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Sahrmann AS, Vosse L, Siebert T, Handsfield GG, Röhrle O. 3D ultrasound-based determination of skeletal muscle fascicle orientations. Biomech Model Mechanobiol 2024:10.1007/s10237-024-01837-3. [PMID: 38530501 DOI: 10.1007/s10237-024-01837-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 02/22/2024] [Indexed: 03/28/2024]
Abstract
Architectural parameters of skeletal muscle such as pennation angle provide valuable information on muscle function, since they can be related to the muscle force generating capacity, fiber packing, and contraction velocity. In this paper, we introduce a 3D ultrasound-based workflow for determining 3D fascicle orientations of skeletal muscles. We used a custom-designed automated motor driven 3D ultrasound scanning system for obtaining 3D ultrasound images. From these, we applied a custom-developed multiscale-vessel enhancement filter-based fascicle detection algorithm and determined muscle volume and pennation angle. We conducted trials on a phantom and on the human tibialis anterior (TA) muscle of 10 healthy subjects in plantarflexion (157 ± 7∘ ), neutral position (109 ± 7∘ , corresponding to neutral standing), and one resting position in between (145 ± 6∘ ). The results of the phantom trials showed a high accuracy with a mean absolute error of 0.92 ± 0.59∘ . TA pennation angles were significantly different between all positions for the deep muscle compartment; for the superficial compartment, angles are significantly increased for neutral position compared to plantarflexion and resting position. Pennation angles were also significantly different between superficial and deep compartment. The results of constant muscle volumes across the 3 ankle joint angles indicate the suitability of the method for capturing 3D muscle geometry. Absolute pennation angles in our study were slightly lower than recent literature. Decreased pennation angles during plantarflexion are consistent with previous studies. The presented method demonstrates the possibility of determining 3D fascicle orientations of the TA muscle in vivo.
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Affiliation(s)
- Annika S Sahrmann
- Institute for Modelling and Simulation of Biomechanical Systems, University of Stuttgart, Pfaffenwaldring 5A, 70569, Stuttgart, Germany.
- Stuttgart Center for Simulation Science, EXC2075 - 390740016, University of Stuttgart, 70569, Stuttgart, Germany.
| | - Lukas Vosse
- Institute of Sport and Movement Science, University of Stuttgart, Allmandring 28, 70569, Stuttgart, Germany
- Stuttgart Center for Simulation Science, EXC2075 - 390740016, University of Stuttgart, 70569, Stuttgart, Germany
| | - Tobias Siebert
- Institute of Sport and Movement Science, University of Stuttgart, Allmandring 28, 70569, Stuttgart, Germany
- Stuttgart Center for Simulation Science, EXC2075 - 390740016, University of Stuttgart, 70569, Stuttgart, Germany
| | - Geoffrey G Handsfield
- Auckland Bioengineering Institute, University of Auckland, 70 Symonds Street, Auckland, 1010, New Zealand
| | - Oliver Röhrle
- Institute for Modelling and Simulation of Biomechanical Systems, University of Stuttgart, Pfaffenwaldring 5A, 70569, Stuttgart, Germany
- Stuttgart Center for Simulation Science, EXC2075 - 390740016, University of Stuttgart, 70569, Stuttgart, Germany
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2
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Hooijmans MT, Veeger TTJ, Mazzoli V, van Assen HC, de Groot JH, Gottwald LM, Nederveen AJ, Strijkers GJ, Kan HE. Muscle fiber strain rates in the lower leg during ankle dorsi-/plantarflexion exercise. NMR IN BIOMEDICINE 2024; 37:e5064. [PMID: 38062865 DOI: 10.1002/nbm.5064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 02/17/2024]
Abstract
Static quantitative magnetic resonance imaging (MRI) provides readouts of structural changes in diseased muscle, but current approaches lack the ability to fully explain the loss of contractile function. Muscle contractile function can be assessed using various techniques including phase-contrast MRI (PC-MRI), where strain rates are quantified. However, current two-dimensional implementations are limited in capturing the complex motion of contracting muscle in the context of its three-dimensional (3D) fiber architecture. The MR acquisitions (chemical shift-encoded water-fat separation scan, spin echo-echoplanar imaging with diffusion weighting, and two time-resolved 3D PC-MRI) wereperformed at 3 T. PC-MRI acquisitions and performed with and without load at 7.5% of the maximum voluntary dorsiflexion contraction force. Acquisitions (3 T, chemical shift-encoded water-fat separation scan, spin echo-echo planar imaging with diffusion weighting, and two time-resolved 3D PC-MRI) were performed with and without load at 7.5% of the maximum voluntary dorsiflexion contraction force. Strain rates and diffusion tensors were calculated and combined to obtain strain rates along and perpendicular to the muscle fibers in seven lower leg muscles during the dynamic dorsi-/plantarflexion movement cycle. To evaluate strain rates along the proximodistal muscle axis, muscles were divided into five equal segments. t-tests were used to test if cyclic strain rate patterns (amplitude > 0) were present along and perpendicular to the muscle fibers. The effects of proximal-distal location and load were evaluated using repeated measures ANOVAs. Cyclic temporal strain rate patterns along and perpendicular to the fiber were found in all muscles involved in dorsi-/plantarflexion movement (p < 0.0017). Strain rates along and perpendicular to the fiber were heterogeneously distributed over the length of most muscles (p < 0.003). Additional loading reduced strain rates of the extensor digitorum longus and gastrocnemius lateralis muscle (p < 0.001). In conclusion, the lower leg muscles involved in cyclic dorsi-/plantarflexion exercise showed cyclic fiber strain rate patterns with amplitudes that varied between muscles and between the proximodistal segments within the majority of muscles.
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Affiliation(s)
- Melissa T Hooijmans
- Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Thom T J Veeger
- C. J. Gorter MRI Center, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
| | - Valentina Mazzoli
- Department of Radiology, Stanford University, Stanford, California, USA
| | - Hans C van Assen
- Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
| | - Jurriaan H de Groot
- Department of Rehabilitation Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Lukas M Gottwald
- Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Aart J Nederveen
- Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Gustav J Strijkers
- Department of Biomedical Engineering and Physics, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Hermien E Kan
- C. J. Gorter MRI Center, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
- Duchenne Center Netherlands, Leiden, The Netherlands
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Taneja K, He X, Hodgson J, Sinha U, Sinha S, Chen JS. Investigating the Correlation between Force Output, Strains, and Pressure for Active Skeletal Muscle Contractions. ARXIV 2023:arXiv:2310.06191v1. [PMID: 37873019 PMCID: PMC10593072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 10/25/2023]
Abstract
Experimental observations suggest that the force output of the skeletal muscle tissue can be correlated to the intra-muscular pressure generated by the muscle belly. However, pressure often proves difficult to measure through in-vivo tests. Simulations on the other hand, offer a tool to model muscle contractions and analyze the relationship between muscle force generation and deformations as well as pressure outputs, enabling us to gain insight into correlations among experimentally measurable quantities such as principal and volumetric strains, and the force output. In this work, a correlation study is performed using Pearson's and Spearman's correlation coefficients on the force output of the skeletal muscle, the principal and volumetric strains experienced by the muscle and the pressure developed within the muscle belly as the muscle tissue undergoes isometric contractions due to varying activation profiles. The study reveals strong correlations between force output and the strains at all locations of the belly, irrespective of the type of activation profile used. This observation enables estimation on the contribution of various muscle groups to the total force by the experimentally measurable principal and volumetric strains in the muscle belly. It is also observed that pressure does not correlate well with force output due to stress relaxation near the boundary of muscle belly.
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Affiliation(s)
- Karan Taneja
- Department of Structural Engineering, University of California San Diego, San Diego, CA, USA
| | | | - John Hodgson
- Department of Integrative Biology and Physiology, University of California Los Angeles, Los Angeles, CA, USA
| | - Usha Sinha
- Department of Physics, San Diego State University, CA, USA
| | - Shantanu Sinha
- Department of Radiology, University of California San Diego, San Diego, CA, USA
| | - J. S. Chen
- Department of Structural Engineering, University of California San Diego, San Diego, CA, USA
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Ateş F, Coleman-Wood K, Litchy W, Kaufman KR. Intramuscular pressure of human tibialis anterior muscle detects age-related changes in muscle performance. J Electromyogr Kinesiol 2021; 60:102587. [PMID: 34428670 DOI: 10.1016/j.jelekin.2021.102587] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 07/29/2021] [Accepted: 08/09/2021] [Indexed: 01/02/2023] Open
Abstract
Intramuscular pressure (IMP) reflects forces produced by a muscle. Age is one of the determinants of skeletal muscle performance. The present study aimed to test whether IMP mirrors known age-related muscular changes. We simultaneously measured the tibialis anterior (TA) IMP, compound muscle action potential (CMAP), and ankle torque in thirteen older adults (60-80 years old) in vivo by applying different stimulation intensities and frequencies. We found significant positive correlations between the stimulation intensity and IMP and CMAP. Increasing stimulation frequency caused ankle torque and IMP to increase. The electromechanical delay (EMD) (36 ms) was longer than the onset of IMP (IMPD) (29 ms). Compared to the previously published data collected from young adults (21-40 years old) in identical conditions, the TA CMAP and IMP of older adults at maximum intensity of stimulation were 23.8% and 39.6% lower, respectively. For different stimulation frequencies, CMAP, IMP, as well as ankle torque of older adults were 20.5%, 24.2%, and 13.2% lower, respectively. Surprisingly, the EMD did not exhibit any difference between young and older adults and the IMPD was consistent with the EMD. Data supporting the hypotheses suggest that IMP measurement is an indicator of muscle performance in older adults.
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Affiliation(s)
- Filiz Ateş
- Aerospace Engineering and Geodesy, University of Stuttgart, Stuttgart, Germany; Motion Analysis Laboratory, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
| | - Krista Coleman-Wood
- Motion Analysis Laboratory, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
| | - William Litchy
- Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - Kenton R Kaufman
- Motion Analysis Laboratory, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
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Baligand C, Hirschler L, Veeger TTJ, Václavů L, Franklin SL, van Osch MJP, Kan HE. A split-label design for simultaneous measurements of perfusion in distant slices by pulsed arterial spin labeling. Magn Reson Med 2021; 86:2441-2453. [PMID: 34105189 PMCID: PMC8596809 DOI: 10.1002/mrm.28879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 05/07/2021] [Accepted: 05/11/2021] [Indexed: 12/16/2022]
Abstract
Purpose Multislice arterial spin labeling (ASL) MRI acquisitions are currently challenging in skeletal muscle because of long transit times, translating into low‐perfusion SNR in distal slices when large spatial coverage is required. However, fiber type and oxidative capacity vary along the length of healthy muscles, calling for multislice acquisitions in clinical studies. We propose a new variant of flow alternating inversion recovery (FAIR) that generates sufficient ASL signal to monitor exercise‐induced perfusion changes in muscle in two distant slices. Methods Label around and between two 7‐cm distant slices was created by applying the presaturation/postsaturation and selective inversion modules selectively to each slice (split‐label multislice FAIR). Images were acquired using simultaneous multislice EPI. We validated our approach in the brain to take advantage of the high resting‐state perfusion, and applied it in the lower leg muscle during and after exercise, interleaved with a single‐slice FAIR as a reference. Results We show that standard multislice FAIR leads to an underestimation of perfusion, while the proposed split‐label multislice approach shows good agreement with separate single‐slice FAIR acquisitions in brain, as well as in muscle following exercise. Conclusion Split‐label FAIR allows measuring muscle perfusion in two distant slices simultaneously without losing sensitivity in the distal slice.
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Affiliation(s)
- Celine Baligand
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Lydiane Hirschler
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Thom T J Veeger
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Lena Václavů
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Suzanne L Franklin
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands.,Center for image sciences, University Medical Centre Utrecht, Utrecht, the Netherlands
| | - Matthias J P van Osch
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands.,Leiden Institute for Brain and Cognition, Leiden University, Leiden, the Netherlands
| | - Hermien E Kan
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands.,Duchenne Center, Leiden, the Netherlands
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Malis V, Sinha U, Sinha S. 3D Muscle Deformation Mapping at Submaximal Isometric Contractions: Applications to Aging Muscle. Front Physiol 2020; 11:600590. [PMID: 33343396 PMCID: PMC7744822 DOI: 10.3389/fphys.2020.600590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 11/09/2020] [Indexed: 11/24/2022] Open
Abstract
3D strain or strain rate tensor mapping comprehensively captures regional muscle deformation. While compressive strain along the muscle fiber is a potential measure of the force generated, radial strains in the fiber cross-section may provide information on the material properties of the extracellular matrix. Additionally, shear strain may potentially inform on the shearing of the extracellular matrix; the latter has been hypothesized as the mechanism of lateral transmission of force. Here, we implement a novel fast MR method for velocity mapping to acquire multi-slice images at different % maximum voluntary contraction (MVC) for 3D strain mapping to explore deformation in the plantar-flexors under isometric contraction in a cohort of young and senior subjects. 3D strain rate and strain tensors were computed and eigenvalues and two invariants (maximum shear and volumetric strain) were extracted. Strain and strain rate indices (contractile and in-plane strain/strain rate, shear strain/strain rate) changed significantly with %MVC (30 and 60% MVC) and contractile and shear strain with age in the medial gastrocnemius. In the soleus, significant differences with age in contractile and shear strain were seen. Univariate regression revealed weak but significant correlation of in-plane and shear strain and shear strain rate indices to %MVC and correlation of contractile and shear strain indices to force. The ability to map strain tensor components provides unique insights into muscle physiology: with contractile strain providing an index of the force generated by the muscle fibers while the shear strain could potentially be a marker of lateral transmission of force.
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Affiliation(s)
- Vadim Malis
- Department of Physics, University of California, San Diego, San Diego, CA, United States.,Department of Radiology, University of California, San Diego, San Diego, CA, United States
| | - Usha Sinha
- Department of Physics, San Diego State University, San Diego, CA, United States
| | - Shantanu Sinha
- Department of Radiology, University of California, San Diego, San Diego, CA, United States
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Vaidya AJ, Wheatley BB. An experimental and computational investigation of the effects of volumetric boundary conditions on the compressive mechanics of passive skeletal muscle. J Mech Behav Biomed Mater 2019; 102:103526. [PMID: 31877528 DOI: 10.1016/j.jmbbm.2019.103526] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 10/03/2019] [Accepted: 11/06/2019] [Indexed: 12/25/2022]
Abstract
Computational modeling, such as finite element analysis, is employed in a range of biomechanics specialties, including impact biomechanics and surgical planning. These models rely on accurate material properties for skeletal muscle, which comprises roughly 40% of the human body. Due to surrounding tissues, compressed skeletal muscle in vivo likely experiences a semi-confined state. Nearly all previous studies investigating passively compressed muscle at the tissue level have focused on muscle in unconfined compression. The goals of this study were to (1) examine the stiffness and time-dependent material properties of skeletal muscle subjected to both confined and unconfined compression (2) develop a model that captures passive muscle mechanics under both conditions and (3) determine the extent to which different assumptions of volumetric behavior affect model results. Muscle in confined compression exhibited stiffer behavior, agreeing with previous assumptions of near-incompressibility. Stress relaxation was found to be faster under unconfined compression, suggesting there may be different mechanisms that support load these two conditions. Finite element calibration was achieved through nonlinear optimization (normalized root mean square error <6%) and model validation was strong (normalized root mean square error <17%). Comparisons to commonly employed assumptions of bulk behavior showed that a simple one parameter approach does not accurately simulate confined compression. We thus recommend the use of a properly calibrated, nonlinear bulk constitutive model for modeling of skeletal muscle in vivo. Future work to determine mechanisms of passive muscle stiffness would enhance the efforts presented here.
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Affiliation(s)
- Anurag J Vaidya
- Department of Biomedical Engineering, Lewisburg, PA, 17837, USA
| | - Benjamin B Wheatley
- Department of Mechanical Engineering, Bucknell University, 1 Dent Drive, Lewisburg, PA, 17837, USA.
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Bilston LE, Bolsterlee B, Nordez A, Sinha S. Contemporary image-based methods for measuring passive mechanical properties of skeletal muscles in vivo. J Appl Physiol (1985) 2019; 126:1454-1464. [PMID: 30236053 DOI: 10.1152/japplphysiol.00672.2018] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Skeletal muscles' primary function in the body is mechanical: to move and stabilize the skeleton. As such, their mechanical behavior is a key aspect of their physiology. Recent developments in medical imaging technology have enabled quantitative studies of passive muscle mechanics, ranging from measurements of intrinsic muscle mechanical properties, such as elasticity and viscosity, to three-dimensional muscle architecture and dynamic muscle deformation and kinematics. In this review we summarize the principles and applications of contemporary imaging methods that have been used to study the passive mechanical behavior of skeletal muscles. Elastography measurements can provide in vivo maps of passive muscle mechanical parameters, and both MRI and ultrasound methods are available (magnetic resonance elastography and ultrasound shear wave elastography, respectively). Both have been shown to differentiate between healthy muscle and muscles affected by a broad range of clinical conditions. Detailed muscle architecture can now be depicted using diffusion tensor imaging, which not only is particularly useful for computational modeling of muscle but also has potential in assessing architectural changes in muscle disorders. More dynamic information about muscle mechanics can be obtained using a range of dynamic MRI methods, which characterize the detailed internal muscle deformations during motion. There are several MRI techniques available (e.g., phase-contrast MRI, displacement-encoded MRI, and "tagged" MRI), each of which can be collected in synchrony with muscle motion and postprocessed to quantify muscle deformation. Together, these modern imaging techniques can characterize muscle motion, deformation, mechanical properties, and architecture, providing complementary insights into skeletal muscle function.
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Affiliation(s)
- Lynne E Bilston
- Neuroscience Research Australia, Randwick, New South Wales , Australia.,Prince of Wales Clinical School, University of New South Wales, Randwick, New South Wales , Australia
| | - Bart Bolsterlee
- Neuroscience Research Australia, Randwick, New South Wales , Australia.,Graduate School of Biomedical Engineering, University of New South Wales , Kensington, New South Wales , Australia
| | - Antoine Nordez
- Health and Rehabilitation Research Institute, Auckland University of Technology , Auckland , New Zealand.,Movement, Interactions, Performance Laboratory (EA 4334), Faculty of Sport Sciences, University of Nantes , Nantes , France
| | - Shantanu Sinha
- Muscle Imaging and Modeling Laboratory, Department of Radiology, University of California , San Diego, California
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Abstract
This review, the first in a series of minireviews on the passive mechanical properties of skeletal muscles, seeks to summarize what is known about the muscle deformations that allow relaxed muscles to lengthen and shorten. Most obviously, when a muscle lengthens, muscle fascicles elongate, but this is not the only mechanism by which muscles change their length. In pennate muscles, elongation of muscle fascicles is accompanied by changes in pennation and changes in fascicle curvature, both of which may contribute to changes in muscle length. The contributions of these mechanisms to change in muscle length are usually small under passive conditions. In very pennate muscles with long aponeuroses, fascicle shear could contribute substantially to changes in muscle length. Tendons experience moderate axial strains even under passive loads, and, because tendons are often much longer than muscle fibers, even moderate tendon strains may contribute substantially to changes in muscle length. Data obtained with new imaging techniques suggest that muscle fascicle and aponeurosis strains are highly nonuniform, but this is yet to be confirmed. The development, validation, and interpretation of continuum muscle models informed by rigorous measurements of muscle architecture and material properties should provide further insights into the mechanisms that allow relaxed muscles to lengthen and shorten.
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Affiliation(s)
- R. D. Herbert
- Neuroscience Research Australia (NeuRA), Sydney, Australia
- University of New South Wales, Sydney, Australia
| | - B. Bolsterlee
- Neuroscience Research Australia (NeuRA), Sydney, Australia
- University of New South Wales, Sydney, Australia
| | - S. C. Gandevia
- Neuroscience Research Australia (NeuRA), Sydney, Australia
- University of New South Wales, Sydney, Australia
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Evertz LQ, Bulstra LF, Shin AY, Kaufman KR. Evaluate muscle tension using intramuscular pressure device in rabbit tibialis anterior model for improved tendon transfer surgery. Physiol Meas 2017; 38:1301-1309. [PMID: 28301328 DOI: 10.1088/1361-6579/aa6739] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Quantitative evaluation of passive tension in a muscle is important in tendon transfer surgeries, however, currently appropriate intraoperative measurement techniques are lacking. OBJECTIVE Intramuscular pressure (IMP) is explored as an application to access force. APPROACH The tibialis anterior (TA) in New Zealand white rabbits (n = 9) was used to test the hypothesis of a strong correlation between the IMP, muscle force, and length. This study also helped to develop intraoperative techniques for future human studies evaluating various insertion techniques (parallel versus perpendicular). MAIN RESULTS The Pearson correlation between IMP and force for all trials was 0.74 ± 0.30. Separating out the parallel insertion from the perpendicular insertion revealed a significantly higher correlation for parallel, 0.91 ± 0.13 versus 0.56 ± 0.32. SIGNIFICANCE These data indicate IMP sensors can be used to assess force in a single muscle and the parallel insertion method should be used. New findings • What is the central question of this study? Successful outcomes of tendon and muscle transfers depend on proper muscle tension. A near linear relationship has been seen between muscle force and intramuscular pressure. This study aims to develop an intraoperative technique for assessing passive muscle tension using intramuscular pressure. • What is the main finding and its importance? The findings from this study reveal a high correlation between pressure and passive tension in a single muscle. The techniques developed in this study will allow the translation to a human model. The work will help to improve surgical outcomes and aim to retain muscle strength in the patient following procedures such as tendon and muscle transfers.
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Affiliation(s)
- Loribeth Q Evertz
- Mayo Graduate School Biomedical Engineering and Physiology Track, Mayo Clinic, Rochester, MN, United States of America
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