Association of Gastrocnemius Muscle Stiffness With Passive Ankle Joint Stiffness and Sex-Related Difference in the Joint Stiffness

2018 ◽  
Vol 34 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Kentaro Chino ◽  
Hideyuki Takahashi
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Joint Stiffness ◽  
Individual Variability ◽  
Pennation Angle ◽  
Muscle Architecture ◽  
Muscle Stiffness ◽  
Medial Gastrocnemius ◽  
Fascicle Length ◽  
Related Difference

Passive ankle joint stiffness is affected by all structures located within and over the joint, and is greater in men than in women. Localized muscle stiffness can be assessed by ultrasound shear wave elastography, and muscle architecture such as fascicle length and pennation angle can be measured by B-mode ultrasonography. Thus, the authors assessed localized muscle stiffness of the medial gastrocnemius (MG) with consideration of individual variability in the muscle architecture, and examined the association of the muscle stiffness with passive ankle joint stiffness and the sex-related difference in the joint stiffness. Localized muscle stiffness of the MG in 16 men and 17 women was assessed at 10° and 20° plantar flexion, neutral anatomical position, and 10° and 20° dorsiflexion. Fascicle length and pennation angle of the MG were measured at these joint positions. Passive ankle joint stiffness was determined by the ankle joint angle–torque relationship. Localized MG muscle stiffness was not significantly correlated with passive ankle joint stiffness, and did not show significant sex-related difference, even when considering the muscle architecture. This finding suggests that muscle stiffness of the MG would not be a prominent factor in determining passive ankle joint stiffness and the sex-related difference in the joint stiffness.

Medial Gastrocnemius Architectural Properties During Isometric Contractions in Boys and Men

2010 ◽  
Vol 22 (1) ◽  
pp. 152-164 ◽  
Author(s):  
Theodoros Kannas ◽  
Eleftherios Kellis ◽  
Fotini Arampatzi ◽  
Eduardo Saez Saez de Villarreal
Keyword(s):  
Analysis Of Variance ◽  
Plantar Flexion ◽  
Pennation Angle ◽  
Muscle Architecture ◽  
Medial Gastrocnemius ◽  
Isometric Contractions ◽  
Fascicle Length ◽  
Force Velocity ◽  
Isometric Efforts

The aim of this study was to examine the differences in muscle architecture during isometric tests between children and adults. Eight boys (age= 11.2 ± 0.26 years) and eight men (age= 22.3 ± 2.01 years) performed plantar flexion isometric efforts at angles of -15°, 0°, 15° at 0%, 40%, 60%, 80% of MVC. Analysis of variance tests indicated that adults showed greater fascicle length from rest to 80% of MVC (p < .05), greater pennation angle at 80% and 100% of MVC (p < .05) and greater aponeuroses displacement at levels of effort greater than 60% of MVC (p < .05). These differences observed in MG would appear to favor better utilization of the force-length and the force-velocity relationships, of the muscle in adults compared with children.

Effects of the Functional Heel Drop Exercise on the Muscle Architecture of the Gastrocnemius

2020 ◽  
Vol 29 (8) ◽  
pp. 1053-1059
Author(s):  
Diego Alonso-Fernandez ◽  
Yaiza Taboada-Iglesias ◽  
Tania García-Remeseiro ◽  
Águeda Gutiérrez-Sánchez
Keyword(s):  
Repeated Measures ◽  
Muscle Thickness ◽  
Pennation Angle ◽  
Muscle Architecture ◽  
Medial Gastrocnemius ◽  
Control Group ◽  
Fascicle Length ◽  
Rehabilitation Programs ◽  
Architectural Characteristics ◽  
Induced Changes

Context: The architectural characteristics of a muscle determine its function. Objective: To determine the architectural adaptations of the lateral gastrocnemius (LG) and medial gastrocnemius (MG) muscles after a functional eccentric strength training protocol consisting of heel drop exercises, followed by a subsequent detraining period. Design: Pretest and posttest. Setting: Training rooms and laboratory. Participants: The participants (N = 45) who were randomly divided into an experimental group (EG, n = 25) and a control group (CG, n = 20). Interventions: The 13-week intervention included participants (N = 45) who were randomly divided into an EG (n = 25) and a CG (n = 20). The EG performed a week of control and training, 8 weeks of eccentric training, and 4 weeks of detraining. The CG did not perform any type of muscular training. The architectural characteristics of the LG and MG muscles were evaluated at rest in both groups using 2-D ultrasound before (pretest–week 1) and after (posttest–week 9) the training, and at the end of the detraining period (retest–week 13). Main Outcome Measures: One-way repeated measures analysis of variance was used to determine training-induced changes in each of the variables of the muscle architecture. Results: After the training period, the members of the EG experienced a significant increase in the fascicle length of LG (t = −9.85, d = 2.78, P < .001) and MG (t = −8.98, d = 2.54, P < .001), muscle thickness (t = −6.71, d = 2.86, P < .001) and (t = −7.85, d = 2.22, P < .001), and the pennation angle (t = −10.21, d = 1.88, P < .05) and (t = −1.87, d = 0.53, P < .05), respectively. After the detraining period, fascicle length, muscle thickness, and pennation angle showed a significant decrease. In the CG, no significant changes were observed in any of the variables. Conclusions: The heel drop exercise seems to generate adaptations in the architectural conditions of LG and MG, which are also reversible after a detraining period. These results may have practical implications for injury prevention and rehabilitation programs.

The relative lengthening of the myotendinous structures in the medial gastrocnemius during passive stretching differs among individuals

2009 ◽  
Vol 106 (1) ◽  
pp. 169-177 ◽  
Author(s):  
Séverine Abellaneda ◽  
Nathalie Guissard ◽  
Jacques Duchateau
Keyword(s):  
Plantar Flexion ◽  
Pennation Angle ◽  
Medial Gastrocnemius ◽  
Electromyographic Activity ◽  
Plantar Flexors ◽  
Fascicle Length ◽  
Relative Contribution ◽  
Passive Stretching ◽  
Muscle Stretching ◽  
Passive Torque

The increase in passive torque during muscle stretching may constrain the range of motion of a joint. As passive torque can vary substantially among individuals, the present study examined whether the relative lengthening of the myotendinous structures of the medial gastrocnemius (MG) during passive stretching differs among individuals. Sixteen subjects performed passive stretching of the plantar flexor muscles from ankle angles ranging from 10° plantar flexion (−10°) to 30° dorsiflexion (+30°). Changes in passive torque, muscle architecture (fascicle length and pennation angle) of the MG and electromyographic activity of MG and soleus were recorded. The results showed that passive torque produced by the plantar flexors increased exponentially ( r2 = 0.99; P < 0.001) with ankle dorsiflexion, whereas MG fascicle length increased linearly from 57.6 ± 9.1 to 80.5 ± 10.3 mm ( P < 0.001), and pennation angle decreased linearly from 21.2 ± 4.2 to 14.4 ± 3.1° ( P < 0.001) when the ankle joint angle was moved from −10° to +30°. The relative contribution of muscle (fascicles and aponeuroses) and tendon elongation to the change in length of the muscle-tendon unit (MTU) at 30° dorsiflexion was 71.8 and 28.2%, respectively. However, the adjustment differed across individuals during MTU lengthening; in subjects (62.5%) with small, passive stiffness, the elongation of the free tendon was less and that of the fascicles larger than for subjects (37.5%) with greater stiffness. In conclusion, the results indicate that the strain of muscle and tendon varies among individuals, and difference in the relative compliance of these structures influences MTU lengthening differently during passive stretching.

scholarly journals Association between medial gastrocnemius muscle-tendon unit architecture and ankle dorsiflexion range of motion with and without consideration of slack angle

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248125
Author(s):  
Kosuke Hirata ◽  
Hiroaki Kanehisa ◽  
Naokazu Miyamoto
Keyword(s):  
Shear Modulus ◽  
Range Of Motion ◽  
Ankle Joint ◽  
Joint Angle ◽  
Pennation Angle ◽  
Medial Gastrocnemius ◽  
Fascicle Length ◽  
Joint Flexibility ◽  
Anatomical Position ◽  
Maximal Angle

Joint flexibility is theoretically considered to associate with muscle-tendon unit (MTU) architecture. However, this potential association has not been experimentally demonstrated in humans in vivo. We aimed to identify whether and how MTU architectural parameters are associated with joint range of motion (RoM), with a special emphasis on slack angle. The fascicle length, pennation angle, tendinous tissue length, MTU length, and shear modulus of the medial gastrocnemius (MG) were assessed during passive ankle dorsiflexion using ultrasound shear wave elastography in 17 healthy males. During passive dorsiflexion task, the ankle joint was rotated from 40° plantar flexion to the maximal dorsiflexion joint angle at which each subject started experiencing pain. From the ankle joint angle-shear modulus relationship, the angle at which shear modulus began to rise (slack angle) was calculated. Two dorsiflexion RoMs were determined as follows; 1) range from the anatomical position to maximal angle (RoManat-max) and 2) range from the MG slack angle to maximal angle (RoMslack-max). The MTU architectural parameters were analyzed at the anatomical position and MG slack angle. The resolved fascicle length (fascicle length × cosine of pennation angle) and ratios of resolved fascicle or tendinous tissue length to MTU length measured at the MG slack angle significantly correlated with the RoMslack-max (r = 0.491, 0.506, and -0.506, respectively). Any MTU architectural parameters assessed at the anatomical position did not correlate with RoManat-max or RoMslack-max. These results indicate that MTUs with long fascicle and short tendinous tissue are advantageous for joint flexibility. However, this association cannot be found unless MTU architecture and joint RoM are assessed with consideration of muscle slack.

Plantar Flexor Muscle Architecture Changes as a Result of Eccentric Exercise in Patients With Achilles Tendinosis

2014 ◽  
Vol 7 (6) ◽  
pp. 460-465 ◽  
Author(s):  
Matthew T. Crill ◽  
Gregory Berlet ◽  
Christopher Hyer
Keyword(s):  
Case Series ◽  
Muscle Architecture ◽  
Medial Gastrocnemius ◽  
Eccentric Training ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Fascicle Length ◽  
Achilles Tendinosis ◽  
Muscle Fascicle ◽  
Maximal Load

Eccentric training for Achilles tendinosis (AT) has been reported to significantly improve patient symptoms. There has been no biomechanical explanation on the mechanism for specific rehabilitation technique. The purpose of this study was to determine changes in muscle architecture that occurred as a result of Achilles tendinosis injury and a subsequent eccentric rehabilitation program. Twenty-five patients (age, 53.3 ± 17.5 years) diagnosed with AT participated in 6 weeks of rehabilitation. Specific exercises for the ankle plantar flexors consisted of maximal load eccentric muscle action using 3 sets of 15 repetitions. Patients also completed a protocol for AT, which consisting of traditional rehabilitation. Medial gastrocnemius (GM) and lateral gastrocnemius (GL) muscle fascicle length and thickness were measured with ultrasound at 2-week intervals from initial treatment day to the end of 6 weeks of rehabilitation. Medial gastrocnemius fascicle length increased (45.1 ± 10.5 mm to 51.4 ± 10.5 mm; P = .22) between the initial day of rehabilitation and after 6 weeks of rehabilitation. But, GM thickness (16.3 ± 3.5 mm to 16.8 ± 2.0 mm), GL fascicle length (47.2 ± 10.0 mm to 47.1 ± 7.4 mm), and GL thickness (14.9 ± 5.2 mm to 14.4 ± 2.7 mm) did not change as a result of rehabilitation. A 6-week eccentric-biased exercise increased the GM muscle fascicle length by 12%, but GM thickness, GL fascicle length, and GL thickness did not change as a result of rehabilitation. Eccentric training for the treatment of AT is well recognized, but the mechanism of action has not been previously reported. A 6-week eccentric training protocol increased the GM muscle fascicle length by 12%, and this correlated with improvement in a validated patient outcome scoring system. Further study is warranted to determine a predictive relationship between improvement of GM fascicle length and outcome scores. Levels of Evidence: Therapeutic, Level IV: Case series

scholarly journals Acute Effects of Dermal Suction on Passive Muscle and Joint Stiffness

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1483
Author(s):  
Shota Enomoto ◽  
Tomonari Shibutani ◽  
Yu Akihara ◽  
Miyuki Nakatani ◽  
Kazunori Yamada ◽  
...  
Keyword(s):  
Shear Wave ◽  
Plantar Flexion ◽  
Joint Stiffness ◽  
Medial Gastrocnemius ◽  
Neutral Position ◽  
Acute Effects ◽  
Passive Joint ◽  
Significant Difference ◽  
The Right ◽  
Passive Muscle

The aim of the present study was to examine the acute effects of dermal suction on the passive mechanical properties of specific muscles and joints. Dermal suction was applied to the calves of 24 subjects. Passive plantar flexion torque was measured with the right knee fully extended and the right ankle positioned at 20°, 10°, 0°, and −10° angles, where 0° represents the ankle neutral position, and positive values correspond to the plantar flexion angle. The shear wave velocity (SWV) (m/s) of the medial gastrocnemius was measured in the same position using ultrasound shear wave elastography. The relationship between the joint angle and passive torque at each 10° angle was defined as passive joint stiffness (Nm/°). Passive muscle and joint stiffness were measured immediately before and after the dermal suction protocol. When the ankle joint was positioned at 20° (r = 0.53, P = 0.006), 10° (r = 0.43, P = 0.030), and −10° (r = 0.60, P = 0.001), the SWV was significantly higher after dermal suction than that before dermal suction. Regarding joint stiffness, we found no significant difference between the pre- and post-dermal suction values (partial η2 = 0.093, P > 0.05). These findings suggest that dermal suction increases passive muscle stiffness and has a limited impact on passive joint stiffness.

Mechanical and electromyographic analysis of reciprocal inhibition at the human ankle joint

1995 ◽  
Vol 74 (2) ◽  
pp. 849-855 ◽  
Author(s):  
T. Sinkjaer ◽  
J. Nielsen ◽  
E. Toft
Keyword(s):  
Ankle Joint ◽  
Stretch Reflex ◽  
Plantar Flexion ◽  
Joint Stiffness ◽  
Common Peroneal Nerve ◽  
Reciprocal Inhibition ◽  
Mechanical Effect ◽  
Voluntary Contraction ◽  
Plantar Flexors ◽  
Before And After

1. The purpose of the present study is to investigate how reciprocal inhibition influences the mechanical and electromyographic (EMG) properties of the ankle plantar flexors in humans during a voluntary contraction. 2. At different levels of maintained plantar flexion contractions ranging from 0 to 20 Nm, the size of the soleus EMG stretch reflex and the ankle joint stiffness (ration between the torque increment and the amplitude of the stretch) were measured in response to an imposed dorsiflexion. At matched plantar flexion contraction levels, stretch responses were compared before and after reversible block of the common peroneal nerve (CPN). Stretch responses were also measured during an attempted voluntary fictive dorsiflexion after CPN block. 3. In the preactivated soleus muscles, the phasic EMG response to stretch consisted of two peaks labeled M1 and M2. After CPN block, the M1 short-latency stretch reflex on average increased by 25 +/- 5.7%, mean +/- SD (P < 0.001), and the M2 stretch reflex increased on average by 29 +/- 13.0% (P = 0.002). 4. The total stiffness of the ankle joint during a stretch is the sum of the nonreflex and the reflex mediated stiffness. The total stiffness after CPN block increased on average by 13 +/- 2.7% (P = 0.002) and the estimated reflex stiffness by 33 +/- 6.5% (P < 0.001). 5. When the subjects were asked to make a strong dorsiflexion after CPN block, the soleus stretch reflex was depressed to the extent that the reflex mediated mechanical effect around the ankle joint was abolished.(ABSTRACT TRUNCATED AT 250 WORDS)

scholarly journals Differences in Plantar Flexor Fascicle Length and Pennation Angle between Healthy and Poststroke Individuals and Implications for Poststroke Plantar Flexor Force Contributions

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
John W. Ramsay ◽  
Thomas S. Buchanan ◽  
Jill S. Higginson
Keyword(s):  
Pennation Angle ◽  
Medial Gastrocnemius ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
Fascicle Length ◽  
Cross Sectional ◽  
Lateral Gastrocnemius ◽  
Relative Contribution ◽  
Muscle Fascicle ◽  
The Individual

Poststroke plantar flexor muscle weakness has been attributed to muscle atrophy and impaired activation, which cannot collectively explain the limitations in force-generating capability of the entire muscle group. It is of interest whether changes in poststroke plantar flexor muscle fascicle length and pennation angle influence the individual force-generating capability and whether plantar flexor weakness is due to uniform changes in individual muscle force contributions. Fascicle lengths and pennation angles for the soleus, medial, and lateral gastrocnemius were measured using ultrasound and compared between ten hemiparetic poststroke subjects and ten healthy controls. Physiological cross-sectional areas and force contributions to poststroke plantar flexor torque were estimated for each muscle. No statistical differences were observed for any muscle fascicle lengths or for the lateral gastrocnemius and soleus pennation angles between paretic, nonparetic, and healthy limbs. There was a significant decrease (P<0.05) in the paretic medial gastrocnemius pennation angle compared to both nonparetic and healthy limbs. Physiological cross-sectional areas and force contributions were smaller on the paretic side. Additionally, bilateral muscle contributions to plantar flexor torque remained the same. While the architecture of each individual plantar flexor muscle is affected differently after stroke, the relative contribution of each muscle remains the same.

scholarly journals Gastrocnemius muscle remodeling explains functional deficits three months following Achilles tendon rupture

2019 ◽  
Author(s):  
Todd J. Hullfish ◽  
Kathryn M. O’Connor ◽  
Josh R. Baxter
Keyword(s):  
Achilles Tendon ◽  
Gastrocnemius Muscle ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Peak Torque ◽  
Pennation Angle ◽  
Medial Gastrocnemius ◽  
Fascicle Length ◽  
Functional Deficits ◽  
Muscle Remodeling

ABSTRACTPlantarflexor functional deficits are associated with poor outcomes in patients following Achilles tendon rupture. In this longitudinal study, we analyzed the fascicle length and pennation angle of the medial gastrocnemius muscle and the length of the Achilles tendon using ultrasound imaging. To determine the relationship between muscle remodeling and functional deficits measured at 3 months after injury, we correlated the reduction in fascicle length and increase in pennation angle with peak torque measured during isometric plantarflexor contractions and peak power measured during isokinetic plantarflexor contractions. We found that the medial gastrocnemius underwent an immediate change in structure, characterized by decreased length and increased pennation of the muscle fascicles. This decrease in fascicle length was coupled with an increase in tendon length. These changes in muscle-tendon structure persisted throughout the first three months following rupture. Deficits in peak plantarflexor power were moderately correlated with decreased fascicle length at 120 degrees per second (R2= 0.424,P= 0.057) and strongly correlated with decreased fascicle length at 210 degrees per second (R2= 0.737,P= 0.003). However, increases in pennation angle did not explain functional deficits. These findings suggest that muscle-tendon structure is detrimentally affected following Achilles tendon rupture. Plantarflexor power deficits are positively correlated with the magnitude of reductions in fascicle length. Preserving muscle structure following Achilles tendon rupture should be a clinical priority to maintain patient function.

Comparison of Plantar Flexor Musculotendinous Stiffness, Geometry, and Architecture in Male Runners With and Without a History of Tibial Stress Fracture

2015 ◽  
Vol 31 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Derek N. Pamukoff ◽  
J. Troy Blackburn
Keyword(s):  
Achilles Tendon ◽  
Stress Fracture ◽  
Joint Stiffness ◽  
Medial Gastrocnemius ◽  
Plantar Flexor ◽  
Fascicle Length ◽  
Tendon Stiffness ◽  
Tibial Stress Fracture ◽  
History Of ◽  
Musculotendinous Stiffness

Greater lower extremity joint stiffness may be related to the development of tibial stress fractures in runners. Musculotendinous stiffness is the largest contributor to joint stiffness, but it is unclear what factors contribute to musculotendinous stiffness. The purpose of this study was to compare plantar flexor musculotendinous stiffness, architecture, geometry, and Achilles tendon stiffness between male runners with and without a history of tibial stress fracture. Nineteen healthy runners (age = 21 ± 2.7 years; mass = 68.2 ± 9.3 kg; height = 177.3 ± 6.0 cm) and 19 runners with a history of tibial stress fracture (age = 21 ± 2.9 years; mass = 65.3 ± 6.0 kg; height = 177.2 ± 5.2 cm) were recruited from community running groups and the university’s varsity and club cross-country teams. Plantar flexor musculotendinous stiffness was estimated from the damped frequency of oscillatory motion about the ankle follow perturbation. Ultrasound imaging was used to measure architecture and geometry of the medial gastrocnemius. Dependent variables were compared between groups via one-way ANOVAs. Previously injured runners had greater plantar flexor musculotendinous stiffness (P< .001), greater Achilles tendon stiffness (P= .004), and lesser Achilles tendon elongation (P= .003) during maximal isometric contraction compared with healthy runners. No differences were found in muscle thickness, pennation angle, or fascicle length.

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