4.3 Article

Triceps surae muscle-subtendon interaction differs between young and older adults

Journal

CONNECTIVE TISSUE RESEARCH
Volume 61, Issue 1, Pages 104-113

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/03008207.2019.1612384

Keywords

Ultrasound; biomechanics; speckle tracking; interfascicle adhesions; plantarflexor

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Background: Mechanical power generated via triceps surae muscle-tendon interaction during walking is important for walking performance. This interaction is made complex by distinct subtendons arising from the lateral and medial gastrocnemius (GAS) and soleus (SOL) muscles. Comparative data and our own in vivo evidence allude to a reduced capacity for sliding between adjacent subtendons compromising the Achilles tendon in old age. However, its unclear if and how these changes affect muscle contractile behavior.Objective: We investigated aging effects on triceps surae muscle-subtendon interaction using dual-probe ultrasound imaging during isolated muscle contractions. We hypothesized that, compared to young adults, older adults would have more uniform subtendon tissue displacements that are accompanied by anatomically consistent differences in GAS versus SOL muscle length change behavior.Materials and Methods: 9 younger subjects (age: 25.1 +/- 5.6 years) and 10 older adult subjects (age: 74.3 +/- 3.4 years) completed a series of ramped maximum isometric voluntary contractions at ankle angles spanning 0 degrees (neutral) to 30 degrees plantarflexion. Two linear array ultrasound transducers simultaneously recorded GAS and SOL fascicle kinematics and tissue displacements in their associated tendinous structures.Results: We revealed that older adults have more uniform subtendon tissue displacements that extend to anatomically consistent and potentially unfavorable changes in muscle contractile behavior - evidenced by smaller differences between gastrocnemius and soleus peak shortening during isometric force generation.Conclusions: These findings provide an important biomechanical basis for previously reported correlations between more uniform Achilles subtendon behavior and reduced ankle moment generation during waking in older adults.

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