Slack length of gastrocnemius medialis and Achilles tendon occurs at different ankle angles.

Although muscle-tendon slack length is a crucial parameter used in muscle models, this is one of the most difficult measures to estimate in vivo. The aim of this study was to determine the onset of the rise in tension (i.e., slack length) during passive stretching in both Achilles tendon and gastrocnemius medialis. Muscle and tendon shear elastic modulus was measured by elastography (supersonic shear imaging) during passive plantarflexion (0° and 90° of knee angle, 0° representing knee fully extended, in a random order) in 9 participants. The within-session repeatability of the determined slack length was good at 90° of knee flexion (SEM=3.3° and 2.2° for Achilles tendon and gastrocnemius medialis, respectively) and very good at 0° of knee flexion (SEM=1.9° and 1.9° for Achilles tendon and gastrocnemius medialis, respectively). The slack length of gastrocnemius medialis was obtained at a significantly lower plantarflexed angle than for Achilles tendon at both 0° (P<0.0001; mean difference=19.4±3.8°) and 90° of knee flexion (P<0.0001; mean difference=25.5±7.6°). In conclusion, this study showed that the joint angle at which the tendon falls slack can be experimentally determined using supersonic shear imaging. The slack length of gastrocnemius medialis and Achilles tendon occurred at different joint angles. Although reporting this result is crucial to a better understanding of muscle-tendon interactions, further experimental investigations are required to explain this result.

Characterization of passive elastic properties of the human medial gastrocnemius muscle belly using supersonic shear imaging.

The passive elastic properties of a muscle-tendon complex are usually estimated from the relationship between the joint angle and the passive resistive torque, although the properties of the different structures crossing the joint cannot be easily assessed. This study aimed to determine the passive mechanical properties of the gastrocnemius medialis muscle (GM) using supersonic shear imaging (SSI) that allows the measurement of localized muscle shear modulus (µ). The SSI of the GM was taken for 7 subjects during passive ankle dorsiflexion at a range of knee positions performed on an isokinetic dynamometer. The relationship between normalized µ and the length of the gastrocnemius muscle-tendon units (GMTU) was very well fitted to an exponential model (0.944

Neck strength and EMG activity in fighter pilots with episodic neck pain.

INTRODUCTION: Neck pain is common in fighter pilots due to repeated exposure to high +Gz loads, but studies comparing neck function in symptomatic and healthy fighter pilots are lacking. This study compared neck strength and EMG activity during maximal isometric contractions in a sitting position in the sagittal and coronal planes in neck pain (SP), asymptomatic fighter pilots (AP), and healthy, male, non-pilot subjects (NPS). METHODS: There were 9 SP, 10 AP, and 8 NPS, all males, who performed maximal isometric neck contractions on a specific dynamometer. Surface EMG activity was recorded bilaterally over the sternocleidomastoid and paraspinal muscles. EMG amplitude during side bending was normalized to that measured in the sagittal plane. RESULTS: SP exhibited lower side-bending strength than AP (17-19%, P < 0.05). In addition, SP and NPS exhibited lower left side-bending-to-extension torque ratios (20% and 14%, respectively, P < 0.05) than AP. Similar activation level of neck flexors and extensors during side bending was found in SP and AP, whereas EMG activity of the extensors was higher than the flexors in NPS (+48%, P < 0.05). In addition, antagonistic EMG activity was higher in AP compared to NPS (26% vs. 41%, respectively, P < 0.05). CONCLUSION: Our results suggest altered muscle function in SP compared with AP in the coronal but not in the sagittal plane. Further, AP appeared to be more efficient in the coronal plane with reference to neck extension than NPS, suggesting that some adaptations occurred due to flight exposure. These findings may have clinical implications for the management and the follow-up of neck pain in fighter pilots.

Repeatability of surface EMG parameters at various isometric contraction levels and during fatigue using bipolar and Laplacian electrode configurations.

The objective of this work was to assess the repeatability of two surface electromyographic (sEMG) recording techniques, the classical bipolar configuration and a Laplacian configuration to document their ability to provide reliable information during follow-up studies. The signals were recorded on 10 healthy subjects during voluntary isometric contractions of the biceps brachii muscle at different constant contraction levels. Slopes, area ratios (at 60% of the maximal voluntary contraction (MVC)) and initial values (at 20%, 40%, 60%, 80% and 100% MVC) of the root mean square (RMS), the mean power frequency (MPF) and the muscle fibre conduction velocity (CV) were estimated. Experimental sessions were repeated on three different days with both electrode sets to evaluate the repeatability of sEMG parameter estimates. Classical results were observed, such as an increase in the RMS and the CV with the contraction level. Only initial values of RMS and MPF were shown to be dependent on electrode type. These two parameters presented intra-class correlation coefficient values higher than .80 for high contraction levels. On the whole, the repeatability of the measures was good; however it was better for all sEMG parameter estimates with bipolar electrodes than Laplacian electrodes. Because a bipolar configuration is less selective than a Laplacian one, it provides a global view of muscular activity, which is more repeatable, hence more suitable for follow-up studies.

Prediction of endurance capacity of quadriceps muscles in humans using surface electromyogram spectrum analysis during submaximal voluntary isometric contractions.

The measurement of endurance time ( t(lim)) is the procedure commonly used to quantify the ability of a muscle to maintain force. The relationship between surface electromyographic (sEMG) manifestations of localised muscle fatigue and t(lim) during an effort at 50% of maximal voluntary isometric torque of the knee extensors (vastus lateralis and vastus medialis) until exhaustion was studied in 14 healthy volunteers. It was carried out to test whether changes in sEMG computed over shorter periods than expected t(lim) could be used to predict t(lim). Changes in mean muscle fibre conduction velocity, mean power frequency, median frequency, root mean square ), in the relative power in the 6-30 Hz and 30-60 Hz frequency bands were monitored using linear slope and area ratio index as statistical indicators. These indicators were computed over fixed periods shorter than t(lim). The subjects were able to maintain the required force level for [mean (SD)] 78.8 (9.5) s. During the fatigue trial, it was the greatest of the increases in the 6-30 Hz frequency band, recorded for either of the two muscles investigated, that was the only variable which correlated with t(lim). Significant relationships between t(lim) and changes in this low frequency band were observed as early as the first 15-30 s of the contraction. These results suggest that sEMG frequency banding may predict mechanical endurance without the need to maintain the contraction until exhaustion. From a clinical perspective, this could be an advantage for patients who might not be able to tolerate contractions to exhaustion.