Range Of Knee Angles Research Articles

Intraoperative experiments combined with gait analyses indicate that active state rather than passive dominates the spastic gracilis muscle's joint movement limiting effect in cerebral palsy

BackgroundIn cerebral palsy, spastic muscle's passive forces are considered to be high but have not been assessed directly. Although activated spastic muscle's force-joint angle relations were studied, this was independent of gait relevant joint positions. The aim was to test the following hypotheses intraoperatively: (i) spastic gracilis passive forces are high even in flexed knee positions, (ii) its active state forces attain high amplitudes within the gait relevant knee angle range, and (iii) increase with added activations of other muscles. MethodsIsometric forces (seven children with cerebral palsy, gross motor function classification score = II) were measured during surgery from knee flexion to full extension, at hip angles of 45° and 20° and in four conditions: (I) passive state, after gracilis was stimulated (II) alone, (III) simultaneously with its synergists, and (IV) also with an antagonist. FindingsDirectly measured peak passive force of spastic gracilis was only a certain fraction of the peak active state forces (maximally 26%) measured in condition II. Conditions III and IV caused gracilis forces to increase (for hip angle = 45°, by 32.8% and 71.9%, and for hip angle = 20°, by 24.5% and 45.1%, respectively). Gait analyses indicated that intraoperative data for knee angles 61–17° and 33–0° (for hip angles 45° and 20°, respectively) are particularly relevant, where active state force approximates its peak values. InterpretationActive state muscular mechanics, rather than passive, of spastic gracilis present a capacity to limit joint movement. The findings can be highly relevant for diagnosis and orthopaedic surgery in individuals with cerebral palsy.

Affordable gait analysis using augmented reality markers.

A typical optical based gait analysis laboratory uses expensive stereophotogrammetric motion capture systems. The study aims to propose and validate an affordable gait analysis method using augmented reality (AR) markers with a single action camera. Image processing software calculates the position and orientation of the AR markers. Anatomical landmark calibration is applied on the subject to calibrate each of the anatomical points with respect to their corresponding AR markers. This way, anatomical points are tracked through AR markers using homogeneous coordinate transformations, and the further processing of gait analysis is identical with conventional solutions. The proposed system was validated on nine participants of varying age using a conventional motion capture system on simultaneously measured treadmill gait trials on 2, 3 and 4.5 km/h walking speeds. Coordinates of the virtual anatomical points were compared using the Bland-Altman analysis. Spatial-temporal gait parameters (step length, stride length, walking base, cadence, pelvis range of motion) and angular gait parameters (range of motion of knee, hip and pelvis angles) were compared between measurement systems by RMS error and Bland-Altman analysis. The proposed method shows some differences in the raw coordinates of virtually tracked anatomical landmarks and gait parameters compared to the reference system. RMS errors of spatial parameters were below 23 mm, while the angular range of motion RMS errors varies from 2.55° to 6.73°. Some of these differences (e.g. knee angle range of motion) is comparable to previously reported differences between commercial motion capture systems and gait variability. The proposed method can be a very cheap gait analysis solution, but precision is not guaranteed for every aspect of gait analysis using the currently exemplified implementation of the AR marker tracking approach.

Training proprioception with sound: effects of real-time auditory feedback on intermodal learning.

Our study analyzed the effects of real-time auditory feedback on intermodal learning during a bilateral knee repositioning task. Thirty healthy participants were randomly allocated to control and experimental groups. Participants performed an active knee joint repositioning task for the four target angles (20°, 40°, 60°, and 80°) bilaterally, with or without additional real-time auditory feedback. Here, the frequency of auditory feedback was mapped to the knee's angle range (0-90°). Retention measurements were performed on the same four angles, without auditory feedback, after 15 min and 24 hours. A generalized knee proprioception test was performed after the 24-h retention measurement on three untrained knee angles (15°, 35°, and 55°). Statistical analysis revealed a significant enhancement of knee proprioception, shown as a lower knee repositioning error with auditory feedback. This enhancement of proprioception also persisted in tests performed between the 5th and 6th auditory-motor training blocks (without auditory feedback). Enhancement in proprioception also remained stable during retention measurements (after 15 min and 24 h). Similarly, enhancement in the generalized proprioception on untrained knee angles was evident in the experimental group. This study extends our previous findings and demonstrates the beneficial effects of real-time auditory feedback to facilitate intermodal learning by enhancing knee proprioception in a persisting and generalized manner.

Effects of low volume isometric leg press complex training at two knee angles on force-angle relationship and rate of force development

This study compared knee angle-specific neuromuscular adaptations after two low-volume isometric leg press complex training programmes performed at different muscle lengths. Fifteen young males were divided into two groups and trained three times per week for 6 weeks. One group (n = 8) performed 5–7 sets of 3 s maximum isometric leg press exercise, with 4 min recovery, with knee angle at 85° ± 2° (longer muscle-tendon unit length; L-MTU). The other group (n = 7) performed the same isometric training at a knee angle of 145° ± 2° (180° = full extension; shorter muscle-tendon unit length; S-MTU). During the recovery after each set of isometric exercise, participants performed two CMJ every minute, as a form of complex training. Maximum isometric force (MIF) and rate of force development (RFD) were measured over a wide range of knee angles. Countermovement jump (CMJ) performance and maximum half-squat strength (1RM) were also assessed. Training at S-MTU induced a large increase of MIF (22–58%, p < 0.02) and RFD (18–43%, p < 0.05 to 0.001) at knee angles close to the training angle and resulted in a 14° ± 9° shift of the force vs. knee joint angle relationship towards extended knee joint angles (p = 0.001). In contrast, training at L-MTU, resulted in a moderate and similar (≈12.3%, p = 0.028) improvement of force at all knee angles. CMJ performance and 1RM were equally increased in both groups after training by 10.4% ± 8.3% and 7.8% ± 4.7% (p < 0.001), respectively. Low-volume maximal isometric leg-press complex training at S-MTU causes angle-specific adaptations in isometric strength and RFD, while dynamic muscle performance is independent of muscle length during training.

Knee Moment-Angle Characteristics and Semitendinosus Muscle Morphology in Children with Spastic Paresis Selected for Medial Hamstring Lengthening.

To increase knee range of motion and improve gait in children with spastic paresis (SP), the semitendinosus muscle (ST) amongst other hamstring muscles is frequently lengthened by surgery, but with variable success. Little is known about how the pre-surgical mechanical and morphological characteristics of ST muscle differ between children with SP and typically developing children (TD). The aims of this study were to assess (1) how knee moment-angle characteristics and ST morphology in children with SP selected for medial hamstring lengthening differ from TD children, as well as (2) how knee moment-angle characteristics and ST morphology are related. In nine SP and nine TD children, passive knee moment-angle characteristics and morphology of ST (i.e. fascicle length, muscle belly length, tendon length, physiological cross-sectional area, and volume) were assessed by hand-held dynamometry and freehand 3D ultrasound, respectively. At net knee flexion moments above 0.5 Nm, more flexed knee angles were found for SP compared to TD children. The measured knee angle range between 0 and 4 Nm was 30% smaller in children with SP. Muscle volume, physiological cross-sectional area, and fascicle length normalized to femur length were smaller in SP compared to TD children (62%, 48%, and 18%, respectively). Sixty percent of the variation in knee angles at 4 Nm net knee moment was explained by ST fascicle length. Altered knee moment-angle characteristics indicate an increased ST stiffness in SP children. Morphological observations indicate that in SP children planned for medial hamstring lengthening, the longitudinal and cross-sectional growth of ST muscle fibers is reduced. The reduced fascicle length can partly explain the increased ST stiffness and, hence, a more flexed knee joint in these SP children.

Assessing the accuracy of subject-specific, muscle-model parameters determined by optimizing to match isometric strength

Biomechanical models are sensitive to the choice of model parameters. Therefore, determination of accurate subject specific model parameters is important. One approach to generate these parameters is to optimize the values such that the model output will match experimentally measured strength curves. This approach is attractive as it is inexpensive and should provide an excellent match to experimentally measured strength. However, given the problem of muscle redundancy, it is not clear that this approach generates accurate individual muscle forces. The purpose of this investigation is to evaluate this approach using simulated data to enable a direct comparison. It is hypothesized that the optimization approach will be able to recreate accurate muscle model parameters when information from measurable parameters is given. A model of isometric knee extension was developed to simulate a strength curve across a range of knee angles. In order to realistically recreate experimentally measured strength, random noise was added to the modeled strength. Parameters were solved for using a genetic search algorithm. When noise was added to the measurements the strength curve was reasonably recreated. However, the individual muscle model parameters and force curves were far less accurate. Based upon this examination, it is clear that very different sets of model parameters can recreate similar strength curves. Therefore, experimental variation in strength measurements has a significant influence on the results. Given the difficulty in accurately recreating individual muscle parameters, it may be more appropriate to perform simulations with lumped actuators representing similar muscles.

Assessment of net knee moment-angle characteristics by instrumented hand-held dynamometry in children with spastic cerebral palsy and typically developing children.

BackgroundThe limited range of motion during walking in children with spastic cerebral palsy (SCP) may be the result of altered mechanical characteristics of muscles and connective tissues around the knee joint. Measurement of static net knee moment-angle relation will provide insights into these alterations, for which instrumented hand-held dynamometry may be applied.The aims of this study were: (1) to test the measurement error of the estimated net knee moment-angle characteristics, (2) to determine the correlation between knee extension angle measurement at a standardized knee moment and popliteal angle from common physical examination and (3) to compare net knee moment–angle characteristics in SCP versus typically developing children.MethodsWith the child lying in sideward position, the knee was extended by moving the lower leg by a hand-held force transducer on a low friction cart. Force data were collected for a range of knee angles. Data were excluded when activity (EMG) levels of knee extensor and flexor muscles exceeded the EMG level during rest by more than two standard deviations. The net knee flexion moments were calculated from recorded force data and measured moment arm. Reliability for knee angles corresponding with 0.5, 1, 2, 3, and 4 Nm knee net flexion moments was assessed by standard error of measurements (SEM) and smallest detectable difference (SDD).ResultsFor between day comparison, SEMs were about 5° and SDDs were below 14° for knee angles at 1-4 Nm net knee flexion moments. In SCP children, the knee angle measured at 4 Nm knee flexion moment was not related to the popliteal angle (r = 0.52). The slope at 4 Nm of the knee moment-angle curve in SCP children was significantly higher than that in typically developing children.ConclusionsThe presented knee hand-held dynamometry allows assessment of net knee flexion moment-knee angle characteristics in typically developing and SCP children and can be used to identify clinically relevant changes as a result of treatment. Overall stiffness of structures that contribute to the net knee flexion moment at the knee (i.e. muscles, tendons, ligaments) is elevated in SCP children.Electronic supplementary materialThe online version of this article (doi:10.1186/s12984-015-0056-y) contains supplementary material, which is available to authorized users.

The effects of three different rear knee angles on kinematics in the sprint start.

The purpose of this study was to investigate the rear knee angle range in the set position that allows sprinters to reach greater propulsion on the rear block during the sprint start. Eleven university-track team sprinters performed the sprint start using three rear knee angle conditions: 90°, 115° and 135°. A motion capture system consisting of 8 digital cameras (250 Hz) was used to record kinematic parameters at the starting block phase and the acceleration phase. The following variables were considered: horizontal velocity of the centre of mass (COM), COM height, block time, pushing time on the rear block, percentage of pushing time on the rear block, force impulse, push-off angle and length of the first two strides. The main results show that first, horizontal block velocity is significantly greater at 90° vs 115° and 135° rear knee angle (p<0.05 and p<0.001 respectively) at block clearance and the first two strides; second, during the pushing phase, the percentage of pushing time of the rear leg is significantly greater at 90° vs 135° rear knee angle (p<0.01). No significant difference was found for block time among the conditions. These results indicate that block velocity is the main kinematic parameter affected by rear knee angle during the starting block phase and acceleration phase. Furthermore, the 90° rear knee angle allows for a better push-off of the rear leg than larger angles at the set position. The findings of this study provide some direction and useful practical advice in defining an efficient rear leg biomechanical configuration at the set position.

Quantifying differences in passive knee laxity and finite helical axis measures between healthy and anterior cruciate ligament deficient individuals

Quantifying differences in passive knee laxity and finite helical axis measures between healthy and anterior cruciate ligament deficient individuals

Relationship Between Knee Walking Kinematics and Muscle Flexibility in Runners

Decreased flexibility in muscles and joints of lower extremities is commonly observed in runners. Understanding the effect of decreased flexibility on knee walking kinematics in runners is important because, over time, altered gait patterns can make runners vulnerable to overuse injuries or degenerative pathologies. To compare hamstring and iliotibial-band (ITB) flexibility and knee kinematics in runners and nonrunners. A descriptive, comparative laboratory study. Hamstring and ITB flexibility were measured with the active knee-extension test and the modified Ober test, respectively, in both groups of participants. Three-dimensional (3D) walking kinematic data were then recorded at the knee using a motiontracking system. 18 runners and 16 nonrunners. Knee-extension angle (hamstring flexibility) and hip-adduction angle (ITB flexibility). Knee kinematic parameters of interest included knee angle at initial contact, peak knee angles, and knee-angle range in all planes of movement. The runners had a significantly less flexible ITB than the nonrunners (hip adduction [-] and adduction [+] angles, 3.1° ± 5.6° vs -.4° ± 4.5°; P < .001). The runners demonstrated a greater mean tibial external-rotation angle at initial contact (7.3° ± 5.8° vs 2.0° ± 4.0°; P = .01) and a smaller mean peak tibial internal-rotation angle (-1.6° ± 3.0° vs -4.2° ± 3.2°; P = .04) than the nonrunners. This study provides new insight into the relationship between muscle flexibility and 3D knee kinematics in runners. This supports the premise that there is an association between muscle flexibility and transverse-plane knee kinematics in this population.

Design and Evaluation of an Orthotic Knee-Extension Assist

Individuals with quadriceps muscle weakness often have difficulty generating the knee-extension moments required to complete common mobility tasks. A new device that provides knee-extension moments through a range of knee angles was designed to help individuals perform stand-to-sit and sit-to-stand tasks. The novel knee-extension assist (KEA) was designed as a modular component to be incorporated into existing knee-ankle-foot orthoses or used in a knee orthosis. During stand-to-sit, a set of springs is loaded as the knee flexes under bodyweight and the KEA thus provides a knee-extension moment that aids in achieving a smoothly controlled knee flexion. The springs can be locked in place at the end of knee flexion to prevent unwanted knee extension while the user is seated. The entire knee extension assist can be disengaged to allow free joint motion anytime the affected leg is unloaded. During sit-to-stand, the KEA assists knee extension by returning the energy stored in the springs as an extension moment. In mechanical testing of a prototype of the new KEA, a mean maximum extension moment of 42.9 ± 0.46 Nm was provided by the device during flexion and 28.4 ± 0.28 Nm during extension. A biomechanical evaluation with two able-bodied individuals demonstrated the effectiveness of the KEA in successfully assisting stand-to-sit and sit-to-stand tasks. During stand-to-sit, the KEA provided 82% and 75% of the total (muscle and KEA) knee-extension moment required by the braced leg for the task for the two subjects, respectively; and during sit-to-stand, the KEA provided 56% and 50% of the total knee-extension moment for the two subjects, respectively. This KEA performance exceeded 50% knee-extension moment assistance for a 70 kg person.

Passive mechanical properties of human gastrocnemius muscle‐tendon units

Background The passive mechanical properties of skeletal muscletendon units are important because they determine the amount of motion available at joints. Human gastrocnemius muscle-tendon units are of particular interest because this muscle is prone to develop contractures, may have ar ole in lower limb overuse injuries, and is a common site of muscle tears. This workshop provides an introduction to what is known of the passive properties of skeletal muscle-tendon units, focussing on human gastrocnemius muscle-tendon units. The workshop will also provide an introduction to the theory and practice of measuring passive mechanical properties of human gastrocnemius muscle-tendon units in vivo. Materials and methods The mechanical properties of muscle-tendon units have been investigated most frequently using in vitro preparations. Testing of elastic properties most often utilises quasi-static protocols. Dynamic protocols have also been used, particularly in studies that seek also to determine viscous properties. Several methods have been developed for testing the mechanical properties (usually elastic or pseudo-elastic properties) of human muscle-tendon units in vivo. Changes in length of human gastrocnemius muscle-tendon units may be estimated from changes in ankle and knee angles if moment arms are known. Fascicle lengths can be measured with ultrasound imaging or MRI. Recently methods have been developed for measuring sarcomere lengths using invasive and minimally invasive techniques. Achilles tendon force can be measured using invasive methods such as fibre optic transducers. The length-tension properties of the Achilles tendon can be estimated using non-invasive methods during isometric contractions. This workshop focuses on a method developed by our research team for non-invasive measurement of the passive length-tension properties of human gastrocnemius muscle-tendon units [1], as well as length-tension properties of muscle fascicles and tendons [2]. The method involves measuring ankle stiffness at a range of knee angles.

Viscous elements have little impact on measured passive length–tension properties of human gastrocnemius muscle–tendon units in vivo

Several studies have measured the elastic properties of a single human muscle–tendon unit in vivo. However the viscoelastic behavior of single human muscles has not been characterized. In this study, we adapted QLV theory to model the viscoelastic behavior of human gastrocnemius muscle–tendon units in vivo. We also determined the influence of viscoelasticity on passive length–tension properties of human gastrocnemius muscle–tendon units. Eight subjects participated in the experiment, which consisted of two parts. First, the stress relaxation response of human gastrocnemius muscle–tendon units was determined at a range of knee and ankle angles. Subsequently, passive ankle torque and ankle angle were collected during cyclic dorsiflexion and plantarflexion at a range of knee angles. Viscous parameters were determined by fitting the stress relaxation experiment data with a two-term exponential function, and elastic parameters were estimated by fitting the QLV model and viscous parameters to the cyclic experiment data. The model fitted the experimental data well at slow speeds (RMSE: 1.7±0.5 N) and at fast speeds (RMSE: 1.9±0.2 N). Muscle–tendon units demonstrated a large amount of stress relaxation. Nonetheless, viscoelastic passive length–tension curves estimated with the QLV model were similar to elastic passive length–tension curves obtained using a model that ignored viscosity. There was little difference in the elastic passive length–tension curves at different loading rates. We conclude that (a) the QLV model can be used to quantify viscoelastic behaviors of relaxed human gastrocnemius muscle–tendon units in vivo, and (b) over the range of velocities we examined, the velocity of loading has little effect on the passive length–tension properties of human gastrocnemius muscle–tendon units.

Decreased knee extensor torque and power production in human heart failure

Exercise intolerance is a hallmark symptom of chronic heart failure. The goal of this study was to determine if heart failure impairs skeletal muscle torque, power production or contractile velocity. Heart failure patients (n=11; 70.4 ± 4.3 yrs) and controls (n=11; 70.3 ± 3.4 yrs) matched for age, sex and medications that may affect muscle function were evaluated for knee extensor contractile performance, body composition and physical activity level. Groups did not differ in total or regional body composition or physical activity level. Despite similarities in muscle size and use, heart failure patients were characterized by 21‐29% lower (P&lt;0.05 to P&lt;0.01) isometric knee extensor torque throughout a range of knee angles, 15‐33% lower (P=0.05 to P&lt;0.01) peak torque and power output at various isokinetic speeds. These differences in muscle function were evident after adjustment of data for muscle mass. Expression of peak isokinetic torque data relative to isometric torque eliminated group differences, suggesting that impaired function under dynamic conditions is explained by deficits in the force generating capacity of muscle. No group differences were found in the time required to reach target velocity during isokinetic contractions, a proxy of contractile velocity. These results suggest that heart failure reduces skeletal muscle peak torque and power production, but does not alter contractile velocity.

Patellofemoral Joint Force and Stress during the Wall Squat and One-Leg Squat

To compare patellofemoral compressive force and stress during the one-leg squat and two variations of the wall squat. Eighteen subjects used their 12 repetition maximum (12 RM) weight while performing the wall squat with the feet closer to the wall (wall squat short), the wall squat with the feet farther away from the wall (wall squat long), and the one-leg squat. EMG, force platform, and kinematic variables were input into a biomechanical model to calculate patellofemoral compressive force and stress as a function of knee angle. To asses differences among exercises, a one-factor repeated-measure ANOVA (P = 0.0025) was used. During the squat ascent, there were significant differences in patellofemoral force and stress among the three squat exercises at 90 degrees knee angle (P = 0.002), 80 degrees knee angle (P = 0.002), 70 degrees knee angle (P < 0.001), and 60 degrees knee angle (P = 0.001). Patellofemoral force and stress were significantly greater at 90 degrees knee angle in the wall squat short compared with wall squat long and one-leg squat, significantly greater at 70 degrees and 80 degrees knee angles in the wall squat short and long compared with the one-leg squat and significantly greater at 60 degrees knee angle in the wall squat long compared with the wall squat short and one-leg squat. Except at 60 degrees and 90 degrees knee angles, patellofemoral compressive force and stress were similar between the wall squat short and the wall squat long. Between 60 degrees and 90 degrees knee angles, wall squat exercises generally produced greater patellofemoral compressive force and stress compared with the one-leg squat. When the goal is to minimize patellofemoral compressive force and stress, it may be prudent to use a smaller knee angle range between 0 degrees and 50 degrees compared with a larger knee angle range between 60 degrees and 90 degrees .

Reduced knee extensor function in heart failure is not explained by inactivity

Background The goal of this study was to determine if heart failure alters knee extensor muscle torque, power production or contractile velocity. Methods Heart failure patients ( n = 11; 70.4 ± 4.3 yrs) and controls ( n = 11; 70.3 ± 3.4 yrs) matched for age and sex were evaluated for knee extensor contractile performance under isometric and isokinetic conditions and body composition by dual energy X-ray absorptiometry. Additionally, we recruited sedentary to minimally active elderly controls to match heart failure patients for habitual physical activity and assessed activity levels using accelerometry. Results Groups did not differ for total or regional body composition or average daily physical activity level. Despite similar muscle size and use, heart failure patients exhibited 21–29% lower ( P < 0.05 to P < 0.01) isometric knee extensor torque throughout a range of knee angles, 15–33% lower ( P = 0.05 to P < 0.01) peak concentric torque measured at various isokinetic speeds and corresponding reductions ( P = 0.05 to P < 0.01) in peak power output. Expression of peak isokinetic torque data relative to isometric torque eliminated group differences, suggesting that impaired contractile function under dynamic conditions is explained by deficits in the force generating capacity of muscle. No group differences were found in the time required to reach target velocity during isokinetic contractions, an index of contractile velocity. Conclusion Because group differences in muscle torque were independent of age, sex, physical activity level and muscle size, our results suggest that muscle contractile dysfunction in these patients is likely attributable to the heart failure syndrome.

The Effects on Kinematics and Muscle Activity of Walking in a Robotic Gait Trainer During Zero-Force Control

"Assist as needed" control algorithms promote activity of patients during robotic gait training. Implementing these requires a free walking mode of a device, as unassisted motions should not be hindered. The goal of this study was to assess the normality of walking in the free walking mode of the LOPES gait trainer, an 8 degrees-of-freedom lightweight impedance controlled exoskeleton. Kinematics, gait parameters and muscle activity of walking in a free walking mode in the device were compared with those of walking freely on a treadmill. Average values and variability of the spatio-temporal gait variables showed no or small (relative to cycle-to-cycle variability) changes and the kinematics showed a significant and relevant decrease in knee angle range only. Muscles involved in push off showed a small decrease, whereas muscles involved in acceleration and deceleration of the swing leg showed an increase of their activity. Timing of the activity was mainly unaffected. Most of the observed differences could be ascribed to the inertia of the exoskeleton. Overall, walking with the LOPES resembled free walking, although this required several adaptations in muscle activity. These adaptations are such that we expect that Assist as Needed training can be implemented in LOPES.

Muscular Strength and Jumping Performance Relationships in Young Women Athletes

The relationships between muscular strength and vertical jumping performance were examined in young women (14-19 years) track and field jumpers (n = 20) and volleyball players (n = 21). The knee extensor muscular strength measured at 9 knee angles was correlated with jumping height and peak power at the squat (SJ) and the countermovement (CMJ) vertical jump tests. Pearson product coefficient of correlation was used to test the significance of these relationships (p </= 0.05). The relationships were strong to moderate, but only in the volleyball players (p </= 0.05 and power of analysis >0.80). Specifically, in the volleyball players, the strong relationships were noted for muscular strength at the knee angle range of 40 degrees to 90 degrees and CMJ jumping height as well as SJ peak power. Results indicate the dissimilarity in the relationships between the knee extensor muscular strength and jumping performance in the young female track and field jumpers and volleyball players. In addition, it appears that the measure selected to evaluate jumping performance alters the correlational results.

Passive mechanical properties of human gastrocnemius muscle–tendon units, muscle fascicles and tendonsin vivo

This study provides the first in vivo measures of the passive length-tension properties of relaxed human muscle fascicles and their tendons. A new method was used to derive passive length-tension properties of human gastrocnemius muscle-tendon units from measures of ankle stiffness obtained at a range of knee angles. Passive length-tension curves of the muscle-tendon unit were then combined with ultrasonographic measures of muscle fascicle length and pennation to determine passive length-tension curves of the muscle fascicles and tendons. Mean slack lengths of the fascicles, tendons and whole muscle-tendon units were 3.3+/-0.5 cm, 39.5+/-1.6 cm and 42.3+/-1.5 cm, respectively (means +/- s.d., N=6). On average, the muscle-tendon units were slack (i.e. their passive tension was zero) over the shortest 2.3+/-1.2 cm of their range. With combined changes of knee and ankle angles, the maximal increase in length of the gastrocnemius muscle-tendon unit above slack length was 6.7+/-1.9 cm, of which 52.4+/-11.7% was due to elongation of the tendon. Muscle fascicles and tendons underwent strains of 86.4+/-26.8% and 9.2+/-4.1%, respectively, across the physiological range of lengths. We conclude that the relaxed human gastrocnemius muscle-tendon unit falls slack over about one-quarter of its in vivo length and that muscle fascicle strains are much greater than tendon strains. Nonetheless, because the tendons are much longer than the muscle fascicles, tendons contribute more than half of the total compliance of the muscle-tendon unit.

Variation in Neuromuscular Responses during Acute Whole-Body Vibration Exercise

Leg muscle strength and power are increased after whole-body vibration (WBV) exercise. These effects may result from increased neuromuscular activation during WBV; however, previous studies of neuromuscular responses during WBV have not accounted for motion artifact. Sixteen healthy adults performed a series of static and dynamic unloaded squats with and without two different directions of WBV (rotational vibration, RV; and vertical vibration, VV; 30 Hz; 4 mmp-p). Activation of unilateral vastus lateralis, biceps femoris, gastrocnemius, and tibialis anterior was recorded using EMG. During RV and VV, increases in EMG relative to baseline were compared over a range of knee angles, contraction types (concentric, eccentric, isometric), and squatting types (static, dynamic). After removing large, vibration-induced artifacts from EMG data using digital band-stop filters, neuromuscular activation of all four muscles increased significantly (P<or=0.05) during RV and VV. Average responses of the extensors were significantly greater during RV than VV, whereas responses of the tibialis anterior were significantly greater during VV than RV. For all four muscles, responses during static squatting were greater than or equal to responses during dynamic squatting, whereas responses during eccentric contractions were equal to or smaller than responses during concentric and isometric contractions. Neuromuscular responses of vastus lateralis, gastrocnemius, and tibialis anterior were affected by knee angle, with greatest responses at small knee angles. Motion artifacts should be removed from EMG data collected during WBV. We propose that neuromuscular responses during WBV may be modulated by leg muscle cocontraction as a postural control strategy and/or muscle tuning by the CNS intended to minimize soft-tissue vibration.