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

2001 ◽  
Vol 90 (2) ◽  
pp. 520-527 ◽  
Author(s):  
Keitaro Kubo ◽  
Hiroaki Kanehisa ◽  
Yasuo Kawakami ◽  
Tetsuo Fukunaga

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° 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.

2002 ◽  
Vol 92 (2) ◽  
pp. 595-601 ◽  
Author(s):  
Keitaro Kubo ◽  
Hiroaki Kanehisa ◽  
Tetsuo Fukunaga

The purpose of this study was to examine whether stretching training altered the viscoelastic properties of human tendon structures in vivo. Eight men performed the stretching training for 3 wk. Before and after the stretching training, the elongation of the tendon and aponeurosis of medial gastrocnemius muscle was directly measured by ultrasonography while the subjects performed ramp isometric plantar flexion up to the voluntary maximum, followed by a ramp relaxation. The relationship between the estimated muscle force (Fm) and tendon elongation ( L) during the ascending phase was fitted to a linear regression, the slope of which was defined as stiffness of tendon structures. The percentage of the area within the Fm- L loop to the area beneath the curve during ascending phase was calculated as an index representing hysteresis. To assess the flexibility, the passive torque of the plantar flexor muscles was measured during the passive stretch from 0° (anatomic position) to 25° of dorsiflexion with a constant velocity of 5°/s. The slope of the linear portion of the passive torque-angle curve during stretching was defined as flexibility index. Flexibility index decreased significantly after stretching training (−13.4 ± 4.6%). On the other hand, the stretching training produced no significant change in stiffness but significantly decreased hysteresis from 19.9 ± 11.7 to 12.5 ± 9.5%. The present results suggested that stretching training affected the viscosity of tendon structures but not the elasticity.


2020 ◽  
Vol 29 (5) ◽  
pp. 578-582
Author(s):  
Masatoshi Nakamura ◽  
Shigeru Sato ◽  
Ryosuke Kiyono ◽  
Nobushige Takahashi ◽  
Tomoichi Yoshida

Context: In clinical and sports settings, static stretching (SS) is usually performed to increase range of motion (ROM) and decrease passive muscle stiffness. Recently, the shear elastic modulus was measured by ultrasonic shear wave elastography as an index of muscle stiffness. Previous studies reported that the shear elastic modulus measured by ultrasound shear wave elastography decreased after SS, and the effects of SS on shear elastic modulus were likely affected by rest duration between sets of SS. Objective: To investigate the acute effects of SS with different rest durations on ROM and shear elastic modulus of gastrocnemius and to clarify whether the rest duration between sets of SS decreases the shear elastic modulus. Design: A randomized, repeated-measures experimental design. Setting: University laboratory. Participants: Sixteen healthy males volunteered to participate in the study (age 21.3 [0.8] y; height 171.8 [5.1] cm; weight 63.1 [4.5] kg). Main Outcome Measures: Each participant underwent 3 different rest interval durations during SS (ie, long rest duration: 90 s; normal rest duration: 30 s; and short rest duration: 10 s). This SS technique was repeated 10 times, thus lasting a total of 300 seconds with different rest durations in each protocol. The dorsiflexion ROM and shear elastic modulus were measured before and after SS. Results: Our results revealed that dorsiflexion ROM and shear elastic modulus were changed after 300-second SS; however, no effects of the rest duration between sets of SS were observed. Conclusions: In terms of decreasing the shear elastic modulus, clinicians and coaches should not focus on the rest duration when SS intervention is performed.


2013 ◽  
Vol 29 (4) ◽  
pp. 453-462 ◽  
Author(s):  
Laurence Houghton ◽  
Brian Dawson ◽  
Jonas Rubenson

Effects of prolonged running on Achilles tendon properties were assessed after a 60 min treadmill run and 140 min intermittent shuttle running (simulated cricket batting innings). Before and after exercise, 11 participants performed ramp-up plantar flexions to maximum-voluntary-contraction before gradual relaxation. Muscle-tendon-junction displacement was measured with ultrasonography. Tendon force was estimated using dynamometry and a musculoskeletal model. Gradients of the ramp-up force-displacement curves fitted between 0–40% and 50–90% of the preexercise maximal force determined stiffness in the low- and high-force-range, respectively. Hysteresis was determined using the ramp-up and relaxation force-displacement curves and elastic energy storage from the area under the ramp-up curve. In simulated batting, correlations between tendon properties and shuttle times were also assessed. After both protocols, Achilles tendon force decreased (4% to 5%,P< .050), but there were no changes in stiffness, hysteresis, or elastic energy. In simulated batting, Achilles tendon force and stiffness were both correlated to mean turn and mean sprint times (r= −0.719 to −0.830,P< .050). Neither protocol resulted in fatigue-related changes in tendon properties, but higher tendon stiffness and plantar flexion force were related to faster turn and sprint times, possibly by improving force transmission and control of movement when decelerating and accelerating.


2009 ◽  
Vol 106 (2) ◽  
pp. 412-417 ◽  
Author(s):  
Keitaro Kubo ◽  
Toshihiro Ikebukuro ◽  
Katsutoshi Yaeshima ◽  
Hideaki Yata ◽  
Naoya Tsunoda ◽  
...  

The purpose of this study was to investigate the effects of static and dynamic training on the stiffness and blood volume of the human tendon in vivo. Ten subjects completed 12 wk (4 days/wk) of a unilateral training program for knee extensors. They performed static training on one side [ST; 70% of maximum voluntary contraction (MVC)] and dynamic training on the other side (DT; 80% of one repetition maximum). Before and after training, MVC, neural activation level (by interpolated twitch), muscle volume (by magnetic resonance imaging), stiffness of tendon-aponeurosis complex and patella tendon (by ultrasonography), and blood volume of patella tendon (by red laser lights) were measured. Both protocols significantly increased MVC (49% for ST, 32% for DT; both P < 0.001), neural activation level (9.5% for ST, 7.6% for DT; both P < 0.01), and muscle volume (4.5% for ST, 5.6% for DT; both P < 0.01). The stiffness of tendon-aponeurosis complex increased significantly after ST (55%; P = 0.003) and DT (30%; P = 0.033), while the stiffness of patella tendon increased significantly after ST (83%; P < 0.001), but not for DT ( P = 0.110). The blood volume of patella tendon increased significantly after DT (47%; P = 0.016), but not for ST ( P = 0.205). These results implied that the changes in the blood volume of tendon would be related to differences in the effects of resistance training on the tendon properties.


2002 ◽  
Vol 92 (1) ◽  
pp. 129-134 ◽  
Author(s):  
Tadashi Muramatsu ◽  
Tetsuro Muraoka ◽  
Yasuo Kawakami ◽  
Akira Shibayama ◽  
Tetsuo Fukunaga

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.


2020 ◽  
Vol 10 (8) ◽  
pp. 471
Author(s):  
Rowan R. Smart ◽  
Cydney M. Richardson ◽  
Daryl J. Wile ◽  
Brian H. Dalton ◽  
Jennifer M. Jakobi

Although plantar flexion force steadiness (FS) is reduced in persons with Parkinson’s disease (PD), the underlying causes are unknown. The aim of this exploratory design study was to ascertain the influence of maximal voluntary contraction (MVC) force and gastrocnemius-Achilles muscle-tendon unit behaviour on FS in persons with PD. Nine persons with PD and nine age- and sex-matched non-PD controls (~70 years, 6 females per group) performed plantar flexion MVCs and sub-maximal tracking tasks at 5, 10, 25, 50 and 75% MVC. Achilles tendon elongation and medial gastrocnemius fascicle lengths were recorded via ultrasound during contraction. FS was quantified using the coefficient of variation (CV) of force. Contributions of MVC and tendon mechanics to FS were determined using multiple regression analyses. Persons with PD were 35% weaker during MVC (p = 0.04) and had 97% greater CV (p = 0.01) with 47% less fascicle shortening (p = 0.004) and 38% less tendon elongation (p = 0.002) than controls. Reduced strength was a direct contributor to lower FS in PD (ß = 0.631), and an indirect factor through limiting optimal muscle-tendon unit interaction. Interestingly, our findings indicate an uncoupling between fascicle shortening and tendon elongation in persons with PD. To better understand limitations in FS and muscle-tendon unit behavior, it is imperative to identify the origins of MVC decrements in persons with PD.


2006 ◽  
Vol 100 (6) ◽  
pp. 2004-2011 ◽  
Author(s):  
Hae-Dong Lee ◽  
Taija Finni ◽  
John A. Hodgson ◽  
Alex M. Lai ◽  
V. Reggie Edgerton ◽  
...  

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.


2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0032
Author(s):  
Malachy P. McHugh ◽  
Karl F. Orishimo ◽  
Ian J. Kremenic ◽  
Julia Adelman ◽  
Stephen J. Nicholas

Objectives: It has been proposed that increased tendon elongation after Achilles tendon repair contributes to selective weakness in end-range plantar flexion (Mullaney et al 2006). Excessive tendon elongation during maximum voluntary contraction (MVC) means greater muscle fiber shortening. Since mean frequency (MF) of the electromyogram (EMG) increases with muscle fiber shortening, it was hypothesized that during isometric plantar flexor MVCs MF would be higher on the involved versus non-involved side. Therefore, the purpose of this study was to examine MF during isometric MVCs in patients with Achilles tendon repairs. Methods: Maximum isometric plantar flexion torque was measured at 20° and 10° dorsiflexion, neutral, and 10° and 20° plantar flexion in 17 patients (mean±SD age, 39±9 years; 15 men, 2 women) 43±24 months after surgery (range, 9 months to 8 years). Surface EMG signals were recorded during strength tests. MF was calculated from Fast Fourier Transforms of medial gastroc (MG) lateral gastroc (LG) and soleus (S) EMG signals. Effect of weakness on MF was assessed using analysis of variance. Based on reported plantar flexor MF values it was estimated that with 17 subjects there would be 80% power to detect a 16% difference in MF between involved and noninvolved legs at P<0.05. Results: Patients had marked weakness in 20° plantar flexion (deficit 28±18%, P<0.01; 14 of 17 deficit >20%) but no significant weakness in 20° dorsiflexion (deficit 8±15%, P=0.20; 4 of 17 deficit >20%). MF increased moving from dorsiflexion to plantar flexion (P<0.001) but overall was not different between involved and noninvolved sides (P=0.22). However, differences in MF between the involved and noninvolved sides were apparent in the patients with marked weakness. At 10° plantar flexion 8 of 17 patients had marked weakness (>20% deficit). MF at 10° plantar flexion was significantly higher on involved versus noninvolved side in patients with weakness but this was not apparent in patients with no weakness (side by group P=0.014; Table 1). MF at 10° plantar flexion average across the 3 muscles was 13% higher on the involved versus noninvolved side in patients with weakness (P=0.012) versus 3% lower in patients with no weakness (P=0.47). Conclusion: Higher MF on the involved versus noninvolved side in patients with significant plantar flexion weakness is consistent with greater muscle fiber shortening. This indicates that weakness was primarily due to excessive lengthening of the repaired Achilles tendon. If weakness were simply due to atrophy, a lower MF would have been be expected and patients would have had weakness throughout the range of motion. Surgical and rehabilitative strategies are needed to prevent excessive tendon elongation and weakness in end-range plantar flexion after Achilles repair. [Table: see text]


Author(s):  
Andreas Konrad ◽  
Markus Tilp

The purpose of this study was to investigate the time course of the changes of various muscle and tendon mechanical properties and the function responses of the plantar flexor muscles following 1 min of static stretching.Twenty-five healthy volunteers were assigned into a static stretching group or a control group. The static stretching group was tested with three different rest times (0 min,20 min,40 min) after 2x30s of stretching. Controls were tested before and after a control period (10 min) without stretching. Dorsiflexion range of motion (RoM), passive resistive torque (PRT), and maximum voluntary contraction (MVC) were measured with a dynamometer. Ultrasonography of the medial gastrocnemius (GM) muscle-tendon junction (MTJ) displacement allowed us to determine the length changes in the tendon and muscle, respectively, and hence to calculate their stiffness.Following the stretching, we observed a significant increase in RoM directly following the stretching, 20 min post-stretching, and 40 min post-stretching. However, no changes were found in other functional parameters (PRT, MVC) or structural parameters (muscle and tendon stiffness). No changes were detected in any variable in the control group.We conclude that a static stretching exercise of 2x30s increases the RoM for at least 40 min. However, this gain in RoM is not accompanied with more compliant muscle and/or tendon tissue, suggesting that 60s of static stretching might not be stimulus enough to induce changes in the muscle-tendon structure. Hence, we speculate that other factors, such as increased stretch tolerance, might be responsible for the changes in the RoM observed in the present study.


Volume 2 ◽  
2004 ◽  
Author(s):  
Serdar Aritan ◽  
S. Olutunde Oyadiji ◽  
Roger M. Bartlett

The aim of this study was to characterise the bulk modulus properties of the upper arm under relaxed and controlled contraction which is defined as 25% of the maximum voluntary contraction. A new testing machine was designed to generate constant load on the upper arm and measure the deformation over time. The machine consists of a device which is effectively a cuff that applies controllable pressure on a 47 mm wide band of the upper arm. Six different loads (10, 20, 30, 40, 50 and 60 kgf) were applied over a period of time of up to a maximum of 120 seconds. The deflection-time curves obtained show strongly non-linear response of the bulk tissue. The non-linearity manifested by these deflection-time curves is in terms of both time- and load-dependency. For each load, the creep behaviour follows an exponential law typical of viscoelastic materials. At low loads (below 30kgf), the creep response increases fairly linearly as the load is increased from 10 kgf to 30 kgf. But at high loads (above 30 kgf), the creep response increases only slightly as the load is increased from 30 kgf to 60 kgf. Beyond a load of 60 kgf, the deflection or creep becomes negligible. This implies that the upper arm has reached the state of incompressibility. The creep behaviour of the upper arm was simulated using four Voigt viscoelastic models in series. The three obvious soft tissues of the upper arm, namely skin, fat and muscle, were modelled in series. The effects of blood vessels and connective tissue were also modelled in series with the other tissues.


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