Ultrasound reveals negligible cocontraction during isometric plantar flexion and dorsiflexion despite the presence of antagonist electromyographic activity

2015 ◽  
Vol 118 (10) ◽  
pp. 1193-1199 ◽  
Author(s):  
Brent J. Raiteri ◽  
Andrew G. Cresswell ◽  
Glen A. Lichtwark
Keyword(s):  
Cross Talk ◽  
Muscle Activity ◽  
Plantar Flexion ◽  
Medial Gastrocnemius ◽  
Electromyographic Activity ◽  
Plantar Flexors ◽  
Fascicle Length ◽  
Lateral Gastrocnemius ◽  
Muscle Fascicle

Because of the approximate linear relationship between muscle force and muscle activity, muscle forces are often estimated during maximal voluntary isometric contractions (MVICs) from torque and surface electromyography (sEMG) measurements. However, sEMG recordings from a target muscle may contain cross-talk originating from nearby muscles, which could lead to erroneous force estimates. Here we used ultrasound imaging to measure in vivo muscle fascicle length ( Lf) changes and sEMG to measure muscle activity of the tibialis anterior, medial gastrocnemius, lateral gastrocnemius, and soleus muscles during ramp MVICs in plantar and dorsiflexion directions ( n = 8). After correcting longitudinal Lfchanges for ankle rotation, the antagonist Lfat peak antagonist root-mean-square (RMS) amplitude were significantly longer than the agonist Lfat this sEMG-matched level. On average, Lfshortened from resting length by 1.29 to 2.90 mm when muscles acted as agonists and lengthened from resting length by 0.43 to 1.16 mm when muscles acted as antagonists (depending on the muscle of interest). The lack of fascicle shortening when muscles acted as antagonists indicates that cocontraction was likely to be negligible, despite cocontraction as determined by sEMG of between 7 and 23% MVIC across all muscles. Different interelectrode distances (IEDs) over the plantar flexors revealed significantly higher antagonist RMS amplitudes for the 4-cm IEDs compared with the 2-cm IEDs, which further indicates that cross-talk was present. Consequently, investigators should be wary about performing agonist torque corrections for isometric plantar flexion and dorsiflexion based on the antagonist sEMG trace and predicted antagonist moment.

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.

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 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 Triceps surae torque-length relationships relevant for walking activity levels with and without an ankle exoskeleton

2019 ◽  
Author(s):  
Anthony L. Hessel ◽  
Brent J. Raiteri ◽  
Michael J. Marsh ◽  
Daniel Hahn
Keyword(s):  
Muscle Activity ◽  
Metabolic Cost ◽  
Activity Levels ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Fascicle Length ◽  
Lateral Gastrocnemius ◽  
Work Requirements ◽  
Ankle Exoskeleton

AbstractAnkle exoskeletons have been developed to assist walking by offloading the plantar flexors work requirements, which reduces muscle activity level. However, reduced muscle activity alters plantar flexor muscle-tendon unit dynamics in a way that is poorly understood. We therefore evaluated torque-fascicle length properties of the soleus and lateral gastrocnemius during voluntary contractions at simulated activity levels typical during late stance with and without an ankle exoskeleton. Soleus activity levels (100, 30, and 22% maximal voluntary activity) were produced by participants via visual electromyography feedback at ankle angles ranging from −10° plantar flexion to 35° dorsiflexion. Using dynamometry and ultrasound imaging, torque-fascicle length data of the soleus and lateral gastrocnemius were produced. The results indicate that muscle activity reductions observed with an exoskeleton shift the torque-angle and torque-fascicle length curves to more dorsiflexed ankle angles and longer fascicle lengths where no descending limb is physiologically possible. This shift is in line with previous simulations that predicted a similar increase in the operating fascicle range when wearing an exoskeleton. These data suggest that a small reduction in muscle activity causes changes to torque-fascicle length properties, which has implications for the design and testing of future ankle exoskeletons for assisted walking.Significance StatementAssistive lower-limb exoskeletons reduce the metabolic cost of walking by reducing the positive work requirements of the plantar flexor muscles. However, if the exoskeleton reduces plantar flexor muscle activity too much, then the metabolic benefit is lost. The biological reasons for this are unclear and hinder further exoskeleton development. This research study is the first to directly evaluate if a reduction in plantar flexor muscle activity similar to that caused by wearing an exoskeleton affects muscle function. We found that reduced muscle activity changes the torque-length properties of two plantar flexors, which could explain why reducing muscle activity too much can increase metabolic cost.

Neural Compensation Within the Human Triceps Surae During Prolonged Walking

2011 ◽  
Vol 105 (2) ◽  
pp. 548-553 ◽  
Author(s):  
Neil J. Cronin ◽  
Jussi Peltonen ◽  
Thomas Sinkjaer ◽  
Janne Avela
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Neural Activation ◽  
Fascicle Length ◽  
Muscle Fascicle ◽  
Compound Action Potentials ◽  
Triceps Surae Muscles ◽  
Short Time

During human walking, muscle activation strategies are approximately constant across consecutive steps over a short time, but it is unknown whether they are maintained over a longer duration. Prolonged walking may increase tendinous tissue (TT) compliance, which can influence neural activation, but the neural responses of individual muscles have not been investigated. This study investigated the hypothesis that muscle activity is up- or down-regulated in individual triceps surae muscles during prolonged walking. Thirteen healthy subjects walked on a treadmill for 60 min at 4.5 km/h, while triceps surae muscle activity, maximal muscle compound action potentials, and kinematics were recorded every 5 min, and fascicle lengths were estimated at the beginning and end of the protocol using ultrasound. After 1 h of walking, soleus activity increased by 9.3 ± 0.2% ( P < 0.05) and medial gastrocnemius activity decreased by 9.3 ± 0.3% ( P < 0.01). Gastrocnemius fascicle length at ground contact shortened by 4.45 ± 0.99% ( P < 0.001), whereas soleus fascicle length was unchanged ( P = 0.988). Throughout the stance phase, medial gastrocnemius fascicle lengthening decreased by 44 ± 13% ( P < 0.001), whereas soleus fascicle lengthening amplitude was unchanged ( P = 0.650). The data suggest that a compensatory neural strategy exists between triceps surae muscles and that changes in muscle activation are generally mirrored by changes in muscle fascicle length. These findings also support the notion of muscle-specific changes in TT compliance after prolonged walking and highlight the ability of the CNS to maintain relatively constant movement patterns in spite of neuromechanical changes in individual muscles.

Effects of 12-wk eccentric calf muscle training on muscle-tendon glucose uptake and SEMG in patients with chronic Achilles tendon pain

2014 ◽  
Vol 117 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Tahir Masood ◽  
Kari Kalliokoski ◽  
S. Peter Magnusson ◽  
Jens Bojsen-Møller ◽  
Taija Finni
Keyword(s):  
Achilles Tendon ◽  
Glucose Uptake ◽  
Plantar Flexion ◽  
Achilles Tendinopathy ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Flexor Hallucis Longus ◽  
Myoelectric Activity ◽  
Plantar Flexors ◽  
Lateral Gastrocnemius

High-load eccentric exercises have been a key component in the conservative management of chronic Achilles tendinopathy. This study investigated the effects of a 12-wk progressive, home-based eccentric rehabilitation program on ankle plantar flexors' glucose uptake (GU) and myoelectric activity and Achilles tendon GU. A longitudinal study design with control ( n = 10) and patient ( n = 10) groups was used. Surface electromyography (SEMG) from four ankle plantar flexors and GU from the same muscles and the Achilles tendon were measured during submaximal intermittent isometric plantar flexion task. The results indicated that the symptomatic leg was weaker ( P < 0.05) than the asymptomatic leg at baseline, but improved ( P < 0.001) with eccentric rehabilitation. Additionally, the rehabilitation resulted in greater GU in both soleus ( P < 0.01) and lateral gastrocnemius ( P < 0.001) in the symptomatic leg, while the asymptomatic leg displayed higher uptake for medial gastrocnemius and flexor hallucis longus ( P < 0.05). While both patient legs had higher tendon GU than the controls ( P < 0.05), there was no rehabilitation effect on the tendon GU. Concerning SEMG, at baseline, soleus showed more relative activity in the symptomatic leg compared with both the asymptomatic and control legs ( P < 0.05), probably reflecting an effort to compensate for the decreased force potential. The rehabilitation resulted in greater SEMG activity in the lateral gastrocnemius ( P < 0.01) of the symptomatic leg with no other within- or between-group differences. Eccentric rehabilitation was effective in decreasing subjective severity of Achilles tendinopathy. It also resulted in redistribution of relative electrical activity, but not metabolic activity, within the triceps surae muscle.

scholarly journals Muscle fascicle strains in human gastrocnemius during backward downhill walking

2014 ◽  
Vol 116 (11) ◽  
pp. 1455-1462 ◽  
Author(s):  
B. W. Hoffman ◽  
A. G. Cresswell ◽  
T. J. Carroll ◽  
G. A. Lichtwark
Keyword(s):  
Muscle Damage ◽  
Muscle Activation ◽  
Medial Gastrocnemius ◽  
Fascicle Length ◽  
Muscle Fascicle ◽  
Torque Curve ◽  
Analysis System ◽  
Exercise Induced

Extensive muscle damage can be induced in isolated muscle preparations by performing a small number of stretches during muscle activation. While typically these fiber strains are large and occur over long lengths, the extent of exercise-induced muscle damage (EIMD) observed in humans is normally less even when multiple high-force lengthening actions are performed. This apparent discrepancy may be due to differences in muscle fiber and tendon dynamics in vivo; however, muscle and tendon strains have not been quantified during muscle-damaging exercise in humans. Ultrasound and an infrared motion analysis system were used to measure medial gastrocnemius fascicle length and lower limb kinematics while humans walked backward, downhill for 1 h (inducing muscle damage), and while they walked briefly forward on the flat (inducing no damage). Supramaximal tibial nerve stimulation, ultrasound, and an isokinetic dynamometer were used to quantify the fascicle length-torque relationship pre- and 2 h postexercise. Torque decreased ∼23%, and optimal fascicle length shifted rightward ∼10%, indicating that EIMD occurred during the damage protocol even though medial gastrocnemius fascicle stretch amplitude was relatively small (∼18% of optimal fascicle length) and occurred predominantly within the ascending limb and plateau region of the length-torque curve. Furthermore, tendon contribution to overall muscle-tendon unit stretch was ∼91%. The data suggest the compliant tendon plays a role in attenuating muscle fascicle strain during backward walking in humans, thus minimizing the extent of EIMD. As such, in situ or in vitro mechanisms of muscle damage may not be applicable to EIMD of the human gastrocnemius muscle.

Estimation of maximal muscle electromyographic activity from the relationship between muscle activity and voluntary activation

2021 ◽  
Author(s):  
Kenzo C. Kishimoto ◽  
Martin E. Heroux ◽  
Simon C. Gandevia ◽  
Jane E. Butler ◽  
Joanna Diong
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Medial Gastrocnemius ◽  
Voluntary Activation ◽  
Emg Activity ◽  
Active Movement ◽  
Electromyographic Activity ◽  
Lateral Gastrocnemius ◽  
Voluntary Muscle ◽  
The Relationship

Maximal muscle activity recorded with surface electromyography (EMG) is an important neurophysiological measure. It is frequently used to normalize EMG activity recorded during passive or active movement. However, the true maximal muscle activity cannot be determined in people with impaired capacity to voluntarily activate their muscles. Here we determined whether maximal muscle activity can be estimated from muscle activity produced during submaximal voluntary activation. Twenty-five able-bodied adults (18 males, mean age 29 years, range 19-64 years) participated in the study. Participants were seated with the knee flexed 90° and the ankle in 5° of dorsiflexion from neutral. Participants performed isometric voluntary ankle plantarflexion contractions at target torques, in random order: 1, 5, 10, 15, 25, 50, 75, 90, 95, 100% of maximal voluntary torque. Ankle torque, muscle activity in soleus, medial and lateral gastrocnemius muscles, and voluntary muscle activation determined using twitch interpolation were recorded. There was a strong loge-linear relationship between measures of muscle activation and muscle activity in all three muscles tested. Linear mixed models were fitted to muscle activation and loge-transformed EMG data. Each 1% increase in muscle activation increased muscle activity by a mean of 0.027 ln(mV) [95% CI 0.025 to 0.029 ln(mV)] in soleus, 0.025 ln(mV) [0.022 to 0.028 ln(mV)] in medial gastrocnemius, and 0.028 ln(mV) [0.026 to 0.030 ln(mV)] in lateral gastrocnemius. The relationship between voluntary muscle activation and muscle activity can be described with simple mathematical functions. In future, it should be possible to normalize recorded muscle activity using these types of functions.

scholarly journals Rightward shift of optimal fascicle length with decreasing voluntary activity level in the soleus and lateral gastrocnemius muscles

2020 ◽  
pp. jeb.235614
Author(s):  
Anthony L. Hessel ◽  
Brent J. Raiteri ◽  
Michael J. Marsh ◽  
Daniel Hahn
Keyword(s):  
Muscle Activity ◽  
Plantar Flexion ◽  
Voluntary Contraction ◽  
Activity Level ◽  
Triceps Surae ◽  
Activity Levels ◽  
Fascicle Length ◽  
Lateral Gastrocnemius ◽  
Ankle Angle ◽  
Gastrocnemius Muscles

Much of our understanding of in vivo skeletal muscle properties is based on studies performed under maximal activation, which is problematic because muscles are rarely activated maximally during movements such as walking. Currently, force-length properties of the human triceps surae at submaximal voluntary muscle activity levels are not characterized. We therefore evaluated plantar flexor torque/force-ankle angle and torque/force-fascicle length properties of the soleus and lateral gastrocnemius muscles during voluntary contractions at three activity levels: 100, 30, and 22% of maximal voluntary contraction. Soleus activity levels were controlled by participants via real-time electromyography feedback and contractions were performed at ankle angles ranging from 10° plantar flexion to 35° dorsiflexion. Using dynamometry and ultrasound imaging, torque-fascicle length curves of the soleus and lateral gastrocnemius muscles were constructed. The results indicate that small muscle activity reductions shift the torque/force-angle and torque/force-fascicle length curves of these muscles to more dorsiflexed ankle angles and longer fascicle lengths (from 3 to 20% optimal fascicle length, depending on ankle angle). The shift in the torque- and force-fascicle length curves during submaximal voluntary contraction have potential implications for human locomotion (e.g. walking) as the operating range of fascicles shifts to the ascending limb, where muscle force capacity is reduced by at least 15%. These data demonstrate the need to match activity levels during construction of the torque- and force-fascicle length curves to activity levels achieved during movement to better characterize the lengths that muscles operate at relative to their optimum during a specific task.

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