Mechanical and morphological properties of human quadriceps femoris and triceps surae muscle-tendon unit in relation to aging and running

Plasticity of the human tendon to short- and long-term mechanical loading

This review examines the effects of short- and long-term static and cyclic mechanical loading on the mechanical properties of tendons. Tendons do not alter their mechanical properties after static and cycling loading that occurs during fatiguing contractions. Adaptations can occur after the application of long-term loading, but the strain magnitude must exceed a given threshold.

Arquitetura muscular e envelhecimento: adaptação funcional e aspectos clínicos; revisão da literatura

O envelhecimento é associado a um progressivo declínio na massa muscular, conhecido como sarcopenia, que afeta diretamente a arquitetura e a capacidade de produção de força muscular. O objetivo deste artigo foi revisar a literatura sobre os efeitos do envelhecimento sobre a arquitetura muscular, bem como revisar as principais evidências dos efeitos de programas de treinamento de força nas propriedades morfológicas da musculatura esquelética, discutindo as implicações clínicas da adaptação funcional na população idosa. Foram selecionados 42 artigos publicados entre 1993 e 2008 nas bases de dados Pubmed, Science Direct e Scopus, utilizando os descritores aging, older adults, elderly, muscle architecture, strength training e resistance training. Os artigos revisados suportam a idéia de que existem diferenças na arquitetura do músculo esquelético de idosos acometidos por sarcopenia quando comparados a adultos jovens saudáveis. As evidências parecem ser unânimes quanto à redução no volume, área de seção transversa fisiológica e ângulo de penação do músculo esquelético de idosos. Além disso, também há evidências de que o envelhecimento determina uma redução do comprimento fascicular e da espessura muscular, o que gera uma redução também da área de seção transversa anatômica. Programas terapêuticos de treinamento de força têm sido utilizados com o objetivo de retardar e até mesmo reverter os efeitos do envelhecimento sobre a musculatura dos idosos.

Mechanical properties and collagen cross-linking of the patellar tendon in old and young men

Age-related loss in muscle mass and strength impairs daily life function in the elderly. However, it remains unknown whether tendon properties also deteriorate with age. Cross-linking of collagen molecules provides structural integrity to the tendon fibrils and has been shown to change with age in animals but has never been examined in humans in vivo. In this study, we examined the mechanical properties and pyridinoline and pentosidine cross-link and collagen concentrations of the patellar tendon in vivo in old (OM) and young men (YM). Seven OM (67 +/- 3 years, 86 +/- 10 kg) and 10 YM (27 +/- 2 years, 81 +/- 8 kg) with a similar physical activity level (OM 5 +/- 6 h/wk, YM 5 +/- 2 h/wk) were examined. MRI was used to assess whole tendon dimensions. Tendon mechanical properties were assessed with the use of simultaneous force and ultrasonographic measurements during ramped isometric contractions. Percutaneous tendon biopsies were taken and analyzed for hydroxylysyl pyridinoline (HP), lysyl pyridinoline (LP), pentosidine, and collagen concentrations. We found no significant differences in the dimensions or mechanical properties of the tendon between OM and YM. Collagen concentrations were lower in OM than in YM (0.49 +/- 0.27 vs. 0.73 +/- 0.14 mg/mg dry wt; P < 0.05). HP concentrations were higher in OM than in YM (898 +/- 172 vs. 645 +/- 183 mmol/mol; P < 0.05). LP concentrations were higher in OM than in YM (49 +/- 38 vs. 16 +/- 8 mmol/mol; P < 0.01), and pentosidine concentrations were higher in OM than in YM (73 +/- 13 vs. 11 +/- 2 mmol/mol; P < 0.01). These cross-sectional data raise the possibility that age may not appreciably influence the dimensions or mechanical properties of the human patellar tendon in vivo. Collagen concentration was reduced, whereas both enzymatic and nonenzymatic cross-linking of concentration was elevated in OM vs. in YM, which may be a mechanism to maintain the mechanical properties of tendon with aging.

Ultrasonic evaluations of Achilles tendon mechanical properties poststroke

Spasticity, contracture, and muscle weakness are commonly observed poststroke in muscles crossing the ankle. However, it is not clear how biomechanical properties of the Achilles tendon change poststroke, which may affect functions of the impaired muscles directly. Biomechanical properties of the Achilles tendon, including the length and cross-sectional area, in the impaired and unimpaired sides of 10 hemiparetic stroke survivors were evaluated using ultrasonography. Elongation of the Achilles tendon during controlled isometric ramp-and-hold and ramping up then down contractions was determined using a block-matching method. Biomechanical changes in stiffness, Young's modulus, and hysteresis of the Achilles tendon poststroke were investigated by comparing the impaired and unimpaired sides of the 10 patients. The impaired side showed increased tendon length (6%; P = 0.04), decreased stiffness (43%; P < 0.001), decreased Young's modulus (38%; P = 0.005), and increased mechanical hysteresis (1.9 times higher; P < 0.001) compared with the unimpaired side, suggesting Achilles tendon adaptations to muscle spasticity, contracture, and/or disuse poststroke. In vivo quantitative characterizations of the tendon biomechanical properties may help us better understand changes of the calf muscle-tendon unit as a whole and facilitate development of more effective treatments.

Age-related deficit in dynamic stability control after forward falls is affected by muscle strength and tendon stiffness

The purpose of the work was to determine whether the age-related muscle weakness diminishes older adults' ability to use mechanisms responsible for maintaining dynamic stability after forward falls. Nine older and nine younger adults participated in this study. To analyse the capacities of the leg-extensor muscle-tendon units, all subjects performed isometric maximal voluntary plantarflexion and knee extension contractions on a dynamometer. The elongation of the gastrocnemius medialis and the vastus lateralis tendon and aponeuroses during isometric contraction was examined by ultrasonography. Recovery behaviour was determined after a sudden fall from two forward-inclined lean angles. Compared to older adults, younger adults had higher muscle strength and tendon stiffness. Younger adults created a higher margin of stability compared to older, independent of perturbation intensity. The main mechanism improving the margin of dynamic stability was the increase of the base of support. The results, further, demonstrated that the locomotion strategy employed before touchdown affects the stability of the stance phase and that muscle strength and tendon stiffness contributed significantly to stability control. We concluded that, to reduce the risk of falls, older individuals may benefit from muscle-tendon unit strengthening programs as well as from interventions exercising the mechanisms responsible for dynamic stability.

Age-related effect of static and cyclic loadings on the strain-force curve of the vastus lateralis tendon and aponeurosis

The objective of the present study was to investigate the age-related effects of submaximal static and cyclic loading on the mechanical properties of the vastus lateralis (VL) tendon and aponeurosis in vivo. Fourteen old and 12 young male subjects performed maximal voluntary isometric knee extensions (MVC) on a dynamometer before and after (a) a sustained isometric contraction at 25% MVC and (b) isokinetic contractions at 50% isokinetic MVC, both until task failure. The elongation of the VL tendon and aponeurosis was examined using ultrasonography. To calculate the resultant knee joint moment, the kinematics of the leg were recorded with eight cameras (120 Hz). The old adults displayed significantly lower maximal moments but higher strain values at any given tendon force from 400 N and up in all tested conditions. Neither of the loading protocols influenced the strain-force relationship of the VL tendon and aponeurosis in either the old or young adults. Consequently, the capacity of the tendon and aponeurosis to resist force remained unaffected in both groups. It can be concluded that in vivo tendons are capable of resisting long-lasting static (~4.6 min) or cyclic (~18.5 min) mechanical loading at the attained strain levels (4-5%) without significantly altering their mechanical properties regardless of age. This implies that as the muscle becomes unable to generate the required force due to fatigue, the loading of the tendon is terminated prior to provoking any significant changes in tendon mechanical properties.

Age-related differences in the properties of the plantar flexor muscles and tendons

PURPOSE

The purpose of this study was to determine age-related differences in the human plantar flexor muscles and tendon.

METHODS

Four age groups--a 20-yr group (20-27 yr, N = 19), 30-yr group (31-38 yr, N = 15), 50-yr group (46-57 yr, N = 10) and 70-yr group (62-77 yr, N = 15)--volunteered to take part in the present study. Muscle thickness, strength, and activation level (using twitch-interpolation technique) of plantar flexor muscles were measured. Elongation of the Achilles tendon was determined using ultrasonography while subjects performed ramp isometric plantar flexion up to the voluntary maximum.

RESULTS

No significant difference in relative muscle thickness (to limb length) was observed among the four age groups. Muscle strength and activation level of the 20-yr group were significantly higher than those of the 50- and 70-yr groups (activation levels were not measured in the 70-yr group), and maximal strain (elongation/initial tendon length) of the Achilles tendon decreased with aging. Although there were no differences in muscle strength and activation levels between the 20- and 30-yr groups, maximal strain of the Achilles tendon of the 30-yr group was already lower than that of the 20-yr group (P = 0.062).

CONCLUSION

These results suggest that the processes of age-related changes in the muscle and tendon are different. Furthermore, the differences in age-related changes of muscle and tendon might play a role in the frequency of Achilles tendon ruptures among men in their 30s.

Aging and running experience affects the gearing in the musculoskeletal system of the lower extremities while walking

The aims of this study were to investigate whether older adults modify their walking mechanics to compensate for the degeneration in their muscle-tendon units (MTUs), and to examine whether running has a beneficial effect on walking mechanics in younger and older adults. The investigation was conducted on 30 older and 19 younger adults divided into two subgroups: runners versus non-active. In previous studies we documented that older adults had lower leg-extensor muscle strength and tendon stiffness compared to younger. Runners and non-active subjects had similar MTU capacities. In this study we analysed walking kinematics and kinetics (1.6 m/s) from the same subjects. Older adults showed a lower gear ratio (ratio between moment arm of the ground reaction force and moment arm of muscle) at the triceps surae MTU during the initial and mid part of ground contact, lower average horizontal forces and lower average ankle joint moment during ground contact compared to younger (p<0.05). Compared to non-active subjects, runners had a lower gear ratio at the quadriceps femoris MTU during the initial and final part of ground contact, lower average horizontal forces and lower maximal knee joint moment during ground contact independent of the subject's age (p<0.05). We concluded that the older adults modify the gearing at the ankle joint in order to adjust the task effort to the reduced triceps surae muscle strength. It appears, further, that runners walked more effectively from a mechanical standpoint compared to non-active subjects, which suggests that runners may be able to transfer motor adaptation from running to walking even in old age.

The effect of running, strength, and vibration strength training on the mechanical, morphological, and biochemical properties of the Achilles tendon in rats

Compared with muscle or bone, there is a lack of information about the relationship between tendon adaptation and the applied loading characteristic. The purpose of the present study was to analyze the effect of different exercise modes characterized by very distinct loading patterns on the mechanical, morphological, and biochemical properties of the Achilles tendon. Sixty-four female Sprague-Dawley rats were divided into five groups: nonactive age-matched control (AMC; n = 20), voluntary wheel running (RT; n = 20), vibration strength-trained (LVST; n = 12), high-vibration strength-trained (HVST; n = 6), and high strength-trained (HST; n = 6) group. After a 12-wk-long experimental period, the Achilles tendon was tested mechanically and the cross-sectional area, the soleus and gastrocnemius muscle mass, and mRNA concentration of collagen I, collagen III, tissue inhibitor of metalloproteinase-1 (TIMP-1), transforming growth factor-β, connective tissue growth factor, and matrix metalloproteinase-2 was determined. Neither in the LVST nor in the HVST group could any adaptation of the Achilles tendon be detected, although the training had an effect on the gastrocnemius muscle mass in the LVST group ( P < 0.05). In the HST group, the highest creep was found, but the effect was more pronounced compared with the LVST group ( P < 0.05) than with the AMC group. That indicates that this was rather induced by the low muscle mass rather than by training. However, the RT group had a higher TIMP-1 mRNA concentration in the Achilles tendon in contrast to AMC group ( P < 0.05), which suggests that this exercise mode may have an influence on tendon adaptation.

Age-related degeneration in leg-extensor muscle–tendon units decreases recovery performance after a forward fall: compensation with running experience

The goals of this study were to investigate whether the lower muscle-tendon units (MTUs) capacities in older affect their ability to recover balance with a single-step after a fall, and to examine whether running experience enhances and protects this motor skill in young and old adults. The investigation was conducted on 30 older and 19 younger divided into two subgroups: runners versus non-active. In previous studies we documented that the older had lower leg extensor muscle strength and tendon stiffness while running had no effect on MTUs capacities. The current study examined recovery mechanics of the same individuals after an induced forward fall. Younger were better able to recover balance with a single-step compared to older (P < 0.001); this ability was associated with a more effective body configuration at touchdown (more posterior COM position relative to the recovery foot, P <0.001). MTUs capacities classified 88.6% of the subjects into single- or multiple-steppers. Runners showed a superior ability to recover balance with a single-step (P < 0.001) compared to non-active subjects due to a more effective mechanical response during the stance phase (greater knee joint flexion, P <0.05). We concluded that the age-related degeneration of the MTUs significantly diminished the older adults' ability to restore balance with a single-step. Running seems to enhance and protect this motor skill. We suggested that runners, due to their running experience, could update the internal representation of mechanisms responsible for the control of dynamic stability during a forward fall and, thus, were able to restore balance more often with a single-step compared to the non-active subjects.

Adaptational phenomena and mechanical responses during running: effect of surface, aging and task experience

The goals of the study were to identify adaptational phenomena in running mechanics over a variety of surfaces due to age related changes in the muscle-tendon units (MTUs) capacities, to examine whether running experience is associated with adaptational effects on running mechanics over a variety of surfaces even at old age, and to investigate whether surface condition affects running mechanics. The investigation was executed on 30 old and 19 young including 29 runners and 20 non-active subjects. In a previous study we documented that the older had lower MTUs capacities. In the present study running mechanics were analysed as the same subjects ran at 2.7 m/s over three surfaces having different compliance. Surface condition did not affect centre of mass trajectory, duty factor or joint kinetics (P > 0.01). Older react to the reduced MTUs capacity by increasing duty factor and benefiting from a mechanical advantage for the triceps surae MTU and a lower rate of force generation on all surfaces (P < 0.01). Runners displayed lower average horizontal forces and a higher mechanical advantage for the quadriceps femoris MTU for all surfaces (P < 0.01). The results provided strong evidence on that running strategy remained essentially unchanged over a variety of surfaces. Adaptive improvements in running mechanics due to task experience were present for all surfaces and did not depend on age. We further concluded that older adults were able to recalibrate their running strategy to adjust the task effort to the reduced MTUs capacities in a feedforward control manner for a variety of mechanical environments.

Influence of the mechanical properties of the muscle-tendon unit on force generation in runners with different running economy

In earlier studies, we found more economical runners having a more compliant quadriceps femoris (QF) tendon at low force levels, and a higher contractile strength and stiffness at the triceps surae (TS). To better understand how these differences influence force generation economy and energy recovery, we simulated contractions using a Hill-type muscle model and the previously determined muscle properties as input parameters. For eight different activation levels, we simulated isovelocity concentric contractions preceded by an isovelocity stretch. The length changes and contraction velocities imposed to the muscle-tendon units (MTU) corresponded to those happening whilst running. The main results of the simulations were: (a) a more compliant tendon at low force levels (QF) led to an advantage in force-generation due to a decrease in shortening velocity of the CE, (b) a higher contractile strength and higher stiffness at the TS led to a disadvantage in force-generation at high activation levels and to an advantage at low activation levels. In addition at the high economy runners both MTUs showed an advantageous energy release during shortening, which at the QF was mainly due to a higher elongation of the SEE and at the TS mainly to the higher contractile strength. Especially at low activation levels both MTUs showed an advantageous force generation per activation and a higher energy release as compared to the low economy runners.

Effects of Physical Training and Detraining, Immobilisation, Growth and Aging on Human Fascicle Geometry

In addition to its size and the extent of its neural activation, a muscle's geometry (the angles and lengths of its fibres or fascicles) strongly influences its force production characteristics. As with many other tissues within the body, muscle displays significant plasticity in its geometry. This review summarises geometric differences between various athlete populations and describes research examining the plasticity of muscle geometry with physical training, immobilisation/detraining, growth and aging. Typically, heavy resistance training in young adults has been shown to cause significant increases in fascicle angle of vastus lateralis and triceps brachii as measured by ultrasonography, while high-speed/plyometrics training in the absence of weight training has been associated with increases in fascicle length and a reduction in angles of vastus lateralis fascicles. These changes indicate that differences in geometry between various athletic populations might be at least partly attributable to their differing training regimes. Despite some inter-muscular differences, detraining/unloading is associated with decreases in fascicle angle, although little change was shown in muscles such as vastus lateralis and triceps brachii in studies examining the effects of prolonged bed rest. No research has examined the effects of other interventions such as endurance or chronic stretching training. Few data exist describing geometric adaptation during growth and maturation, although increases in gastrocnemius fascicle angle and length seem to occur until maturation in late adolescence. Although some evidence suggests that a decrease in both fascicle angle and length accompanies the normal aging process, there is a paucity of data examining the issue; heavy weight training might attenuate the decline, at least in fascicle length. A significant research effort is required to more fully understand geometric adaptation in response to physical training, immobilisation/detraining, growth and aging.

Muscle activation assessment: Effects of method, stimulus number, and joint angle

Activation capacity has traditionally been assessed using the interpolated twitch technique (ITT) and central activation ratio (CAR). However, the quantitative agreement of the two methods and the physiological mechanisms underpinning any possible differences have not been fully elucidated. The aim of this study was to compare and assess the sensitivity of the ITT and CAR to potential errors introduced by (1) evoking inadequate force, by manipulating the number of stimuli, and (2) neglecting differences in series elasticity between conditions, by manipulating joint angle. Ten subjects performed knee extension contractions at 30 degrees and 90 degrees knee-joint angles during which the ITT and CAR methods were applied using 1, 2, 4, and 8 electrical stimuli. Joint angle influenced the ITT outcome with higher values taken at 90 degrees (P < 0.05), while the number of stimuli influenced the CAR outcome with a higher number of stimuli yielding lower values (P < 0.05). For any given joint angle and stimulus number, the CAR method produced higher activation values than the ITT method by 8%-16%. Therefore, in the quantification of voluntary drive with the ITT and CAR methods consideration should be given not only to the number of stimuli applied but also to the effect of series elasticity due to joint-angle differences, since these factors may differently affect the outcome of the calculation, depending on the approach followed.