Golgi tendon organ reflex inhibition following manually applied acute static stretching

Abstract

Golgi tendon organ disinhibition may contribute to exercise-associated muscle cramp (henceforth referred to as “cramps”) genesis. Static stretching pre-exercise is prescribed to prevent cramps based on the assumption golgi tendon organ inhibition remains elevated post-stretching. We determined whether stretching increased gastrocnemius golgi tendon organ inhibition and, if so, the time course of this inhibition post-stretching. Twelve participants’ dominant limb medial gastrocnemius inhibition was measured before, and at 1, 5, 10, 15 and 30 min after investigators applied three, 1-min duration stretches. Participants maintained voluntary contraction intensities of 5% of their maximum while the Achilles tendon was stimulated transcutaneously 50 times. Five-hundred millisecond epochs of raw electromyographic activity were band-pass filtered, full-wave rectified and averaged. An algorithm identified inhibitory points and calculated the area, maximum and duration of inhibition. Area of inhibition (F_1,14 = 1.5, P = 0.25), maximum inhibition (F_1,14 = 0.2, P = 0.72) and duration of inhibition (F_1,14 = 1.5, P = 0.24) were unaffected by static stretching over the 30-min post-stretching period. If pre-stretching does prevent fatigue-induced cramping, the mechanism is unlikely to involve the autoinhibition produced by the golgi tendon organ reflex. Further empirical research is needed to validate the proposed link between static stretching and cramping and then to investigate alternative mechanisms.     

Early changes in Achilles tendon behaviour in vivo following downhill backwards walking

Downhill backwards walking causes repeated, cyclical loading of the muscle–tendon unit. The effect this type of repeated loading has on the mechanical behaviour of the Achilles tendon is presently unknown. This study aimed to investigate the biomechanical response of the Achilles tendon aponeurosis complex following a downhill backwards walking protocol. Twenty active males (age: 22.3 ± 3.0 years; mass: 74.7 ± 5.6 kg; height: 1.8 ± 0.7 m) performed 60 min of downhill (8.5°), backwards walking on a treadmill at ?0.67 m · s^?1. Data were collected before, immediately post, and 24-, 48- and 168-h post-downhill backwards walking. Achilles tendon aponeurosis elongation, strain and stiffness were measured using ultrasonography. Muscle force decreased immediately post-downhill backward walking (P = 0.019). There were increases in Achilles tendon aponeurosis stiffness at 24-h post-downhill backward walking (307 ± 179.6 N · mm^?1, P = 0.004), and decreases in Achilles tendon aponeurosis strain during maximum voluntary contraction at 24 (3.8 ± 1.7%, P = 0.008) and 48 h (3.9 ± 1.8%, P = 0.002) post. Repeated cyclical loading of downhill backwards walking affects the behaviour of the muscle–tendon unit, most likely by altering muscle compliance, and these changes result in tendon stiffness increases.     

Muscle and tendon tissue properties of competitive soccer goalkeepers and midfielders

The purpose of this pilot study was to investigate the effect of playing-position-dependent training routines in soccer on the various muscle–tendon parameters. We hypothesized that there would be differences in such parameters between competitive goalkeepers and midfielders. According to their playing position, 21 healthy volunteers were assigned to goalkeeper (n?=?7), midfielder (n?=?7), and control (n?=?7) groups. To investigate the muscle–tendon parameters, we determined the maximum dorsiflexion range of motion and the corresponding muscle thickness, fascicle length, and pennation angle of the gastrocnemius medialis. Passive resistive torque and maximum voluntary contraction were measured with a dynamometer. Observation of muscle–tendon junction displacement with ultrasound allowed us to determine length changes in the tendon and muscle, respectively, and hence to calculate stiffness. There was no significant difference in range of motion, passive resistive torque, muscle–tendon stiffness, and the examined structural parameters (e.g., tendon stiffness) between the three groups. However, we found a significant difference in maximum voluntary contraction torque between the goalkeepers and midfielders vs. the controls, but not between the athlete groups. Habitual training leads to higher muscle strength in soccer players compared to less active persons. However, soccer training does not lead to specific muscle and tendon architecture adaptations according to playing position or when compared to less active persons.     

Changes in ankle joint stiffness due to stretching: The role of tendon elongation of the gastrocnemius muscle

Abstract

The purpose of this study was to investigate changes in ankle joint stiffness and the associated changes in the gastrocnemius muscle and tendon due to static stretching. Seven healthy male participants lay supine with the hip and knee joints fully extended. The right ankle joint was rotated into dorsiflexion from a 30° plantar flexed position and the torque measured by a dynamometer. The ankle joint was maintained in a dorsiflexed position for 20 min (static stretching of the calf muscles). We performed surface electromyography of the medial and lateral gastrocnemii, the soleus, and the tibialis anterior of the right leg to confirm no muscle activity throughout static stretching and the passive test (passive dorsiflexion). During static stretching, the ankle joint angle and elongation of the gastrocnemius were recorded by goniometry and ultrasonography, respectively. Tendon elongation of the gastrocnemius was calculated based on the changes in the ankle joint angle and muscle elongation. In addition, the relationships between passive torques and ankle joint angles, and elongation of muscle and tendon, were examined before and after static stretching. The ankle dorsiflexion angle and tendon elongation increased significantly by 10 min after the onset of static stretching, while there was no further increase in muscle length. In addition, ankle dorsiflexion angle and tendon elongation at an identical passive torque (30 N · m) increased significantly (from 24±7° to 33±5° and from 17±2 mm to 22±1 mm, respectively) after static stretching. However, muscle elongation was unchanged. In conclusion, the current results suggest that an increase in the ankle joint dorsiflexion angle due to static stretching is attributable to a change in tendon not muscle stiffness.     

Reliability of a measurement technique for achilles tendon length

ABSTRACT

Recently, there has been an increasing amount of literature dealing with new methods of Achilles tendon (AT) length measurement. However, most of these studies measured the AT length between the calcaneus and medial head of the gastrocnemius and the reliability of such a measurement has not been satisfactorily presented. The purpose of this study was to determine the reliability of the measurement of AT length within and between sessions. AT length was measured by using a combination of ultrasound imaging and optoelectronic stereophotogrammetry. Nineteen healthy athletes visited the lab on six different days where the AT length was measured on both lower extremities: 1) from the calcaneus to the mid-point of the medial and lateral heads of the gastrocnemius; and 2) from the calcaneus to the soleus musculotendinous attachment. The reliability results indicated high intraclass correlation coefficients (ICC > 0.8), a low typical error (< 0.6) and a standard error of measurement (SEM < 5.5 mm) for all measured AT lengths on within and between sessions. This non-invasive reliable measurement method may be recommended for sport science research purposes.     

Relationship between Achilles tendon properties and foot strike patterns in long-distance runners

The purpose of this study was to investigate the relationship between Achilles tendon properties and foot strike patterns in long-distance runners. Forty-one highly trained male long-distance runners participated in this study. Elongation of the Achilles tendon and aponeurosis of the medial gastrocnemius muscle were measured using ultrasonography, while the participants performed ramp isometric plantar flexion up to the voluntary maximum. The relationship between the estimated muscle force and tendon elongation during the ascending phase was fit to a linear regression, the slope of which was defined as stiffness. In addition, the cross-sectional area of the Achilles tendon was measured using ultrasonography. Foot strike patterns (forefoot, midfoot and rearfoot) during running were determined at submaximal velocity (18 km · h^?1) on a treadmill. The number of each foot strike runner was 12 for the forefoot (29.3%), 12 for the midfoot (29.3%) and 17 for the rearfoot (41.5%). No significant differences were observed in the variables measured for the Achilles tendon among the three groups. These results suggested that the foot strike pattern during running did not affect the morphological or mechanical properties of the Achilles tendon in long-distance runners.     

Muscle - tendon unit mechanical and morphological properties and sprint performance

The objective of this study was to determine whether sprint performance is related to the mechanical (elongation - force relationship of the tendon and aponeurosis, muscle strength) and morphological (fascicle length, pennation angle, muscle thickness) properties of the quadriceps femoris and triceps surae muscle - tendon units. Two groups of sprinters (slow, n = 11; fast, n = 17) performed maximal isometric knee extension and plantar flexion contractions on a dynamometer at 11 different muscle - tendon unit lengths. Elongation of the tendon and aponeurosis of the gastrocnemius medialis and the vastus lateralis was measured using ultrasonography. We observed no significant differences in maximal joint moments at the ankle and knee joints or morphological properties of the gastrocnemius medialis and vastus lateralis between groups (P > 0.05). The fast group exhibited greater elongation of the vastus lateralis tendon and aponeurosis at a given tendon force, and greater maximal elongation of the vastus lateralis tendon and aponeurosis during maximum voluntary contraction (P < 0.05). Furthermore, maximal elongation of the vastus lateralis tendon and aponeurosis showed a significant correlation with 100-m sprint times (r = -0.567, P = 0.003). For the elongation - force relationship at the gastrocnemius medialis tendon and aponeurosis, the two groups recorded similar values. It is suggested that the greater elongation of the vastus lateralis tendon and aponeurosis of the fast group benefits energy storage and return as well as the shortening velocity of the muscle - tendon unit.     

Connective tissue adaptations in the fingers of performance sport climbers

Abstract

This study investigates the changes of the connective tissue in the fingers of performance sport climbers resulting after a minimum of 15 years of climbing. Evaluation was performed by ultrasonography on the palmar side of the fingers (Dig) II–V to measure the thickness of the A2 and A4 annular pulleys, the flexor digitorum superficialis (FDS) and profundus (FDP) tendons and the palmar plates (PP's) of the proximal interphalangeal (PIP) as well as distal interphalangeal (DIP) joint in sagittal and axial direction. Totally, 31 experienced male sport climbers (mean age 37y, 30–48y grade French scale median 8b, range 7b+ to 9a+) participated in the study. The control-group consisted of 20 male non-climbers (age 37y, 30–51y). The A2 and A4 pulleys in climbers were all significantly thicker (A2 Dig III 62%, Dig IV 69%; A4 Dig III 69%, Dig IV 76%) as compared to non-climbers pulleys. All PP's of the DIP joints were also significantly thicker, particularly at Dig III and IV (76 and 67%), whereas the PP's at PIP joints were only scarce significant for three joints. Differences of the diameter of the flexor tendons were less distinct (1–21%) being significant only over the middle phalanx. High load to the fingers of rock climbers after a minimum of 15 years of climbing years induced considerable connective tissue adaptions in the fingers, most distinct at the flexor tendon pulleys and joint capsule (PP) of the DIP joints and well detectable by ultrasound.     

Electromechanical delay of the knee flexor muscles after anterior cruciate ligament reconstruction using semitendinosus tendon

The purpose of the study was to evaluate whether using only the semitendinosus as a tripled short graft would affect the electromechanical delay (EMD) of the knee flexors. EMD was evaluated in volunteers (N = 15) after they had undergone surgery for anterior cruciate ligament (ACL) reconstruction where the semitendinosus tendon alone was used as a graft. The results were compared with the intact leg and healthy controls (N = 15). After warming up, each subject performed four maximally explosive isometric contractions on an isokinetic dynamometer. Torques were measured by the dynamometer, while the electrical activity of the semitendinosus and biceps femoris muscles was detected using surface electromyography. EMD was found to be significantly increased (p = 0.001) in patients who had undergone ACL reconstruction compared to the controls. On the contrary, no significant differences (p = 0.235) were found for the biceps femoris muscle between the two groups. Similar results were found when the study group was compared with the intact leg group (p = 0.027 for semitendinosus and p = 0.859 for biceps femoris). Harvesting the semitendinosus tendon increases the EMD for the semitendinosus muscle but does not influence the EMD outcomes for the biceps femoris muscle.     

Polymorphisms within the COL5A1 gene and regulators of the extracellular matrix modify the risk of Achilles tendon pathology in a British case-control study

Several genetic loci have been associated with risk of Achilles tendon pathology (ATP) within South African and Australian populations. The aim of this study was, therefore, to evaluate eight previously implicated genetic variants in an independent British population. A total of 130 asymptomatic controls (CON) and 112 participants clinically diagnosed with ATP comprising 87 individuals with chronic Achilles tendinopathy (TEN) and 25 with Achilles tendon ruptures (RUP) were included. All participants were genotyped for variants within the COL5A1, MIR608, IL-1β, IL-6 and CASP8 genes. Primary findings implicated COL5A1 and CASP8. Three inferred allele combinations constructed from COL5A1 rs12722, rs3196378 and rs71746744 were identified as risk modifiers. The T–C–D combination was associated with increased risk of ATP (P = 0.023) and RUP (P < 0.001), the C–A–I combination was associated with increased risk of ATP (P = 0.011), TEN (P = 0.011) and RUP (P = 0.011) and the C–C–D combination was associated with decreased risk of ATP (P = 0.011) and RUP (P = 0.004). The CASP8 rs3834129 DD genotype was associated with decreased risk of TEN (P = 0.020, odds ratio: 0.45, 95% confidence interval: 0.22–0.90) and the CASP8 I–G (rs3834129–rs1045485) inferred allele combination was associated with increased risk of TEN (P = 0.031). This study further highlights the importance of polymorphisms within COL5A1 and CASP8 in the aetiology of ATP.     

Epidemiology of injuries in First Division Spanish football

Abstract

The aim was to examine the injuries sustained by Spanish football players in the First Division and to compare injury-related variables in the context of both competition and training. The injury data were prospectively collected from 16 teams (427 players) using a specific web-based survey during the 2008/2009 season. A total of 1293 injuries were identified (145 were recurring injuries). The overall injury incidence was 5.65 injuries per 1000 h of exposure. Injuries were much more common during competition than during training (43.53 vs. 3.55 injuries per 1000 h of exposure, P < 0.05). Most of the injuries (89.6%) involved the lower extremities, and overuse (65.7%) was the main cause. Muscle and tendon injuries were the most common types of injury (53.8%) among the players. The incidence of training injuries was greater during the pre-season and tended to decrease throughout the season, while the incidence of competition injuries increased throughout the season (all P < 0.05). In conclusion, the results of this study suggest the need for injury prevention protocols in the First Division of the Spanish Football League to reduce the number of overuse injuries in the muscles and tendons in the lower extremities. In addition, special attention should be paid during the pre-season and the competitive phase II (the last four months of the season) in order to prevent training and competition injuries, respectively.     

Muscle – tendon unit mechanical and morphological properties and sprint performance

Abstract

The objective of this study was to determine whether sprint performance is related to the mechanical (elongation – force relationship of the tendon and aponeurosis, muscle strength) and morphological (fascicle length, pennation angle, muscle thickness) properties of the quadriceps femoris and triceps surae muscle – tendon units. Two groups of sprinters (slow, n = 11; fast, n = 17) performed maximal isometric knee extension and plantar flexion contractions on a dynamometer at 11 different muscle – tendon unit lengths. Elongation of the tendon and aponeurosis of the gastrocnemius medialis and the vastus lateralis was measured using ultrasonography. We observed no significant differences in maximal joint moments at the ankle and knee joints or morphological properties of the gastrocnemius medialis and vastus lateralis between groups (P > 0.05). The fast group exhibited greater elongation of the vastus lateralis tendon and aponeurosis at a given tendon force, and greater maximal elongation of the vastus lateralis tendon and aponeurosis during maximum voluntary contraction (P < 0.05). Furthermore, maximal elongation of the vastus lateralis tendon and aponeurosis showed a significant correlation with 100-m sprint times (r = ?0.567, P = 0.003). For the elongation – force relationship at the gastrocnemius medialis tendon and aponeurosis, the two groups recorded similar values. It is suggested that the greater elongation of the vastus lateralis tendon and aponeurosis of the fast group benefits energy storage and return as well as the shortening velocity of the muscle – tendon unit.     

The time course of muscle-tendon properties and function responses of a five-minute static stretching exercise

Abstract

The purpose of this study was to investigate the time course of the changes of muscle-tendon mechanical properties and the function responses of the plantar flexor muscles following 5?×?60?s of static stretching.

Fourteen healthy volunteers were tested on four separate days in a random order with three different rest times (0, 5, 10?min) after 5?×?60?s of stretching or following a control period without stretching. During each test, the dorsiflexion range of motion (RoM), passive resistive torque (PRT), and maximum voluntary contraction (MVC) were measured with a dynamometer. Ultrasonography of the gastrocnemius medialis (GM) muscle-tendon junction displacement and motion capture allowed us to determine the length changes in the tendon and muscle, respectively, and hence to calculate their stiffness.

We observed an increase in RoM and decrease in MVC at 0, 5, and 10?min post-stretching. This could be attributed to an increase in muscle elongation which lasted at least 10?min. A decrease in muscle-tendon stiffness was observed immediately, but not 5 or 10?min after the stretching. A decrease in PRT and muscle stiffness was observed up to 5?min after the stretching. No changes were detected in tendon stiffness or in any variable in the control group.

The effects of a 5?×?60?s static stretching exercise changes the muscle-tendon functions (RoM, MVC), which are related to mechanical changes of the muscle but not the tendon structure, respectively. Although the functional changes last for at least 10?min, changes in muscle stiffness were only observed up to 5?min after the stretching exercise.     

Do habitual foot-strike patterns in running influence functional Achilles tendon properties during gait?

ABSTRACT

The capacity of foot-strike running patterns to influence the functional properties of the Achilles tendon is controversial. This study used transmission-mode ultrasound to investigate the influence of habitual running foot-strike pattern on Achilles tendon properties during barefoot walking and running. Fifteen runners with rearfoot (RFS) and 10 with a forefoot (FFS) foot-strike running pattern had ultrasound transmission velocity measured in the right Achilles tendon during barefoot walking (≈1.1 ms^?1) and running (≈2.0 ms^?1). Temporospatial gait parameters, ankle kinematics and vertical ground reaction force were simultaneously recorded. Statistical comparisons between foot-strike patterns were made using repeated measure ANOVAs. FFS was characterised by a significantly shorter stance duration (?4%), greater ankle dorsiflexion (+2°), and higher peak vertical ground reaction force (+20% bodyweight) than RFS running (P < .05). Both groups adopted a RFS pattern during walking, with only the relative timing of peak dorsiflexion (3%), ground reaction force (1–2%) and peak vertical force loading rates (22–23%) differing between groups (P < .05). Peak ultrasound transmission velocity in the Achilles tendon was significantly higher in FFS during walking (≈100 ms^?1) and running (≈130 ms^?1) than RFS (P < .05). Functional Achilles tendon properties differ with habitual footfall patterns in recreational runners.     

运动锻炼对肌腱粘弹性影响的实验研究

对模拟运动6周后的兔跟腱、髌腱、屈趾肌腱粘弹性的测试,发现肌腱的蠕变增加,应力松弛加快,滞后减小,弹性轻度增加等改变,这些变化可能是肌腱对运动锻炼的一种适应性反应。     

Effects of viscoelastic properties of tendon structures on stretch - shortening cycle exercise in vivo

The aim of the present study was to examine the effects of viscoelastic properties of human tendon structures during stretch - shortening cycle exercise. The elongation of tendon and aponeurosis of the medial gastrocnemius muscle of 26 participants was measured by ultrasonography while they performed ramp isometric plantar flexion up to the voluntary maximum, followed by a ramp relaxation. The relationship between estimated muscle force and tendon elongation during the ascending phase was fitted to a linear regression, the slope of which was defined as stiffness. The percentage of the area within the muscle force-tendon elongation loop relative to the area beneath the curve during the ascending phase was defined as hysteresis. In addition, maximal voluntary concentric contractions at 2.09 and 3.14 rad x s(-1) with and without prior eccentric contractions were performed. The difference in the concentric torque at equivalent joint angles with and without prior eccentric contractions (i.e. pre-stretch augmentation) was negatively correlated with stiffness (P < 0.05) and hysteresis (P < 0.05). Furthermore, there was a higher correlation between the pre-stretch augmentation and the viscoelastic properties index--that is, the sum of normalized score values of stiffness and hysteresis (P < 0.01)--than with either stiffness or hysteresis alone. The results of this study suggest that performance during stretch-shortening cycle exercise is significantly affected by the viscoelastic properties of the tendon structures.     

Endoscopic debridement for non-insertional Achilles tendinopathy with and without platelet-rich plasma

Background:When non-operative management fails to improve symptoms in patients with non-insertional Achilles tendinopathy,surgery may be required.Various open and endoscopic techniques have been proposed,and platelet-rich plasma(PRP) injections have been proposed as an adjunct to aid tendon healing.Methods:Thirty-six patients with mid-portion Achilles tendinopathy were randomized to undergo endoscopic debridement alone(n=19) or in combination with intraoperative PRP application(n=17).Clinical ou...     

Muscle damage and soreness following a 50-km cross-country ski race

Abstract

In this study, we examined indirect markers of muscle damage and muscle soreness following a 50-km cross-country ski race completed in 2 h and 57 min to 5 h and 9 min by 11 moderately trained male university students. Maximal strength of the knee extensors, several blood markers of muscle damage and inflammation, and muscle soreness (visual analog scale: 0 = “no pain”, 50 mm = “unbearably painful”) were measured one day before, immediately after, and 24, 48, 72, and 144 h after the race. Changes in the measures over time were analysed using one-way repeated-measures analysis of variance and a Fisher's post-hoc test. Maximal strength of the knee extensors decreased significantly (P<0.05) immediately after the race (mean ?27%, s=6), but returned to pre-exercise values within 24 h of the race. All blood markers increased significantly (P<0.05) following the race, peaking either immediately (lactate dehydrogenase: 253.7 IU · l^?1, s=13.3; myoglobin: 476.4 ng · ml^?1, s=85.5) or 24 h after the race (creatine kinase: 848.0 IU · l^?1, s=151.9; glumatic oxaloacetic transaminase: 44.3 IU · l^?1, s=4.2; aldolase: 10.0 IU · l^?1, s=1.3; C-reactive protein: 0.36 IU · l^?1, s=0.08). Muscle soreness developed in the leg, arm, shoulder, back, and abdomen muscles immediately after the race (10–30 mm), but decreased after 24 h (<15 mm), and disappeared 48 h after the race. These results suggest that muscle damage induced by a 50-km cross-country ski race is mild and recovery from the race does not take long.     

Forefoot running requires shorter gastrocnemius fascicle length than rearfoot running

ABSTRACT

This study aimed to investigate the influence of foot strike patterns on the behaviour of the triceps surae muscle-tendon unit, including the Achilles tendon whose length nearly corresponds to force of the triceps surae, and the medial gastrocnemius muscle (MG) during running. Seven male volunteers ran with forefoot and rearfoot strikes at 10, 14 and 18 km h^?1 on a treadmill. The MG fascicle length was measured using ultrasonography. The in vivo length of the curved Achilles tendon was quantified by combining ultrasonography with optical motion capture of reflective markers on the right lower limb and an ultrasound probe. The forefoot strike resulted in a significantly shorter MG fascicle length at the initial contact, at Achilles tendon peak elongation, and at toe-off, than the rearfoot strike. The Achilles tendon length at initial contact was greater during the forefoot strike than during the rearfoot strike at 18 km h^?1, while its peak elongation was not significantly different during forefoot and rearfoot running. These results indicate that the MG, with a shorter length during forefoot running, manages to address demands for a similar peak force of the triceps surae than during rearfoot running.