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 < 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 < 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 < 0.01). A significant negative correlation was observed between the torque response and muscle fascicle length change to slow stretch in CP (p < 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.

Resonance in the human medial gastrocnemius muscle during cyclic ankle bending exercise

2006 ◽  
Vol 101 (1) ◽  
pp. 111-118 ◽  
Author(s):  
Daisuke Takeshita ◽  
Akira Shibayama ◽  
Tetsuro Muraoka ◽  
Tadashi Muramatsu ◽  
Akinori Nagano ◽  
...  
Keyword(s):  
Gastrocnemius Muscle ◽  
Amplitude Ratio ◽  
Reaction Force ◽  
Video Recording ◽  
Force Plate ◽  
Length Change ◽  
Intermediate Frequency ◽  
Medial Gastrocnemius ◽  
Movement Frequency ◽  
Medial Gastrocnemius Muscle

We investigated the behavior of the muscle tendon unit (MTU) of the medial gastrocnemius muscle during cyclic ankle bending exercise at eight different frequencies (ranging from 1.33 to 3.67 Hz). The changes in the length of fascicle in the muscle during the exercises were determined by real-time ultrasound imaging. The coordinates of anatomical references and the ground reaction force were determined from video recording and a force plate, respectively. The length change of the MTU (the distance from the origin to insertion of the muscle) was calculated from changes in the knee and ankle joint angles. It was found that the amplitude ratio and phase difference between the fascicle and MTU lengths were both dependent on the movement frequency. At lower frequencies, the fascicle lengths varied almost in phase with the MTU length, whereas they varied out of phase at the higher frequencies. At intermediate frequency, the amplitude of the fascicle became very small compared with that of the MTU, which is considered resonance. We constructed a mechanical model of the MTU based on a notion of forced oscillation in a mass-spring system. The obtained data were well explained by the model. It was concluded that the behavior of the MTU highly depends on the movement frequency due to the viscoelasticity of the MTU.

Regional Variability of Stretch Reflex Amplitude in the Cat Medial Gastrocnemius Muscle During a Postural Task

1997 ◽  
Vol 78 (2) ◽  
pp. 1150-1154 ◽  
Author(s):  
Janice J. Eng ◽  
J. A. Hoffer
Keyword(s):  
Stretch Reflex ◽  
Gastrocnemius Muscle ◽  
Muscle Length ◽  
Medial Gastrocnemius ◽  
Regional Variability ◽  
Reflex Amplitude ◽  
Local Reflex ◽  
Whole Muscle ◽  
Postural Task ◽  
Medial Gastrocnemius Muscle

Eng, Janice J. and J. A. Hoffer. Regional variability of stretch reflex amplitude in the cat medial gastrocnemius muscle during a postural task. J. Neurophysiol. 78: 1150–1154, 1997. The relationship between local fibre stretch velocity (mechanical input) and the corresponding local reflex electromyographic (EMG) amplitude (a measure of the neural output) was assessed to determine the contribution of muscle spindle feedback in postural control. We hypothesized that traditionally measured input variables (e.g., the velocity of an external movement or whole muscle velocity) may not accurately represent the mechanical input to the muscle spindles, especially when the background forces are small. Three cats were trained to stand on pedestals while ankle rotations were applied to the left hindlimb. EMG and fiber movement in both proximal and distal regions of the muscle were recorded in addition to muscle length and tendon force. We found that local muscle velocity was correlated poorly with whole muscle velocity, demonstrating that internal and external muscle movements are often dissimilar, particularly during tasks that involve modest levels of muscle activation. Local EMG reflex amplitudes were correlated well with the corresponding local fiber stretch velocities ( R values ranging from 0.5 to 0.8) but not with muscle stretch velocity. The lack of crossed correlations between fiber stretch velocities and reflex EMG amplitudes measured in proximal versus distal regions of the muscle suggests the presence of a local reflex component. It is concluded that changes in local muscle fiber length represent the mechanical input to spindles better than changes in the total muscle length. Additionally, spindles have a specific role in the reflex activation of nearby muscle fibers.

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