Neuromuscular Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.
Scand J Med Sci Sports. 2018 Mar;28(3):1009-1017. doi: 10.1111/sms.13001. Epub 2017 Nov 23.
Achilles tendon (AT) comprises of 3 subtendons arising from the soleus (SOL) and the lateral (LG) and medial (MG) heads of the gastrocnemius muscle. While recent human studies show differential displacement within AT, these displacements have not been attributed to specific subtendons. We tested the hypothesis that the SOL and LG subtendons show differential displacement and strain during various combinations of SOL, LG, and MG excitations. Movement of knots, sutured onto SOL and LG subtendons of 12 Wistar rats, was videotaped, while the muscles were stimulated intramuscularly and ankle torque was assessed. When SOL only was stimulated, the plantar flexion torque was the smallest among the different conditions (P < .001). In this condition, from passive to active state, the displacement (0.57 vs 0.47 mm, P = .002) and strain (8.4% vs 2.4%, P < .001) in the SOL subtendon were greater than in LG subtendon. When LG only was stimulated, a higher ankle torque was measured as compared to SOL stimulation (P < .001); the displacement was similar in both subtendons (~0.6 mm), while the strain was greater in LG than in SOL (4.7% vs 1.7%, P < .001). When all 3 muscles were stimulated simultaneously, ankle torque was highest and the displacement (0.79 vs 0.74 mm, P = .002) and strain (7.7% vs 4.4%, P = .003) were greater in SOL than in LG. These data show that the different subtendons of AT can experience relative displacement and differential strains. Together with anatomical dissections, the results revealed that such uniformities may be due to a lower stiffness of SOL subtendon compared to LG.
跟腱(AT)由起源于比目鱼肌(SOL)和外侧(LG)和内侧(MG)头的 3 个副腱组成。虽然最近的人体研究显示 AT 内存在差异位移,但这些位移尚未归因于特定的副腱。我们检验了以下假设:在 SOL、LG 和 MG 兴奋的各种组合下,SOL 和 LG 副腱显示出不同的位移和应变。将 SOL 和 LG 副腱上缝合的结的运动通过录像进行记录,同时对肌肉进行肌内刺激并评估踝关节力矩。当仅刺激 SOL 时,不同条件下的跖屈力矩最小(P <.001)。在这种情况下,从被动到主动状态,SOL 副腱的位移(0.57 对 0.47mm,P =.002)和应变(8.4%对 2.4%,P <.001)大于 LG 副腱。当仅刺激 LG 时,与 SOL 刺激相比,测量到的踝关节力矩更高(P <.001);两个副腱的位移相似(约 0.6mm),而 LG 的应变大于 SOL(4.7%对 1.7%,P <.001)。当同时刺激所有 3 块肌肉时,踝关节力矩最高,SOL 的位移(0.79 对 0.74mm,P =.002)和应变(7.7%对 4.4%,P =.003)大于 LG。这些数据表明,AT 的不同副腱可以经历相对位移和差异应变。结合解剖学解剖,结果表明,这种均匀性可能是由于 SOL 副腱的刚度低于 LG。