`
`Mb!IIIUa y.n;miH.SieTCSl. IlpH TaK0M THile MF,IIIIeqHoro C0Kpalll;eHHH pa3BHBaeTCSI
`
`HaH6onee 3HaT.JHTeJII,HWI CHJJa B cpaBHeHHH C .n;pyrHMH THilaMH MbIIIIeqHoro
`
`C0Kpam.emuI. lliOKHHeTH'LJeCKOCKOe - 3T0 C0KpaI.IJ,eHHe MblillUbf 06ecrre1IHBaIOI1I,ee
`
`H3MeHeHHe cycTaBHOro yrna C
`
`IlOCTO.sIHHOH CKOpOCTblO
`
`rrpH KOMileHCaIJ;HH
`
`MeIDDOm.ero
`
`Hanp.Sl:>KeHlUI MbllIIU
`
`nocpe.n;CTB0M
`
`peryJUIIJ;HH
`
`BHemHero
`
`conpOTHBJieHIDI. CoKpaIIJ,eHHe TaKoro THna ,D;OCTHfaeTC51 TOJibKO npH IIOMOI.IJ.H
`
`cneIJ;HanbHbIX ,n;HHaM0MeTJ)H1IecKHX yc'fl)OHCTB. ,[(Jrn o6ecneqeHHSI nocTOSIHHOH
`
`CKOpOCTH nepeMeI1I,eHHH BHeIIlH.S151 Harpy3Ka B03pacTaeT B Tex cycTaBHbIX yrnax,
`
`r.n;e MbIIIIIJ;a M0)KeT pa3BHBaTb 3Ha1rnTeJibH0e Hanp.Sl:>KeHHe H, Hao6opoT, Harpy3Ka
`
`)'MeHbmaeTC.SI npH Tex yrnax, B K0T0pbIX, Ml>IIIII(a pa3BHBaeT MeHbmee ycHJIHe
`
`(A.A. CeypBH'Aac, 1988; .P.M. ropo'AHHqeB, 2005; C.A. MoHceeB, 2010).
`
`Onpe,n;eJieHHe Mbiille'LJHOH CHJihI y qenoBeKa ocyI1J;ecTBJI.S1eTcx B npouecce
`
`ero rrpOH3BOJIE,HOro ycHJIHSI, CTI)eMneHHSI MaKCHMaJlE,HO COKpaTHTE, HCcne,n;yeMbie
`
`MbIIIIIJ;oI (IO.H. rpHIIIHHa, 2012). B 3T0M cnyqae pa3mrnaeTc.SI MaKCHManbHWI
`
`npoH3BOJibHaSI cHna (MIIC). IlpH paccMoTJ)eHHM CHJI0Bhrx. B03MO)KHOcTeii KaK
`
`; )J.BHraTeJibH0ro KaqecTBa qeJI0BeKa npHH.SIT0 BbJ'AeJUIT& cne.zzyroIIJ;He BH)J.bl CHJlbI:
`
`........... 'co6CTBeHHO-CHJIOBbie crroco6HOCTH H CK0p0CTH0-CHJI0Bbie cnoco6HOCTH (B.M
`'
`"'->/- ,;,:_>,'{,-:;''/-·,::·
`
`/ :\;~a,rmopCKHH, 1970). Co6CTBeHHO-CHJIOBble cnoco6HOCTH npmIBJI.SIIOTC.SI
`
`IIpH
`
`,;8$,aTaqecKHX ycHrrHSIX a Me,n;rreHHhIX ,n;BH:>KeHH.SIX (B.H. IlnaToHoB, 2004). Ilo,n;
`
`j~!)<>yTHO-CHJIOBF,IMH cnoco6HoCnlMH II0HHMaeTC.SI yMeHHe qerroBeKa pa3BHTb
`
`C.ffMaJII>Hoe ycmme B KpaTqaiimHH npoMe:>KyT0K BpeMeHH ()::(.B. IlonoB H ,ll;p.,
`J). QHK M0ryT 6oITF, ,ll;0CTHrHyT.&I 3a C'LJeT yBeJmqeHH.SI CHJIF,I HJIH CK0p0CTH
`
`¼~HID! MbIIIIU, HJIH o6oHX K0MII0HeHT0B. O6bNHO HaH6om,IIIHH npHp0CT
`
`~f'l'H ,D;OCTHraeTC.sl 3a cqeT yBeJIHqeHH.SI MblllleqHQM CHJIF,I. Pa3HOBM)J.HOCTF,IO
`);>§,:eii .SIBJISllOTC.SI «B3pbIBHa.SI cmrn» (B. Po,n;HoHoB; 1966; A.B. cl>arreeB,
`
`TepMHH0M o6o3HaqruoT cnoco6HOCTb
`
`,D;0CTHraTb MaKCHM)'Ma
`
`LUMENIS EX1029
`Page 10
`
`

`

`11
`
`rrp05IBJUieMOM CHJIE,I no xo,uy ,n:BH:>I<eHHM B B03M0)I(HO MeHbIIIee Bpewr. IlpH
`
`I1p05IBJieHHH . B3pbIBHOH CHJibI Ba)I(Ha He CT0JlbK0 Bem-rqHHa CHJlbI, CKOJlnK0 ee
`
`HapaCTaHHe BO BpeMeHH, T.e. rpa,n:HeHT CHJIJ:,I. Pe3JJihTaTHBHOCTI, BbIIl0JIHeHIDI
`
`CKOpOCTHO-CHJIOBbIX yrrpa)I(HeHHM TeM BbIIIIe, qeM MeHbIIIe
`
`,n:JIHTeJII,HOCTb
`
`HapacTaHIDI CHJibI .n:o ee MaKcHManbHoro 3Haqemffi. B Ka1rncTae crreum}mqecKoro
`
`cpaKTopa HeKOTOpbIX CKOpOCTHO-CHJIOBbIX cnoco6HOCTeir cnopTcMeHa BbI)];e.JUllOT
`
`peaKTHBHbie CBOMCTBa MbllllU. OHM np0HBJUIIOTC.8: B ,D;BH)I(eHIDIX, BKJIJ0qa10~x
`
`MrHoBeHHoe nepeKJIIOqeHHe OT ycTJilaIO:rn;ero K npeo;:i;oneBaIO:rn;eMy pe)I(HMJ
`
`pa6oTbI MbIIDU, H xapaKTepH3)'IOTCH TeM, 'ITO BeJIH'IHHa npeo;:i;oneBaIOIIJ;HX yc:mIHM
`
`cy:rn;ecTBeHHO B03pacTaeT
`
`no,n;
`
`npe;:i;BapHTeJibHOro
`'
`«rrpHHY,D;HTeJII,HOro» paCT.SffHBaHH.sI pa60TaIOIIJ;HX Mhlllill 3a cqeT KHHeTHqecKOM
`
`BJIH.HHHeM
`
`61,JCTJ)Oro,
`
`3HeprHH nepeMe:rn;aro:rn;eiicx Macc1,1 (E.A. IllHpKoBeu, 2003 ).
`
`MaKCHMaJI:&Hax
`
`rrpoH3BOJihHaH
`
`CHJia
`
`3aBHCHT
`
`OT
`
`MblIIIeqHI:,IX
`
`(rrepHcpepH1IeCKHX) H KOOp,n:HHauHOHHbIX (ueHTJ)aJibHO-HepBHbIX <paKTOpOB) (.51.M.
`
`Kou, 1986). K MbIIIIetIHI,IM
`
`(nepHcpepffqeCKHM) cpaKTOpaM, onpe;:i;emIIOIIJ;HM
`
`npOH3BOJlbHO pa3BHBaeMyro MaKCHMaJIF,H)'IO CHJIY OTHOC.HTCH cne.n:yromHe: 1)
`;ourna Mbllllll;, IlOCKOJibKY ycHnHe MbIIIII.J;bI 38BHCHT OT ee )];JIHHbI; 2) ycnoBHH
`
`· ;:i;eHCTBIDI MhIIIIeqHoii THfH -
`
`rrneqo pb1qara ;:i;eiiCTBH.sI MbillleqHoii CHJibI H yron
`
`npHJIO:>I<eHIDI 3TOM CHJibl K KOCTHbIM p:&I11araM; 3) cpH3HOJIOrH1IeCKHM nonepe1IHHK
`
`C0KpaII(aIOII(HXC.sI Mhllllll,, B CBH3M C TeM, qTQ npH rrpoqHX paBHblX ycJI0BMHX
`pa3BHBaeMax MbilllUeii cHna TeM 6onbllle, tieM 6om,llle ee noi:iepetIHHK; 4)
`'' , C,OOTHOllleHHe 6hICTJ)bIX H Me.n:neHHbIX MbillleqHI,IX BOJIOKOH B COKpa:rn;aIO:rn;HXC.s.[
`
`;sJ(?{t~\,U,IIIIlJ,ax, TaK KaK rrpoHBJUieMrur M:E>IllletIHWI cHna TeM 6om,rne, 11eM 6om,rne B
`
`t,coiq,a:rn;ruo:rn;eiicSI MI>Imu;e 6I>IC'fPbIX BOJIOKOH (P.D. Collnick et al., 1981; E.A.
`i?~l>MHHa, 2012) .
`..
`. \
`
`.Koop,n:1rnaUHOHHbie (u;eHTJ)aJibHO-HepBHbie) cpaKTOpbl BKJil01IaJOT B ce6.sI
`
`P,I<ynHOCTb u;eHTJ)aJibHO-HepBfilIX MexaHH3M0B ynpaBneHIDI MbIIIIe1IHbIM
`a: ijTOM: - MexaHH3Mbl K00p.[(HHau,mf 0T,[(eJibHhIX )];BHraTeJibHbIX e~HHHU, GI(E)
`
`"j~H3ME,I Me:>I<MF,IIIIe1IHOM K00p,D;HHaU,HH. CTJ)yKT)'PHO-<pyHKI.J;HOHaJibHa.H
`
`~@:HJI HeiipOHaJIF,HI,IX CeTeH roJIOBHOro H CilHHHoro M03ra 06ecrre1IHBaeT
`
`LUMENIS EX1029
`Page 11
`
`

`

`12
`
`B3aHMOCBH3I:, 3THX o60HX MexaHH3MOB. MexaHH3MI:,I KOOp.[(HHaUHH aKTHBHOCTH
`
`,l(E onpe,n;emnoT KOJIHqecTBO H qacTO'fY HepBHI:,IX HMrryJII:.COB, IlOCT)'Ila:FOI.IJ;HX B
`
`CKeJieTHI:.Ie MI:,III.TIJ;I:,I OT MOTOHeHpOHOB CilHHHoro M03ra, H TeM Ca.MI:,IM
`
`o6ecneqHBaIOT rrepexo.u OT cna6:&IX O.I(HHoqHI,IX COKpam;eHHH HX BOJIOKOH K
`
`MOIIUI:&IM TeTaHWieCKHM. C IlOMOI.IJ;b.fO ,n;aHHbIX MeXaHM3MOB MO)I<:eT .uocnrraThC5I
`
`MaI<CHMaJII:,HOe 3HaqeHHe npOH3BOJibHO pa3B1rnaeMOH MhIII1eqHoH CHJII:,J. BerrwrHHa
`
`:rv1IIC OT,[(eJibHOH CKeJieTHOH MbllliIU,I qeJIOBeKa 3aBHCHT OT CHJII,I COKpam;eHIDI
`
`.n;pyrHX MbllllD;, MaKCHMaJibHWI c1ma KOHKpeTHOH MbllllD;bl pa.3BHBaeTC.sI JIHillb npH
`
`COBeprneHHOH Me:>KMI:,IIIIeqHoii KOOp,z:t;HHaUHH, o6ecneqHBarom;eii OilTHMaJihHbIH
`
`Bh16op MhlIIIU: - CHHeprHCTOB, IlOHH)KeHHe aKTHBHOCTH Mhimn; - aHTaroHHCTOB H
`
`IIOBhillieHHe ycmrnii MhlIIIU, q_JHKCHpyrom;HX COOTBeTCTBYJOI.IJ;He 'cMe:>KHble cycTaBbI
`
`(IO.C. CannHHCKac, 1990; B.H. IloneHKo, 1994; B.H. KyphICI:., 2004; ,l];.B.
`
`Me.n;Be,z:t;eB, 2007).
`
`Cne,zzyeT
`
`IlO,[(qepKHYTb, qTo yrrpaBJieHI1e MbIIIU~aMH, Kor.n;a 1'pe6yeTC5I
`
`IlpOHBHTI, HX MaKCHMaJibHI,Ie npOH3B0JlbHble ycnmDI, HBm[eTCH CJIO)KHOH 3a,[(aqe:a
`
`,l(IDI n;eHTpaJibHOH HepBHOH CHCTeM:&I. Ilo3TOMY, B 061,ItIHhIX ycnoBIDIX MIIC
`
`MblIDIJ; MeHbllle B cpaBHeHHH C HX YCHJIH.HMH, pa.3BHBaeMI>IMH B OTBeT Ha
`
`TeTaHHqecKyro 3JieKTpocTHMYJIHUHID caMHX MbIIIlU, Pa3HHUY Me)l(,zzy MTIC MI:.IIIIU
`
`H. CHJIOH, Bb13bIBaeMOH :meKpOCTHMynxn;Heii, Ha.3hIBaJOT CHJIOBhIM
`
`.n;eq>HUHTOM
`
`lleM COBepIIIeHHee ueHTpanbHOe ynpaBJieHHe MbIIIIeqHbIM ~!1napaTOM, TeM
`
`CHJIOBoii ,ueqmn;HT ,n;aHHoH MI>ImeqHoii rpynnr:,1, Bem1qnHa CHJIOBoro
`
`3aBHCHT OT:
`
`IlCHXOJIOrHqecKoro,
`
`3MOUHOHaJibHOro COCTOHHHH
`
`KOJI~eCTBa O,I(HOBpeMeHHO aKTHBHpyeMbIX MbIUieqHI:,IX rpyrrn;
`
`' .. neHH COBeprneHCTBa ynpaBJieHmr BOBJieqeHHblMH B pa6ozy MhIIIIUaMH (JI.M.
`
`,1986; M.H. Stone et al., 2007; D.J. Kidgell et al., 2010).
`
`IlpH pelileHHH ,L{BHraTeJihHhlX 3a,n;aq, Tpe6yrom;HX npOHBJieHIDI pa3JIH1IHI>IX
`
`.1mqHHe Mbilliel!HhlX ycHJIHH, HCilOJlh3YIOTCSI TJ)H OCHOBHbIX MexaHH3Ma:
`
`perymIUIDl KOJIHqecTBa aKTHBHbIX ,n;E;
`
`peryIDIUHSI l!aCTOTbI HMrryJII>CaUHH MOTOHeiipoHoB;
`
`LUMENIS EX1029
`Page 12
`
`

`

`13
`
`3) CHHXpOHH3au;IDI aKTHBHOCTH OT,D;eJI:bHbIX
`
`,l(E BO BpeMeHH (B.C.
`
`fypqmHI<eJib, IO.C. JieBHK, 1985; R.M. Enoka, 1988).
`
`1. KonHqecTBO aKTHBHbIX )'J;BHraTeJihHbIX e,l(HHHI(.
`
`ITocKOJibK)' Ka)K,D;aH
`
`MbIIIIl(a HHHepmrpyeTC.H MHOIBMH MOTOHeHpOHaMH, HMeIOil(HMH pa3HE,Ie noporn
`
`peKpyTHpoBamu1, H3MeHeHHe q11cna aKTHBHbIX MOTOHeHpOHOB (,[(E) .HBJI&eTCH
`
`BIDKH&IM cnoco6oM peryJIHD;HH CHJlbl coiq,am;eHIDI Mhlllll(. C yBeJIHtieHHeM
`
`KOJIRtJeCTBa aKTHBHbIX ,[(E BO3pacTaeT H pa3BirnaeMruI ,n;aHHOH MbIIIIUeH CIUia.
`
`B mtqru:re 30"x ro,n;oB npoWJioro BeKa 6bmo ycTaHoBneHo, tITo He6onbllllie
`
`MOTOHeHpOHbl, HHHepBHpyIOil(He Me,n;neHHbie MbIIIIIJ;I,I, aKTHBMpYJOTCH nerqe, l!eM
`
`6onee KpYilHhie MOTOHeHpOHbI, COCTaBJUIIOil(He 6bICTphie )],E. Bonpoc O nop.a,n;Ke
`IIOJIHO H3yt!a.JICH 3. XeHHeMaHOM, KOTOpbIH
`
`peKpyrnpoBaHIDI ,[(E HaHOOJiee
`
`,!l;OKa3a.JI HeH3MeHHOCTb H CTepeOTHilHOCTb nop.a,n;Ka
`
`aKTHBal(HH
`
`,I(E B
`
`cooTBeTCTBHH c proMepoM HX MOToHeiipoHOB (E. Henneman, 1957). C
`
`yBenR1IeHHeM HHTeHCHBHOCTH B036y)K.[(arom;Hx BJIIDIHHH Ha MOTOHeHpOHbl co
`
`CTOpOHbl u;eHTp8JibHblX MOTOpHbIX CTpyKTyp H nepmpep111IeCKHX pel(eilTOpOB
`
`npe)K,n;e Bcero aKTHBHpyIOTCH MaJieHI:,KHe, Me,[(JleHHbie .z:(E. 11pH ,a:an:oHeiiIIIeM
`
`ycHJieHHH B036y)I(.[(aIOlll;HX BJIIDIHHH B pa6ory BOBJieKaIOTCH
`
`6bIC'Ipbie,
`
`ycToWIHBbie K
`
`yroMJieHmo
`
`,[(E. BhICTpbie,
`
`6hICTpO
`
`yToMIDieMbie
`
`,r(E
`
`aKTHBHpyIDTCH nocne,a:HHMH, npH ,D;OCTH)KeHHH CHJibI COKpa~eHIDI a 20 - 25
`
`npou;eHTOB OT MaKCHM8JibHOH.
`Crre,a:oBaTeJII:,HO, nop.H):(OK aKTHBal(Hli JJ:E onpe,n;emreTCH co6cTBeHHbIM
`
`CBOHCTBOM HX MOTOHeHpOHOB - BeJIHtIHHOH: lJeM MeHI:,IIIe pa3Mep MOTOHeiipoHa,
`
`TeM HH)Ke nopor ero aKTHBal(HH (peKpyrHpOBaHmI). 3TOT npHHl(Hil aKTHBal(Hli
`
`7''1.~\i,'f ~OHeilpoHOB HllSbJBaeTCll IIpHIIIl,MIIOM pasMepa MJili IIpMHIOIIIOM XeHHeMaHa.
`
`< \§ornaCHO 3TOMY npHHl(Hny, caMI>Ie Ma.Jlble ,[(E MbII.IIUbI aKTHBHbl npH mo6oM ee
`
`',~tl~<>Kpall(eHHH, Tor,n;a KaK 6onbIIIHe, 6bICT}Jbie ,[(E, BXO.USIIUHe B COCTaB ,n;aHHOH
`
`itl~:&IllIUbI, aKTHBHbI nHIIIh npH 6orrbIIIHX ycm1.IDIX. Ilo:noM)' y o,n;HoH M TOH )Ke
`
`il.IIUbI CTeneHb HCIIOJib30BaHHSI 6onhllIHX, 6bICTpbIX ,n:E no cpaaHeHMIO C
`·· H,Me,n;neHHbIMH e,n;HHHn;aMH, Mem,rne (P.M. 3HoKa, 1998).
`
`LUMENIS EX1029
`Page 13
`
`

`

`14
`
`HIITeHCHBHOCTb
`
`B036y)I()J.aIOIUMX
`
`BJIMHHMH,
`
`B03,D;eHCTBYIOID;MX
`
`Ha
`
`MOTOHeHpOHbl ,naHHOii MblillI.(bI, 3aBHCMT OT xapaKTepa pemaeMoii ABHraTeJU>HOH
`
`3a,na"rn (JI.IT. Ky,n11Ha, 1983; A.,[_()!(. MaK-KoMac, 2001; P.M. CarMTOB, 2001).
`
`EcJrn npH BbillOJIHeHHH )J.BH)I(eHIDI MoIWI.(a .l(OJDKHa pa3BHTI, He6om>myro CMJIY, TO
`
`K ee MOTOHeiipoHaM IIOCTyrraeT cna6E,1ii ITOTOK HepBHbIX MMnyJibCOB. B CBSI3H C ·
`
`TeM, qTo a COCTaB JII06oii MbIIIII.(bl BXO,l(HT H 6blCTJ)hie, H Me)J.JieHHble ,[(E,
`OTJrnqruom;HeCH p83MepaMH CBOHX MOTOHeiipoHOB, peaKIJ;HSI ,lI;E Ha 3TOT IIOTOK
`
`HepBHbIX HMnym,coB p83JIWIHa. AKTHBHOCTb B03HHKaeT JlMIDb B Me.u.neHHbIX ,[(E,
`
`HMeIOII{HX He6oJibUIHe pa3Mepbl MOTOHeiipoHa, a, cne)J.OBaTeJibHO, H HH3KHe
`
`noporH peKpyTHpOBamrn. bbICTJ)bie ,[(E y )J.aHHOii MbIIDI.(bl B 3TOM cnyqae He
`
`aI<THBHPYJOTC5I.
`
`ITo3TOMY )J.Harra3oH cna6bIX ycnnnii Mh!IIIU.&i o6ecrreqnBaeTCH
`
`aKTHBHOCThIO TOJibKO Me,D;JieHHbIX, ycToifqHBblX K YTOMJiemno ,lI,E (THil S).
`
`IlpH BblilOJIHeHHH )J.BH)I(eHHSI, rpe6yrom;ero 60JibIUOH CHJibl COKpruu;emra
`
`.n;aHHOH MbllIII.(bl,
`
`ee MOTOHeiipoH&I
`
`no,n:BepraroTCH B03,ZJ:eHCTBHIO
`
`6onee
`
`HHTeHCliBHoro IIOTOKa HepBHbIX HMITYJibCQB (P.C. IlepcoH, 1976). 3To IIpHBO,ll;liT K
`yBeJU.PieHHIO ql{cJia aKTMBHpyIOID;HXCH ,l(E. KpoMe Me.n;neHHbIX, HH3KOIIOporom,Ix
`. ,lI,E BKJIIOqaroTCH a pa6ozy H 6bIC1'pbie BhlCOKonoporOBbie ,[(E. lfoM 6om,me
`
`BO3pacTaeT HHTeHCHBHOCTb B036y:>K)J;alOIIJ;HX BJIHHHMH Ha MOTOHeiipom,1, TeM
`
`6onee KpynHble no p83Mepy ,l(E BOBJieKaroTcH B pa6oTY. Cne,noBaTem,Ho,
`3Ha"tJHTeJI:&HIDI CHJia COKpa:meHIDI MhIIIllJ;:bI 06ecneq1rnaeTCSI aKTHBHOCTblO ,n;E BCex
`
`;Tpex mnoB (S, FR, FF).
`
`2.
`
`lfacTOTa HMnyJ1bCa~1m MOTOHeiipOHOB.
`IlpH cna6oM COKpaII.(eHlflf
`MI,]~ qacTOTa HMnyn1,cau;HH COCTaBJUieT 5 - 10 rq. B TaKOM
`,:!',lkJiail,83C>He qacTOT ,D;IDKe Me,zi:neHHbie L(E 6oJibllIHHCTBa Mbllll~ pa6oTaIOT B pe)KHMe
`y&~c1-roro renuzyca HJIH )J.IDKe O.lJ.HHoqHoro coKpam;eHIDI. rna»;KOCTI> co1<pam;eHHSI
`
`MbIIIIT(bI
`
`o6ecneq:aBaeTC.H B
`
`3THX
`
`ycnOBH5IX HeO)J.HOBpeMeHHOCTbIO
`
`/ J)OHHOCTbIO) aKTHBHOCTH p83HhIX L(E.
`
`;f]i<:3
`
`yBeJm:qeHHeM CHJlbI COKpam;eHHSI MbIIllll;bl qacTOTa pa3pMOB
`
`,[(E
`
`~¢1? (H.H. ~aHHHac, 1983). IlpH cHJie coKpam,eHH5I, paBHoii 30 % - 60 %
`)If1aJibHOli, qacTOTa HMnyJI:&Ca~HH ,n;E ,ZJ:OCTHraeT 20 - 30 ru;, a IIpH
`
`LUMENIS EX1029
`Page 14
`
`

`

`15
`
`MaKCHMaJibHOH CHJie COKpam;eHH.SI
`
`-
`
`50 ru;. B KpaTKOBpeMeHHbIX 3aJIIIax
`
`aKTHBHOCTH, pernCT_PHpyeMbIX B Haqane oqeHb 6bICTpOro H CHJibHOro
`
`COKpam;emur, MrHOBeHHruI qacTOTa HMrryJibcau;HH ,IJ;OCTHraeT 90 ru; H ,nIDKe 120
`
`fu;. lfaJIO)KeHHbie BbIIIIe q>aKTbI ,I:\OKa3bIB8.IOT yqacTHe .MexaHH3Ma H3MeHeHIDI
`
`YJaCTOThI HMTIYJibCaD;H]f ,[(E B pery.IDID;HH CHJihI COKpa.IT(eHIDI MbIIIlD;. qeM BbIIIIe (,no
`
`onpe,neneHHoro npe,nena) -qacToTa HMrryn1>cau;HH oT,nem)Hoii ,[(E, TeM 6om,me
`
`CHJia COKpall(eHH.H ee MbIIIleqJ{bJX BOJIOKOH H TeM 6oJibIIIe ee BKJia,n B pa3BHBaeMoe
`
`Bceii Mh1mu;ei1 yc:mrne. JJ,mr Ka)I(,ZJ;OM oT,nem,HoM ,[(E xapaKTepHo orrpe,l(eJieHHaJI
`
`qaCTOTa HMilYJibCOB, npH KOTOpOH CHJIOBbie B03MO'.>KHOCTH Bcex ee MbIIIIeqHI,JX
`
`BOJIOKOH peanH3YfOTC.SI IIOJIHOCTblO. PeryJI.HD;IDI CHJibl COI<pall(eHH.SI MbIIIID;bI nyTeM
`
`H3MeHeHHH qacTOTbI HMilYJibCaD;HH 11:E, HaH6onee BbipIDKeHa y 6bICTpbIX ,[(E.
`
`tJacTOTa B036y:>K,neHH.SI OT,neJibHOH
`
`,[(E onpe,neJI.SieTC.SI HHTeHCHBHOCT:blO
`
`HHCXO).UUIJ,ero IIOTOKa HepBHbIX HMilYJibCOB, B03,IWHCTByrom;ero Ha MOTOHeHpOH
`
`,naHHOH
`
`,[(E. EcJIH HHTeHCHBHOCTb B036y)K,IJ;aIOIW1X BJIIDIHHH HeBemnca, TO
`
`BKJIIOqaIQTC.SI JIHIIIb HH3KOIIOpOrOBbie Me,nJieHHbie ,[(E, KOTOpbie HMrryJibCHpyroT C
`
`.OTHOCHTeJibHO HeBI,ICOKOH lfaCTOTOH, J(OCTaTOliHOH ,nmI o6ecrreqeHHH pe:>KHMa
`
`OJ(HHOlfHOro COKpaI1(eHIDI H 3y6qaToro TeTaeyca. TaKrur qacTOTa HMilYJibcau;HH ,[(E
`
`COI<pam;eHHe MbIIIID;bl C
`
`y-MepeHHOH CHJIOH
`
`B
`
`TeqeHHe
`
`npo,nOJI'.>KHTeJibHOro BpeMeHH. 11MeHHO B 3TOM
`
`,nHaila30He pa6oTaIOT
`
`,[(E
`
`CKeJieTHbIX Mblilll( npH IlO)J.[(ep:>KaHHH aepTHKaJibHOH Il03bl Terra.
`
`' ;_
`..
`YBeJrnqeHHe CHJibl COKpameHH.SI MbIIIID;bl
`,l(OCTHraeTC.H
`ycHJieHHeM
`> C nHTeHCHBHOCTH B036y:>K,narom;HX BJIHHHHH Ha ee MOToHenpoHbI. B TaKHX
`YCJIOBIDIX BKJIIOliaIOTC.SI B pa6ory BbICOKonoporoB:E.re 6bICTJ)bie ,nE, lfaCTOTa
`
`<L~nym;can;HH KOTOpbIX B03pacTaeT C
`
`IlOBbIIIIeHHeM HHTeHCHBHOCTH
`
`IIOTOKa
`
`,llepBHbIX HMnyJibCOB K MOTOHeHpOHaM 3THX ,[(E (B. Calancie et al., 1987).
`
`,',,,,,>,~ ",,
`
`,,
`
`J<CHMaJibHa.H CHJia coKpam;eHH.H MbIIIID;I,I ,nocniraeTC.H B TOM cnyqae, Kor,na
`
`6oJibIIIHHCTBe BbICOKonoporOBbIX 6bICTpbIX
`
`,[(E
`
`HX MbIIIIeqHhIX BOJIOKOH B pe:>KHMe
`
`rna,l(KOfO
`
`ca. IlpO,!I;OJl)I(HTeJibHOCTb no.n;.n;ep:>KaHmI COKpameHHH C TaKOH CHJIOH He
`
`LUMENIS EX1029
`Page 15
`
`

`

`16
`
`Orrpe,neneHHe OTHOCHTeJlbHOM porrH MexaHH3MOB peKpyn1poBaHlUI H
`
`)'Berraqemrn qacTOTbI HMrryJioCaUHH )],E c yBeJIHqeHHeM ycHJIIDI MbIIIIUbl TPe6yeT
`
`3HaHHH 0 MaKCHMaJII:,Hl,IX B03MO)KH0CT5IX Ka)K):(0ro H3 HIDC. CorrocTaBJieHHe CHJII:,l
`
`COKpameHIDI MblIIIl(
`
`rrpH caMOH HH3KOH qaCTOTe HMrrym,cauHH HX
`
`)],E
`
`(ycpe,n:HeHHOH CHJII:,I 3y6qaToro TeTaffYCa) C CHJIOH, pa3BHBaeMOH rrpH BI,ICOKOH
`
`qacT0Te HMrryJihCaUHH
`
`(rna,n;Koro TeTaHyca),
`
`ITOKa3aJI0, 11TO
`
`IlOCJie,l(HIDI B
`
`HeCKOJibKO pa3 60JibIIIe. Cne,n:oBaTeJibHO, peKpyn1poBaHMe Bcex ,[(E rrpH HH3KOH
`
`qacTOTe HMrryrrbCaUHH o6ecrreqHBaeT MeHbllIHH npHpOCT CHJibI, qeM TOT, KOTOpbIH
`
`,n:aeT )'BeJIH':IeHHe qacTOTbI. 3TO 03HaqaeT, qTo B pa3BHTHe CHJibl COKpameHH.8
`
`. MaKCHMaJihHbie B03MO)KHOCTH 'lJ'aCTOTHOrO MexaHH3Ma 60JihIIIe MaKCHMaJII,HbIX
`
`'
`B03MO)l(HOCTeH MexaHH3Ma peKpyTHpoBaHH.8. B pa3JIHqHI:,IX ,n:HaI1a30Hax CHJ!bl H B
`
`pa3HbIX ycnomUIX COKpameHIDI B03MO)KH0 KaK napanrrem,Hoe HCITOJib30BaHHe
`
`o6omc MexaHH3MOB ):(JI.8 yBenH'tJeHIDI CHJibl MbIIIIeqHoro COKpaIUeHH.8, TaK H
`
`rrpeff'MYill,eCTBeHH0e HCI10Jlb30BaHRe O,nHOfO R3 HHX. B peaJibHbIX ycrr0BIDIX
`
`MbIIIIeqHOH
`
`,n:e.sITeJlbHOCTH
`
`t.JeJIOBeKa 60JiblllruI
`
`t.JaCTb
`
`)],E aKTHBHpyeTC.8 B
`
`,n:Harra30He OT O % AO 50 % MaKCHMaJibHOH CHJibl COKpaill,eHIDI, nocrre qero
`10 % ) KOJIHqecTBO HaH6onee
`
`JIHIIII:, He60JihIIIOe
`
`( OKOJIO
`
`BbICOKOI10porOBbIX ,[(E, a yBeJilit.JeHHe CHJlbl OT 7 5 % .no 100 % ,nocTHraeTC.SI
`HCKJIIOqHTeJibHO 3a cqeT pocTa qaCTOTbl HMnyrrhCaUHH (A.A. rH,n:HKOB, 197 5; p .c