Load-elongation characteristics of in vivo human tendon and aponeurosis

The proprioceptive and agonist roles of gastrocnemius, soleus and tibialis anterior muscles in maintaining human upright posture

Humans can stand using sensory information solely from the ankle muscles. Muscle length and tension in the calf muscles (gastrocnemius and soleus) are unlikely to signal postural sways on account of balance-related modulation in agonist activity. These facts pose two questions: (1) Which ankle muscles provide the proprioceptive information? (2) Which peripheral mechanism could modulate agonist activity? To address these issues, subjects were asked to stand normally on two force plates. Ultrasound and surface EMG were recorded from the calf and tibialis anterior (TA) muscles. For all nine subjects, changes in muscle length of TA were mainly (84 +/- 9% whole trial duration) orthodoxly correlated with bodily sway (centre of gravity, CoG), i.e. in accordance with passive ankle rotation. When orthodox, TA had the highest correlation with CoG (-0.66 +/- 0.07, deep compartment, P < 0.001). For five subjects, the superficial TA compartment showed counter-intuitive changes in muscle length with CoG, probably due to the flattening of the foot and proximal attachment geometry. Gastrocnemius and soleus were usually (duration 71 +/- 23 and 81 +/- 16%, respectively) active agonists (paradoxically correlated with CoG) but, for short periods of time, they could be orthodox and then presented a moderate correlation (0.38 +/- 0.16 and 0.28 +/- 0.09, respectively) with CoG. Considering the duration and extent to which muscle length is orthodox and correlated with CoG, TA may be a better source of proprioceptive information than the active agonists (soleus and gastrocnemius). Therefore, if a peripheral feedback mechanism modulates agonist activity then reciprocal inhibition acted by TA on the calf muscles is more likely to be effective than the autogenic pathway.

In situ estimation of tendon material properties: differences between muscles of the feline hindlimb

Recent experiments to characterize the short-range stiffness (SRS)-force relationship in several cat hindlimb muscles suggested that the there are differences in the tendon elastic moduli across muscles [Cui, L., Perreault, E.J., Maas, H., Sandercock, T.G., 2008. Modeling short-range stiffness of feline lower hindlimb muscles. J. Biomech. 41 (9), 1945-1952.]. Those conclusions were inferred from whole muscle experiments and a computational model of SRS. The present study sought to directly measure tendon elasticity, the material property most relevant to SRS, during physiological loading to confirm the previous modeling results. Measurements were made from the medial gastrocnemius (MG), tibialis anterior (TA) and extensor digitorum longus (EDL) muscles during loading. For the latter, the model indicated a substantially different elastic modulus than for MG and TA. For each muscle, the stress-strain relationship of the external tendon was measured in situ during the loading phase of isometric contractions conducted at optimum length. Young's moduli were assessed at equal strain levels (1%, 2% and 3%), as well as at peak strain. The stress-strain relationship was significantly different between EDL and MG/TA, but not between MG and TA. EDL had a more apparent toe region (i.e., lower Young's modulus at 1% strain), followed by a more rapid increase in the slope of the stress-strain curve (i.e., higher Young's modulus at 2% and 3% strain). Young's modulus at peak strain also was significantly higher in EDL compared to MG/TA, whereas no significant difference was found between MG and TA. These results indicate that during natural loading, tendon Young's moduli can vary considerably across muscles. This creates challenges to estimating muscle behavior in biomechanical models for which direct measures of tendon properties are not available.

Measurement of tendon strain during muscle twitch contractions using ultrasound elastography

A 2-D strain estimation algorithm was used to estimate tendon strain from ultrasound data collected during muscle twitch contractions. We first used speckle tracking techniques to estimate frame-to-frame displacements of all pixels within a rectangular region of interest (ROI) positioned over a tendon. A weighted, least-squares approach was then solved for the displacements of the ROI endpoints that best fit the pixel displacements. We summed endpoint displacements across successive frames to determine the cumulative endpoint motion, which was then used to estimate the cumulative strain along the tendinous fibers. The algorithm was applied to ultrasound radiofrequency data, acquired at 74 frames per second over the tibialis anterior (TA) musculotendon junction (MTJ). The TA muscle was electrically stimulated with the subject holding voluntary preloads of 0%, 10%, 20%, 30%, 40%, and 50% of a maximum voluntary contraction (MVC). Peak tendon strains computed using elastography (0.06 to 0.80%) were slightly larger and occurred earlier (50-90 ms after stimulus) than calculations based on visual analysis of B-mode images. This difference likely reflected the more localized nature of the elastographic strain values. Estimates of the tangential elastic modulus (192 +/- 58 MPa) were consistent with literature values obtained using more direct approaches. It is concluded that automated elastographic approaches for computing in vivo tendon strains could provide new insights into musculotendon dynamics and function.

A novel method for measuring electromechanical delay of the vastus medialis obliquus and vastus lateralis

Electromechanical delay (EMD) of the vastus medialis obliquus (VMO) and vastus lateralis (VL) is determined by measuring the interval between the time of onset of muscle activities and the time of onset of mechanical output. However, individual mechanical output of the VMO or the VL cannot be obtained with the conventional method because of the knee extension force as the mechanical output. Therefore, the objective of the present study was to develop a new method for measuring EMD of the VMO and VL individually. Twelve healthy volunteers participated in the experiment. The motor point of the target muscle was electrically stimulated to evoke a muscle twitch. Simultaneously, the electrical stimulation signal was transmitted to ultrasound apparatus via the electrocardiography input channel. The ultrasound apparatus was used to capture the patellar movement elicited by the muscle twitch. EMD was measured from the onset of the electrical stimulation to the onset of patellar movement. The results showed that the intraclass correlation coefficients for the reproducibility of the EMD measurements of the VMO and VL were greater than 0.8. The EMDs of the VMO and VL were 18.3 +/- 2.2 ms and 24.8 +/- 5.8 ms, respectively. This new method provides a more precise measurement of EMD in the VMO and VL than does the conventional method because of the use of patellar movement as the mechanical output.

Effect of joint rotation correction when measuring elongation of the gastrocnemius medialis tendon and aponeurosis

It is well known that during maximal plantar flexion contractions the ankle joint rotation overestimates the actual elongation of the tendon and aponeurosis. The aim of this study was to examine the influence of the curve length changes of the Achilles tendon on the joint rotation corrected elongation and strain of the gastrocnemius medialis (GM) tendon and aponeurosis. Nine subjects (age: 29.4+/-5.7 years, body mass: 78.8+/-6.8 kg, body height: 178+/-4 cm) participated in the study. The subjects performed maximal voluntary isometric plantarflexion contractions in the prone position on a Biodex-dynamometer. Ultrasonography (Aloka SSD 4000) was used to visualize the muscle belly of the GM muscle-tendon unit. To calculate the curve length changes of the Achilles tendon its surface contour was reconstructed using a series of small reflective skin markers having a diameter of 2.5mm. The elongation of the GM tendon and aponeurosis was calculated (a) as the difference of the measured and the passive (due to joint rotation) displacement of the tendon and aponeurosis and (b) as the difference of the measured displacement and the length changes of the reconstructed Achilles tendon surface contour. The absolute difference between the elongation obtained by both methods were 1.2+/-0.4mm. These differences were due to the higher changes in length obtained by the reconstruction of the tendon curved surface contour as compared to the changes observed in the passive displacement of the digitised point at the aponeurosis. Without correcting for angle joint rotation, the measured elongation clearly overestimates the actual elongation of the GM tendon and aponeurosis. After the passive displacement correction the calculated elongation still overestimates the actual elongation of the GM tendon and aponeurosis. However, this overestimation has a negligible effect on the examined in vivo strain ( approximately 0.3%) of the tendon and aponeurosis.

Passive mechanical properties of human gastrocnemius muscle tendon units, muscle fascicles and tendons in vivo

This study provides the first in vivo measures of the passive length-tension properties of relaxed human muscle fascicles and their tendons. A new method was used to derive passive length-tension properties of human gastrocnemius muscle-tendon units from measures of ankle stiffness obtained at a range of knee angles. Passive length-tension curves of the muscle-tendon unit were then combined with ultrasonographic measures of muscle fascicle length and pennation to determine passive length-tension curves of the muscle fascicles and tendons. Mean slack lengths of the fascicles, tendons and whole muscle-tendon units were 3.3+/-0.5 cm, 39.5+/-1.6 cm and 42.3+/-1.5 cm, respectively (means +/- s.d., N=6). On average, the muscle-tendon units were slack (i.e. their passive tension was zero) over the shortest 2.3+/-1.2 cm of their range. With combined changes of knee and ankle angles, the maximal increase in length of the gastrocnemius muscle-tendon unit above slack length was 6.7+/-1.9 cm, of which 52.4+/-11.7% was due to elongation of the tendon. Muscle fascicles and tendons underwent strains of 86.4+/-26.8% and 9.2+/-4.1%, respectively, across the physiological range of lengths. We conclude that the relaxed human gastrocnemius muscle-tendon unit falls slack over about one-quarter of its in vivo length and that muscle fascicle strains are much greater than tendon strains. Nonetheless, because the tendons are much longer than the muscle fascicles, tendons contribute more than half of the total compliance of the muscle-tendon unit.

Human tendon behaviour and adaptation, in vivo

Tendon properties contribute to the complex interaction of the central nervous system, muscle-tendon unit and bony structures to produce joint movement. Until recently limited information on human tendon behaviour in vivo was available; however, novel methodological advancements have enabled new insights to be gained in this area. The present review summarizes the progress made with respect to human tendon and aponeurosis function in vivo, and how tendons adapt to ageing, loading and unloading conditions. During low tensile loading or with passive lengthening not only the muscle is elongated, but also the tendon undergoes significant length changes, which may have implications for reflex responses. During active loading, the length change of the tendon far exceeds that of the aponeurosis, indicating that the aponeurosis may more effectively transfer force onto the tendon, which lengthens and stores elastic energy subsequently released during unloading, in a spring-like manner. In fact, data recently obtained in vivo confirm that, during walking, the human Achilles tendon provides elastic strain energy that can decrease the energy cost of locomotion. Also, new experimental evidence shows that, contrary to earlier beliefs, the metabolic activity in human tendon is remarkably high and this affords the tendon the ability to adapt to changing demands. With ageing and disuse there is a reduction in tendon stiffness, which can be mitigated with resistance exercises. Such adaptations seem advantageous for maintaining movement rapidity, reducing tendon stress and risk of injury, and possibly, for enabling muscles to operate closer to the optimum region of the length-tension relationship.

Muscle - tendon unit mechanical and morphological properties and sprint performance

The objective of this study was to determine whether sprint performance is related to the mechanical (elongation - force relationship of the tendon and aponeurosis, muscle strength) and morphological (fascicle length, pennation angle, muscle thickness) properties of the quadriceps femoris and triceps surae muscle - tendon units. Two groups of sprinters (slow, n = 11; fast, n = 17) performed maximal isometric knee extension and plantar flexion contractions on a dynamometer at 11 different muscle - tendon unit lengths. Elongation of the tendon and aponeurosis of the gastrocnemius medialis and the vastus lateralis was measured using ultrasonography. We observed no significant differences in maximal joint moments at the ankle and knee joints or morphological properties of the gastrocnemius medialis and vastus lateralis between groups (P > 0.05). The fast group exhibited greater elongation of the vastus lateralis tendon and aponeurosis at a given tendon force, and greater maximal elongation of the vastus lateralis tendon and aponeurosis during maximum voluntary contraction (P < 0.05). Furthermore, maximal elongation of the vastus lateralis tendon and aponeurosis showed a significant correlation with 100-m sprint times (r = -0.567, P = 0.003). For the elongation - force relationship at the gastrocnemius medialis tendon and aponeurosis, the two groups recorded similar values. It is suggested that the greater elongation of the vastus lateralis tendon and aponeurosis of the fast group benefits energy storage and return as well as the shortening velocity of the muscle - tendon unit.

Fascicle length change of the human tibialis anterior and vastus lateralis during walking

STUDY DESIGN

A single-group descriptive experimental design.

OBJECTIVES

To determine the fascicle length change in the tibialis anterior (TA) and the vastus lateralis (VL) muscles during walking.

BACKGROUND

The length of the muscle fibers during isometric actions and during dynamic functional activities is affected by the compliance of the tendon and aponeurosis. The TA and VL muscles have important functions both in stance and swing phases of gait. Therefore, it is important to understand the dynamics of the muscle length change as it relates to the type of muscle actions in walking.

METHODS AND MEASURES

Nine healthy subjects performed treadmill walking while fascicle length, muscle activity (electromyographic signal), and joint angle (knee and ankle) were recorded. Fascicle length was measured using real-time ultrasound imaging. Fascicle length and joint angle during the gait cycle were analyzed using a repeated-measures analysis of variance.

RESULTS

During the initial portion of stance, when the TA and VL muscles were active, the ankle plantar flexed and the knee joint flexed, suggesting muscle-tendon complex lengthening, but the fascicle length of both muscles remained constant (TA, P = .93; VL, P = .22). The TA muscle was again active during the initial portion of swing phase, while the ankle dorsiflexed, and the fascicle length decreased (P < .05). The VL muscle became active again at the end of swing as the knee extended, and the fascicle length decreased (P < .05).

CONCLUSIONS

The lack of change in fascicle length during the initial portions of stance phase suggests a nearly isometric muscle action of the TA and VL. There is a possible interaction occurring between the fascicle and tendon in the TA and VL such that the tendon lengthens to allow joint motion and potentially to store elastic energy.

Extra force from asynchronous stimulation of cat soleus muscle results from minimizing the stretch of the common elastic elements

Rack and Westbury showed that low-frequency asynchronous stimulation of a muscle produces greater force compared with synchronous stimulation. This study tested the hypothesis that the difference results from the dynamic stretch of the common elastic elements. In eight anesthetized cats, the soleus was attached to a servomechanism to control muscle length and record force. The ventral roots were divided into four bundles so each innervated approximately 1/4 of the soleus. The elasticity shared by each part of the muscle was estimated and the servomechanism programmed to compensate for its stretch. At each test frequency (5, 7.5, and 10 Hz), the muscle was stimulated by asynchronous stimulation, synchronous stimulation, summation of force with each part stimulated individually, and summation with each part stimulated individually and the servomechanism mimicking tendon stretch during asynchronous stimulation. Muscle length was isometric except for the last protocol. The observed differences were small. The greatest difference occurred during stimulation at 5 Hz with muscle length on the ascending limb of the length-tension curve. Here, the average forces, normalized by asynchronous force, were asynchronous, 100%; synchronous, 73%; summation, 110%; and summation with stretch compensation, 98%. The results support the hypothesis and suggest that the common elasticity can be used to predict force gains from asynchronous stimulation.

Use of ultrasound to make noninvasive in vivo measurement of continuous changes in human muscle contractile length

Continuous measurement of contractile length has been traditionally achieved using animal preparations in which the muscle and tendon are exposed. More modern methods, e.g., sonomicroscopy, are still invasive. There is a widely perceived need for a noninvasive, in vivo method of measuring continuous changes of human muscle contractile length. Ultrasonography has been used for several years to measure relatively static, discrete changes in tendon, aponeurosis, and muscle fascicle length. We have recently developed this technique to continuously track changes in muscle contractile length during quiet standing. Here, we present the tracking algorithm and use externally applied perturbations to establish the spatial and temporal resolution of the technique. Subjects maintained a low level of ankle torque while a pneumatic actuator applied rapid, square-pulse ankle rotations of defined magnitude and 0.2-s duration. Tracked changes in gastrocnemius and soleus contractile length follow the temporal profile of the perturbations and scale progressively (5–400 μm) with the size of the ankle rotation (0.03–0.7°). In a second experiment, we tracked a wire oscillating in water with known peak to peak amplitudes of 1.5 μm to 8 mm. The ultrasound tracking procedure had near 100% accuracy at all amplitudes for frequencies up to 3 Hz and showed attenuation at higher frequencies consistent with an effective sampling frequency of 12 Hz and sampling time of 80 ms. This noninvasive technique is sensitive, without averaging, to changes as small as 1 μm and is suitable for observing neuromotor activity in posture and locomotion.

Soleus aponeurosis strain distribution following chronic unloading in humans: an in vivo MR phase-contrast study

The in vivo strain properties of human skeletal muscle-tendon complexes are poorly understood, particularly following chronic periods of reduced load bearing. We studied eight healthy volunteers who underwent 4 wk of unilateral lower limb suspension (ULLS) to induce chronic unloading. Before and after the ULLS, maximum isometric ankle plantar flexion torque was determined by using a magnetic resonance (MR)-compatible dynamometry. Volumes of the triceps surae muscles and strain distribution of the soleus aponeurosis and the Achilles tendon at a constant submaximal plantar flexion (20% pre-maximal voluntary contraction) were measured by using MRI and velocity-encoded, phase-contrast MRI techniques. Following ULLS, volumes of the soleus and the medial gastrocnemius and the maximum isometric ankle plantar flexion (maximum voluntary contraction) decreased by 5.5+/-1.9, 7.5+/-2.7, and 48.1+/-6.1%, respectively. The strain of the aponeurosis along the length of the muscle before the ULLS was 0.3+/-0.3%, ranging from -1.5 to 2.7% in different locations of the aponeurosis. Following ULLS, the mean strain was -6.4+/-0.3%, ranging from -1.6 to 1.3%. The strain distribution of the midregion of the aponeurosis was significantly influenced by the ULLS, whereas the more distal component showed no consistent changes. Achilles tendon strain was not affected by the ULLS. These results raise the issue as to whether these changes in strain distribution affect the functional properties of the triceps surae and whether the probability of strain injuries within the triceps surae increases following chronic unloading in those regions of this muscle complex in which unusual strains occur.

Effect of different ankle- and knee-joint positions on gastrocnemius medialis fascicle length and EMG activity during isometric plantar flexion

The purpose of this study was to provide evidence on the fact that the observed decrease in EMG activity of the gastrocnemius medialis (GM) at pronounced knee flexed positions is not only due to GM insufficiency, by examining muscle fascicle lengths during maximal voluntary contractions at different positions. Twenty-two male long distance runners (body mass: 78.5+/-6.7 kg, height: 183+/-6 cm) participated in the study. The subjects performed isometric maximal voluntary plantar flexion contractions (MVC) of their left leg at six ankle-knee angle combinations. To examine the resultant ankle joint moments the kinematics of the left leg were recorded using a Vicon 624 system with 8 cameras operating at 120 Hz. The EMG activity of GM, gastrocnemius lateralis (GL), soleus (SOL) and tibialis anterior (TA) were measured using surface electromyography. Synchronously, fascicle length and pennation angle values of the GM were obtained at rest and at the plateau of the maximal plantar flexion using ultrasonography. The main findings were: (a) identifiable differences in fascicle length of the GM at rest do not necessarily imply that these differences would also exist during a maximal isometric plantar flexion contraction and (b) the EMG activity of the biarticular GM during the MVC decreased at a pronounced flexed knee-joint position (up to 110 degrees ) despite of no differences in GM fascicle length. It is suggested that the decrease in EMG activity of the GM at pronounced knee flexed positions is due to a critical force-length potential of all three muscles of the triceps surae.

Quantitative microanatomy of jaw muscle attachment in extant diapsids

Muscular reconstructions in vertebrate paleontology have often relied heavily on the presence of "muscle scars" and similar osteological correlates of muscle attachment, a practice complicated by the fact that approximately half of tendinous muscle attachments to bone in extant vertebrates do not leave readily interpretable scars. Microanatomical and histological correlates of tendinous muscle attachment are much less ambiguous. This study examines the microanatomical correlates of muscle attachment for the mandibular adductors in six species of diapsids. Most prominent tendinous or aponeurotic muscle attachments display a high density of extrinsic fibers (similar to Sharpey's fibers). There is also some indication that the density of extrinsic fibers at an attachment may be directly related to the amount of stress exerted on that attachment. The presence of comparable densities of extrinsic fibers in fossil tissue constitutes strong and readily interpretable positive evidence for the presence of adjacent fibrous connective tissue in life. Microanatomy and histology provide reliable data about muscle attachments that cannot be gleaned from gross observation alone. These additional data, when coupled with existing muscular reconstruction techniques, may be essential to the resolution of ambiguous character states, and will provide more severe tests for long-standing hypotheses of musculature in extinct diapsids. Increasing the accuracy and precision of muscular reconstructions lends greater strength to any phylogenetic, paleobiological, or paleoecological inferences that draw upon these reconstructions as important lines of evidence.

In vivo muscle function vs speed. I. Muscle strain in relation to length change of the muscle-tendon unit

The activity of muscles can be concentric (shortening), eccentric (lengthening) or isometric (constant length). When studying muscle function it is important to know what the muscle fascicles are actually doing because the performance of muscle is strongly influenced by the type of activity: force decreases as a function of shortening velocity during concentric contractions; force produced during eccentric contractions can be stronger than maximum isometric force, and force production is enhanced if a concentric contraction follows an eccentric phase. It is well known that length changes of muscle fascicles may be different from length changes of the overall muscle-tendon unit because of the compliance of the series elasticity. Consequently, fascicles of joint extensor muscles may not undergo eccentric activity even when the joint flexes, but the extent to which this occurs may vary with the compliance of the series elasticity and may differ between species: the vastus lateralis, a knee extensor, shortens when active during trotting in dogs and lengthens in rats. Previous studies of kinematics of trotting in horses have shown that during stance, the elbow extends nearly continuously with a brief period of flexion near mid-stance and the knee exhibits two phases of flexion followed by extension. The lateral triceps (an elbow extensor) has no external tendon but the vastus lateralis has a relatively long external tendon and the fascicles insert on an aponeurosis. Thus, one might expect the relation between fascicle strain and overall length change of the muscle-tendon units to be quite different in these two muscles. In the present study in horses, fascicle length changes of the lateral triceps and vastus lateralis were measured with sonomicrometry and length changes of the muscle-tendon units were estimated from muscle architecture and joint kinematics for four horses trotting on a treadmill at nine speeds. Because the focus of this study was the relation between length changes of the muscle-tendon unit (estimated from kinematics) and length changes in the muscle fascicles, we divided the stance-phase sonomicrometry records into phases that corresponded to the alternating flexion and extension of the joint as indicated by the kinematic records. During its one eccentric phase, the triceps shortened by 0.7+/-0.4% despite a predicted lengthening of 1%. Similarly, the vastus shortened by 3.7+/-1.9% when kinematics predicted 3.2% lengthening. During their concentric phases the triceps shortened by 10.6% and the vastus shortened by 8.1%. Strain in the triceps did not change with speed but it did in the vastus. Strain rate increased with speed in both muscles as did the integrated EMG, indicating an increase in the volume of muscle recruited. Thus, despite differences in their architecture and the kinematic patterns of the associated joints, these two joint extensors exhibited similar activity.

Comparison of Elasticity of Human Tendon and Aponeurosis in Knee Extensors and Ankle Plantar Flexors in Vivo

The purposes of this study were to compare the elasticity of tendon and aponeurosis in human knee extensors and ankle plantar flexors in vivo and to examine whether the maximal strain of tendon was correlated to that of aponeurosis. The elongation of tendon and aponeurosis during isometric knee extension (n= 23) and ankle plantar flexion (n= 22), respectively, were determined using a real-time ultrasonic apparatus, while the participants performed ramp isometric contractions up to voluntary maximum. To calculate the strain values from the measured elongation, we measured the respective length of tendon and aponeurosis. For the knee extensors, the maximal strain of aponeurosis (12.1 ± 2.8%) was significantly greater than that of the patella tendon (8.3 ± 2.4%),p< 0.001. On the contrary, the maximal strain of Achilles tendon (5.9 ± 1.4%) was significantly greater than that of aponeurosis in ankle plantar flexors (2.7 ± 1.4%),p< 0.001. Furthermore, for both knee extensors and ankle plantar flexors there was no significant correlation between maximal strain of tendon and aponeurosis. These results would be important for understanding the different roles of tendon and aponeurosis during human movements and for more accurate muscle modeling.

Differences between measured and resultant joint moments during isometric contractions at the ankle joint

The purpose of this study was to examine two hypotheses: (a) during voluntary and electrically induced isometric contractions the moments measured at the dynamometer are different from the resultant moments in the same plane around the ankle joint and (b) at a given resultant moment during electrically induced isometric contractions the ankle angle while loading is different from the ankle angle while unloading. Twenty-seven long distance runners participated in the study. All subjects performed isometric maximal voluntary contractions (MVC) and contractions induced by electrostimulation at four different ankle-knee angle combinations on a Biodex-dynamometer. The kinematics of the leg were recorded using the vicon 624 system with eight cameras operating at 120 Hz. The main findings were: (a) the resultant moment at the ankle joint and the moment measured by the Biodex-dynamometer during isometric contractions are different, (b) during a plantar flexion effort the ankle angle changes significantly, whereas the knee angle shows only small and in most cases not significant changes, and (c) at identical resultant ankle joint moments the ankle angles are different between the loading and the unloading phases. The observed differences may lead to erroneous conclusions concerning the following: (a) diagnostic of muscle architecture, (b) estimation of the moment-ankle angle relationship and (c) estimation of the strain and hysteresis of tendons and aponeuroses.

Strain and elongation of the human gastrocnemius tendon and aponeurosis during maximal plantarflexion effort

Regarding the strain and elongation distribution along the tendon and aponeurosis the literature is reporting different findings. Therefore, the purpose of this study was to examine in vivo the elongation and the strain of the human gastrocnemius medialis tendon and aponeurosis simultaneously at the same trial during maximal voluntary plantarflexion efforts. Twelve subjects participated in the study. The subjects performed isometric maximal voluntary contractions of their left leg on a Biodex-dynamometer. The kinematics of the leg were recorded using the Vicon 624 system with 8 cameras operating at 120 Hz. Two ultrasound probes were used to visualise the tendon (myotendinous junction region) and the distal aponeurosis of the gastrocnemius medialis respectively. The main findings were: (a) the absolute elongation of the gastrocnemius medialis tendon was different to that of the aponeurosis, (b) the strain of the gastrocnemius medialis tendon did not differ from the strain of the aponeurosis, (c) during the "isometric" plantarflexion the ankle angle exhibited significant changes, and (d) the non-rigidity of the dynamometer arm-foot system and the coactivity of the tibialis anterior both have a significant influence on the moment exerted at the ankle joint. Thus the strain of the human gastrocnemius medialis tendon and aponeurosis estimated in vivo using two-dimensional ultrasonography is uniform. To calculate the elongation of the whole tendon it is necessary to multiply the strain calculated for the examined part of the tendon by the total length of the tendon.

Effects of cold and hot water immersion on the mechanical properties of human muscle and tendon in vivo

BACKGROUND

Cooling and heating have been shown to affect the contractile properties of muscles. However, the reasons for these changes remain unclear. The present study aimed to quantify the mechanical properties of muscle and tendon during passive stretch and active contraction, and to investigate the effects of cooling and heating on the mechanical properties of muscle and tendon.

METHODS

Before and after these conditions, the elongation of the muscle fascicle, tendon and aponeurosis of the medial gastrocnemius muscle was directly measured by ultrasonography, while the ankle joint was passively moved within the joint range of +15 to -30 deg (0 deg = neutral anatomic position; positive values for plantar flexion) and subjects performed ramp isometric plantar flexion up to the voluntary maximum.

FINDINGS

While the muscle fascicle, tendon and aponeurosis stretched during passive dorsi-flexion, the elongation of the tendon was significantly greater than that of the aponeurosis. During isometric contraction, the maximal elongation of the tendon was significantly greater than that of the aponeurosis. After cooling and heating, no significant changes in the elongation of muscle fascicle, tendon and aponeurosis were found during passive stretch. Similarly, after both the immersions there were no changes in the relationship between the estimated muscle force and elongation of each structure (tendon-aponeurosis complex, tendon) during isometric contraction.

INTERPRETATION

These results implied that the general application of icing and hot pack did not change the mechanical properties of muscle and tendon.

Strain and elongation of the vastus lateralis aponeurosis and tendon in vivo during maximal isometric contraction

The strain and elongation of the vastus lateralis (VL) tendon, tendon plus aponeurosis, and aponeurosis were examined during maximal voluntary contractions on a Biodex-dynamometer (knee angle 115 degrees , hip angle 140 degrees ) in 12 sprinters. Following a warm-up phase, the subjects were instructed to perform a gradual maximal knee extension and hold it for about 3 s. The kinematics of the leg were recorded using a Vicon 512 system with eight cameras operating at 120 Hz. Ultrasonography images were taken simultaneously from the VL myotendinous junction and the mid lateral part of the VL muscle belly. During the maximal isometric knee extensions, the knee joint rotated (13.6+/-5.9 degrees ), leading to an overestimation of the elongation of the tendinous tissues. After correcting for this, the maximal elongation of the VL tendon examined at the myotendinous junction was lower (P<0.05) than the maximal elongation of the VL tendon plus aponeurosis examined at the muscle belly (15 vs. 27 mm, respectively). The maximal estimated strains of the tendon, tendon plus aponeurosis, and aponeurosis showed no statistical differences (8+/-2%, 8+/-1%, and 7+/-2%, respectively, P>0.05). It is concluded that the strains of the human VL tendon, VL tendon plus aponeurosis, and VL aponeurosis, as estimated in vivo by two dimensional ultrasound during maximal isometric contractions, do not differ from each other. The displacement measured at a cross point in the VL muscle belly is significantly greater than that measured at the VL myotendinous junction.

Paradoxical muscle movement in human standing

In human standing, gravity causes forward toppling about the ankle joint which is prevented by activity in the soleus and gastrocnemius muscles. It has long been assumed that when people sway forwards the calf muscles are stretched and conversely that they shorten with backward sway. Consequently, for many years, two explanations for standing stabilization have flourished. First, tonic muscle activity itself may generate adequate intrinsic ankle stiffness. Second, if intrinsic ankle stiffness is inadequate, the resistance to stretch of the calf muscles may be augmented by stretch reflexes or by central control. These explanations require that the passive tissue (Achilles' tendon, foot) transmitting the calf muscle tension is stiff. However, our recent measurements have indicated that this passive tissue is not stiff during standing. Accordingly, we predicted a counterintuitive mode of control where the muscles and body must, on average, move in opposite directions (paradoxical movements). Here we use dynamic ultrasound imaging in vivo with novel automated tracking of muscle length to test our hypothesis. We show that soleus and gastrocnemius do indeed move paradoxically, shortening when the body sways forward and lengthening when the body returns. This confirms that intrinsic ankle stiffness is too low to stabilize human standing. Moreover, it shows that the increase in active tension is associated with muscle shortening. This pattern cannot be produced by muscle stretch reflexes and can only arise from the anticipatory neural control of muscle length that is necessary for balance.

Role of extracellular matrix in adaptation of tendon and skeletal muscle to mechanical loading

The extracellular matrix (ECM), and especially the connective tissue with its collagen, links tissues of the body together and plays an important role in the force transmission and tissue structure maintenance especially in tendons, ligaments, bone, and muscle. The ECM turnover is influenced by physical activity, and both collagen synthesis and degrading metalloprotease enzymes increase with mechanical loading. Both transcription and posttranslational modifications, as well as local and systemic release of growth factors, are enhanced following exercise. For tendons, metabolic activity, circulatory responses, and collagen turnover are demonstrated to be more pronounced in humans than hitherto thought. Conversely, inactivity markedly decreases collagen turnover in both tendon and muscle. Chronic loading in the form of physical training leads both to increased collagen turnover as well as, dependent on the type of collagen in question, some degree of net collagen synthesis. These changes will modify the mechanical properties and the viscoelastic characteristics of the tissue, decrease its stress, and likely make it more load resistant. Cross-linking in connective tissue involves an intimate, enzymatical interplay between collagen synthesis and ECM proteoglycan components during growth and maturation and influences the collagen-derived functional properties of the tissue. With aging, glycation contributes to additional cross-linking which modifies tissue stiffness. Physiological signaling pathways from mechanical loading to changes in ECM most likely involve feedback signaling that results in rapid alterations in the mechanical properties of the ECM. In developing skeletal muscle, an important interplay between muscle cells and the ECM is present, and some evidence from adult human muscle suggests common signaling pathways to stimulate contractile and ECM components. Unaccostumed overloading responses suggest an important role of ECM in the adaptation of myofibrillar structures in adult muscle. Development of overuse injury in tendons involve morphological and biochemical changes including altered collagen typing and fibril size, hypervascularization zones, accumulation of nociceptive substances, and impaired collagen degradation activity. Counteracting these phenomena requires adjusted loading rather than absence of loading in the form of immobilization. Full understanding of these physiological processes will provide the physiological basis for understanding of tissue overloading and injury seen in both tendons and muscle with repetitive work and leisure time physical activity.

Differences between measured and resultant joint moments during voluntary and artificially elicited isometric knee extension contractions

OBJECTIVE

Examine two hypotheses: (a) during isometric knee extension contractions the moment measured at the dynamometer is different from the resultant moment in the same plane around the knee joint and (b) during isometric contractions, at the same given resultant moment the knee angle while loading is different from the knee angle while unloading.

DESIGN

Comparative study in which the geometrical and the kinetic differences between joint and dynamometer were determined.

BACKGROUND

It is usually assumed that the moment measured by the dynamometer is equivalent to the resultant joint moment. The non-rigidity of the dynamometer-leg system can influence the equivalence of these two moments.

METHOD

Twenty seven subjects performed isometric maximal knee extension contractions and contractions induced by electrostimulation on a dynamometer. The kinematics of the leg were recorded using 8 cameras (120 Hz).

RESULTS

The resultant moment at the knee joint and the moment measured by the dynamometer are different. During a knee extension effort the knee angle changes significantly. At identical resultant knee joint moments the knee angles are different when comparing the loading and the unloading phases.

CONCLUSIONS

The differences between the measured and the resultant joint moments might influence the estimation of parameters as: muscle forces, moment-angle relationship and strain and hysteresis of tendons and aponeuroses.

RELEVANCE

Torque dynamometers have been often used to estimate muscle forces, to examine neuromuscular processes and to determine the mechanical properties of tendons and aponeuroses.

Influence of tendon slack on electromechanical delay in the human medial gastrocnemius in vivo

The purpose of this study was to clarify the influence of muscle-tendon complex stretch on electromechanical delay (EMD) in terms of the extent of tendon slack in the human medial gastrocnemius (MG). EMD and MG tendon length were measured at each of five ankle joint angles (-30, -20, -10, 0, and 5 degrees : positive values for dorsiflexion) using percutaneous electrical stimulation and ultrasonography, respectively. The extent of MG tendon slack was calculated as MG tendon length shortening, standardized with MG tendon slack length obtained at the joint angle (-16 degrees +/- 5 degrees ) where the passive ankle joint torque was zero. EMD at -30 degrees (19.2 +/-2.2 ms) and -20 degrees (17.2 +/- 1.3 ms) was significantly greater than that at -10 degrees (16.0 +/-2.3 ms), 0 degrees (15.0 +/-1.4 ms), and 5 degrees (14.8 +/-1.4 ms), and at 0 and 5 degrees, respectively. The relative EMD, normalized with the maximal EMD for each subject, decreased dependent on the extent of decrease in MG tendon slack. There were no significant differences in EMD among the joint angles (-10, 0, and 5 degrees ) where MG tendon slack was taken up. These results suggest that the extent of tendon slack is an important factor for determining EMD.

Mechanical properties of rat soleus aponeurosis and tendon during variable recruitment in situ

The in vitro mechanical properties of tendons are well described, whereas little data exist for conditions mimicking those found in vivo. Descriptions of the in situ mechanical properties of aponeuroses are more common, but the results are variable. Our goal was to examine the mechanical properties of these tissues under conditions mimicking the in vivo state. Tissue strains were measured in the rat (Rattus norvegicus) soleus muscle directly from the spacing of metal markers implanted within the tissues of interest using an X-ray video microscope. Strains were measured for the tendon and three regions (proximal, middle and distal) of the aponeurosis. Muscle stimulation was accomplished through isolated ventral rootlets, allowing force to be graded in seven repeatable increments independent of muscle-tendon unit length. Peak strains (during maximal tetanic contraction at optimum length; P(o)) were approximately 5% in tendon and approximately 12% in all regions of the aponeurosis. At forces above 50% of P(o), tissue stiffness was nearly constant in all regions, and a pronounced toe region was observed only at forces below approximately 25% of P(o). Stiffness increased in all regions as the muscle-tendon unit was lengthened. These results suggest that using mechanical properties measured ex vivo or during single contractile events in situ to estimate the in vivo behavior of tendon and aponeurosis may lead to errors in estimating the distribution of strain among the contractile and series elastic elements of the muscle.

Behavior of human muscle fascicles during shortening and lengthening contractions in vivo

The aim of the present study was to investigate the behavior of human muscle fascicles during dynamic contractions. Eight subjects performed maximal isometric dorsiflexion contractions at six ankle joint angles and maximal isokinetic concentric and eccentric contractions at five angular velocities. Tibialis anterior muscle architecture was measured in vivo by use of B-mode ultrasonography. During maximal isometric contraction, fascicle length was shorter and pennation angle larger compared with values at rest (P < 0.01). During isokinetic concentric contractions from 0 to 4.36 rad/s, fascicle length measured at a constant ankle joint angle increased curvilinearly from 49.5 to 69.7 mm (41%; P < 0.01), whereas pennation angle decreased curvilinearly from 14.8 to 9.8 degrees (34%; P < 0.01). During eccentric muscle actions, fascicles contracted quasi-isometrically, independent of angular velocity. The behavior of muscle fascicles during shortening contractions was believed to reflect the degree of stretch applied to the series elastic component, which decreases with increasing contraction velocity. The quasi-isometric behavior of fascicles during eccentric muscle actions suggests that the series elastic component acts as a mechanical buffer during active lengthening.

Measuring mechanical properties of the vastus lateralis tendon-aponeurosis complex in vivo by ultrasound imaging

The mechanical properties of the human vastus lateralis (VL) tendon-aponeurosis complex were investigated in eight male subjects. Knee extensor force, knee joint angle, and corresponding longitudinal VL aponeurosis displacement were monitored synchronously during graded (10-s) maximal isometric knee extension contractions. Displacement observed during isometric conditions may be regarded as an expression of deformation in the tissues distal to the measurement site. Furthermore, aponeurosis displacement was measured during passive knee extension (90-75 degrees degrees ), and used to correct displacement values obtained during active contraction for joint angular motion. The passive trial yielded a highly linear relationship between aponeurosis displacement and joint angular motion (r2 = 0.998 +/- 0.002) with a mean correction factor of 0.41 +/- 0.10 mm/degree. Maximal knee extensor force was 5834 +/- 1341 N with a corresponding VL aponeurosis displacement of 12.7 +/- 2.5 mm, while correcting for joint angular motion reduced maximal displacement approximately 9% (to 11.6 +/- 2.5 mm, P < 0.005) (data presented as means +/- SD). Two separate graded contraction trials were performed, and no between-trial differences were observed in either maximal force or maximal displacement. Between trial coefficient of determination and CV for maximal force and maximal displacement were r2 = 0.97, CV = 2.9% and r2 = 0.92, CV = 4.6%, respectively, indicating intra-day reproducibility of measurements. These data demonstrate that when applying the newly established ultrasound-based method of investigating quadriceps connective tissue mechanical properties, maximal isometric contraction is inevitably associated with some joint angular motion that significantly influences the calculations.

Tendon properties in relation to muscular activity and physical training

Movement is caused by force transmission from contracting muscles to bone via tendon. The collagen structure of tendon is organized in a very hierarchical manner. The collagen fibril is considered the basic force-transmitting unit of tendon, and it is embedded in a hydrophilic extracellular matrix of proteoglycans, glycoproteins and glycosaminoglycans. It has recently been shown in human peritendinous tissue is more metabolically active in response to activity than previously thought, although it remains to be established, if the level of activity influences affects fibril diameter and/or total tendon cross-sectional area. Moreover, it cannot be unequivocally concluded that tendon adaptation to physical activity is one of a quantitative and/or qualitative nature. The currently available information is almost exclusively obtained from animal data, however, techniques such as microdialysis for tendon metabolism and ultrasound combined with MRI for tendon mechanical properties has already provided information on human tendon behavior, and is likely to further add to our understanding of how tendon adapt to physical activity. This review will address the structure and function of tendon, and the current knowledge of how tendons respond to activity with respect to biomechanical properties.

Growth and cellular differentiation: a physico-biochemical conundrum? The example of the hand

Currently, the predominant hypothesis explains cellular differentiation as an essentially genetic intracellular process. The goal of this paper is to suggest that cell growth and differentiation may be, simply, the result of physical and chemical constraints. Bone growth occurs at the level of cartilage conjunction (growth plate) in a zone of lesser constrain. It appears that this growth also induces muscle, tendon, nerve and skin elongation. This cartilage growth by itself seems to explain the elongation of the hand. Growth stops at puberty likely because of feed-back from an increasing muscle load. The ossification (that is differentiation of cartilage into bone) appears to result from the shear stress induced. The study of bone age, obtained by X-ray picture of the hand, shows that ossification of epiphyses is very precise both in time and space. Computer modelization suggests that this ossification occurs where shear stress is greatest. The cartilage which does not ossify (joint, nose, larynx, ear, bronchus, etc.) is not exposed to high shear. Shear stress induces the secretion of extracellular matrix and a change of the biochemical environment of the cell. Precipitation of calcium phosphate, as in ossification, seems related to the alkalosis induced by shear stress. To speak in more general terms, loss of cellular differentiation, as occurs with cancer, can result from a change in the physical-chemical environments.

Strength training alters the viscoelastic properties of tendons in elderly humans

The effect of strength training for 14 weeks on patella tendon viscoelastic properties was investigated in a group of elderly individuals. Participants were assigned to training (age [mean +/- SD] 73.6 +/- 3.4 years; n = 7) or control (age 66.4 +/- 1.7 years; n = 7) groups. Training was performed three times per week and consisted of two series of 10 repetitions of leg-extension and leg-press exercises at 80% of the 5-repetition maximum. Tendon elongation during an isometric knee-extension contraction-relaxation was measured using ultrasonography. Tendon stiffness was calculated from the gradient of the estimated force-elongation relationship and mechanical hysteresis was calculated as the area between loading-unloading curves. Knee-flexor coactivation, estimated from biceps femoris muscle electromyographic activity, was unaltered (P > 0.05) after the training and control periods. No changes (P > 0.05) were observed in stiffness or hysteresis after the control period. In contrast, tendon stiffness increased from 1376 +/- 811 to 2256 +/- 1476 N x mm(-1) (P < 0.01) and hysteresis decreased from 33 +/- 5 to 24 +/- 4% (P < 0.05), after training. These training-induced adaptations have implications for maximal muscle force, rate of force development, and metabolic cost of locomotion.

Nonlinear summation of force in cat tibialis anterior: a muscle with intrafascicularly terminating fibers

The complex connective tissue structure of muscle and tendon suggests that forces from two parts of a muscle may not summate linearly, particularly in muscles with intrafasciculary terminating fibers, such as cat tibialis anterior (TA). In four anesthetized cats, the TA was attached to a servomechanism to control muscle length and record force. The ventral roots were divided into two bundles, each innervating about half the TA, so the two parts could be stimulated alone or together. Nonlinear summation of force (F(nl)) was measured during isometric contractions. F(nl) was small and negative, indicating less than linear summation of the parts, which is consistent with the predicted F(nl) of muscle fibers connected in series. F(nl) was more significant when smaller parts of the muscle were tested (21.8 vs. 8% for whole muscle). These data were fit to a model where both parts of the muscle were assumed to stretch a common elasticity. Compensatory movements of the servomechanism showed the common elasticity is very stiff, and the model cannot account for F(nl) in cat TA.

Differential strain patterns of the human gastrocnemius aponeurosis and free tendon, in vivo

AIM

The mechanical characteristics of the human free tendon and aponeurosis, in vivo, remains largely unknown. The present study evaluated the longitudinal displacement of the separate free Achilles tendon and distal (deep) aponeurosis of the medial gastrocnemius muscle during voluntary isometric contraction.

METHODS

Ultrasonography-obtained displacement of the free tendon and tendon-aponeurosis complex, electromyography of the gastrocnemius, soleus, and dorsiflexor muscles, and joint angular rotation were recorded during isometric plantarflexion (n = 5). Tendon cross-sectional area, moment arm and segment lengths (L(o)) were measured using magnetic resonance imaging. Tendon force was calculated from joint moments and tendon moment arm, and stress was obtained by dividing force by cross-sectional area. The difference between the free tendon and tendon-aponeurosis complex deformation yielded separate distal aponeurosis deformation. Longitudinal aponeurosis and tendon strain were obtained from the deformations normalized to segment lengths.

RESULTS

At a common tendon force of 2641 +/- 306 N, the respective deformation and Lo were 5.85 +/- 0.85 and 74 +/- 0.8 mm for the free tendon and 2.12 +/- 0.64 and 145 +/- 1.3 mm for the distal aponeurosis, P < 0.05. Longitudinal strain was 8.0 +/- 1.2% for the tendon and 1.4 +/- 0.4% for the aponeurosis, P < 0.01. Stiffness and stored energy was 759 +/- 132 N mm(-1) and 6.14 +/- 1.89 J, respectively, for the free tendon. Cross-sectional area of the Achilles tendon was 73 +/- 4 mm2, yielding a stress of 36.5 +/- 4.6 MPa and Young's modulus of 788 +/- 181 MPa.

CONCLUSION

The free Achilles tendon demonstrates greater strain compared with that of the distal (deep) aponeurosis during voluntary isometric contraction, which suggests that separate functional roles may exist during in vivo force transmission.

The integrated function of muscles and tendons during locomotion

The mechanical roles of tendon and muscle contractile elements during locomotion are often considered independently, but functionally they are tightly integrated. Tendons can enhance muscle performance for a wide range of locomotor activities because muscle-tendon units shorten and lengthen at velocities that would be mechanically unfavorable for muscle fibers functioning alone. During activities that require little net mechanical power output, such as steady-speed running, tendons reduce muscular work by storing and recovering cyclic changes in the mechanical energy of the body. Tendon stretch and recoil not only reduces muscular work, but also allows muscle fibers to operate nearly isometrically, where, due to the force-velocity relation, skeletal muscle fibers develop high forces. Elastic energy storage and recovery in tendons may also provide a key mechanism to enable individual muscles to alter their mechanical function, from isometric force-producers during steady speed running to actively shortening power-producers during high-power activities like acceleration or uphill running. Evidence from studies of muscle contraction and limb dynamics in turkeys suggests that during running accelerations work is transferred directly from muscle to tendon as tendon stretch early in the step is powered by muscle shortening. The energy stored in the tendon is later released to help power the increase in energy of the body. These tendon length changes redistribute muscle power, enabling contractile elements to shorten at relatively constant velocities and power outputs, independent of the pattern of flexion/extension at a joint. Tendon elastic energy storage and recovery extends the functional range of muscles by uncoupling the pattern of muscle fiber shortening from the pattern of movement of the body.

Structure-function considerations of muscle-tendon junctions

Skeletal muscle cells transmit force across the cell membrane to the extracellular matrix and ultimately to tendons. Force transmission may occur both along the lateral surfaces of muscle fibers and at their ends. Forces within muscles may follow the path of greatest resistance. Sites of force transmission are morphologically and compositionally specialized for this function. They are also specialized to provide stress-information that feeds into the synthetic programs of the muscle cell. A detailed analysis of the structures and functions of muscle-tendon junctions is essential to a comprehensive understanding of the way in which muscles and their connective tissues are controlled to move joints and to respond to mechanical stresses.

Tensile properties of in vivo human tendinous tissue

The biomechanical properties of tendinous structures have traditionally been studied using excised material. Limitations associated with displacement measurements and clamping, and uncertainties as to whether in vitro testing represents physiological function, necessitate developing a method for assessing the mechanical properties of tendinous tissue in the in vivo state. This paper reviews recent results taken with an in vivo and noninvasive protocol using ultrasound as a means of measuring tendon-aponeurosis elongation during tensile loading applied by contraction of the in-series muscle. The results obtained indicate that: (1) the Young's modulus and mechanical hysteresis of in vivo tendons is independent of physiological function and loading, (2) there is a strain variation along the tendon-aponeurosis, and (3) in vivo tendons may exhibit creep. These findings agree with reports from experiments on isolated material and have important biological implications for both the tendon and the in-series muscle. The method described here allows designing longitudinal studies on tendon adaptability, but it also has direct clinical applications.

Assessment of functional series elastic stiffness of human dorsiflexors with fast controlled releases

The series elastic stiffness (SES) of the human dorsiflexors was investigated in vivo with the fast controlled release method in 8 subjects. The maximum moment of a voluntary contraction (66 +/- 17 Nm) was significantly higher than the maximum moment with electrical stimulation of tibialis anterior (34 +/- 16 Nm). At an ankle moment of 34 Nm produced with either voluntary or electrical stimulation, we found a significantly different SES of 219 +/- 54 and 149 +/- 54 Nm. rad(-1), respectively. It is proposed that this is due to the fact that, during voluntary contraction, more elastic tissue parallel with each other is involved, because of coactivation of the extensor hallucis longus, extensor digitorum longus, and tibialis anterior. This shows that, for a functional assessment of the SES of the dorsiflexors, one has to include the toe extensors, which is possible with the fast controlled release method. Additionally, our results demonstrated that the SES of the human dorsiflexors at moment levels up to about isometric maximum did not reach an asymptote at which the stiffness is independent of moment, i.e., the series elastic component of the dorsiflexors is during daily activities loaded for the greatest part in the nonlinear part of the stress-strain function.

Nonuniform shortening in the biceps brachii during elbow flexion

This study tested the common assumption that skeletal muscle shortens uniformly in the direction of its fascicles during low-load contraction. Cine phase contrast magnetic resonance imaging was used to characterize shortening of the biceps brachii muscle in 12 subjects during repeated elbow flexion against 5 and 15% maximum voluntary contraction (MVC) loads. Mean shortening was relatively constant along the anterior boundary of the muscle and averaged 21% for both loading conditions. In contrast, mean shortening was nonuniform along the centerline of the muscle during active elbow flexion. Centerline shortening in the distal region of the biceps brachii (7.3% for 5% MVC and 3.7% for 15% MVC) was significantly less (P < 0.001) than shortening in the muscle midportion (26.3% for 5% MVC and 28.2% for 15% MVC). Nonuniform shortening along the centerline was likely due to the presence of an internal aponeurosis that spanned the distal third of the longitudinal axis of the biceps brachii. However, muscle shortening was also nonuniform proximal to the centerline aponeurosis. Because muscle fascicles follow the anterior contour and centerline of the biceps brachii, our results suggest that shortening is uniform along anterior muscle fascicles and nonuniform along centerline fascicles.

Load-displacement properties of the human triceps surae aponeurosis and tendon in runners and non-runners

The load-displacement and stress-strain characteristics of the human triceps surae tendon and aponeurosis, in vivo, was examined during graded maximal voluntary plantarflexion efforts in runners who trained 80 km/ week or more and age-matched non-runners. Synchronous real-time ultrasonography of triceps surae tendon and aponeurosis displacement, electromyography of the gastrocnemius, soleus and dorsiflexor muscles, and joint angular rotation were obtained. Tendon cross-sectional area and ankle joint moment arm were obtained from magnetic resonance imaging. Tensile tendon force was calculated from the joint moments and tendon moment arm and stress was obtained by dividing force by cross-sectional area. Strain was obtained from the displacements normalized to tendon length. Antagonist coactivation and small amounts of ankle joint rotation significantly affected tensile tendon force and aponeurosis and tendon displacement, respectively (P < 0.01). Plantarflexion moment was similar in runners (138 +/- 27 Nm, mean +/- SEM) and non-runners (142 +/- 17 Nm). Tendon moment arm was alike in non-runner (58.3 +/- 0.2 mm) and runners (55.1 +/- 0.1 mm). Similarly, there was no difference in tendon tensile force between runners (2633 +/- 465 N) and non-runners (2556 +/- 401 N). The cross-sectional area of the Achilles tendon was larger in runners (95 +/- 3 mm2) than non-runners (73 +/- 3 mm(2)) (P < 0.01). The load-deformation data yielded similar stiffness (runners 306 +/- 61 N/mm, non-runners 319 +/- 42 N/mm). The maximal strain and stress was 4.9 +/- 0.8% and 38.2 +/- 9.8 MPa in non-runners and 4.1 +/- 0.8% and 26.3 +/- 5.1 MPa in runners. The larger tendon cross-sectional area in trained runners suggests that chronic exposure to repetitive loading has resulted in a tissue adaptation.

Superficial aponeurosis of human gastrocnemius is elongated during contraction: implications for modeling muscle-tendon unit

Two questions were addressed in this study: (1) how much strain of the superficial aponeurosis of the human medial gastrocnemius muscle (MG) was obtained during voluntary isometric contractions in vivo, (2) whether there existed inhomogeneity of the strain along the superficial aponeurosis. Seven male subjects, whose knees were extended and ankles were flexed at right angle, performed isometric plantar flexion while elongation of superficial aponeurosis of MG was determined from the movements of the intersections made by the superficial aponeurosis and fascicles using ultrasonography. The strain of the superficial aponeurosis at the maximum voluntary contraction, estimated from the elongation and length data, was 5.6+/-1.2%. There was no significant difference in strain between the proximal and distal parts of the superficial aponeurosis. Based on the present result and that of our previous study for the same subjects (J. Appl. Physiol 90 (2001) 1671), a model was formulated for a contracting uni-pennate muscle-tendon unit. This model, which could be applied to isometric contractions at other angles and therefore of wide use, showed that similar strain between superficial and deep aponeuroses of MG contributed to homogeneous fascicle length change within MG during contractions. These findings would contribute to clarifying the functions of the superficial aponeurosis and the effects of the superficial aponeurosis elongation on the whole muscle behavior.

Actin stress fibres and cell-cell adhesion molecules in tendons: organisation in vivo and response to mechanical loading of tendon cells in vitro

Tendons consist of parallel longitudinal rows of cells separated by collagen fibres. The cells are in intimate contact longitudinally within rows, and laterally via sheet-like lateral cell processes between rows. At points of contact, they are linked by gap junctions. Since tendons stretch under load, such cell contacts require protection. Here we describe the organisation of the actin cytoskeleton and actin-based cell-cell interactions in vivo and examine the effect of cyclic tensile loading on tendon cells in vitro. Cells within longitudinal rows contained short longitudinally running actin stress fibres. Each fibre was aligned with similar fibres in the cells longitudinally on either side, and fibres appeared to be linked via adherens junctions. Overall, these formed long oriented rows of stress fibres running along the rows of tendon cells. In culture, junctional components n-cadherin and vinculin and the stress fibre component tropomyosin increased in strained cultures, whereas actin levels remained constant. These results suggest that: (1) cells are linked via actin-associated adherens junctions along the line of principal strain; and (2) under load, cells appear to attach themselves more strongly together, and assemble more of their cytoplasmic actin into stress fibres with tropomyosin. Taken together, this suggests that cell-cell contacts are protected during stretch, and also that the stress fibres, which are contractile, may provide an active mechanism for recovery from stretch. In addition, stress fibres are ideally oriented to monitor tensile load and thus may be important in mechanotransduction and the generation of signals passed via the gap junction network.

In vivo determination of fascicle curvature in contracting human skeletal muscles

Fascicle curvature of human medial gastrocnemius muscle (MG) was determined in vivo by ultrasonography during isometric contractions at three (distal, central, and proximal) locations (n = 7) and at three ankle angles (n = 7). The curvature significantly (P < 0.05) increased from rest to maximum voluntary contraction (MVC) (0.4-5.2 m(-1)). In addition, the curvature at MVC became larger in the order dorsiflexed, neutral, plantar flexed (P < 0.05). Thus both contraction levels and muscle length affected the curvature. Intramuscular differences in neither the curvature nor the fascicle length were found. The direction of curving was consistent along the muscle: fascicles were concave in the proximal side. Fascicle length estimated from the pennation angle and muscle thickness, under the assumption that the fascicle was straight, was underestimated by ~6%. In addition, the curvature was significantly correlated to pennation angle and muscle thickness. These findings are particularly important for understanding the mechanical functions of human skeletal muscle in vivo.

Mechanical properties of tendon and aponeurosis of human gastrocnemius muscle in vivo

Load-strain characteristics of tendinous tissues (Achilles tendon and aponeurosis) were determined in vivo for human medial gastrocnemius (MG) muscle. Seven male subjects exerted isometric plantar flexion torque while the elongation of tendinous tissues of MG was determined from the tendinous movements by using ultrasonography. The maximal strain of the Achilles tendon and aponeurosis, estimated separately from the elongation data, was 5.1 +/- 1.1 and 5.9 +/- 1.6%, respectively. There was no significant difference in strain between the Achilles tendon and aponeurosis. In addition, no significant difference in strain was observed between the proximal and distal regions of the aponeurosis. The results indicate that tendinous tissues of the MG are homogeneously stretched along their lengths by muscle contraction, which has functional implications for the operation of the human MG muscle-tendon unit in vivo.

Behavior of fascicles and tendinous structures of human gastrocnemius during vertical jumping

Behavior of fascicles and tendinous structures of human gastrocnemius medialis (MG) was determined by use of ultrasonography in vivo during jumping. Eight male subjects jumped vertically without countermovement (squat jump, SQJ). Simultaneously, kinematics, kinetics, and electromyography from lower leg muscles were recorded during SQJ. During phase I (-350 to -100 ms before toe-off), muscle-tendon complex (MTC) length was almost constant. Fascicles, however, shortened by 26%, and tendinous structures were stretched by 6%, storing elastic energy of 4.9 J during phase I. During phase II (-100 ms to toe-off), although fascicles generated force quasi-isometrically, MTC shortened rapidly by 5.3%, releasing prestored elastic energy with a higher peak positive power than that of fascicles. Also, the compliance of tendinous structures in vivo was somewhat higher than that of external tendon used in the simulation studies. The results demonstrate that the compliance of tendinous structures, together with no yielding of muscle fibers, allows MTC to effectively generate relatively large power at a high joint angular velocity region during the last part of push-off.

Influence of static stretching on viscoelastic properties of human tendon structures in vivo

The purpose of this study was to investigate the influences of static stretching on the viscoelastic properties of human tendon structures in vivo. Seven male subjects performed static stretching in which the ankle was passively flexed to 35 degrees of dorsiflexion and remained stationary for 10 min. Before and after the stretching, the elongation of the tendon and aponeurosis of medial gastrocnemius muscle (MG) was directly measured by ultrasonography while the subjects performed ramp isometric plantar flexion up to the maximum voluntary contraction (MVC), followed by a ramp relaxation. The relationship between the estimated muscle force (Fm) of MG and tendon elongation (L) during the ascending phase was fitted to a linear regression, the slope of which was defined as stiffness of the tendon structures. The percentage of the area within the Fm-L loop to the area beneath the curve during the ascending phase was calculated as an index representing hysteresis. Stretching produced no significant change in MVC but significantly decreased stiffness and hysteresis from 22.9 +/- 5.8 to 20.6 +/- 4.6 N/mm and from 20.6 +/- 8.8 to 13.5 +/- 7.6%, respectively. The present results suggest that stretching decreased the viscosity of tendon structures but increased the elasticity.

In vivo human tendinous tissue stretch upon maximum muscle force generation

In the present study, we examined the hypothesis that stretch of tendinous tissue in the human tibialis anterior (TA) muscle-tendon unit upon isometric dorsiflexion maximum voluntary contraction (MVC) varies along the entire tendinous component length. Ultrasound-based measurements of the excursions of the TA tendon origin and proximal end of the TA central aponeurosis were taken in the transition from rest to MVC in six men. Subtracting the TA tendon origin excursion from the excursion of the aponeurosis proximal end, the aponeurosis excursion was estimated. Estimation of the aponeurosis proximal region excursion was obtained subtracting the excursion of the insertion point of a central region fascicle on the aponeurosis from the whole aponeurosis excursion. Subtracting tendon excursion from the excursion of the central fascicle insertion point, the aponeurosis distal region excursion was estimated. Strain values were calculated dividing the excursions obtained by the original resting lengths. All excursions and lengths were measured in the mid-longitudinal axis of the TA muscle-tendon unit at the neutral anatomical ankle position. Tendon excursion and strain were 0.5+/-0. 08 cm (mean+/-SE) and 3.1+/-0.2%, respectively. Aponeurosis excursion and strain were 1.1+/-0.15 cm and 6.5+/-0.6%, respectively. Aponeurosis distal region excursion and strain were 0.3+/-0.05 cm and 3.5+/-0.3%, respectively. Aponeurosis proximal region excursion and strain were 0.8+/-0.12 cm and 9.2+/-1%, respectively. Aponeurosis excursion and strain were larger by 110-120% (P<0.05) compared with tendon. Aponeurosis proximal region excursion and strain were larger by 165-170% (P<0.05) compared with aponeurosis distal region. These findings are in line with results from in vitro animal material testing and have important implications for theoretical models of muscle function.