Can passive stretch inhibit motoneuron facilitation in the human plantar flexors?

2014 ◽  
Vol 117 (12) ◽  
pp. 1486-1492 ◽  
Author(s):  
Gabriel S. Trajano ◽  
Laurent B. Seitz ◽  
Kazunori Nosaka ◽  
Anthony J. Blazevich
Keyword(s):  
Inhibitory Effect ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Stimulation Protocol ◽  
Flexor Muscle ◽  
Motor Unit Firing ◽  
Torque Loss ◽  
Passive Stretch

The purpose of the present study was to examine the possible inhibitory effect of passive plantar flexor muscle stretching on the motoneuron facilitatory system. Achilles tendon vibration (70 Hz) and triceps surae electrical stimulation (20 Hz) were imposed simultaneously in 11 subjects to elicit contraction through reflexive pathways in two experiments. In experiment 1, a vibration-stimulation protocol was implemented with the ankle joint plantar flexed (+10°), neutral (0°), and dorsiflexed (−10°). In experiment 2, the vibration-stimulation protocol was performed twice before (control), then immediately, 5, 10, and 15 min after a 5-min intermittent muscle stretch protocol. Plantar flexor torque and medial and lateral gastrocnemius and soleus (EMGSol) EMG amplitudes measured during and after (i.e., self-sustained motor unit firing) the vibration protocol were used as an indicator of this facilitatory pathway. In experiment 1, vibration torque, self-sustained torque and EMGSol were higher with the ankle at −10° compared with 0° and +10°, suggesting that this method is valid to assess motoneuronal facilitation. In experiment 2, torque during vibration was reduced by ∼60% immediately after stretch and remained depressed by ∼35% at 5 min after stretch ( P < 0.05). Self-sustained torque was also reduced by ∼65% immediately after stretch ( P < 0.05) but recovered by 5 min. Similarly, medial gastrocnemius EMG during vibration was reduced by ∼40% immediately after stretch ( P < 0.05), and EMGSol during the self-sustained torque period was reduced by 44% immediately after stretch ( P < 0.05). In conclusion, passive stretch negatively affected the motoneuronal amplification for at least 5 min, suggesting that motoneuron disfacilitation is a possible mechanism influencing the stretch-induced torque loss.

Contribution of central vs. peripheral factors to the force loss induced by passive stretch of the human plantar flexors

2013 ◽  
Vol 115 (2) ◽  
pp. 212-218 ◽  
Author(s):  
Gabriel S. Trajano ◽  
Laurent Seitz ◽  
Kasunori Nosaka ◽  
Anthony J. Blazevich
Keyword(s):  
Coupling Efficiency ◽  
Compound Action Potential ◽  
Peak Torque ◽  
Triceps Surae ◽  
Voluntary Activation ◽  
Plantar Flexors ◽  
Constant Torque ◽  
Torque Loss ◽  
Passive Stretch ◽  
Central Drive

The purpose of the present research was to identify the contribution of central vs. peripheral factors to the force loss after passive muscle stretching. Thirteen men randomly performed both a 5-min constant-torque stretch of the plantar flexors on an isokinetic dynamometer and a resting condition on 2 separate days. The triceps surae electromyogram (EMG) was recorded simultaneously with plantar flexor isometric torque. Measures of central drive, including the EMG amplitude normalized to the muscle compound action potential amplitude (EMG/M), percent voluntary activation and first volitional wave amplitude, and measures of peripheral function, including the twitch peak torque, 20-to-80-Hz tetanic torque ratio and torque during 20-Hz stimulation preceded by a doublet, were taken before and immediately and 15 min after each condition. Peak torque (−15.7%), EMG/M (−8.2%), and both twitch (−9.4%) and 20-Hz peak torques (−11.5%) were reduced immediately after stretch but recovered by 15 min. There were strong correlations between the torque loss and the reductions in central drive parameters ( r = 0.65–0.93). Torque recovery was also strongly correlated with the recovery in EMG/M and percent voluntary activation ( r = 0.77–0.81). The moderate decreases in measures of peripheral function were not related to the torque loss or recovery. These results suggest that 1) central factors were strongly related to the torque reduction immediately after stretch and during torque recovery; and 2) the muscle's contractile capacity was moderately reduced, although these changes were not associated with the torque reduction, and changes in excitation-contraction coupling efficiency were not observed.

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 Ultrasound Structural Changes in Triceps Surae After a 1-Year Daily Self-stretch Program: A Prospective Randomized Controlled Trial in Chronic Hemiparesis

2019 ◽  
Vol 33 (4) ◽  
pp. 245-259 ◽  
Author(s):  
Maud Pradines ◽  
Mouna Ghedira ◽  
Raphaël Portero ◽  
Ingrid Masson ◽  
Christina Marciniak ◽  
...  
Keyword(s):  
Structural Changes ◽  
Controlled Trial ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Plantar Flexors ◽  
Fascicle Length ◽  
Rehabilitation Programs ◽  
Lower Limb Muscles ◽  
Muscle Fascicle ◽  
Prospective Randomized Controlled Trial

Introduction. The effects of long-term stretching (>6 months) in hemiparesis are unknown. This prospective, randomized, single-blind controlled trial compared changes in architectural and clinical parameters in plantar flexors of individuals with chronic hemiparesis following a 1-year guided self-stretch program, compared with conventional rehabilitation alone. Methods. Adults with chronic stroke-induced hemiparesis (time since lesion >1 year) were randomized into 1 of 2, 1-year rehabilitation programs: conventional therapy (CONV) supplemented with the Guided Self-rehabilitation Contract (GSC) program, or CONV alone. In the GSC group, specific lower limb muscles, including plantar flexors, were identified for a diary-based treatment utilizing daily, high-load, home self-stretching. Blinded assessments included (1) ultrasonographic measurements of soleus and medial gastrocnemius (MG) fascicle length and thickness, with change in soleus fascicle length as primary outcome; (2) maximum passive muscle extensibility (XV1, Tardieu Scale); (3) 10-m maximal barefoot ambulation speed. Results. In all, 23 individuals (10 women; mean age [SD], 56 [±12] years; time since lesion, 9 [±8] years) were randomized into either the CONV (n = 11) or GSC (n = 12) group. After 1 year, all significant between-group differences favored the GSC group: soleus fascicle length, +18.1mm [9.3; 29.9]; MG fascicle length, +6.3mm [3.5; 9.1]; soleus thickness, +4.8mm [3.0; 7.7]; XV1 soleus, +4.1° [3.1; 7.2]; XV1 gastrocnemius, +7.0° [2.1; 11.9]; and ambulation speed, +0.07m/s [+0.02; +0.16]. Conclusions. In chronic hemiparesis, daily self-stretch of the soleus and gastrocnemius over 1 year using GSC combined with conventional rehabilitation increased muscle fascicle length, extensibility, and ambulation speed more than conventional rehabilitation alone.

scholarly journals Series elasticity facilitates safe plantar flexor muscle–tendon shock absorption during perturbed human hopping

2021 ◽  
Vol 288 (1947) ◽  
Author(s):  
Taylor J. M. Dick ◽  
Christofer J. Clemente ◽  
Laksh K. Punith ◽  
Gregory S. Sawicki
Keyword(s):  
Steady State ◽  
Neuromuscular Control ◽  
Ground Contact ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Unpredictable Environments ◽  
Co Activation ◽  
Length Changes

In our everyday lives, we negotiate complex and unpredictable environments. Yet, much of our knowledge regarding locomotion has come from studies conducted under steady-state conditions. We have previously shown that humans rely on the ankle joint to absorb energy and recover from perturbations; however, the muscle–tendon unit (MTU) behaviour and motor control strategies that accompany these joint-level responses are not yet understood. In this study, we determined how neuromuscular control and plantar flexor MTU dynamics are modulated to maintain stability during unexpected vertical perturbations. Participants performed steady-state hopping and, at an unknown time, we elicited an unexpected perturbation via rapid removal of a platform. In addition to kinematics and kinetics, we measured gastrocnemius and soleus muscle activations using electromyography and in vivo fascicle dynamics using B-mode ultrasound. Here, we show that an unexpected drop in ground height introduces an automatic phase shift in the timing of plantar flexor muscle activity relative to MTU length changes. This altered timing initiates a cascade of responses including increased MTU and fascicle length changes and increased muscle forces which, when taken together, enables the plantar flexors to effectively dissipate energy. Our results also show another mechanism, whereby increased co-activation of the plantar- and dorsiflexors enables shortening of the plantar flexor fascicles prior to ground contact. This co-activation improves the capacity of the plantar flexors to rapidly absorb energy upon ground contact, and may also aid in the avoidance of potentially damaging muscle strains. Our study provides novel insight into how humans alter their neural control to modulate in vivo muscle–tendon interaction dynamics in response to unexpected perturbations. These data provide essential insight to help guide design of lower-limb assistive devices that can perform within varied and unpredictable environments.

scholarly journals Increased Ankle Plantar Flexor Stiffness Is Associated With Reduced Mechanical Response to Stretch in Adults With CP

2021 ◽  
Vol 9 ◽  
Author(s):  
Jakob Lorentzen ◽  
Rasmus Feld Frisk ◽  
Jens Bo Nielsen ◽  
Lee Barber
Keyword(s):  
Ankle Joint ◽  
Stretch Reflex ◽  
Gastrocnemius Muscle ◽  
Length Change ◽  
Medial Gastrocnemius ◽  
Reflex Response ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
Muscle Fascicles ◽  
Medial Gastrocnemius Muscle

Hyperexcitable stretch reflexes are often not present despite of other signs of spasticity in people with brain lesion. Here we looked for evidence that increased resistance to length change of the plantar flexor muscle-fascicles may contribute to a reduction in the stretch reflex response in adults with cerebral palsy (CP). A total of 17 neurologically intact (NI) adults (mean age 36.1; 12 female) and 13 ambulant adults with CP (7 unilateral; mean age 33.1; 5 female) participated in the study. Subjects were seated in a chair with the examined foot attached to a foot plate, which could be moved by a computer-controlled electromotor. An ultrasound probe was placed over the medial aspect of the leg to measure the length of medial gastrocnemius muscle fascicles. Slow (7 deg/s) and fast (200 deg/s) stretches with amplitude 6 deg of the plantar flexors were applied over an ankle range of 70 deg at 10 deg intervals between 60 and 130 deg plantarflexion. It was checked by EMG electrodes that the slow stretches were sufficiently slow not to elicit any activity and that the fast stretches were sufficiently quick to elicit a maximal stretch reflex in both groups. The torque elicited by the stretches was measured together with changes in the length of medial gastrocnemius muscle fascicles. Muscle fascicles increased significantly in length with increasing dorsiflexion position in both populations (p &lt; 0.001), but the fascicles were shorter in the CP population at all positions. Slow stretches elicited significantly larger torque and significantly smaller length change of muscle fascicles as the ankle joint position was moved more towards dorsiflexion in CP than in NI (p &lt; 0.001). Fast stretches elicited larger torque responses at ankle joint positions of 80–100 deg in the NI than in the CP group (p &lt; 0.01). A significant negative correlation was observed between the torque response and muscle fascicle length change to slow stretch in CP (p &lt; 0.05), but not in NI. These findings support that increased passive resistance of the ankle plantar flexor muscle-tendon unit and development of contractures may conceal stretch reflex response in adults with CP. We argue that this should be taken into account in the neurological examination of spasticity.

Recovery of medial gastrocnemius muscle grafts in rats: implications for the plantar flexor group

1994 ◽  
Vol 77 (6) ◽  
pp. 2773-2777 ◽  
Author(s):  
S. W. Miller ◽  
C. A. Hassett ◽  
T. P. White ◽  
J. A. Faulkner
Keyword(s):  
Group Structure ◽  
Muscle Group ◽  
Medial Gastrocnemius ◽  
Maximum Force ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
And Function ◽  
Total Muscle ◽  
Medial Gastrocnemius Muscle ◽  
Degree Of Recovery

Medial gastrocnemius (MGN) muscles were grafted in 18 rats and evaluated at 60, 90, and 120 days after the operation. Our purpose was to investigate the degree of recovery of the vascularized MGN grafts and the entire plantar flexor muscle group. Compared with control values, muscle mass and maximum force of MGN grafts were decreased by 33 and 38% at 60 days, 22 and 32% at 90 days, and 13 and 15% at 120 days. At 60 and 90 days, the deficits in maximum force for the entire plantar flexor muscle group, including the graft, were 29 and 17%, respectively. No difference was observed at 120 days. At 60 days, the deficit in the total mass of the plantar flexor group was 14% compared with control values, but by 90 days no deficit was observed. The restoration of normal plantar flexor group structure and function indicates that the degree of recovery attained by MGN grafts, although not complete, was sufficient to ensure that the performance of the total muscle group was not compromised.

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.

Concentric muscle contractions before static stretching minimize, but do not remove, stretch-induced force deficits

2010 ◽  
Vol 108 (3) ◽  
pp. 637-645 ◽  
Author(s):  
Anthony D. Kay ◽  
Anthony J. Blazevich
Keyword(s):  
Achilles Tendon ◽  
Range Of Motion ◽  
Muscle Activity ◽  
Joint Moment ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Plantar Flexor ◽  
Tendon Stiffness ◽  
Concentric Contractions ◽  
Time Motion

The effects of concentric contractions and passive stretching on musculotendinous stiffness and muscle activity were studied in 18 healthy human volunteers. Passive and concentric plantar flexor joint moment data were recorded on an isokinetic dynamometer with simultaneous electromyogram (EMG) monitoring of the triceps surae, real-time motion analysis of the lower leg, and ultrasound imaging of the Achilles-medial gastrocnemius muscle-tendon junction. The subjects then performed six 8-s ramped maximal voluntary concentric contractions before repeating both the passive and concentric trials. Concentric moment was significantly reduced (6.6%; P < 0.01), which was accompanied by, and correlated with ( r = 0.60–0.94; P < 0.05), significant reductions in peak triceps surae EMG amplitude (10.2%; P < 0.01). Achilles tendon stiffness was significantly reduced (11.7%; P < 0.01), but no change in gastrocnemius medialis muscle operating length was detected. The subjects then performed three 60-s static plantar flexor stretches before being retested 2 and 30 min poststretch. A further reduction in concentric joint moment (5.8%; P < 0.01) was detected poststretch at 90% of range of motion, with no decrease in muscle activity or Achilles tendon stiffness, but a significant increase in muscle operating length and decrease in tendon length was apparent at this range of motion ( P < 0.05). Thirty minutes after stretching, muscle activity significantly recovered to pre-maximal voluntary concentric contractions levels, whereas concentric moment and Achilles tendon stiffness remained depressed. These data show that the performance of maximal concentric contractions can substantially reduce neuromuscular activity and muscle force, but this does not prevent a further stretch-induced loss in active plantar flexor joint moment. Importantly, the different temporal changes in EMG and concentric joint moment indicate that a muscle-based mechanism was likely responsible for the force losses poststretch.

scholarly journals Human ankle plantar flexor muscle–tendon mechanics and energetics during maximum acceleration sprinting

2016 ◽  
Vol 13 (121) ◽  
pp. 20160391 ◽  
Author(s):  
Adrian Lai ◽  
Anthony G. Schache ◽  
Nicholas A. T. Brown ◽  
Marcus G. Pandy
Keyword(s):  
Steady State ◽  
Elastic Strain ◽  
Strain Energy ◽  
Computational Modelling ◽  
Elastic Strain Energy ◽  
Medial Gastrocnemius ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Muscle Fascicle ◽  
Human Ankle

Tendon elastic strain energy is the dominant contributor to muscle–tendon work during steady-state running. Does this behaviour also occur for sprint accelerations? We used experimental data and computational modelling to quantify muscle fascicle work and tendon elastic strain energy for the human ankle plantar flexors (specifically soleus and medial gastrocnemius) for multiple foot contacts of a maximal sprint as well as for running at a steady-state speed. Positive work done by the soleus and medial gastrocnemius muscle fascicles decreased incrementally throughout the maximal sprint and both muscles performed more work for the first foot contact of the maximal sprint (FC1) compared with steady-state running at 5 m s −1 (SS5). However, the differences in tendon strain energy for both muscles were negligible throughout the maximal sprint and when comparing FC1 to SS5. Consequently, the contribution of muscle fascicle work to stored tendon elastic strain energy was greater for FC1 compared with subsequent foot contacts of the maximal sprint and compared with SS5. We conclude that tendon elastic strain energy in the ankle plantar flexors is just as vital at the start of a maximal sprint as it is at the end, and as it is for running at a constant speed.

scholarly journals Intra-and Intermuscular Coherence and Body Acceleration Control in Older Adults during Bipedal Stance

Geriatrics ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 114
Author(s):  
Tadayoshi Minamisawa ◽  
Noboru Chiba ◽  
Eizaburo Suzuki
Keyword(s):  
Older Adults ◽  
Center Of Mass ◽  
Plantar Flexor ◽  
Frequency Range ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Younger Adults ◽  
Bipedal Stance ◽  
Intermuscular Coherence ◽  
The Relationship

Our aim was to clarify the effect of aging on the coherence of electromyograms of plantar flexor pairs during bipedal stance and to clarify the relationship between coherence and center-of-mass acceleration (COMacc). The subjects were 16 adults and 18 older adults. Intra- and intermuscular coherence and phase analyses were used to analyze the muscle pairs of bilateral and unilateral plantar flexor muscle groups. The relationship between coherence value and anterior–posterior COMacc of the plantar flexor muscle pairs was also examined to determine whether the connectivity of the lower limb muscle pairs is functionally important. The older adults showed higher coherence in the frequency range of 0–4 Hz for muscle pairs than the younger adults. In phase analysis, the older adults showed a phase difference between bilateral heteronymous muscle pairs in the frequency range of 0–6 Hz, which was one of the characteristics not seen in the younger adults. Correlation analysis showed that all the muscle pairs were moderately correlated with COMacc in the older adults. Not only does aging affects the organization of the bilateral and unilateral postural muscle activity of the plantar flexors during bipedal stance, but such organization may also be related to the increased COMacc characteristics of older adults.

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