Maharaj Jayishni N, Cresswell Andrew G, Lichtwark Glen A
The University of Queensland, School of Human Movement and Nutrition Sciences, Centre for Sensorimotor Performance, Brisbane 4072, Queensland, Australia.
The University of Queensland, School of Human Movement and Nutrition Sciences, Centre for Sensorimotor Performance, Brisbane 4072, Queensland, Australia.
J Biomech. 2016 Oct 3;49(14):3238-3243. doi: 10.1016/j.jbiomech.2016.08.006. Epub 2016 Aug 8.
The tibialis posterior (TP) muscle is believed to provide mediolateral stability of the subtalar joint during the stance phase of walking as it actively lengthens to resist pronation at foot contact and then actively shortens later in stance to contribute to supination. Because of its anatomical structure of short muscle fibres and long series elastic tissue, we hypothesised that TP would be a strong candidate for energy storage and return. We investigated the potential elastic function of the TP muscle and tendon through simultaneous measurements of muscle fascicle length (ultrasound), muscle tendon unit length (musculoskeletal modelling) and muscle activation (intramuscular electromyography). In early stance, TP fascicles actively shortened as the entire muscle-tendon unit lengthened, resulting in the absorption of energy through stretch of the series elastic tissue. Energy stored in the tendinous tissue from early stance was maintained during mid-stance, although a small amount of energy may have been absorbed via minimal shortening in the series elastic elements and lengthening of TP fascicles. A significant amount of shortening occurred in both the fascicles and muscle-tendon unit in late stance, as the activation of TP decreased and power was generated. The majority of the shortening was attributable to shortening of the tendinous tissue. We conclude that the tendinous tissue of TP serves two primary functions during walking: 1) to buffer the stretch of its fascicles during early stance and 2) to enhance the efficiency of the TP through absorption and return of elastic strain energy.
胫后肌(TP)被认为在步行支撑期为距下关节提供内外侧稳定性,因为它在足部接触时主动拉长以抵抗内旋,然后在支撑后期主动缩短以促进旋后。由于其短肌纤维和长串联弹性组织的解剖结构,我们假设TP将是能量储存和恢复的有力候选者。我们通过同时测量肌肉束长度(超声)、肌肉肌腱单元长度(肌肉骨骼建模)和肌肉激活(肌内肌电图)来研究TP肌肉和肌腱的潜在弹性功能。在支撑早期,随着整个肌肉肌腱单元的拉长,TP肌束主动缩短,导致通过串联弹性组织的拉伸吸收能量。尽管可能通过串联弹性元件的最小缩短和TP肌束的拉长吸收了少量能量,但在支撑中期,从支撑早期储存在肌腱组织中的能量得以维持。在支撑后期,随着TP激活减少并产生力量,肌束和肌肉肌腱单元都发生了显著缩短。大部分缩短归因于肌腱组织的缩短。我们得出结论,TP的肌腱组织在步行过程中发挥两个主要功能:1)在支撑早期缓冲其肌束的拉伸;2)通过弹性应变能的吸收和恢复提高TP的效率。