Muscle-tendon Function Research Articles

Evaluation of lower leg function in patients with Achilles tendinopathy

Achilles tendinopathy is considered to be one of the most common overuse injuries in elite and recreational athletes. However, the effect that the Achilles tendinopathy has on patients' physical performance is still unclear. The purpose of this study was to evaluate if Achilles tendinopathy caused functional deficits on the injured side compared with the non-injured side in patients. A test battery comprised of tests for different aspects of muscle-tendon function of the gastrocnemius, soleus and Achilles tendon complex was developed to evaluate lower leg function. The test battery's test-retest reliability and sensitivity (the percent probability that the tests would demonstrate abnormal lower limb symmetry index in patients) were also evaluated. The test battery consisted of three jump tests, a counter movements jump (CMJ), a drop counter movement jump (drop CMJ) and hopping, and two strength tests, concentric toe-raises, eccentric-concentric toe-raises and toe-raises for endurance. The reliability was evaluated through a test-retest design on 15 healthy subjects. The test battery's sensitivity and possible functional deficits in patients with Achilles tendinopathy were evaluated on 42 patients (19 women and 23 men). An excellent reliability was found between test days 1-2 and 2-3 for all tests (ICC = 0.76-0.94) except for concentric toe-raise, test 2-3, which had fair reliability (ICC = 0.73). The methodological error ranged from 8 to 17%. There were significant differences (P = 0.001-0.049) between the non-injured (or least symptomatic) side and injured (most symptomatic) side for hopping, drop CMJ, concentric and eccentric-concentric toe-raises, and significant differences (P = 0.000-0.012) in the level of pain during CMJ, hopping, and drop CMJ. The sensitivity of the test battery at a 90% capacity was 88. Achilles tendinopathy causes not only pain and symptoms in patients but also apparent impairments in various aspects of lower leg muscle-tendon function as measured with the test battery. This test battery is reliable and able to detect differences in lower leg function between the injured or "most symptomatic" and non-injured or "least symptomatic" side in patients with Achilles tendinopathy. The test battery has higher demand on patients' function compared with each individual test.

Integrated muscle-tendon function during running accelerations

Integrated muscle-tendon function during running accelerations

Structural and functional features of human muscle–tendon unit

This paper reviews the architectural details and the in vivo behavior of the human muscle-tendon unit with the focus on the triceps surae and quadriceps femoris muscles. Recent advances in experimental techniques allow in vivo measurements of muscle-tendon architecture and function. In particular, the use of ultrasonography for measurement of tendon and muscle has expanded our knowledge in the last decade. Furthermore, the nuclear magnetic resonance imaging is opening up new insights not only for three-dimensional anatomical information but also for examining musculo-skeletal motion in vivo. While these two completely non-invasive methods provide kinematic data, in vivo force measurements still require somewhat invasive procedures and are scarce. Thus, muscle forces are frequently calculated using both simple and complex models. These models can give us suggestions for further experimental work. There is a need to examine the experimental data ranging from single-fiber experiments to the muscle function in human movement in order to understand the muscle-tendon function in vivo fully. Furthermore, appreciation of the structure-function relationships may help us to understand the entity of muscle-tendon function both from the perspective of mechanical behavior and neural control.