Behavior of fascicles and tendinous structures of human gastrocnemius during vertical jumping

Unlocking the benefit of active stretch: the eccentric muscle action, not the preload, maximizes muscle-tendon unit stretch-shortening cycle performance

Stretch-shortening cycles (SSCs) outperform shortening contractions preceded by isometric contractions in terms of enhanced force/torque, work, and power production during shortening. This so-called SSC effect is presumably related to the active muscle stretch before shortening in SSCs. However, it remains unclear whether the effects of stretch-induced higher preload level or stretch-induced history dependence maximize the SSC effect. Therefore, we analyzed fascicle behavior, muscle-tendon unit (MTU) shortening work, and torque/force (n = 12 participants) via ultrasound and dynamometry during electrically stimulated submaximal plantar flexion contractions from 10° plantarflexion to 15° dorsiflexion. To elucidate the effects of preload level and preload modality (i.e., contraction type) on shortening performance, muscle-tendon unit shortening was preceded by fixed-end (SHO), active stretch (SSC), and preload-matched fixed-end (MATCHED) contractions. Before shortening, MATCHED and SCC had the same preload level (1% torque difference), similar joint position, and muscle fascicle lengths. Compared with SHO, shortening work was significantly (P < 0.001, partial η2 = 0.749) increased by 85% and 55% for SSC and MATCHED, respectively, with SSC shortening work being significantly higher than MATCHED (P = 0.016). This indicates that preload contributes by 65% to the overall SSC effect so that 35% needs to be referred to stretched-induced history-dependent mechanisms. In addition, SSC showed larger fascicle forces at the end of shortening (P < 0.001) and 20% less depressed isometric torque following shortening compared with MATCHED (P < 0.001). As potential decoupling effects by the series elastic element were controlled by matching the preload levels, we conclude that the difference between SSC and MATCHED is related to stretch-induced long-lasting history-dependent effects.NEW & NOTEWORTHY Using a torque-matched preload protocol, we found that 2/3 of the performance enhancement in muscle-tendon unit stretch-shortening cycles (SSCs) is caused by the increased preload level. The remaining 1/3 is owed to the long-lasting history-dependent effects triggered during the stretch in SSCs. This increased performance output is attributed to passive elastic structures within the contractile element that do not require additional muscle activation, therefore contributing to the higher efficiency of the neuromuscular system in SSCs.

Jump Performance and Its Relationship with Lower Body Joint Kinetics and Kinematics in Children with Cerebral Palsy

PURPOSE

The aim was to quantify jump performance in children with cerebral palsy (CP) and determine if the expected deficit is related to their lower body joint kinetics and kinematics.

METHODS

Twenty-four ambulatory ( n = 17 level I and 7 level II in the Gross Motor Function Classification System) children with spastic CP ( n = 13 unilateral and 11 bilateral) and 24 age-, sex-, and race-matched typically developing controls were studied. Jump height and peak power and range of motion at the hip, knee, and ankle of the more affected limb in children with CP and the nondominant limb in controls were assessed during a countermovement jump using three-dimensional motion capture and a force platform.

RESULTS

Compared with controls, children with CP had lower jump height (33%, Cohen's d ( d ) = 1.217), peak power at the knee (39%, d = 1.013) and ankle (46%, d = 1.687), and range of motion at the hip (32%, d = 1.180), knee (39%, d = 2.067), and ankle (46%, d = 3.195; all P < 0.001). Jump height was positively related to hip, knee, and ankle power and range of motion in children with CP ( rs range = 0.474-0.613, P < 0.05), and hip and ankle power and knee and ankle range of motion in controls ( rs range = 0.458-0.630, P < 0.05). The group difference in jump height was no longer detected when ankle joint power, ankle range of motion, or knee range of motion was statistically controlled ( P > 0.15).

CONCLUSIONS

Jump performance is compromised in children with CP and is associated with low power generation and range of motion in the lower limb, especially at the ankle.

Muscle-Tendon Unit Length Measurement Using 3D Ultrasound in Passive Conditions: OpenSim Validation and Development of Personalized Models

This study investigated the validity of using OpenSim to measure muscle-tendon unit (MTU) length of the bi-articular lower limb muscles in several postures (shortened, lengthened, a combination of shortened and lengthened involving both joints, neutral and standing) using 3D freehand ultrasound (US), and to propose new personalized models. MTU length was measured on 14 participants and 6 bi-articular muscles (semimembranosus SM, semitendinosus ST, biceps femoris BF, rectus femoris RF, gastrocnemius medialis GM and gastrocnemius lateralis GL), considering 5 to 6 postures. MTU length was computed using OpenSim with three different models: OS (the generic OpenSim scaled model), OS + INSER (OS with personalized 3D US MTU insertions), OS + INSER + PATH (OS with personalized 3D US MTU insertions and path obtained from one posture). Significant differences in MTU length were found between OS and 3D US models for RF, GM and GL (from - 6.3 to 10.9%). Non-significant effects were reported for the hamstrings, notably for the ST (- 1.5%) and BF (- 1.9%), while the SM just crossed the alpha level (- 3.4%, p = 0.049). The OS + INSER model reduced the magnitude of bias by an average of 4% for RF, GM and GL. The OS + INSER + PATH model showed the smallest biases in length estimates, which made them negligible and non-significant for all the MTU (i.e. ≤ 2.2%). A 3D US pipeline was developed and validated to estimate the MTU length from a limited number of measurements. This opens up new perspectives for personalizing musculoskeletal models using low-cost user-friendly devices.

Assessing the validity of two-dimensional video analysis for measuring lower limb joint angles during fencing lunge

Introduction

The fencing lunge (lunge), characterized by minimal body rotation, offers a movement well-suited for 2D video analysis. However, to the best of our knowledge, the validity of 2D video analysis for fencing has not been verified. This study aimed to validate 2D video analysis by comparing lower limb joints (hip, knee, and ankle joints) angles during lunge using both 2D video analysis and 3D motion analysis methods.

Methods

Twenty-two male fencers performed lunge trials that were simultaneously recorded using eight motion capture cameras (Qualisys Miqus M1) and two digital video cameras (Sony AX-450 and AX450a).

Results

The 2D video analysis results exhibited an extremely large correlation in knee joint angles of the front and rear legs in the sagittal with those from 3D motion analysis (r = 0.93-0.99). However, while a robust correlation was found between the ankle joint angles of the front and rear legs (r = 0.82-0.84), a large bias was also observed (-5.23° to -21.31°). Conversely, for the hip joints of the rear leg, a moderate correlation (r = 0.31) and a large bias (-10.89°) were identified.

Conclusions

The results of this study will contribute to the development of coaching using 2D video analysis in competition settings because such analysis can be a useful alternative to 3D motion analysis when measuring the knee joint angle of the front leg and rear leg in the sagittal plane. However, for the ankle joint angle, further research on the optimal shooting position and height of the digital video camera is needed, whereas for the hip joint angle, 3D motion analysis is recommended at this time.

Construction of a physical fitness evaluation index system and model for high-level freestyle skiing aerials athletes in China

OBJECTIVE

This study aims to enhance the competitive level of Chinese freestyle skiing aerials athletes by developing a specialized physical fitness evaluation index system and model tailored for high-level Chinese athletes. This system intends to provide theoretical references and training monitoring schemes in preparation for the 25th Milan Winter Olympics.

METHODS

A study was conducted on 29 high-level Chinese freestyle skiing aerials athletes. Physical fitness test indexes were selected using a literature review, expert interviews, and questionnaire surveys, and athletes were tested. Athletes were ensured to be in optimal physical condition before testing. Based on the test results, the representative indexes of the evaluation system are finally determined by combining R-type clustering analysis, multiple linear regression analysis. Determine index weights through weight questionnaires and normalization, and develop evaluation standards through methods such as percentile counting and weighted scoring.

RESULTS

Physical fitness evaluation system for Chinese freestyle skiing aerialists includes three aspects: evaluation index, index weight, and evaluation standard. The evaluation indexes include 3 first-level, 11 second-level, and 11 third-level indexes of body form, physiological function, and physical quality. In the evaluation weight, physical quality is ranked first, and physiological function and body form rank second and third, respectively. The evaluation standard consists of a scoring evaluation standard and a rating evaluation standard. Based on the index system, this study constructs the general and ideal physical fitness model of China's high-level freestyle aerials athletes.

CONCLUSION

The constructed physical fitness evaluation system effectively represents physical fitness development status of high-level freestyle skiing aerials athletes, providing a basis for creating personalized training plans. The established model serves as a reference for athletes' physical fitness development objectives.

Improved Fascicle Length Estimates From Ultrasound Using a U-net-LSTM Framework

Brightness-mode (B-mode) ultrasound has been used to measure in vivo muscle dynamics for assistive devices. Estimation of fascicle length from B-mode images has now transitioned from time-consuming manual processes to automatic methods, but these methods fail to reach pixel-wise accuracy across extended locomotion. In this work, we aim to address this challenge by combining a U-net architecture with proven segmentation abilities with an LSTM component that takes advantage of temporal information to improve validation accuracy in the prediction of fascicle lengths. Using 64,849 ultrasound frames of the medial gastrocnemius, we semi-manually generated ground-truth for training the proposed U-net-LSTM. Compared with a traditional U-net and a CNNLSTM configuration, the validation accuracy, mean square error (MSE), and mean absolute error (MAE) of the proposed U-net-LSTM show better performance (91.4%, MSE =0.1± 0.03 mm, MAE =0.2± 0.05 mm). The proposed framework could be used for real-time, closed-loop wearable control during real-world locomotion.

Examining the intrinsic foot muscles' capacity to modulate plantar flexor gearing and ankle joint contributions to propulsion in vertical jumping

BACKGROUND

During human locomotion, a sufficiently stiff foot allows the ankle plantar flexors to generate large propulsive powers. Increasing foot stiffness (e.g., via a carbon plate) increases the ankle's external moment arm in relation to the internal moment arm (i.e., increasing gear ratio), reduces plantar flexor muscles' shortening velocity, and enhances muscle force production. In contrast, when activation of the foot's intrinsic muscles is impaired, there is a reduction in foot and ankle work and metatarsophalangeal joint stiffness. We speculated that the reduced capacity to actively control metatarsophalangeal joint stiffness may impair the gearing function of the foot at the ankle.

METHODS

We used a tibial nerve block to examine the direct effects of the intrinsic foot muscles on ankle joint kinetics, in vivo medial gastrocnemius' musculotendinous dynamics, and ankle gear ratio on 14 participants during maximal vertical jumping.

RESULTS

Under the nerve block, the internal ankle plantar flexion moment decreased (p = 0.004) alongside a reduction in external moment arm length (p = 0.021) and ankle joint gear ratio (p = 0.049) when compared to the non-blocked condition. Although medial gastrocnemius muscle-tendon unit and fascicle velocity were not different between conditions, the Achilles tendon was shorter during propulsion in the nerve block condition (p < 0.001).

CONCLUSION

In addition to their known role of regulating the energetic function of the foot, our data indicate that the intrinsic foot muscles also act to optimize ankle joint torque production and leverage during the propulsion phase of vertical jumping.

Muscle function during cross-country skiing at different speed and incline conditions

The human musculoskeletal system is well adapted to use energy-efficient muscle-tendon mechanics during walking and running, but muscle behaviour during on-snow locomotion is unknown. Here, we examined muscle and muscle-tendon unit behaviour during diagonal-style cross-country roller skiing at three speed and incline conditions to examine whether skiers can exploit energy-saving mechanisms of the muscle-tendon unit. We assessed lower leg muscle and muscle-tendon unit mechanics and muscle activity in 13 high-level skiers during treadmill roller skiing using synchronised ultrasound, motion capture, electromyography and ski-binding force measurements. Participants skied using diagonal style at 2.5 and 3.5 m s-1 up 5 deg, and at 2.5 m s-1 up 10 deg. We found an uncoupling of muscle and joint behaviour during most parts of the propulsive kick phase in all conditions (P<0.01). Gastrocnemius muscle fascicles actively shortened ∼0.9 cm during the kick phase, while the muscle-tendon unit went through a stretch-shortening cycle. Peak muscle-tendon unit shortening velocity was 5 times faster than fascicle velocity (37.5 versus 7.4 cm s-1, P<0.01). Steeper incline skiing was achieved by greater muscle activity (24%, P=0.04) and slower fascicle shortening velocity (3.4 versus 4.5 cm s-1, P<0.01). Faster speed was achieved by greater peak muscle activity (23%, P<0.01) and no change in fascicle shortening velocity. Our data show that, during diagonal-style cross-county skiing, muscle behaviour is uncoupled from the joint movement, which enables beneficial contractile conditions and energy utilisation with different slopes and speeds. Active preloading at the end of the glide phase may facilitate these mechanisms.

Joint Coordination and Muscle-Tendon Interaction Differ Depending on The Level of Jumping Performance

The countermovement jump is a popular measurement modality to evaluate muscle power in sports and exercise. Muscle power is essential to achieve a high jump, yet the well-coordinated movement of the body segments, which optimizes the stretch-shortening cycle (SSC) effects, is also required. Among the proposed explanations of SSC effects, this study investigated whether the ankle joint kinematics, kinetics, and muscle-tendon interaction depend on the level of jump skill and the jump task. Sixteen healthy males were grouped as a function of their jump height (High jumpers; greater than 50 cm, Low jumpers; less than 50 cm). They were instructed to jump with two intensities; light effort (20 % of their height) and maximal effort. Joint kinematics and kinetics of the lower limbs were analyzed using a 3-dimensional motion analysis system. The muscle-tendon interaction was investigated using B-mode real-time ultrasonography. As the jump intensity increased, all participants jumped with increased joint velocity and power. However, the high jumper shows less fascicle shortening velocity (-0.2 ± 0.1 m/s) than the low jumper group (-0.3 ± 0.1 m/s) and greater tendon velocity, which indicated the capability of elastic energy recoil. In addition, the delayed onset time of ankle extension in the high jumper implies better use of the catapult mechanism. The findings of this study showed that the muscle-tendon interaction differs depending on the jump skill level, suggesting a more efficient neuromuscular control in skilled jumpers.

Muscle-tendon unit design and tuning for power enhancement, power attenuation, and reduction of metabolic cost

The contractile elements in skeletal muscle fibers operate in series with elastic elements, tendons and potentially aponeuroses, in muscle-tendon units (MTUs). Elastic strain energy (ESE), arising from either work done by muscle fibers or the energy of the body, can be stored in these series elastic elements (SEEs). MTUs vary considerably in their design in terms of the relative lengths and stiffnesses of the muscle fibers and SEEs, and the force and work generating capacities of the muscle fibers. However, within an MTU it is thought that contractile and series elastic elements can be matched or tuned to maximize ESE storage. The use of ESE is thought to improve locomotor performance by enhancing contractile element power during activities such as jumping, attenuating contractile element power during activities such as landing, and reducing the metabolic cost of movement during steady-state activities such as walking and running. The effectiveness of MTUs in these potential roles is contingent on factors such as the source of mechanical energy, the control of the flow of energy, and characteristics of SEE recoil. Hence, we suggest that MTUs specialized for ESE storage may vary considerably in the structural, mechanical, and physiological properties of their components depending on their functional role and required versatility.

Age-Related Reliability of B-Mode Analysis for Tailored Exosuit Assistance

In the field of wearable robotics, assistance needs to be individualized for the user to maximize benefit. Information from muscle fascicles automatically recorded from brightness mode (B-mode) ultrasound has been used to design assistance profiles that are proportional to the estimated muscle force of young individuals. There is also a desire to develop similar strategies for older adults who may have age-altered physiology. This study introduces and validates a ResNet + 2x-LSTM model for extracting fascicle lengths in young and older adults. The labeling was generated in a semimanual manner for young (40,696 frames) and older adults (34,262 frames) depicting B-mode imaging of the medial gastrocnemius. First, the model was trained on young and tested on both young (R2 = 0.85, RMSE = 2.36 ± 1.51 mm, MAPE = 3.6%, aaDF = 0.48 ± 1.1 mm) and older adults (R2 = 0.53, RMSE = 4.7 ± 2.51 mm, MAPE = 5.19%, aaDF = 1.9 ± 1.39 mm). Then, the performances were trained across all ages (R2 = 0.79, RMSE = 3.95 ± 2.51 mm, MAPE = 4.5%, aaDF = 0.67 ± 1.8 mm). Although age-related muscle loss affects the error of the tracking methodology compared to the young population, the absolute percentage error for individual fascicles leads to a small variation of 3-5%, suggesting that the error may be acceptable in the generation of assistive force profiles.

Muscle preactivation and the limits of muscle power output during jumping in the Cuban tree frog Osteopilus septentrionalis

Previous studies of jumping in frogs have found power outputs in excess of what is possible from direct application of muscle power and concluded that jumping requires the storage and release of elastic strain energy. Of course, the muscles must produce the work required and their power output should be consistent with known muscle properties if the total duration of muscle activity is known. Using the Cuban tree frog, Osteopilus septentrionalis, I measured jumping performance from kinematics and used EMG measurements of three major jumping muscles to determine the duration of muscle activity. Using the total mass of all the hindlimb muscles, muscle mass-specific work output up to 60 J kg-1 was recorded. Distributed over the duration of the jump, both average and peak muscle mass-specific power output increased approximately linearly with the work done, reaching values of over 750 and 2000 W kg-1, respectively. However, the muscles were activated before the jump started. Both preactivation duration and EMG amplitude increased with increasing amounts of work performed. Assuming the muscles could produce work from EMG onset until toe-off, the average muscle mass-specific power over this longer interval also increased with work done, but only up to a work output of 36 J kg-1. The mean power above this value of work was 281 W kg-1, which is approximately 65% of the estimated maximum isotonic power. Several reasons are put forward for suggesting this power output, although within the known properties of the muscles, is nevertheless an impressive achievement.

Modelling and in vivo evaluation of tendon forces and strain in dynamic rehabilitation exercises: a scoping review

OBJECTIVES

Although exercise is considered the preferred approach for tendinopathies, the actual load that acts on the tendon in loading programmes is usually unknown. The objective of this study was to review the techniques that have been applied in vivo to estimate the forces and strain that act on the human tendon in dynamic exercises used during rehabilitation.

DESIGN

Scoping review.

DATA SOURCES

Embase, PubMed, Web of Science and Google Scholar were searched from database inception to February 2021.

ELIGIBILITY CRITERIA

Cross-sectional studies available in English or Spanish language were included if they focused on evaluating the forces or strain of human tendons in vivo during dynamic exercises. Studies were excluded if they did not evaluate tendon forces or strain; if they evaluated running, walking, jumping, landing or no dynamic exercise at all; and if they were conference proceedings or book chapters.

DATA EXTRACTION AND SYNTHESIS

Data extracted included year of publication, study setting, study population characteristics, technique used and exercises evaluated. The studies were grouped by the types of techniques and the tendon location.

RESULTS

Twenty-one studies were included. Fourteen studies used an indirect methodology based on inverse dynamics, nine of them in the Achilles and five in the patellar tendon. Six studies implemented force transducers for measuring tendon forces in open carpal tunnel release surgery patients. One study applied an optic fibre technique to detect forces in the patellar tendon. Four studies measured strain using ultrasound-based techniques.

CONCLUSIONS

There is a predominant use of inverse dynamics, but force transducers, optic fibre and estimations from strain data are also used. Although these tools may be used to make general estimates of tendon forces and strains, the invasiveness of some methods and the loss of immediacy of others make it difficult to provide immediate feedback to the individuals.

Altered countermovement jump force profile and muscle-tendon unit kinematics following combined ballistic training

Combined heavy‐ and light‐load ballistic training is often employed in high‐performance sport to improve athletic performance and is accompanied by adaptations in muscle architecture. However, little is known about how training affects muscle‐tendon unit (MTU) kinematics during the execution of a sport‐specific skill (e.g., jumping), which could improve our understanding of how training improves athletic performance. The aim of this study was to investigate vastus lateralis (VL) MTU kinematics during a countermovement jump (CMJ) following combined ballistic training. Eighteen young, healthy males completed a 10‐week program consisting of weightlifting derivatives, plyometrics, and ballistic tasks under a range of loads. Ultrasonography of VL and force plate measurements during a CMJ were taken at baseline, mid‐test, and post‐test. The training program improved CMJ height by 11 ± 13%. During the CMJ, VL's MTU and series elastic element (SEE) length changes and velocities increased from baseline to post‐test, but VL's fascicle length change and velocity did not significantly change. It is speculated that altered lower limb coordination and increased force output of the lower limb muscles during the CMJ allowed more energy to be stored within VL's SEE. This may have contributed to enhanced VL MTU work during the propulsion phase and an improved CMJ performance following combined ballistic training.

Evaluating Electromyography and Sonomyography Sensor Fusion to Estimate Lower-Limb Kinematics Using Gaussian Process Regression

Research on robotic lower-limb assistive devices over the past decade has generated autonomous, multiple degree-of-freedom devices to augment human performance during a variety of scenarios. However, the increase in capabilities of these devices is met with an increase in the complexity of the overall control problem and requirement for an accurate and robust sensing modality for intent recognition. Due to its ability to precede changes in motion, surface electromyography (EMG) is widely studied as a peripheral sensing modality for capturing features of muscle activity as an input for control of powered assistive devices. In order to capture features that contribute to muscle contraction and joint motion beyond muscle activity of superficial muscles, researchers have introduced sonomyography, or real-time dynamic ultrasound imaging of skeletal muscle. However, the ability of these sonomyography features to continuously predict multiple lower-limb joint kinematics during widely varying ambulation tasks, and their potential as an input for powered multiple degree-of-freedom lower-limb assistive devices is unknown. The objective of this research is to evaluate surface EMG and sonomyography, as well as the fusion of features from both sensing modalities, as inputs to Gaussian process regression models for the continuous estimation of hip, knee and ankle angle and velocity during level walking, stair ascent/descent and ramp ascent/descent ambulation. Gaussian process regression is a Bayesian nonlinear regression model that has been introduced as an alternative to musculoskeletal model-based techniques. In this study, time-intensity features of sonomyography on both the anterior and posterior thigh along with time-domain features of surface EMG from eight muscles on the lower-limb were used to train and test subject-dependent and task-invariant Gaussian process regression models for the continuous estimation of hip, knee and ankle motion. Overall, anterior sonomyography sensor fusion with surface EMG significantly improved estimation of hip, knee and ankle motion for all ambulation tasks (level ground, stair and ramp ambulation) in comparison to surface EMG alone. Additionally, anterior sonomyography alone significantly improved errors at the hip and knee for most tasks compared to surface EMG. These findings help inform the implementation and integration of volitional control strategies for robotic assistive technologies.

Gastrocnemius Muscle Architecture in Elite Basketballers and Cyclists: A Cross-Sectional Cohort Study

Eccentric and concentric actions produce distinct mechanical stimuli and result in different adaptations in skeletal muscle architecture. Cycling predominantly involves concentric activity of the gastrocnemius muscles, while playing basketball requires both concentric and eccentric actions to support running, jumping, and landing. The aim of this study was to examine differences in the architecture of gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) between elite basketballers and cyclists. A trained sonographer obtained three B-mode ultrasound images from GM and GL muscles in 44 athletes (25 basketballers and 19 cyclists; 24 ± 5 years of age). The images were digitized and average fascicle length (FL), pennation angle (θ), and muscle thickness were calculated from three images per muscle. The ratio of FL to tibial length (FL/TL) and muscle thickness to tibial length (MT/TL) was also calculated to account for the potential scaling effect of stature. In males, no significant differences were identified between the athletic groups in all parameters in the GM, but a significant difference existed in muscle thickness in the GL. In basketballers, GL was 2.5 mm thicker (95% CI: 0.7-4.3 mm, p = 0.011) on the left side and 2.6 mm thicker (95% CI: 0.6-5.7 mm, p = 0.012) on the right side; however, these differences were not significant when stature was accounted for (MT/TL). In females, significant differences existed in the GM for all parameters including FL/TL and MT/TL. Female cyclists had longer FL in both limbs (MD: 11.2 and 11.3 mm), narrower θ (MD: 2.1 and 1.8°), and thicker muscles (MD: 2.1 and 2.5 mm). For the GL, female cyclists had significantly longer FL (MD: 5.2 and 5.8 mm) and narrower θ (MD: 1.7 and 2.3°) in both limbs; no differences were observed in absolute muscle thickness or MT/TL ratio. Differences in gastrocnemius muscle architecture were observed between female cyclists and basketballers, but not between males. These findings suggest that participation in sport-specific training might influence gastrocnemius muscle architecture in elite female athletes; however, it remains unclear as to whether gastrocnemius architecture is systematically influenced by the different modes of muscle activation between these respective sports.

Reliability of ultrasonographic measurement of muscle architecture of the gastrocnemius medialis and gastrocnemius lateralis

Ultrasonography is widely used to measure gastrocnemius muscle architecture; however, it is unclear if values obtained from digitised images are sensitive enough to track architectural responses to clinical interventions. The purpose of this study was to explore the reliability and determine the minimal detectable change (MDC) of gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) muscle architecture using ultrasound in a clinical setting. A trained sonographer obtained three B-mode images from each of the GM and GL muscles in 87 volunteers (44 males, 43 females; 22±9 years of age) on two separate occasions. Three independent investigators received training, then digitised the images to determine intra-rater, inter-rater, and test-retest reliability for fascicle length (FL), pennation angle (θ) and muscle thickness. Median FL, θ, and muscle thickness for GM and GL were 53.6–55.7 mm and 65.8–69.3 mm, 18.7–19.5° and 11.9–12.5°, and 12.8–13.2 mm and 15.9–16.9 mm, respectively. Intra- and inter-rater reliability of manual digitisation was excellent for all parameters. Test-retest reliability was moderate to excellent with intraclass correlation coefficient (ICC) values ≥0.80 for FL, ≥0.61 for θ, and ≥0.81 for muscle thickness, in both GM and GL. The respective MDC for GM and GL FL, θ, and muscle thickness was ≤12.1 mm and ≤18.00 mm, ≤6.4° and ≤4.2°, and ≤3.2 mm and ≤3.1 mm. Although reliable, the relatively large MDC suggest that clinically derived ultrasound measurements of muscle architecture in GM and GL are more likely to be useful to detect differences between populations than to detect changes in muscle architecture following interventions.

Stretch-Shortening Cycle Potentiation and Resistance Training-Induced Changes in Walking Economy/Ease and Activity-Related Energy Expenditure in Older Women

ABSTRACT

Hunter, GR, Singh, H, Martins, C, Baranauskas, MN, and Carter, SJ. Stretch-shortening cycle potentiation and resistance training-induced changes in walking economy/ease and activity-related energy expenditure in older women. J Strength Cond Res 35(5): 1345-1349, 2021-Use of elastic energy to improve economy and ease of walking may be important for older adults. The purpose of this investigation was to determine whether baseline (i.e., untrained) stretch-shortening cycle potentiation (SSCP) was associated with potential changes in free-living activity-related energy expenditure (AEE) after supervised exercise training. Sedentary, postmenopausal women (n = 64) between 60 and 74 years of age were evaluated before and after 16 weeks of combined aerobic and resistance training. Assessments included: (a) body composition (dual-energy X-ray absorptiometry), (b) resting energy expenditure (indirect calorimetry), (c) submaximal and maximal walking (treadmill/indirect calorimetry), (d) total energy expenditure (doubly labeled water), and (e) one repetition maximum performed on an incline leg press and SSCP (calculated as the difference between concentric and countermovement leg press throw). Results indicated that baseline SSCP was related (r = -0.29; p < 0.02) to changes in AEE. However, subjects who possessed a high baseline SSCP did not increase SSCP or AEE, whereas subjects with low to moderate baseline SSCP demonstrated a significant increase in both SSCP (low +0.54 and moderate +0.47 m·s-1) and AEE (low +158 and moderate +333 kcal·d-1) post-training (all p less than 0.05). Our findings suggest that among subjects with low to moderate baseline SSCP, 16 weeks of combined aerobic and resistance training can increase SSCP and free-living AEE. However, subjects with high baseline SSCP may require tailored exercise to increase SSCP and possibly AEE.

Medial gastrocnemius muscle fascicles shorten throughout stance during sprint acceleration

The compliant nature of distal limb muscle-tendon units is traditionally considered suboptimal in explosive movements when positive joint work is required. However, during accelerative running, ankle joint net mechanical work is positive. Therefore, this study aims to investigate how plantar flexor muscle-tendon behavior is modulated during fast accelerations. Eleven female sprinters performed maximum sprint accelerations from starting blocks, while gastrocnemius muscle fascicle lengths were estimated using ultrasonography. We combined motion analysis and ground reaction force measurements to assess lower limb joint kinematics and kinetics, and to estimate gastrocnemius muscle-tendon unit length during the first two acceleration steps. Outcome variables were resampled to the stance phase and averaged across three to five trials. Relevant scalars were extracted and analyzed using one-sample and two-sample t-tests, and vector trajectories were compared using statistical parametric mapping. We found that an uncoupling of muscle fascicle behavior from muscle-tendon unit behavior is effectively used to produce net positive mechanical work at the joint during maximum sprint acceleration. Muscle fascicles shortened throughout the first and second steps, while shortening occurred earlier during the first step, where negative joint work was lower compared with the second step. Elastic strain energy may be stored during dorsiflexion after touchdown since fascicles did not lengthen at the same time to dissipate energy. Thus, net positive work generation is accommodated by the reuse of elastic strain energy along with positive gastrocnemius fascicle work. Our results show a mechanism of how muscles with high in-series compliance can contribute to net positive joint work.

The Energy of Muscle Contraction. III. Kinetic Energy During Cyclic Contractions

During muscle contraction, chemical energy is converted to mechanical energy when ATP is hydrolysed during cross-bridge cycling. This mechanical energy is then distributed and stored in the tissue as the muscle deforms or is used to perform external work. We previously showed how energy is distributed through contracting muscle during fixed-end contractions; however, it is not clear how the distribution of tissue energy is altered by the kinetic energy of muscle mass during dynamic contractions. In this study we conducted simulations of a 3D continuum muscle model that accounts for tissue mass, as well as force-velocity effects, in which the muscle underwent sinusoidal work-loop contractions coupled with bursts of excitation. We found that increasing muscle size, and therefore mass, increased the kinetic energy per unit volume of the muscle. In addition to greater relative kinetic energy per cycle, relatively more energy was also stored in the aponeurosis, and less was stored in the base material, which represented the intra and extracellular tissue components apart from the myofibrils. These energy changes in larger muscles due to greater mass were associated lower mass-specific mechanical work output per cycle, and this reduction in mass-specific work was greatest for smaller initial pennation angles. When we compared the effects of mass on the model tissue behaviour to that of in situ muscle with added mass during comparable work-loop trials, we found that greater mass led to lower maximum and higher minimum acceleration in the longitudinal (x) direction near the middle of the muscle compared to at the non-fixed end, which indicates that greater mass contributes to tissue non-uniformity in whole muscle. These comparable results for the simulated and in situ muscle also show that this modelling framework behaves in ways that are consistent with experimental muscle. Overall, the results of this study highlight that muscle mass is an important determinant of whole muscle behaviour.

Muscle-Tendon Behavior and Kinetics in Gastrocnemius Medialis During Forefoot and Rearfoot Strike Running

The present study aimed to clarify the effect of the foot strike pattern on muscle-tendon behavior and kinetics of the gastrocnemius medialis during treadmill running. Seven male participants ran with 2 different foot strike patterns (forefoot strike [FFS] and rearfoot strike [RFS]), with a step frequency of 2.50 Hz and at a speed of 2.38 m/s for 45 seconds on a treadmill with an instrumented force platform. The fascicle behavior of gastrocnemius medialis was captured using a B-mode ultrasound system with a sampling rate of 75 Hz, and the mechanical work done and power exerted by the fascicle and tendon were calculated. At the initial contact, the fascicle length was significantly shorter in the FFS than in the RFS (P = .001). However, the fascicular velocity did not differ between strike patterns. Higher tendon stretch and recoil were observed in the FFS (P < .001 and P = .017, respectively) compared with the RFS. The fascicle in the positive phase performed the same mechanical work in both the FFS and RFS; however, the fascicle in the negative phase performed significantly greater work in the FFS than in the RFS (P = .001). RFS may be advantageous for requiring less muscular work and elastic energy in the series elastic element compared with the FFS.

Time Course of Neuromuscular, Hormonal, and Perceptual Responses Following Moderate- and High-Load Resistance Priming Exercise

PURPOSE

The aim of this study was to map responses over 32 hours following high-load (HL) and moderate-load (ML) half-squat priming.

METHODS

Fifteen participants completed control, HL (87% 1RM), and ML (65% 1RM) activities in randomized, counterbalanced order. Countermovement jump (CMJ), squat jump (SJ), saliva testosterone, saliva cortisol, and perceptual measures were assessed before and 5 minutes, 8 hours, 24 hours, and 32 hours after each activity. Results are presented as percentage change from baseline and 95% confidence interval (CI). Cliff delta was used to determine threshold for group changes.

RESULTS

SJ height increased by 4.5% (CI = 2.2-6.8, Cliff delta = 0.20) 8 hours following HL. CMJ and SJ improved by 6.1% (CI = 2.1-7.8, Cliff delta = 0.27) and 6.5% (CI = 1.2-11.8, Cliff delta = 0.30), respectively, 32 hours after ML. No clear diurnal changes in CMJ or SJ occurred 8 hours following control; however, increases of 3.9% (CI = 2.9-9.2, Cliff delta = 0.26) and 4.5% (CI = 0.9-8.1, Cliff delta = 0.24), respectively, were observed after 32 hours. Although diurnal changes in saliva hormone concentration occurred (Cliff delta = 0.37-0.92), the influence of priming was unclear. Perceived "physical feeling" was greater 8 hours following HL (Cliff delta = 0.36) and 32 hours after ML and control (Cliff delta = 0.17-0.34).

CONCLUSIONS

HL priming in the morning may result in small improvements in jump output and psychophysiological state in the afternoon. Similar improvements were observed in the afternoon the day after ML priming.

Adaptations to explosive resistance training with partial range of motion are not inferior to full range of motion

We tested whether explosive resistance training with partial range of motion (ROM) would be as effective as full ROM training using a noninferiority trial design. Fifteen subjects with strength training experience took part in an explosive-concentric only-leg press training program, three times per week for 10 weeks. One leg was randomly assigned to exercise with partial ROM (ie, 9º) and the other leg to full ROM. Before and after training, we assessed leg press performance, isokinetic concentric and isometric knee extension torque, and vastus lateralis muscle architecture. Overall, both training modalities increased maximal strength and rate of force development. Training with partial ROM yielded noninferior results compared to full ROM for leg press peak power (+69 ± 47% vs. +61 ± 64%), isokinetic strength (4-6 ± 6%-12% vs. 1-6 ± 6%-10% at 30, 60, and 180˚s^-1 ), and explosive torque after 100 (47 ± 24 vs. 35 ± 22) and 150 ms (57 ± 22% vs. 42 ± 25%). The comparison was inconclusive for other functional parameters (ie, isokinetic peak torque (300˚s^-1 ), joint angle at isokinetic peak torque, explosive torque after 50 ms, and electrically evoked torque) and for muscle fascicle length and thickness, although noninferiority was established for pennation angle. However, partial ROM was not found statistically inferior to full ROM for any measured variable. Under the present conditions, the effects of explosive heavy resistance training were independent of joint ROM. Instead, these data suggest that the distinct timing of muscle work in explosive contractions confers more influence to the starting joint angle than ROM on adaptations to this type of training.

Effects of long-term athletic training on muscle morphology and tendon stiffness in preadolescence: association with jump performance

Purpose

Evidence on training-induced muscle hypertrophy during preadolescence is limited and inconsistent. Possible associations of muscle strength and tendon stiffness with jumping performance are also not investigated. We investigated the thickness and pennation angle of the gastrocnemius medialis muscle (GM), as indicators for potential muscle hypertrophy in preadolescent athletes. Further, we examined the association of triceps surae muscle–tendon properties with jumping performance.

Methods

Eleven untrained children (9 years) and 21 similar-aged artistic gymnastic athletes participated in the study. Muscle thickness and pennation angle of the GM were measured at rest and muscle strength of the plantar flexors and Achilles tendon stiffness during maximum isometric contractions. Jumping height in squat (SJ) and countermovement jumps (CMJ) was examined using a force plate. We evaluated the influence of normalised muscle strength and tendon stiffness on jumping performance with a linear regression model.

Results

Muscle thickness and pennation angle did not differ significantly between athletes and non-athletes. In athletes, muscle strength was greater by 25% and jumping heights by 36% (SJ) and 43% (CMJ), but Achilles tendon stiffness did not differ between the two groups. The significant predictor for both jump heights was tendon stiffness in athletes and normalised muscle strength for the CMJ height in non-athletes.

Conclusion

Long-term artistic gymnastics training during preadolescence seems to be associated with increased muscle strength and jumping performance but not with training-induced muscle hypertrophy or altered tendon stiffness in the plantar flexors. Athletes benefit more from tendon stiffness and non-athletes more from muscle strength for increased jumping performance.

The influence of Achilles tendon mechanical behaviour on "apparent" efficiency during running at different speeds

Purpose

We investigated the role of elastic strain energy on the “apparent” efficiency of locomotion (AE), a parameter that is known to increase as a function of running speed (up to 0.5–0.7) well above the values of “pure” muscle efficiency (about 0.25–0.30).

Methods

In vivo ultrasound measurements of the gastrocnemius medialis (GM) muscle–tendon unit (MTU) were combined with kinematic, kinetic and metabolic measurements to investigate the possible influence of the Achilles tendon mechanical behaviour on the mechanics (total mechanical work, W_TOT) and energetics (net energy cost, C_net) of running at different speeds (10, 13 and 16 km h⁻¹); AE was calculated as W_TOT/C_net.

Results

GM fascicles shortened during the entire stance phase, the more so the higher the speed, but the majority of the MTU displacement was accommodated by the Achilles tendon. Tendon strain and recoil increased as a function of running speed (P < 0.01 and P < 0.001, respectively). The contribution of elastic energy to the positive work generated by the MTU also increased with speed (from 0.09 to 0.16 J kg⁻¹ m⁻¹). Significant negative correlations (P < 0.01) were observed between tendon work and metabolic energy at each running speed (the higher the tendon work the lower the metabolic demand) and significant positive correlations were observed between tendon work and AE (P < 0.001) at each running speed (the higher the tendon work the higher the efficiency).

Conclusion

These results support the notion that the dynamic function of tendons is integral in reducing energy expenditure and increasing the “apparent” efficiency of running.

Mechanical and Material Tendon Properties in Patients With Proximal Patellar Tendinopathy

Introduction

The effect of chronic patellar tendinopathy on tissue function and integrity is currently unclear and underinvestigated. The aim of this cohort comparison was to examine morphological, material, and mechanical properties of the patellar tendon and to extend earlier findings by measuring the ability to store and return elastic energy in symptomatic tendons.

Methods

Seventeen patients with chronic (>3 months, VISA-P < 80), inferior pole patellar tendinopathy (24 ± 4 years; male = 12, female = 5) were carefully matched to controls (25 ± 3 years) for training status, pattern, and history of loading of the patellar tendon. Individual knee extension force, patellar tendon stiffness, stress, strain, Young’s modulus, hysteresis, and energy storage capacity, were obtained with combined dynamometry, ultrasonography, magnetic resonance imaging, and electromyography.

Results

Anthropometric parameters did not differ between groups. VISA-P scores ranged from 28 to 78 points, and symptoms had lasted from 10 to 120 months before testing. Tendon proximal cross-sectional area was 61% larger in the patellar tendinopathy group than in the control group. There were no differences between groups in maximal voluntary isometric knee extension torque (p = 0.216; d < −0.31) nor in tensile tendon force produced during isometric ramp contractions (p = 0.185; d < −0.34). Similarly, tendon strain (p = 0.634; d < 0.12), hysteresis (p = 0.461; d < 0.18), and strain energy storage (p = 0.656; d < 0.36) did not differ between groups. However, patellar tendon stiffness (−19%; p = 0.007; d < −0.74), stress (−27%; p< 0.002; d < −0.90) and Young’s modulus (−32%; p = 0.001; d < −0.94) were significantly lower in tendinopathic patients compared to healthy controls.

Discussion

In this study, we observed lower stiffness in affected tendons. However, despite the substantial structural and histological changes occurring with tendinopathy, the tendon capacity to store and dissipate energy did not differ significantly.

Ultrasound imaging to assess skeletal muscle architecture during movements: a systematic review of methods, reliability, and challenges

B-mode ultrasound is often used to quantify muscle architecture during movements. Our objectives were to 1) systematically review the reliability of fascicle length (FL) and pennation angles (PA) measured using ultrasound during movements involving voluntary contractions; 2) systematically review the methods used in studies reporting reliability, discuss associated challenges, and provide recommendations to improve the reliability and validity of dynamic ultrasound measurements; and 3) provide an overview of computational approaches for quantifying fascicle architecture, their validity, agreement with manual quantification of fascicle architecture, and advantages and drawbacks. Three databases were searched until June 2019. Studies among healthy human individuals aged 17-85 yr that investigated the reliability of FL or PA in lower-extremity muscles during isoinertial movements and that were written in English were included. Thirty studies (n = 340 participants) were included for reliability analyses. Between-session reliability as measured by coefficient of multiple correlations (CMC), and coefficient of variation (CV) was FL CMC: 0.89-0.96; CV: 8.3% and PA CMC: 0.87-0.90; CV: 4.5-9.6%. Within-session reliability was FL CMC: 0.82-0.99; CV: 0.0-6.7% and PA CMC: 0.91; CV: 0.0-15.0%. Manual analysis reliability was FL CMC: 0.89-0.96; CV: 0.0-15.9%; PA CMC: 0.84-0.90; and CV: 2.0-9.8%. Computational analysis FL CMC was 0.82-0.99, and PA CV was 14.0-15.0%. Eighteen computational approaches were identified, and these generally showed high agreement with manual analysis and high validity compared with phantoms or synthetic images. B-mode ultrasound is a reliable method to quantify fascicle architecture during movement. Additionally, computational approaches can provide a reliable and valid estimation of fascicle architecture.

Joint and muscle-tendon coordination strategies during submaximal jumping

Previous research has demonstrated that during submaximal jumping humans prioritize reducing energy consumption by minimizing countermovement depth. However, sometimes movement is constrained to a nonpreferred pattern, and this requires adaptation of neural control that accounts for complex interactions between muscle architecture, muscle properties, and task demands. This study compared submaximal jumping with either a preferred or a deep countermovement depth to examine how joint and muscle mechanics are integrated into the adaptation of coordination strategies in the deep condition. Three-dimensional motion capture, two force plates, electromyography, and ultrasonography were used to examine changes in joint kinetics and kinematics, muscle activation, and muscle kinematics for the lateral gastrocnemius and soleus. Results demonstrated that a decrease in ankle joint work during the deep countermovement depth was due to increased knee flexion, leading to unfavorably short biarticular muscle lengths and reduced active fascicle length change during ankle plantar flexion. Therefore, ankle joint work was likely decreased because of reduced active fascicle length change and operating position on the force-length relationship. Hip joint work was significantly increased as a result of altered muscle activation strategies, likely due to a substantially greater hip extensor muscle activation period compared with plantar flexor muscles during jumping. Therefore, coordination strategies at individual joints are likely influenced by time availability, where a short plantar flexor activation time results in dependence on muscle properties, instead of simply altering muscle activation, while the longer time for contraction of muscles at the hip allows for adjustments to voluntary neural control.

NEW & NOTEWORTHY Using human jumping as a model, we show that adapting movement patterns to altered task demands is achieved differently by muscles across the leg. Because of proximal-to-distal sequencing, distal muscles (i.e., plantar flexors) have reduced activation periods and, as a result, rely on muscle contractile properties (force-length relationship) for adjusting joint kinetics. For proximal muscles that have greater time availability, voluntary activation is modulated to adjust muscle outputs.

Do Stretch-Shortening Cycles Really Occur in the Medial Gastrocnemius? A Detailed Bilateral Analysis of the Muscle-Tendon Interaction During Jumping

The effect of stretch-shortening cycles (SSCs) is often studied in laboratory settings, yet it remains unclear whether highly active muscle SSCs actually occur during in vivo movement. Nine highly trained jumping athletes performed single-leg pre-hop forward jumps at maximal effort. We hypothesized that these jumps would induce a SSC at the level of the muscle in the medial gastrocnemius. Kinematic and kinetic data were collected together with electromyography signals (EMG) and muscle fascicle length and pennation angle changes of the medial gastrocnemius of both legs and combined with a musculoskeletal model to calculate the stretch-shortening behavior of the muscle (fascicles) and tendon (series-elastic element). The length changes of the fascicles, longitudinal muscle displacement, series-elastic element, and whole muscle-tendon unit further allowed for a detailed analysis of the architectural gearing ratio between different phases of the SSC within a single movement. We found a SSC at the level of the joint, muscle-tendon unit and tendon but not at the muscle. We further found that the average architectural gearing ratio was higher during the stretching of the series-elastic element as compared to when the series-elastic element was shortening, yet this was not statistically tested because of low sample size for this parameter. However, we found no correlation when plotting the architectural gearing ratio as a function of the fascicle velocities at each instance in time. Despite the athletes having a clear preferred leg for jumping, we found no differences in any kinematic or kinetic parameter between the preferred and non-preferred leg or any parameter from the muscle-tendon interaction analysis other than a reduced longitudinal muscle shortening in the non-preferred leg (p = 0.008). We conclude that, although common at the level of the joints, MTUs, and tendon (series-elastic element), highly active SSCs very rarely occur in the medial gastrocnemius, even in movements that induce high loading. This has important implications for the translation of ex vivo findings on SSC effects, such as residual force enhancement, in this muscle. We further conclude that there is no precise tuning of the architectural gearing ratio in the medial gastrocnemius throughout the whole movement.

Combined Aerobic and Resistance Training Increases Stretch- Shortening Cycle Potentiation and Walking Economy in Postmenopausal Women

Purpose

Secondary analyses were performed to test whether combined aerobic and resistance training altered walking economy (i.e., net oxygen uptake) and/or stretch-shortening cycle potentiation (SSCP). A further objective was to determine if walking economy and SSCP were related before or after training.

Methods

Ninety-two postmenopausal women were enrolled wherein 76 completed 16 weeks of supervised aerobic and resistance training. Participants were randomized to one of three training groups based on frequencies: (a) 1 d⋅wk^–1 (n = 23); (b) 2 d⋅wk^–1 (n = 30) or; (c) 3 d⋅wk^–1 (n = 23). Following assessments were performed at baseline and post-training. Indirect calorimetry was used to measure maximal oxygen uptake () and walking economy (submaximal – resting = net ) during a graded exercise test and steady-state treadmill task, respectively. SSCP was determined by measuring the difference between a concentric (CO) and counter-movement (CM) leg press throw.

Results

, walking economy, CO and CM velocity were significantly improved (p < 0.05) for all training groups, however; no time by group interactions were observed. Paired t-tests revealed participants exercise training 2 d⋅wk^–1 exhibited a significant time effect for SSCP (+0.04 ± 0.09 ms^–1; p = 0.03). At baseline, multiple linear regression showed a negative relationship between walking net and SSCP (r = −0.22; p < 0.04) adjusted for relative proportion of  . No such relationship was found post-training.

Conclusion

Among older postmenopausal women, our results indicate that irrespective of frequency of training, 16 weeks of combined aerobic and resistance exercise training increased ease of walking and economy. Additionally, only participants exercising 2 d⋅wk^–1 exhibited significant improvement in SSCP.

Implementing Eccentric Resistance Training-Part 2: Practical Recommendations

The purpose of this review is to provide strength and conditioning practitioners with recommendations on how best to implement tempo eccentric training (TEMPO), flywheel inertial training (FIT), accentuated eccentric loading (AEL), and plyometric training (PT) into resistance training programs that seek to improve an athlete's hypertrophy, strength, and power output. Based on the existing literature, TEMPO may be best implemented with weaker athletes to benefit positional strength and hypertrophy due to the time under tension. FIT may provide an effective hypertrophy, strength, and power stimulus for untrained and weaker individuals; however, stronger individuals may not receive the same eccentric (ECC) overload stimulus. Although AEL may be implemented throughout the training year to benefit hypertrophy, strength, and power output, this strategy is better suited for stronger individuals. When weaker and stronger individuals are exposed to PT, they are exposed to an ECC overload stimulus as a result of increases in the ECC force and ECC rate of force development. In conclusion, when choosing to utilize ECC training methods, the practitioner must integrate these methods into a holistic training program that is designed to improve the athlete's performance capacity.

Structural Determinants of Muscle Gearing During Dynamic Contractions

In skeletal muscle, interactions between contractile and connective tissue elements at multiple scales result in emergent properties that determine mechanical performance. One of these phenomena is architectural gearing, which is quantified as the ratio of muscle velocity to muscle fiber velocity. Many pennate muscles operate with a gear ratio greater than one because muscles shorten through a combination of muscle fiber shortening and fiber rotation. Within a muscle, gearing is variable across contractions. During low force contractions, muscles operate at high gear while muscles operate at low gear during high force contractions. This variable gearing has a significant impact on muscle performance as muscle architectural changes favor muscle speed during fast contractions and muscle force during slow, high force contractions. We hypothesize that gearing in any given contraction is determined by the dynamic interaction of fiber-generated forces, fluid force transmission, and the elastic behavior of intramuscular connective tissues. Because muscle is isovolumetric, muscle fibers must bulge radially when they shorten. Radial bulging and fiber-generated forces off-axis from the muscle line of action exert forces that load connective tissues that ensheath fibers, fascicles, and the whole muscle. The way in which fluid pressures and fiber forces interact to load connective tissues in three-dimensions remains poorly understood because of the complex and multiscale nature of these interactions. Here we review evidence for variable gearing in pennate muscles, present a conceptual model that describes the fundamental interactions that determine gearing, and discuss where gaps remain in our understanding of the determinants and consequences of muscle shape change and variable gearing.

The influence of added mass on muscle activation and contractile mechanics during submaximal and maximal countermovement jumping in humans

Muscle contractile mechanics induced by the changing demands of human movement have the potential to influence our movement strategies. This study examined fascicle length changes of the triceps surae during jumping with added mass or increasing jump height to determine whether the chosen movement strategies were associated with relevant changes in muscle contractile properties. Sixteen participants jumped at sub-maximal and maximal intensities while total net work was matched via two distinct paradigms: (1) adding mass to the participant or (2) increasing jump height. Electromyography (EMG) and ultrasound analyses were performed to examine muscle activation, fascicle length and fascicle velocity changes of the triceps surae during jumping. Integrated EMG was significantly higher in the added mass paradigm with no difference in mean or maximal EMG, indicating that the muscle was activated for a significantly longer period of time but not activated to a greater intensity. Fascicle shortening velocity was slower with added mass compared than with increasing jump height; therefore, intrinsic force–velocity properties probably enabled increased force production. Improved fascicle contractile mechanics paired with a longer activation period probably produced a consistently larger fascicle force, enabling a greater impulse about the ankle joint. This may explain why previous research found that participants used an ankle-centred strategy for work production in the added mass paradigm and not in the jump height paradigm. The varied architecture of muscles within the lower limb may influence which muscles we choose to employ for work production under different task constraints.

Effect of change in passive stiffness following low-intensity eccentric hamstring exercise on peak torque angle

[Purpose] The purpose of this study was to investigate the acute effect of low-intensity eccentric hamstring exercise on peak torque angle, range of motion, and passive stiffness. [Participants and Methods] Fourteen healthy young adults exercised as follows: 1) Under low-intensity eccentric hamstring exercise condition, participants performed a stiff-leg deadlift using a 20-kg barbell, 2) Under control condition with participants seated. The peak torque angle during eccentric knee flexion, hip flexion and knee extension range of motion, passive torque, and passive stiffness were measured before and after two conditions in the dominant leg. [Results] The low-intensity stiff-leg deadlift significantly increased hip flexion and knee extension range of motion and significantly decreased passive stiffness. Although the low-intensity stiff-leg deadlift did not change the peak torque angle, the changes in passive torque and passive stiffness were negatively correlated with the change in peak torque angle. [Conclusion] These results suggest that low-intensity eccentric hamstring exercise enhances flexibility, and a decrease in passive torque and passive stiffness are negatively associated with producing the eccentric peak knee flexion torque at a shorter muscle length.

Medial Gastrocnemius Muscle-Tendon Junction and Fascicle Lengthening across the Range of Motion Analyzed in 2-D and 3-D Ultrasound Images

Ultrasound imaging modalities offer a clinically viable method to visualize musculoskeletal structures. However, proper data comparison between investigations is compromised because of a lack of measurement error documentation and method standardization. This investigation analyzes the reliability and validity of extracting medial gastrocnemius belly and fascicle lengths and pennation angles in different ankle joint positions, across the full range of motion, in a cohort of 11 children with spastic cerebral palsy and 11 typically developed children. Each of these parameters was extracted from two consecutive acquisitions, using both 2-D and 3-D ultrasound images. The findings suggest that the muscle tendon junction extraction in 2-D images can be a suitable parameter for analyzing medial gastrocnemius muscle length in typically developed children and children with spastic cerebral palsy, although averaging over multiple measurements is recommended to reduce variability. More caution should be taken when performing analyses based on fascicle length.

Effect of a prehop on the muscle-tendon interaction during vertical jumps

Many movements use stretch-shortening cycles of a muscle-tendon unit (MTU) for storing and releasing elastic energy. The required stretching of medial gastrocnemius (MG) tendinous tissue during jumps, however, requires large length changes of the muscle fascicles because of the lack of MTU length changes. This has a negative impact on the force-generating capacity of the muscle fascicles. The purpose of this study was to induce a MG MTU stretch before shortening by adding a prehop to the squat jump. Eleven well-trained athletes specialized in jumping performed a prehop squat jump (PHSJ) and a standard squat jump (SSJ). Kinematic data were collected using a 3D motion capture system and were used in a musculoskeletal model to calculate MTU lengths. B-mode ultrasonography of the MG was used to measure fascicle length and pennation angle during the jumps. By combining the muscle-tendon unit lengths, fascicle lengths, and pennation angles, the stretch and recoil of the series elastic element of MG were calculated using a simple geometric muscle-tendon model. Our results show less length changes of the muscle fascicles during the upward motion and lower maximal shortening velocities, increasing the moment-generating capacity of the plantar flexors, reflected in the higher ankle joint moment in the PHSJ compared with the SSJ. Although muscle-tendon interaction during the PHSJ was more optimal, athletes were not able to increase their jump height compared with the SSJ. NEW & NOTEWORTHY This is the first study that aimed to improve the muscle-tendon interaction in squat jumping. We effectively introduced a stretch to the medial gastrocnemius muscle-tendon unit resulting in lower maximal shortening velocities and thus an increase in the plantar flexor force-generating capacity, reflected in the higher ankle joint moment in the prehop squat jump compared with the standard squat jump. Here, we demonstrate an effective method for mechanical optimization of the muscle-tendon interaction in the medial gastrocnemius during squat jumping.

Movement Strategies for Countermovement Jumping are Potentially Influenced by Elastic Energy Stored and Released from Tendons

The preferred movement strategies that humans choose to produce work for movement are not fully understood. Previous studies have demonstrated an important contribution of elastic energy stored within the Achilles tendon (AT) during jumping. This study aimed to alter energy available for storage in the AT to examine changes in how jumpers distribute work among lower limb joints. Participants (n = 16) performed maximal and sub-maximal jumps under two paradigms, matched for increasing total work output by manipulating jump height or adding body mass. Motion capture and ground reaction force data were combined in an inverse dynamics analysis to compute ankle, knee and hip joint kinetics. Results demonstrated higher peak moments about the ankle joint with added body mass (+26 Nm), likely resulting in additional energy storage in the AT. Work at the ankle joint increased proportionally with added mass, maintaining a constant contribution (~64%) to total work that was not matched with increasing jump height (-14%). This implies greater energy storage and return by the AT with added mass but not with increased height. When total work during jumping is constant but energy stored in tendons is not, humans prioritise the use of stored elastic energy over muscle work.

The Influence of External Load on Quadriceps Muscle and Tendon Dynamics during Jumping

Tendons possess both viscous (rate-dependent) and elastic (rate-independent) properties that determine tendon function. During high-speed movements external loading increases both the magnitude (FT) and rate (RFDT) of tendon loading.

PURPOSE

The influence of external loading on muscle and tendon dynamics during maximal vertical jumping was explored.

METHODS

Ten resistance-trained men performed parallel-depth, countermovement vertical jumps with and without additional load (0%, 30%, 60%, and 90% of maximum squat lift strength), while joint kinetics and kinematics, quadriceps tendon length (LT) and patellar tendon FT and RFDT were estimated using integrated ultrasound, motion analysis and force platform data and muscle tendon modelling.

RESULTS

Estimated FT and RFDT, but not peak LT, increased with external loading. Temporal comparisons between 0% and 90% loads revealed that FT was greater with 90% loading throughout the majority of the movement (11%-81% and 87%-95% movement duration). However, RFDT was greater with 90% load only during the early movement initiation phase (8%-15% movement duration) but was greater in the 0% load condition later in the eccentric phase (27%-38% movement duration). LT was longer during the early movement (12%-23% movement duration) but shorter in the late eccentric and early concentric phases (48%-55% movement duration) with 90% load.

DISCUSSION

External loading positively influenced peak FT and RFDT but tendon strain appeared unaffected, suggesting no additive effect of external loading on patellar tendon lengthening during human jumping. Temporal analysis revealed that external loading resulted in a large initial RFDT that may have caused dynamic stiffening of the tendon and attenuated tendon strain throughout the movement. These results suggest that external loading influences tendon lengthening in both a load- and movement-dependent manner.

Relationship between jumping abilities and skeletal muscle architecture of lower limbs in humans: Systematic review and meta-analysis

The aim of this study was to examine the influence of skeletal muscle architecture (SMA) features measured by 2-D ultrasonography on jumping performance in humans. A systematic review and meta-analysis was conducted, registry number: CRD42016043602. The scientific literature was systematically searched in eight databases, last run on March 14th, 2017. Cross-sectional studies focused on the association between SMA features and vertical jumping performance were selected. A random-effects model was used to analyze the influence of lower-limb SMA and maximal jump height. A total of 11 studies were included in the qualitative synthesis and 6 studies were selected for meta-analysis. 250 correlations were reviewed across studies. The vast majority were either not statistically significant (185; 74%), weak or very weak (169; 68%) for different jump modalities; counter-movement jump (CMJ), squat jump (SJ), and drop jump. There was insufficient data to perform meta-analysis on muscles other than vastus lateralis for CMJ and SJ. The meta-analyses did not yield any significant association between vastus lateralis SMA and SJ height. Only a significant overall association was shown between vastus lateralis thickness and CMJ height (summary-r = 0.28; 95% confidence interval (CI) = -0.05 to 0.48; p = .059) for a 90% CI level. No differences were found between summary-r coefficients for SMA parameters and jump height during both jumps (CMJ: χ² = 2.43; df   = 2; p = .30; SJ: χ² = 0.45; df = 2; p = .80) with a low heterogeneity ratio. Current evidence does not suggest a great influence of lower-limb SMA on vertical jumping performance in humans.

Relationships between highly skilled golfers' clubhead velocity and force producing capabilities during vertical jumps and an isometric mid-thigh pull

Whilst previous research has highlighted significant relationships between golfers' clubhead velocity (CHV) and their vertical jump height and maximum strength, these field-based protocols were unable to measure the actual vertical ground reaction force (vGRF) variables that may correlate to performance. The aim of this study was to investigate relationships between isometric mid-thigh pull (IMTP), countermovement jump (CMJ), squat jump (SJ) and drop jump (DJ) vGRF variables and CHV in highly skilled golfers. Twenty-seven male category 1 golfers performed IMTP, CMJ, SJ and DJ on a dual force platform. The vertical jumps were used to measure positive impulse during different stretch-shortening cycle velocities, with the IMTP assessing peak force (PF) and rate of force development (RFD). Clubhead velocity was measured using a TrackMan launch monitor at a golf driving range. Pearsons correlation coefficient analyses revealed significant relationships between peak CHV and CMJ positive impulse (r = 0.788, p < 0.001), SJ positive impulse (r = 0.692; p < 0.001), DJ positive impulse (r = 0.561, p < 0.01), PF (r = 0.482, p < 0.01), RFD from 0-150 ms (r = 0.343, p < 0.05) and RFD from 0-200 ms (r = 0.398, p < 0.05). The findings from this investigation indicate strong relationships between vertical ground reaction force variables and clubhead velocity.

Information from dynamic length changes improves reliability of static ultrasound fascicle length measurements

Purpose

Various strategies for improving reliability of fascicle identification on ultrasound images are used in practice, yet these strategies are untested for effectiveness. Studies suggest that the largest part of differences between fascicle lengths on one image are attributed to the error on the initial image. In this study, we compared reliability results between different strategies.

Methods

Static single-image recordings and image sequence recordings during passive ankle rotations of the medial gastrocnemius were collected. Images were tracked by three different raters. We compared results from uninformed fascicle identification (UFI) and results with information from dynamic length changes, or data-informed tracking (DIT). A second test compared tracking of image sequences of either fascicle shortening (initial-long condition) or fascicle lengthening (initial-short condition).

Results

Intra-class correlations (ICC) were higher for the DIT compared to the UFI, yet yielded similar standard error of measurement (SEM) values. Between the initial-long and initial-short conditions, similar ICC values, coefficients of multiple determination, mean squared errors, offset-corrected mean squared errors and fascicle length change values were found for the DIT, yet with higher SEM values and greater absolute fascicle length differences between raters on the first image in the initial-long condition and on the final image in the initial-short condition.

Conclusions

DIT improves reliability of fascicle length measurements, without lower SEM values. Fascicle length on the initial image has no effect on subsequent tracking results. Fascicles on ultrasound images should be identified by a single rater and care should be taken when comparing absolute fascicle lengths between studies.

Human ankle plantar flexor muscle-tendon mechanics and energetics during maximum acceleration sprinting

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.

Modulation of muscle-tendon interaction in the human triceps surae during an energy dissipation task

The compliance of elastic elements allows muscles to dissipate energy safely during eccentric contractions. This buffering function is well documented in animal models but our understanding of its mechanism in humans is confined to non-specific tasks, requiring a subsequent acceleration of the body. The present study aimed to examine the behaviour of the human triceps surae muscle-tendon unit (MTU) during a pure energy dissipation task, under two loading conditions. Thirty-nine subjects performed a single-leg landing task, with and without added mass. Ultrasound measurements were combined with three-dimensional kinematics and kinetics to determine instantaneous length changes of MTUs, muscle fascicles, Achilles tendon and combined elastic elements. Gastrocnemius and soleus MTUs lengthened during landing. After a small concentric action, fascicles contracted eccentrically during most of the task, whereas plantar flexor muscles were activated. Combined elastic elements lengthened until peak ankle moment and recoiled thereafter, whereas no recoil was observed for the Achilles tendon. Adding mass resulted in greater negative work and MTU lengthening, which were accompanied by a greater stretch of tendon and elastic elements and a greater recruitment of the soleus muscle, without any further fascicle strain. Hence, the buffering action of elastic elements delimits the maximal strain and lengthening velocity of active muscle fascicles and is commensurate with loading constraints. In the present task, energy dissipation was modulated via greater MTU excursion and more forceful eccentric contractions. The distinct strain pattern of the Achilles tendon supports the notion that different elastic elements may not systematically fulfil the same function.

Physiological and Biomechanical Responses to Prolonged Heavy Load Carriage During Level Treadmill Walking in Females

Heavy load carriage has been identified as a main contributing factor to the high incidence of overuse injuries in soldiers. Peak vertical ground reaction force (VGRFMAX) and maximal vertical loading rates (VLRMAX) may increase during heavy prolonged load carriage with the development of muscular fatigue and reduced shock attenuation capabilities. The objectives of the current study were (1) to examine physiological and biomechanical changes that occur during a prolonged heavy load carriage task, and (2) to examine if this task induces neuromuscular fatigue and changes in muscle architecture. Eight inexperienced female participants walked on an instrumented treadmill carrying operational loads for 60 minutes at 5.4 km·h–1. Oxygen consumption (), heart rate, rating of perceived exertion (RPE), trunk lean angle, and ground reaction forces were recorded continuously during task. Maximal force and in-vivo muscle architecture were assessed pre- and posttask. Significant increases were observed for VGRFMAX, VLRMAX, trunk lean angle,, heart rate, and RPE during the task. Increased vastus lateralis fascicle length and decreased maximal force production were also observed posttask. Prolonged heavy load carriage, in an inexperienced population carrying operational loads, results in progressive increases in ground reaction force parameters that have been associated with overuse injury.