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人体腓肠肌内侧头在足跖屈和背屈过程中的体内肌束-腱膜动力学

In vivo intramuscular fascicle-aponeuroses dynamics of the human medial gastrocnemius during plantarflexion and dorsiflexion of the foot.

作者信息

Shin David D, Hodgson John A, Edgerton V Reggie, Sinha Shantanu

机构信息

Muscle Imaging and Modeling Laboratory, Dept. of Radiology, Univ. of California-San Diego School of Medicine, RIL, 3510 Dunhill St., San Diego, CA 92121-0852, USA.

出版信息

J Appl Physiol (1985). 2009 Oct;107(4):1276-84. doi: 10.1152/japplphysiol.91598.2008. Epub 2009 Jul 16.

Abstract

Velocity-encoded phase-contrast magnetic resonance (MR) imaging techniques and a computer-controlled MR-compatible foot pedal device were used to investigate the medial gastrocnemius muscle and aponeurosis deformations during passive and active eccentric movements of the plantarflexors. Intrafascicular strain, measured as the ratio of strain in the fascicle segment at its insertion to strain at its origin, was nonuniform along the proximodistal axis of the muscle (P < 0.01), progressively increasing from the proximal to distal direction. The high intrafascicular strain regions appeared to correlate with the muscle regions that are likely to encounter high stress concentrations, i.e., the regions where the muscle physiological cross section decreases close to the tendons. The architectural gear ratio, i.e., the mechanical amplification ratio of fascicle length displacement to that of tendon/aponeuroses in a pennate muscle, also exhibited significant regional differences, with the highest ratios in the proximal region of the muscle accompanied by a higher initial pennation angle and a larger range of fascicular rotation about the origin. Values close to unity in the distal region of the muscle suggest that the aponeurosis separation may decrease in this region. Fascicle length and pennation angle changes were significantly influenced by force generation in the muscle, probably due to a shortening of the loaded muscle fibers relative to a passive condition. Overall, our data illustrate significant proximodistal intramuscular heterogeneity as supported by a regionally variable end-to-end strain ratio of fascicles and angle changes in the medial gastrocnemius muscle during passive and active ankle movements. These observations emphasize the need to reassess current conceptual models of muscle-tendon mechanics.

摘要

采用速度编码相位对比磁共振成像技术和计算机控制的磁共振兼容脚踏装置,研究跖屈肌在被动和主动离心运动过程中腓肠肌内侧头肌肉和腱膜的变形情况。肌束内应变以肌束在其止点处的应变与起点处的应变之比来衡量,沿肌肉的近远轴不均匀(P<0.01),从近端到远端逐渐增加。高肌束内应变区域似乎与可能承受高应力集中的肌肉区域相关,即肌肉生理横截面积接近肌腱处减小的区域。结构齿轮比,即羽状肌中肌束长度位移与肌腱/腱膜长度位移的机械放大比,也存在显著的区域差异,肌肉近端区域的比值最高,同时初始羽状角更大,肌束围绕起点的旋转范围也更大。肌肉远端区域的值接近1,表明该区域的腱膜分离可能减小。肌束长度和羽状角的变化受肌肉发力的显著影响,可能是由于与被动状态相比,受载肌肉纤维缩短所致。总体而言,我们的数据表明,在被动和主动踝关节运动过程中,腓肠肌内侧头肌束的端到端应变比和角度变化存在区域差异,这支持了明显的近远肌肉内异质性。这些观察结果强调了重新评估当前肌肉-肌腱力学概念模型的必要性。

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