Longitudinal and transverse deformation of human Achilles tendon induced by isometric plantar flexion at different intensities

2011 ◽  
Vol 110 (6) ◽  
pp. 1615-1621 ◽  
Author(s):  
Soichiro Iwanuma ◽  
Ryota Akagi ◽  
Toshiyuki Kurihara ◽  
Shigeki Ikegawa ◽  
Hiroaki Kanehisa ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Plantar Flexion ◽  
Relative Length ◽  
Distal Region ◽  
Voluntary Contraction ◽  
Force Transmission ◽  
Mr Images ◽  
Cross Sectional ◽  
Transverse Strains

The present study determined in vivo deformation of the entire Achilles tendon in the longitudinal and transverse directions during isometric plantar flexions. Twelve young women and men performed isometric plantar flexions at 0% (rest), 30%, and 60% of the maximal voluntary contraction (MVC) while a series of oblique longitudinal and cross-sectional magnetic resonance (MR) images of the Achilles tendon were taken. At the distal end of the soleus muscle belly, the Achilles tendon was divided into the aponeurotic (ATapo) and the tendinous (ATten) components. The length of each component was measured in the MR images. The widths of the Achilles tendon were determined at 10 regions along ATapo and at four regions along ATten. Longitudinal and transverse strains were calculated as changes in relative length and width compared with those at rest. The ATapo deformed in both longitudinal and transverse directions at 30%MVC and 60%MVC. There was no difference between the strains of the ATapo at 30%MVC and 60%MVC either in the longitudinal (1.1 and 1.6%) or transverse (5.0∼11.4 and 5.0∼13.9%) direction. The ATten was elongated longitudinally (3.3%) to a greater amount than ATapo, while narrowing transversely in the most distal region (−4.6%). The current results show that the magnitude and the direction of contraction-induced deformation of Achilles tendon are different for the proximal and distal components. This may be related to the different functions of Achilles tendon, i.e., force transmission or elastic energy storage during muscle contractions.

Nonuniform strain of human soleus aponeurosis-tendon complex during submaximal voluntary contractions in vivo

2003 ◽  
Vol 95 (2) ◽  
pp. 829-837 ◽  
Author(s):  
Taija Finni ◽  
John A. Hodgson ◽  
Alex M. Lai ◽  
V. Reggie Edgerton ◽  
Shantanu Sinha
Keyword(s):  
Achilles Tendon ◽  
Maximal Voluntary Contraction ◽  
Three Dimensional ◽  
Motor Units ◽  
Magnetic Resonance Images ◽  
Voluntary Contraction ◽  
Force Transmission ◽  
Voluntary Contractions ◽  
Nonuniform Strain

The distribution of strain along the soleus aponeurosis tendon was examined during voluntary contractions in vivo. Eight subjects performed cyclic isometric contractions (20 and 40% of maximal voluntary contraction). Displacement and strain in the apparent Achilles tendon and in the aponeurosis were calculated from cine phase-contrast magnetic resonance images acquired with a field of view of 32 cm. The apparent Achilles tendon lengthened 2.8 and 4.7% in 20 and 40% maximal voluntary contraction, respectively. The midregion of the aponeurosis, below the gastrocnemius insertion, lengthened 1.2 and 2.2%, but the distal aponeurosis shortened 2.1 and 2.5%, respectively. There was considerable variation in the three-dimensional anatomy of the aponeurosis and muscle-tendon junction. We suggest that the nonuniformity in aponeurosis strain within an individual was due to the presence of active and passive motor units along the length of the muscle, causing variable force along the measurement site. Force transmission along intrasoleus connective tissue may also be a significant source of nonuniform strain in the aponeurosis.

In vivo physiological cross-sectional area and specific force are reduced in the gastrocnemius of elderly men

2005 ◽  
Vol 99 (3) ◽  
pp. 1050-1055 ◽  
Author(s):  
Christopher I. Morse ◽  
Jeanette M. Thom ◽  
Neil D. Reeves ◽  
Karen M. Birch ◽  
Marco V. Narici
Keyword(s):  
Achilles Tendon ◽  
Voluntary Contraction ◽  
Pennation Angle ◽  
Specific Force ◽  
Plantar Flexor ◽  
Moment Arm ◽  
Plantar Flexors ◽  
Elderly Men ◽  
Cross Sectional

Sarcopenia and muscle weakness are well-known consequences of aging. The aim of the present study was to ascertain whether a decrease in fascicle force (Ff) could be accounted for entirely by muscle atrophy. In vivo physiological cross-sectional area (PCSA) and specific force (Ff/PCSA) of the lateral head of the gastrocnemius (GL) muscle were assessed in a group of elderly men [EM, aged 73.8 yr (SD 3.5), height 173.4 cm (SD 4.4), weight 78.4 kg (SD 8.3); means (SD)] and for comparison in a group of young men [YM, aged 25.3 yr (SD 4.4), height 176.4 cm (SD 7.7), weight 79.1 kg (SD 11.9)]. GL muscle volume (Vol) and Achilles tendon moment arm length were evaluated using magnetic resonance imaging. Pennation angle and fiber fascicle length (Lf) were measured using B-mode ultrasonography during isometric maximum voluntary contraction of the plantar flexors. PCSA was estimated as Vol/Lf. GL Ff was calculated by dividing Achilles tendon force by the cosine of θ, during the interpolation of a supramaximal doublet, and accounting for antagonist activation level (assessed using EMG), Achilles tendon moment arm length, and the relative PCSA of the GL within the plantar flexor group. Voluntary activation of the plantar flexors was lower in the EM than in the YM (86 vs. 98%, respectively, P < 0.05). Compared with the YM, plantar flexor maximal voluntary contraction torque and Ff of the EM were lower by 47 and 40%, respectively ( P < 0.01). Both Vol and PCSA were smaller in the EM by 28% ( P < 0.01) and 16% ( P < 0.05), respectively. Also, pennation angle was 12% smaller in the EM, whereas there was no significant difference in Lf between the YM and EM. After accounting for differences in agonists and antagonists activation, the Ff/PCSA of the EM was 30% lower than that of the YM ( P < 0.01). These findings demonstrate that the loss of muscle strength with aging may be explained not only by a reduction in voluntary drive to the muscle, but mostly by a decrease in intrinsic muscle force. This phenomenon may possibly be due to a reduction in single-fiber specific tension.

Achilles Tendon Mechanical Properties After Both Prolonged Continuous Running and Prolonged Intermittent Shuttle Running in Cricket Batting

2013 ◽  
Vol 29 (4) ◽  
pp. 453-462 ◽  
Author(s):  
Laurence Houghton ◽  
Brian Dawson ◽  
Jonas Rubenson
Keyword(s):  
Achilles Tendon ◽  
Elastic Energy ◽  
Plantar Flexion ◽  
Maximum Voluntary Contraction ◽  
Voluntary Contraction ◽  
Force Transmission ◽  
Before And After ◽  
Tendon Force ◽  
Force Displacement ◽  
Tendon Properties

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.

Soleus aponeurosis strain distribution following chronic unloading in humans: an in vivo MR phase-contrast study

2006 ◽  
Vol 100 (6) ◽  
pp. 2004-2011 ◽  
Author(s):  
Hae-Dong Lee ◽  
Taija Finni ◽  
John A. Hodgson ◽  
Alex M. Lai ◽  
V. Reggie Edgerton ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Strain Distribution ◽  
Phase Contrast ◽  
Plantar Flexion ◽  
Voluntary Contraction ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Contrast Study ◽  
Ankle Plantar Flexion

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.

Three-dimensional deformation and transverse rotation of the human free Achilles tendon in vivo during isometric plantarflexion contraction

2014 ◽  
Vol 116 (4) ◽  
pp. 376-384 ◽  
Author(s):  
Steven J. Obst ◽  
Jean-Baptiste Renault ◽  
Richard Newsham-West ◽  
Rod S. Barrett
Keyword(s):  
Achilles Tendon ◽  
Three Dimensional ◽  
Tendon Injury ◽  
Ultrasound Images ◽  
Maximal Voluntary Isometric Contraction ◽  
Cross Sectional ◽  
Tendon Length ◽  
Transverse Rotation ◽  
Transverse Strains

Freehand three-dimensional ultrasound (3DUS) was used to investigate longitudinal and biaxial transverse deformation and rotation of the free Achilles tendon in vivo during a voluntary submaximal isometric muscle contraction. Participants ( n = 8) were scanned at rest and during a 70% maximal voluntary isometric contraction (MVIC) of the plantarflexors. Ultrasound images were manually digitized to render a 3D reconstruction of the free Achilles tendon for the computation of tendon length, volume, cross-sectional area (CSA), mediolateral diameter (MLD), anteroposterior diameter (APD), and transverse rotation. Tendon longitudinal and transverse (CSA, APD, and MLD) deformation and strain at 70% MVIC were calculated relative to the resting condition. There was a significant main effect of contraction on tendon length and mean CSA, MLD, and APD ( P < 0.05), but no effect on tendon volume ( P = 0.70). Group mean transverse strains for CSA, MLD, and APD averaged over the length of the tendon were −5.5%, −8.7% and 8.7%, respectively. Peak CSA, MLD, and APD transverse strains all occurred between 40% and 60% of tendon length. Transverse rotation of the free tendon was negligible at rest but increased under load, becoming externally rotated relative to the calcaneal insertion. The relationship between longitudinal and transverse strains of the free Achilles tendon during muscle-induced elongation may be indicative of interfascicle reorganization. The finding that transverse rotation and strain peaked in midportion of the free Achilles tendon may have important implications for tendon injury mechanisms and estimation of tendon stress in vivo.

Contribution of Achilles tendon mechanical properties to torque steadiness in persons with transfemoral amputation

2020 ◽  
pp. 030936462096643
Author(s):  
Anis Toumi ◽  
Rowan Smart ◽  
Dimitri Elie ◽  
Jennifer Bassement ◽  
Sébastien Leteneur ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Coefficient Of Variation ◽  
Maximal Voluntary Contraction ◽  
Plantar Flexion ◽  
Voluntary Contraction ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Transfemoral Amputation ◽  
Cross Sectional ◽  
Tendon Mechanics

Background: How Achilles tendon mechanics and plantar flexion strength and torque steadiness are altered in the intact leg of persons with trauma-related amputation is unknown. Understanding Achilles tendon mechanics following amputation will further inform rehabilitation approaches to enhance posture, balance, and force control. Objective: Conduct a pilot study to quantify plantar flexion maximal voluntary contraction torque, torque steadiness, and Achilles tendon mechanics in persons with unilateral trauma-related transfemoral amputation and controls without amputation. Study design: Cross-sectional study. Methods: Isometric plantar flexion maximal voluntary contractions were performed with the intact leg of ten males with transfemoral amputation (48 ± 14 years) and the dominant leg of age-matched male controls without amputation. Torque steadiness was calculated as the coefficient of variation in torque over 6 s during submaximal tracking tasks (5%, 10%, 25%, 50%, and 75% maximal voluntary contraction). Achilles tendon elongation and cross-sectional area were recorded with ultrasound to calculate strain, stress, and stiffness. Results: Maximal voluntary contraction and torque steadiness did not differ between persons with amputation (90.6 ± 31.6 N m, 3.7 ± 2.0%) and controls (95.8 ± 26.8 N m, 2.9 ± 1.2%; p > 0.05). Tendon stiffness (21.1 ± 18.2 N/mm) and strain (5.2 ± 1.3%) did not differ between groups ( p > 0.05). Tendon cross-sectional area was 10% greater in persons with amputation leading to 29% lower stress ( p = 0.021). Maximal voluntary contraction was a predictor of a lower coefficient of variation in torque ( R2 = 0.11, p < 0.05). Conclusion: Persons with trauma-related transfemoral amputation do not differ in plantar flexion maximal voluntary contraction and torque steadiness of the intact leg compared with controls without amputation. Larger tendon cross-sectional area reduces stress and enables distribution of force across a greater area.

scholarly journals Sex Differences in the Morphological and Mechanical Properties of the Achilles Tendon

2021 ◽  
Vol 18 (17) ◽  
pp. 8974
Author(s):  
Xini Zhang ◽  
Liqin Deng ◽  
Songlin Xiao ◽  
Lu Li ◽  
Weijie Fu
Keyword(s):  
Mechanical Properties ◽  
Achilles Tendon ◽  
Maximum Voluntary Contraction ◽  
Voluntary Contraction ◽  
Cross Sectional Area ◽  
Morphological Properties ◽  
Sectional Area ◽  
Cross Sectional ◽  
Force Peak ◽  
Strain Stress

Background: Patients with Achilles tendon (AT) injuries are often engaged in sedentary work because of decreasing tendon vascularisation. Furthermore, men are more likely to be exposed to AT tendinosis or ruptures. These conditions are related to the morphological and mechanical properties of AT, but the mechanism remains unclear. This study aimed to investigate the effects of sex on the morphological and mechanical properties of the AT in inactive individuals. Methods: In total, 30 inactive healthy participants (15 male participants and 15 female participants) were recruited. The AT morphological properties (cross-sectional area, thickness, and length) were captured by using an ultrasound device. The AT force–elongation characteristics were determined during isometric plantarflexion with the ultrasonic videos. The AT stiffness was determined at 50%–100% maximum voluntary contraction force. The AT strain, stress, and hysteresis were calculated. Results: Male participants had 15% longer AT length, 31% larger AT cross-sectional area and 21% thicker AT than female participants (p < 0.05). The plantarflexion torque, peak AT force, peak AT stress, and AT stiffness were significantly greater in male participants than in female participants (p < 0.05). However, no significant sex-specific differences were observed in peak AT strain and hysteresis (p > 0.05). Conclusions: In physically inactive adults, the morphological properties of AT were superior in men but were exposed to higher stress conditions. Moreover, no significant sex-specific differences were observed in peak AT strain and hysteresis, indicating that the AT of males did not store and return elastic energy more efficiently than that of females. Thus, the mechanical properties of the AT should be maintained and/or improved through physical exercise.

scholarly journals Mechanical properties of tendon and aponeurosis of human gastrocnemius muscle in vivo

2001 ◽  
Vol 90 (5) ◽  
pp. 1671-1678 ◽  
Author(s):  
Tadashi Muramatsu ◽  
Tetsuro Muraoka ◽  
Daisuke Takeshita ◽  
Yasuo Kawakami ◽  
Yuichi Hirano ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Achilles Tendon ◽  
Gastrocnemius Muscle ◽  
Plantar Flexion ◽  
Medial Gastrocnemius ◽  
Significant Difference ◽  
Functional Implications ◽  
Male Subjects ◽  
Maximal Strain

Load-strain characteristics of tendinous tissues (Achilles tendon and aponeurosis) were determined in vivo for human medial gastrocnemius (MG) muscle. Seven male subjects exerted isometric plantar flexion torque while the elongation of tendinous tissues of MG was determined from the tendinous movements by using ultrasonography. The maximal strain of the Achilles tendon and aponeurosis, estimated separately from the elongation data, was 5.1 ± 1.1 and 5.9 ± 1.6%, respectively. There was no significant difference in strain between the Achilles tendon and aponeurosis. In addition, no significant difference in strain was observed between the proximal and distal regions of the aponeurosis. The results indicate that tendinous tissues of the MG are homogenously stretched along their lengths by muscle contraction, which has functional implications for the operation of the human MG muscle-tendon unit in vivo.

scholarly journals Shear Wave Predictions of Achilles Tendon Loading during Human Walking

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Emily M. Keuler ◽  
Isaac F. Loegering ◽  
Jack A. Martin ◽  
Joshua D. Roth ◽  
Darryl G. Thelen
Keyword(s):  
Achilles Tendon ◽  
Shear Wave ◽  
Wave Speed ◽  
Inverse Dynamics ◽  
Human Walking ◽  
Cross Sectional ◽  
Moment Arms ◽  
Subject Specific ◽  
S Peak

Abstract The evaluation of in vivo muscle-tendon loads is fundamental to understanding the actuation of normal and pathological human walking. However, conventional techniques for measuring muscle-tendon loads in the human body are too invasive for use in gait analysis. Here, we demonstrate the use of noninvasive measures of shear wave propagation as a proxy for Achilles tendon loading during walking. Twelve healthy young adults performed isometric ankle plantarflexion on a dynamometer. Achilles tendon wave speed, tendon moment arms, tendon cross-sectional area and ankle torque were measured. We first showed that the linear relationship between tendon stress and wave speed squared can be calibrated from isometric tasks. There was no significant effect of knee angle, ankle angle or loading rate on the subject-specific calibrations. Calibrated shear wave tensiometers were used to estimate Achilles tendon loading when walking at speeds ranging from 1 to 2 m/s. Peak tendon stresses during pushoff increased from 41 to 48 MPa as walking speed was increased, and were comparable to estimates from inverse dynamics. The tensiometers also detected Achilles tendon loading of 4 to 7 MPa in late swing. Late swing tendon loading was not discernible in the inverse dynamics estimates, but did coincide with passive stretch of the gastrocnemius muscle-tendon units. This study demonstrates the capacity to use calibrated shear wave tensiometers to evaluate tendon loading in locomotor tasks. Such technology could prove beneficial for identifying the muscle actions that underlie subject-specific movement patterns.

scholarly journals Phase-contrast MRI reveals mechanical behavior of superficial and deep aponeuroses in human medial gastrocnemius during isometric contraction

2008 ◽  
Vol 105 (4) ◽  
pp. 1312-1320 ◽  
Author(s):  
Ryuta Kinugasa ◽  
Dongsuk Shin ◽  
Junichiro Yamauchi ◽  
Chandan Mishra ◽  
John A. Hodgson ◽  
...  
Keyword(s):  
Isometric Contraction ◽  
Phase Contrast ◽  
Muscle Length ◽  
Distal Region ◽  
Voluntary Contraction ◽  
Proximal Region ◽  
Medial Gastrocnemius ◽  
Segment Length ◽  
Cross Sectional ◽  
The Cross

The behavior of the entire medial gastrocnemius (MG) superficial and deep aponeurosis structure was investigated with velocity-encoded phase-contrast, spin-tag, and three-dimensional morphometric magnetic resonance imaging. The displacements and strain of both these aponeuroses, muscle length, and the cross-sectional segment length of the deep aponeurosis were measured during isometric plantarflexion at 20% and 40% of maximal voluntary contraction (MVC). The length of the entire MG shortened during 20% and 40% MVC. All regions of interest in both aponeuroses moved proximally. Positive strain (lengthening) occurred in both ends of the deep aponeurosis and in the proximal region of the superficial aponeurosis. In contrast, negative strain (shortening) was observed in the middle region of the deep aponeurosis and in the distal region of the superficial aponeurosis. Consistent with this shortening of the deep aponeurosis length along the proximal-distal axis was expansion of the aponeuroses in the medial-lateral and anterior-posterior directions in the cross-sectional plane. It is concluded that at low to moderate force levels of isometric contraction, regional differences in strain occur along the proximal-distal axis of both aponeuroses, and some regions of both aponeuroses shorten.

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