In Vivo Human Gastrocnemius Architecture With Changing Joint Angle at Rest and During Graded Isometric Contraction of Normal and Weak Muscle

Y. Koryak
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Abstract

Architectural properties of the triceps surae muscles complex were determined In Vivo for thirty subjects. These subjects were assigned to two groups. The first group of subjects consisted of 8 healthy men and the second group of subjects was composed of 22 patients with motor disorders. The ankle was positioned at -15 ° (dorsiflexion), and 0 ° (neutral anatomical position), and 15 °, and 30 ° (plantarflexion), with the knee set at 120 °and with an angle in the ankle joint of 90 °. At each position, longitudinal ultrasonic images of the Medial (MG) and Lateral (LG) Gastrocnemius and Soleus (SOL) muscles were obtained while the subject was relaxed (passive) and performed 50 % maximal voluntary isometric plantar flexion (active), from which fascicle Lengths (L) and angles (Θ) with respect to the aponeuroses were determined. From the ultrasonic image, it was observed that and Θ changed during an isometric contraction of the triceps surae muscle. Changes in L and were expressed as a function of relative torque. The Θ change was not identical for the three muscles. The fascicle Θ of MG demonstrated the greatest variation in three muscles. The effects of activation and relaxation positions were significant in all three muscles. The differences in MG fascicle Θ because of changes in ankle positions were significant among control and patients both in the passive and active conditions. Fascicle Θ of LG and SOL not differed among control and patient in the relaxation condition but not in the activation condition. For LG, and SOL ol fascicle Θ were changes were larger in control with the patients. The mean values fascicle Θ of MG, LG, and SOL an isometric contraction (50 % MVC) in the control groups increased by 60 %, 41 %, and 41 %, respectively; in the patient groups were a smaller increase, by 28 %, 26 %, and 36 %, respectively. Different lengths and angles of fascicles, and their changes bу contraction by patients and normal subjects, might bе related to differences in force-producing capabilities of the muscles and elastic characteristics of tendons and aponeuroses.
人体腓肠肌结构在静止状态和正常肌和弱肌等距收缩时关节角度的变化
在体内测定了三头肌表面肌肉复合体的结构特性。这些受试者被分为两组。第一组为8名健康男性,第二组为22名运动障碍患者。踝关节定位为-15°(背屈)、0°(中性解剖位)、15°和30°(跖屈),膝关节为120°,踝关节夹角为90°。在每个体位,当受试者放松(被动)并进行50%最大自主等距足底屈曲(主动)时,获得内侧(MG)和外侧(LG)腓肠肌和比目鱼肌(SOL)的纵向超声图像,从中确定腱膜的束长(L)和角度(Θ)。从超声图像中,观察到和Θ在三头肌表面肌的等距收缩期间发生变化。L和的变化表示为相对转矩的函数。这三块肌肉的Θ变化并不相同。MG肌束Θ在3块肌肉中表现出最大的变异。激活和放松姿势对所有三块肌肉的影响都很显著。在被动和主动状态下,由于踝关节位置的变化,对照组和患者的MG肌束Θ的差异都是显著的。LG和SOL束Θ在松弛状态下与对照组无显著性差异,而在激活状态下无显著性差异。LG, SOL,神经束Θ在对照组中变化更大。对照组MG、LG和SOL的肌束Θ平均值和等距收缩(50% MVC)分别增加60%、41%和41%;患者组的增幅较小,分别为28%、26%和36%。肌束长度和角度的不同及其在患者和正常人收缩过程中的变化可能与肌肉的发力能力以及肌腱和腱膜弹性特性的差异有关。
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