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磁共振和扩散张量成像分析表明,次最大跖屈活动会导致人类腓肠肌内侧肌束出现异质性应变。

Magnetic resonance and diffusion tensor imaging analyses indicate heterogeneous strains along human medial gastrocnemius fascicles caused by submaximal plantar-flexion activity.

作者信息

Karakuzu Agah, Pamuk Uluç, Ozturk Cengizhan, Acar Burak, Yucesoy Can A

机构信息

Biomedical Engineering Institute, Boğaziçi University, Istanbul, Turkey.

Department of Electrical-Electronics Engineering, Boğaziçi University, Istanbul, Turkey.

出版信息

J Biomech. 2017 May 24;57:69-78. doi: 10.1016/j.jbiomech.2017.03.028. Epub 2017 Apr 9.

DOI:10.1016/j.jbiomech.2017.03.028
PMID:28433388
Abstract

Sarcomere length changes are central to force production and excursion of skeletal muscle. Previous modeling indicates non-uniformity of that if mechanical interaction of muscle with its surrounding muscular and connective tissues is taken into account. Hence, quantifying length changes along the fascicles of activated human muscle in vivo is crucial, but this is lacking due to technical complexities. Combining magnetic resonance imaging deformation analyses and diffusion tensor imaging tractography, the aim was to test the hypothesis that submaximal plantar flexion activity at 15% MVC causes heterogeneous length changes along the fascicles of human medial gastrocnemius (GM) muscle. A general fascicle strain distribution pattern shown for all subjects indicates that proximal track segments are shortened, whereas distal ones are lengthened (e.g., by 13% and 29%, respectively). Mean fiber direction strains of different tracts also shows heterogeneity (for up to 57.5% of the fascicles). Inter-subject variability of amplitude and distribution of fascicle strains is notable. These findings confirm the hypothesis and are solid indicators for the functionally dependent mechanics of human muscle, in vivo. Heterogeneity of fascicle strains can be explained by epimuscular myofascial force transmission. To the best of our knowledge, this is the first study, which quantified local deformations along human skeletal muscle fascicles caused by sustained submaximal activation. The present approach and indicated fascicle strain heterogeneity has numerous implications for muscle function in health and disease to estimate the muscle's contribution to the joint moment and excursion and to evaluate mechanisms of muscle injury and several treatment techniques.

摘要

肌节长度变化是骨骼肌力量产生和伸展的核心。先前的模型表明,如果考虑肌肉与其周围肌肉和结缔组织的机械相互作用,这种变化是不均匀的。因此,在体内量化激活的人体肌肉束的长度变化至关重要,但由于技术复杂性,目前尚缺乏相关研究。结合磁共振成像变形分析和扩散张量成像纤维束成像技术,本研究旨在验证以下假设:在15%最大自主收缩(MVC)时进行次最大跖屈活动会导致人类腓肠肌内侧(GM)肌肉束的长度变化不均匀。所有受试者的一般肌束应变分布模式表明,近端肌束段缩短,而远端肌束段延长(例如,分别延长13%和29%)。不同肌束的平均纤维方向应变也存在异质性(高达57.5%的肌束)。肌束应变幅度和分布的个体间变异性显著。这些发现证实了该假设,是体内人类肌肉功能依赖性力学的可靠指标。肌束应变的异质性可以通过肌外肌筋膜力传递来解释。据我们所知,这是第一项量化持续次最大激活引起的人体骨骼肌束局部变形的研究。目前的方法和所表明的肌束应变异质性对健康和疾病状态下的肌肉功能具有众多意义,可用于估计肌肉对关节力矩和伸展的贡献,以及评估肌肉损伤机制和多种治疗技术。

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