Antagonist muscle architecture and aponeurosis/tendon strain of biceps femoris long head during maximal isometric efforts

Influence of transducer pressure and examiner experience on muscle active shear modulus measured by shear wave elastography

INTRODUCTION

This study examined the effects of ultrasound transducer pressure and examiner experience on the biceps femoris long head and semitendinosus muscle active shear modulus in healthy individuals (n = 28).

METHODS

Active shear modulus was assessed using shear wave elastography at 20% of knee flexor maximal voluntary isometric contraction. Examiners with different experience levels measured the muscles' shear modulus with three pressure levels: mild, moderate, and hard.

RESULTS

A main effect of transducer pressure was found for both biceps femoris long head (p < 0.001; η2p = 0.314) and semitendinosus muscles (p < 0.001; η2p = 0.280), whereas differences were found between mild-moderate (biceps femoris long head: p = 0.013, d = 0.23; semitendinosus: p = 0.024, d = 0.25), and mild-hard pressures (biceps femoris long head: p = 0.001, d = 0.47; semitendinosus: p = 0.002, d = 0.47). Examiners performed similar shear modulus measurements in the biceps femoris long head (p = 0.299; η2p = 0.041) and semitendinosus (p = 0.177; η2p = 0.066), although the experienced examiner showed a higher measurement repeatability (biceps femoris long head: ICC = 0.86-0.95, semitendinosus: ICC = 0.89-0.96; vs. biceps femoris long head: ICC = 0.78-0.87, semitendinosus: ICC = 0.66-0.87).

CONCLUSION

Transducer pressure influences the active shear modulus measurement between mild and moderate or hard pressures. Additionally, examiner experience seems to have no influence on muscle active shear modulus measurement when assessed at the same site (using casts).

IMPLICATIONS FOR PRACTICE

Future studies assessing active muscle shear modulus should use mild transducer pressure and having experienced examiners in order to improve measurement reliability.

Regional differences in behaviors of fascicle and tendinous tissue of the biceps femoris long head during hamstring exercises

The biceps femoris long head (BFLH) gains its properties from internal elements (fascicles and tendinous tissues) which behaviors remain poorly understood across BFLH regions and dynamic tasks. The aim of this study was to assess the in vivo behaviors of fascicles and tendinous tissue in the proximal and distal regions of BFLH during different dynamic knee and hip tasks. Twenty males performed the Nordic hamstring exercise (NHE) (n = 9) and Romanian deadlift (RDL) (n = 11). Activation of the BFLH was assessed using surface electromyography signals. Ultrasound images of BFLH and kinematic data were used to estimate the interaction between fascicle and tendinous tissue. The fascicles changed less in length (p < 0.05) and contributed less to BFLH length change (p < 0.05) in NHE with higher activation (p < 0.05) relative to RDL. The higher pennation angle changes of BFLH were found in distal region compared to proximal region in both tasks (p < 0.05), while the activation of distal region was higher than activation of proximal region in NHE (p < 0.05). The BFLH length change was primarily contributed by the tendinous tissue during dynamic resistance tasks, and was contributed less by fascicles which operated more isometrically in knee-dominant NHE with higher activation relative to hip-dominant RDL. Regional differences in pennation angle change and activation during dynamic tasks suggest potential regional differences in the mechanical function of BFLH, warranting further investigation.

A wearable electromyography-controlled functional electrical stimulation system improves balance, gait function, and symmetry in older adults

BACKGROUND

Wearable technologies have been developed for healthy aging. The technology for electromyography (EMG)-controlled functional electrical stimulation (FES) systems has been developed, but research on how helpful it is in daily life has been insufficient.

OBJECTIVE

The purpose of this study was to investigate the effect of the EMG-controlled FES system on muscle morphology, balance, and gait in older adults.

METHODS

Twenty-nine older adults were evaluated under two randomly assigned conditions (non-FES and FES assists). Muscle morphology, balance, gait function, and muscle effort during gait were measured using ultrasonography, a physical test, a gait analysis system, and EMG.

RESULTS

The EMG-controlled FES system improved gait speed by 11.1% and cadence by 15.6% (P< 0.01). The symmetry ratio of the bilateral gastrocnemius was improved by 9.9% in the stance phase and 11.8% in the swing phase (P< 0.05). The degrees of coactivation of the knee and ankle muscles were reduced by 45.1% and 50.5%, respectively (P< 0.05). Balance improved by 6-10.7% (P< 0.01).

CONCLUSION

The EMG-controlled FES system is useful for balance and gait function by increasing muscle symmetry and decreasing muscle coactivation during walking in older adults.