J Appl Physiol 107: 1276 –1284, 2009. First published July 16, 2009; doi:10.1152/japplphysiol.91598.2008. In vivo intramuscular fascicle-aponeuroses dynamics of the human medial gastrocnemius during plantarflexion and dorsiflexion of the foot David D. Shin,1 John A. Hodgson,2 V. Reggie Edgerton,3 and Shantanu Sinha2 1 Biomedical Engineering, University of California, Los Angeles; 2Radiology, University of California, San Diego; and 3Physiological Sciences, University of California, Los Angeles, California Submitted 15 December 2008; accepted in final form 15 July 2009 gear ratio; pennation angle; fascicle length; fascicle strain; cine velocity encoded phase-contrast magnetic resonance imaging in ultrasound and magnetic resonance (MR) imaging (MRI) have improved our abilities to investigate the mechanisms involved in the transfer of muscle fiber force and length changes across joints, not least by providing a means to make direct observations of muscle and tendon deformations in conscious human subjects activating muscles voluntarily. MRI offers an advantage of being able to sample large areas of muscle simultaneously and the opportunity to track the movement of any selected tissue location, even when no anatomic markers exist (5, 19, 23). This facilitates simultaneous sampling of multiple regions of a contracting muscle at a finer resolution than has previously been attempted. While RECENT DEVELOPMENTS Address for reprint requests and other correspondence: S. Sinha, Muscle Imaging and Modeling Laboratory, Dept. of Radiology, Univ. of CaliforniaSan Diego School of Medicine, RIL, 3510 Dunhill St., San Diego, CA 92121-0852 (e-mail: [email protected]). 1276 the conventional view of muscle contraction (17, 18, 25) is based on a simple geometry and isotropic material properties, the findings of Papas et al. (19) demonstrated that there are regional differences in the pattern of fiber length changes. These findings are consistent with theoretical models of contracting muscle suggesting regional differences in muscle fiber shortening (10) and even strain differences along the muscle fibers themselves (17, 18). Subsequent attempts to simulate nonuniform strains suggested that structural variants such as differences in fiber length may be responsible (3). However, regional differences in muscle composition may not be the only contributors to regional differences in strain. Several models of muscle have demonstrated regional differences in strain, even with uniform material properties across the regions of differing strain (10, 17, 26). These included differences in overall fiber length change between fibers in the midregion of a muscle compared with fibers located closer to the tendons of origin and insertion (10). Interestingly, this work (10) also predicted that fibers at the ends of a muscle may undergo lengthening in an isometric contraction. Perhaps more intriguing, several models have suggested that there may be mechanical justification for questioning the common assumption that fibers strain uniformly along their length. Figures in some reports (17, 26) of muscle models using a homogenous muscle material showed a range of strain values along what may be assumed to be muscle fascicles. In some cases, the strain values ranged from positive to negative along the orientation of a fiber, resulting in the unexpected prediction that one end of an isometrically contracting fiber may shorten as the other end lengthens (26). In another case, intramuscular pressure differences showed a similar inhomogeneity along what may be presumed to be the fiber orientation, again suggesting that the stress distribution along the fiber may be inhomogeneous (11). It thus seems reasonable to question the common assumption that muscle fibers shorten homogeneously along their length and instead hypothesize that fibers may strain heterogeneously. Prior modeling efforts have also suggested that the greatest heterogeneity along fibers may occur in fibers close to the musculotendinous junctions, i.e., the regions where the muscle ends and tendon begins (10, 26). Furthermore, the greatest stresses and strains appear to occur close to the musculotendinous junction, leading to a prediction that the location of the greatest strain in muscle fibers will change from an area close to the origin of the muscle fibers in the proximal region of the muscle to an area close to the insertion of the fibers in the distal region of the muscle. To test these predictions, we measured strain along individual muscle fascicles at different proximodistal locations along the human medial gastrocnemius (MG) muscle as the ratio of fascicular displacement at the site of insertion to that of origin. 8750-7587/09 $8.00 Copyright © 2009 the American Physiological Society http://www. jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 Shin DD, Hodgson JA, Edgerton VR, Sinha S. In vivo intramuscular fascicle-aponeuroses dynamics of the human medial gastrocnemius during plantarflexion and dorsiflexion of the foot. J Appl Physiol 107: 1276 –1284, 2009. First published July 16, 2009; doi:10.1152/japplphysiol.91598.2008.—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. MG MUSCLE ARCHITECTURE MATERIALS AND METHODS Study Design Displacement of the intramuscular tissue of the MG muscle and its two surrounding aponeuroses were measured using velocity-encoded (VE) phase-contrast (PC) MRI techniques. Based on the measured displacements, changes in several architectural parameters were quantified during plantarflexor and dorsiflexor movement of the foot within the normal range of ankle rotation. The following functional parameters were measured: muscle fascicle length, pennation angle, gear ratio, and intrafascicle end-to-end strain ratio. These parameters were measured under two separate exercise paradigms, i.e., during passive foot rotation and during foot rotation with active eccentric muscle contraction. The cyclic rotation of the foot (plantar and dorsiflexions) inside the MR scanner was generated with a computer-controlled MR-compatible muscle testing foot pedal device described in a previous report (20). Subjects Six healthy male volunteers participated in this study [age: 31.5 ⫾ 13.5 yr, height: 174.8 ⫾ 4.1 cm, and weight: 80.5 ⫾ 12.9 kg (means ⫾ SD)] who had no prior history of muscle and tendon pathologies. The details of the experimental procedures were explained to the subjects who then signed the Institutional Review Board consent form approved by the Institutional Human Research Protections Program. Muscle Testing System A muscle testing apparatus designed and developed by our group was used for dynamic imaging of the MG muscle. The apparatus, described in detail in another report (20), is made up of two main modules, an actuating end and a driven end. The driven module consisted of a contoured platform to fixate the leg with Velcro straps, a rotatable foot pedal, an optical force sensor attached to the pedal, and a custom-made hydraulic piston-cylinder pair. Since this module is in direct contact with the subject’s lower limb inside the scanner, the parts of this module were selected to be MR compatible (Plexiglas, Delrin, etc.). The actuating module was made up of a linear motor (Animatics, Santa Clara, CA) and a stainless steel piston-cylinder pair (Parker Hannifin, Cleveland, OH). The module was controlled by a computer in the console room away from the magnetic environment. The two modules were connected by a high-pressure tube (McMaster Carr, Los Angeles, CA) through a waveguide entry (hole) in the wall J Appl Physiol • VOL separating the patient room from the console room. Distilled water was used as the hydraulic fluid. The foot pedal was designed to rotate over a wide range of angles (65–135°) to accommodate the full range of dorsi-/plantarflexions. The angle of rotation was monitored from the output of the motor module, which provided a measure of the piston displacement and indirectly the angular displacement. The same output was also connected to the scanner ECG gating cable via a digital output port of the motor and was used to gate or synchronize the PC MRI acquisition to any desired point in the motor cycle by appropriate programming of the motor. Exercise Paradigm The subject lay supine on the MR scanner bed, and the foot of the dominant leg (self-reported) was positioned on the foot pedal of the muscle testing system. Extra care was taken to ensure that the rotating axis of the foot aligned with that of the foot pedal. The pedal was programmed to complete a rotational cycle of 120 –75-120° with the cyclic period of 2.86 s (21 cycles/min). The angular values here represent the angle formed by the main axis of the tibia and the foot plate, thus 120 and 75° correspond to most plantarflexed and dorsiflexed positions, respectively. This specific range was consistently applied to all subjects with minor adjustments to ensure the safety and comfort of each subject while maintaining consistency. To minimize fluid inertia in the hydraulic system, the foot pedal was driven at a constant rate of acceleration in each direction, resulting in linearly changing velocities and approximately sinusoidal angular displacement. The average absolute angular velocity used during the data acquisition of the MG muscle was ⬃31°/s (range: 0 – 63°/s) for all subjects. For the passive mode of exercise paradigm, the subject was instructed to fully relax the leg while the foot rotation was driven by the muscle testing system. For the eccentric mode, the subject exerted 40% of the maximum voluntary contraction (MVC) during the dorsiflexion phase of the foot rotation cycle, thereby activating the plantarflexors under the stretching effect of the dorsiflexion. The complete acquisition of MR images under each mode required 70 identical contractions. Ankle torque was measured with a force transducer on the foot plate and the force signal along with a target force level projected onto the face of the scanner to provide feedback to the subject. The 40% maximum voluntary contraction level was chosen as a target for the eccentric mode to ensure that the data acquisition could be completed without fatigue of the subject muscles. MRI Protocols The location and orientation of an oblique sagittal slice was determined from a set of localizer images and multiple oblique slices. The slice was chosen to be oriented approximately perpendicular to the planes of the aponeuroses in the thickest region of the muscle, corresponding to the region and orientation recommended in a previous study (9) to best represent a section parallel to muscle fascicles. Morphological imaging. The orientation of muscle fascicles was estimated with a spin-lattice relaxation time (T1)-weighted pulse sequence technique. In brief, T1-weighted MR images are generally acquired with the proton resonance frequency centered on water protons, with typically the protons in the fat suppressed with special off-resonance radiofrequency pulses. In our experiment, we flipped this procedure, with the imaging frequency centered on the fat resonance frequency and suppressing the water proton signal. Thus, instead of fat being suppressed in the first (conventional) method compared with water, our images (as shown in Fig. 1A) have fatty tissue brighter compared with water (muscle) tissue. The extra contrast that this approach provided over just T1-weighted images is shown in Fig. 1, A and C, where the fatty tissue signal is enhanced compared with the T1-weighted (although not to the fullest extent) magnitude image that was produced along with the VE PC image shown in Fig. 1B. 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 We selected the MG muscle because its anatomy suggests that aponeuroses lie on the surface of the muscle and that the intramuscular region has a relatively uniform structure devoid of large, load-transmitting tendinous structures. Our hypothesis was that strain in a single muscle fiber undergoing a length change is inhomogeneous and related to the intramuscular location of the fiber. These data also provided us with an opportunity to directly relate whole muscle fiber shortening to the resulting displacement of aponeuroses. It is widely acknowledged that the aponeuroses shear is greater than the muscle fiber shortening due to the special mechanics of the muscle resulting from the observed movements of the aponeuroses that tend to be parallel to each other rather than along the direction of muscle fiber pull (8, 16, 18). This “amplification” of muscle fiber length changes into aponeurosis displacement has been termed the “gear ratio” (1, 2). In a previous report (9), we suggested that the gear ratio is sensitive to slight changes in aponeurosis separation as well as the muscle fiber pennation angle. We therefore also examined the gear ratios and their relationship to pennation angle and aponeurosis separation in the MG muscle. 1277 1278 MG MUSCLE ARCHITECTURE using a vendor-supplied product PC sequence (field of view: 16.5 ⫻ 30 cm, matrix: 141 ⫻ 256, slice: 5 mm, repetition time/echo time/flip angle: 16.5 ms/7.7 ms/20°, bandwidth: ⫾15.6 kHz, velocity encoding: 10 cm/s in three directions, views per segment: 4, and number of excitations: 2). The details of this technique have been previously described (22, 23). Data Processing This technique was used to elucidate the structural orientation of fatty layers running parallel to muscle fibers, facilitating the selection of regions of interest (ROIs) along the direction of fibers over the entire length of the MG muscle. The muscle fascicle ends were directly localized along the length of the MG muscle using this image. It should be noted that the images were obtained with the ankle at the extreme plantarflexed position used in our experiments (120°). Image registration. A 1:1 mapping between the water saturated image and the corresponding PC image was necessary to translate the location of ROIs selected on the T1-weighted image onto the PC image. This was accomplished by an indigenously developed image registration algorithm (MATLAB, Mathworks, Natick, MA), which determined the x and y translations corresponding to the best shape alignment between the two images (Fig. 1). PC imaging. The ROIs selected based on the T1-weighted images were tracked using the VE PC MRI data. Images were acquired on a 1.5-T Signa HDx MR scanner (GE Medical Systems, Milwaukee, WI) J Appl Physiol • VOL 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 Fig. 1. Superposition of spin-lattice relaxation time (T1)-weighted and phasecontract (PC) magnitude images before (A) and after (B) image registration. Vertical and horizontal offsets were used to create a 1:1 map between the two images. The T1-weighted image was used to determine the ends of the muscle fascicles, as shown by the red symbols in C. Those end points and the connecting lines were translated onto the PC images for displacement tracking of the muscle during dynamic foot rotation and the subsequent calculation of fascicle length and pennation angle changes (D). The tracked ROIs were used to compute several measures of relevance to our study of muscle-aponeurosis complex dynamics. Scanning was initiated at the extreme plantarflexed position (120°) through dorsiflexion to the extreme dorsiflexed position (75°) and then back through plantarflexion to the start position. The measures of change reported in this study compare values measured at the extreme plantarflexed and extreme dorsiflexed positions of the ankle, accomplished with an ankle excursion of 45°. ROIs along the superior and deep aponeuroses were used to define the orientation and deformation of the aponeuroses. Muscle fascicles were characterized by similar ROIs arranged between their origins and insertions and orientated parallel to the fatty layers identified by using the water-saturated images as described above. Generally, between three and five equally spaced ROIs per fascicle were identified in addition to the ROIs defining their attachment to the aponeurosis. Fascicle strains were measured between each pair of adjacent ROIs. In addition, the intrafascicle end-to-end strain ratio was calculated as the ratio between the strain in the fascicle segment closest to its insertion and strain in the segment closest to its origin. This measure summarizes any systematic inhomogeneity in fascicle strain and yields a value less than or greater than unity depending on which end of the fascicle strained the most. Pennation angles were calculated as the angle between the line defined by the fascicle end points and the line created by the two points on the aponeurosis adjacent to the fascicle end point. The pennation angles are reported for each end of the fascicle. The changes in pennation angle that we report are the averages of the pennation angles at each end of the fascicle. Our results indicated that the ROIs tracking each fascicle remained oriented along a line joining the fascicle origin and insertion, suggesting that the fibers do not curve significantly during active or passive muscle length changes. Further support for the notion that MG fascicles bend minimally comes from spin-tagged images where the tag lines in the MG muscle remain parallel as they move during a length change (12). Muscle fascicle length was calculated as the distance between the two ROIs at the intersections of the fascicles and the aponeuroses of origin and insertion. The same ROIs were used to compute shear between the two aponeuroses. The ratio between fascicle length change and aponeurosis shear at the extremes of plantarflexion and dorsiflexion were used to calculate the architectural gear ratio (2) (Fig. 2, A and B). A critical question in the investigation of fiber properties in dynamically moving muscle relates to the reliability of the results. We therefore assessed the test-retest repeatability of several measured parameters, i.e., gear ratio, end-to-end fascicle strain ratio, and fascicle length changes, based on the selected ROIs along the length of the MG muscle (Fig. 2, B and D). Two separate measurements using the same set of ROIs were compared in two subjects based on the intraclass correlation coefficient. Student’s paired t-test was used as an additional tool to assess repeatability. A further error may arise if estimates of fascicle locations are erroneous. To determine the differences between actual fibers and the ones traced from the T1-weighted images shown in Fig. 1A or inaccurate placement of ROIs representing the ends of fascicles, errors in orientation of the fibers were artificially introduced and the consequent effects were investigated. To analyze possible uncertainties in visualizing fascicles by our imaging technique, we performed additional analyses by simulating a change in the orientation of the fiber by first displacing one of its ends by 5 pixels (⬃5.8 mm) in one direction and the other end in the 1279 MG MUSCLE ARCHITECTURE opposite direction and then repeating the process by switching the directions of displacements. This effectively rotated the fascicles around their midpoints, in one case reducing the pennation angle by ⬃5° and in the other increasing the pennation angle by ⬃8°. The effect of the altered fascicle orientation did not qualitatively change the overall spatial dependence of fascicle strain (Fig. 2C). Large changes were observed in some fascicles (e.g., fascicle 2 in Fig. 2C), probably due to local mechanical effects of noncontractile components, which changed as the sample regions changed. To test for regional differences in the behavior of muscle fascicles, they were grouped according to location in the muscle. The two fascicles located most proximally in the muscle formed the proximal group, the two fascicles located most distally were allocated to the distal group, and the remaining fascicles were allocated to the midregion group (Fig. 1D). The region and type of exercise paradigm (passive vs. eccentric) as described above were considered as two independent factors. The effects of these two factors on the measured variables were assessed using two-way ANOVA. A post hoc multicomparison test (Bonferroni) was used where applicable. Significance was set at P ⬍ 0.05. RESULTS Reliability of ROI Trajectories The intraclass correlation coefficient values of the gear ratio, end-to-end fascicle strain ratio, and fascicle length changes were 0.89, 0.80, and 0.86, respectively. There were no significant differences in any of these parameters between mean values of the two repeated measurements (P ⬍ 0.05). Figure 3A shows the trajectories of seven pairs of ROIs selected to show deformations in several regions of the MG muscle during the passive ankle movements. A general observation common to most J Appl Physiol • VOL points plotted is the consistent pattern over time of the movement of the ROIs and adjacent regions of the muscle. Also to be noted is that the tracked trajectories moved along the boundary of the aponeuroses, an indication that the two-dimensional tracking algorithm provided accurate tracking of tissue displacement. In addition to other validations such as spin tagging (23) and findings reported in previous publications (12, 21), these data add to our confidence in the validity of our measurements. Figure 3B shows the range of displacement at most distal (red), middle (green), and most proximal (blue) ROIs at both ends of the muscle, i.e., deep and superficial aponeuroses. Fascicle Length and Pennation Angle Figure 4 shows the initial fascicle lengths (A) and pennation angles (B) in a relaxed muscle at an ankle angle of 120°, corresponding to a fully plantarflexed position. Under these conditions, we would expect pennation angles to be greater and fascicle lengths to be shorter than a majority of reports in the literature, where the ankle is usually at 90°. The values, however, appear to be consistent with other reports (14, 15) of these values measured in a plantarflexed position. There were no statistically significant regional differences in fascicle length, but pennation angles increased from the distal to proximal regions. The pennation angles measured from the ends (insertion and origin) of each fascicle were similar, as shown in Fig. 4B. Figure 5A shows the average fascicle length change ⫾ SD of all the identified fascicles in a representative MG muscle during one dorsiflexion-plantarflexion cycle. The two curves correspond to two different modes of the exercise paradigm (passive vs. eccentric) and show the significantly lower fascicle length change during the eccentric mode. Figure 5B shows the range of fascicle length changes as a function of muscle region (distal, middle, and proximal) and the type of 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 Fig. 2. Estimates of errors and reproducibility in estimates of gear ratio and fascicle strain. A: fascicle shortening and aponeurosis shear along the main axis of force generation. Data were from a representative subject showing the regional difference in the relationship between the two measures. The architectural gear ratio is the ratio between the shear displacement of the aponeuroses and the fascicle length change. Note that the gear ratio increases proximally as the aponeurosis shear becomes greater than fascicle shortening. B: testretest repeatability of the gear ratio calculated from the same set of regions of interest (ROIs) positioned on two separate MRI datasets obtained within the same day. The graph shows data from two subjects. The repeated data from the two subjects are denoted by two different symbols (squares vs. triangles). C: the end-to-end strain ratio illustrates a progressive shift in the region of maximal strain in the fascicle, from the end of the fascicle closest to the superficial aponeurosis in the proximal region to the region closest to the deep aponeurosis (Achilles tendon) in the distal region of the muscle. The three different curves show the robustness of the observation relative to potential errors in our estimates of fascicle orientation. They were obtained from the same subject by varying the angle of the selected fascicles relative to the original orientation (default, ⬃default ⫺ 5° for shallow, and ⬃default ⫹ 8° for steep changes). D: test-retest repeatability of the end-to-end strain ratio between two separate measurements on two subjects. 1280 MG MUSCLE ARCHITECTURE Fig. 3. Displacement of ROIs during a passive ankle dorsiflexion-plantarflexion cycle. A: seven pairs of ROIs corresponding to the ends of muscle fascicles on deep (D) and superficial (S) aponeuroses. The deep aponeurosis is the proximal extension of the Achilles tendon and therefore moves substantially with ankle rotation. The superficial aponeurosis is the tendon of origin for the medial gastrocnemius muscle and moves minimally during the contraction. B: graph showing the vertical displacement of the origin and insertion points of muscle fascicles on the aponeuroses. Downward (distal) movements of the ROIs are plotted as positive displacement. The colors correspond to the ROIs in A. Note that the origins of the fascicles are almost stationary relative to movement of the insertions of the fascicles. multiple-comparison test found a significant difference of pennation angle between distal and proximal regions. Fascicle Strain Distribution Evaluation of strain along the length of a fascicle indicated that the relative changes in strain between the two ends of the muscle reversed along the proximodistal axis of the muscle (Figs. 2C and 6, A–C). This was summarized by calculating the ratio of the strain changes in the regions at each end of the muscle [strain values near the deep aponeurosis (left) and at the superficial aponeurosis (right) in Fig. 6, A–C]. This ratio was termed the end-to-end strain ratio and represents the shortening of one end of a muscle fascicle relative to its other end. The end-to-end strain ratio data are shown in Fig. 6D. The greater than unity value of the ratio implies that the deep end (insertion) of a given fascicle strained more than the superficial end (origin). The opposite is true when the ratio value is ⬍1. A value of unity implies that a fascicle strained equally at both ends. Substantial differences of strain occurred at the two ends of muscle fascicles, ranging from a twofold greater strain near the superficial aponeurosis in proximal fascicles to almost equal strains in the midregion of the muscle. A 1.5-fold greater strain occurred near the deep aponeurosis in the distal portion of the muscle. Two-way ANOVA found a highly significant effect of the region (F ⫽ 21.48, P ⬍ 0.001) but no effect of exercise mode. The post hoc test indicated that the ratio was different in all three regions. Gear Ratio of the Fascicle to Aponeurosis Fig. 4. A: initial fascicle lengths in three regions (distal, mid, and proximal) at the fully plantarflexed ankle. B: initial pennation angle of the fascicles in the three regions. Since each fascicle yields two pennation angles at its two ends, the initial pennation angles were grouped into insertion and origin angles at each region. Values are means ⫾ SD; n ⫽ 12 (distal), 30 (mid), 12 (proximal). J Appl Physiol • VOL For the purposes of our investigation, we redefined the architectural gear ratio as the relationship between changes in fascicle length and the relative movement (shear) of the aponeuroses, making the assumption that fascicle length is a reasonable estimate of muscle fiber length and that similar absolute length changes occur in both. A gear ratio greater than unity indicates that the aponeurosis displacement is greater than the fascicle length change due to the geometry of muscle deformations. Gear ratios were statistically different among regions (F ⫽ 12.94, P ⬍ 0.001) and progressively increased in the distal to proximal direction, with the highest value in the proximal region (Fig. 7). The Bonferroni multiple-comparison test showed that all regions were significantly different. The mode of exercise paradigm (passive vs. eccentric) had no significant effect on gear ratio (F ⫽ 2.9, P ⫽ 0.092). A large SD of gear ratios was observed in the proximal region, which reflected greater variability between subjects in this region. Table 1 shows the comprehensive summary of the statistical test results of all measured parameters reported in this study. Note that the reported P values are quite low, particularly for comparisons between regions (P ⬍ 0.001 in all cases), suggesting highly significant regional effects upon the mechanical responses of fascicles within the MG 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 exercise paradigm (passive vs. eccentric). Two-way ANOVA found a significant effect of exercise mode (F ⫽ 17.54, P ⬍ 0.001), indicating that the eccentric mode generated a significantly smaller range of fascicle length change than the passive one. There was no significant effect of muscle region (F ⫽ 2.43, P ⫽ 0.094), implying that the fascicle length change did not differ significantly between the three regions. Pennation angles, however, differed both as a function of muscle region (F ⫽ 7.88, P ⫽ 0.007) and the type of exercise (F ⫽ 9.56, P ⫽ 0.0027), as shown in Fig. 5C. The Bonferroni post hoc MG MUSCLE ARCHITECTURE 1281 Intrafascicle Strain Fig. 5. Changes in fascicle length and pennation angle during passive and eccentric ankle rotation in three different muscle regions. A: average length change of all fascicles (n ⫽ 8) in a representative subject muscle throughout a dorsiflexion-plantarflexion cycle. The fascicle length change was smaller during the eccentric contraction. B: regional changes in fascicle length showing no significant effect of region but significantly lower fascicle length changes in the eccentric mode of exercise. C: regional changes in pennation angle showing significant effects of region and of exercise mode. Values are means ⫾ SD; n ⫽ 12 (distal), 30 (mid), and 12 (proximal). muscle. Significant differences between eccentric and passive movements further suggest that the mechanical response of fascicles and muscle is significantly modified by the mode of exercise paradigm. DISCUSSION We observed considerable heterogeneity in several measures of strain within the MG muscle and its aponeuroses. A significant factor seems to be location within the muscle, but J Appl Physiol • VOL The strain levels observed in the extremities of some fascicles were as high as 200% during passive dynamic ankle rotation, suggesting that some MG sarcomeres may triple their length during a large amplitude ankle rotation (Fig. 6C). These rather high fascicle strains include changes relative to the extreme plantarflexion position, when the muscle fibers would be the shortest. A 1.5-fold change in sarcomere length over a normal range of passive wrist movement (13) has been reported for human wrist extensor muscles. The present data would correspond to this range if the initial fascicle length was readjusted to twice its length measured at maximum plantarflexion (i.e., corresponding to fascicle length at the midrange of the overall range of movement). Attempts to fit the wrist extensor data to a hypothetical length-tension curve suggest that the sarcomeres may shorten by an additional 50% before reaching the descending portion of the length-tension curve. Ultrasound measures of MG fiber length changes during ankle flexion and maximum voluntary contractions indicate fiber lengths ranging from ⬃20 mm in maximum isometric contraction at a neutral ankle position to ⬃55 mm at 15° of dorsiflexion (14). In each of these cases, it is highly likely that a significant contraction at the shortest muscle lengths would have resulted in even greater sarcomere and fiber shortening. It should also be noted that while our data include strains from highly strained regions of a fascicle, the overall fascicle length changes we observed were ⬃100% of the shortest fiber length (at full plantarflexion). The fascicle end closest to the deep aponeurosis exhibited a progressive increase in strain moving from the proximal to distal regions of the muscle (Fig. 6A). The reverse was true at the other end, i.e., fascicles adjacent to the superficial 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 the mode of exercise paradigm i.e., passive versus active eccentric, also plays a significant role. The major effects of the two exercise modes are reflected in fascicle length and pennation angle changes. Our observation of the velocity data from the VE PC MRI indicates successively higher velocities going from eccentric to passive to concentric exercise paradigms (20). This is to be expected since contracting fibers exert forces that stretch series elastic elements, thus reducing fiber elongation under the eccentric mode of exercise while contributing to the shortening in the concentric mode (14). The concentric mode here refers to voluntary activation of plantarflexors when the plantarflexors are shortening. The velocities in the passive mode would be intermediate between those in the concentric and eccentric modes. The same argument would hold for the lower pennation angle changes during the eccentric mode relative to the passive condition, as shown in this study (Fig. 5C). One surprising observation was the relative uniformity of fascicle length changes in the three muscle regions compared. Huijing et al. (10) predicted that midregion fibers of an isometrically contracting muscle would shorten more than fibers in other regions and even predicted that fibers at both ends of the muscle would lengthen. We were unable to verify this prediction with our current observations in the human MG muscle undergoing passive or eccentric length changes. 1282 MG MUSCLE ARCHITECTURE aponeurosis (Fig. 6C). This resulted in a significant and progressive change in the ratio of strains (Figs. 2D and 6D) at the origins and insertions of the fascicles from ⬃1.5 in the distal region to ⬃0.5 in the proximal region of the muscle (P ⬍ 0.001). These high strain regions in the fascicles were observed in the regions where the muscle thins near the musculotendinous junctions of its origin and insertion and corresponds to the regions of high strain and intrafiber pressure in some models of contracting muscle (11, 26). It is currently not possible to determine the precise distribution of stress throughout a muscle, but it seems reasonable to assume that the total (integrated) force at any cross section of the muscle and tendon remains fairly constant along the proximodistal axis. The smaller cross-sectional areas as the muscle thins and becomes tendon will thus result in a higher stress concentration to accommodate the same stress over a smaller area and therefore potentially higher strains if material properties remained constant. It should be noted that in Pappas et al.’s work J Appl Physiol • VOL (19), the regions of differential strains tended to concentrate in the regions of the central aponeurosis, where there were larger differences in the intramuscular mix of passive and active tissues. But, in addition, they observed differences in fiber strain well beyond the region identified as mixed with aponeurosis, consistent with the modeling prediction that the intramuscular location itself may have some influence on fiber strain. Gear Ratio The translation of work from muscle fiber shortening to movement of the aponeurosis seems to involve the interactions of multiple force vectors, and, as a result, a range of displacement outcomes can occur. It is generally accepted that force exerted by fibers is reduced by at least the cosine of the fiber pennation angle and that there is a corresponding increase in aponeurosis movement to balance the work done by fibers and 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 Fig. 6. Intrafascicular strain during dorsiflexion phase of the foot rotation under passive exercise mode. A: strain along the most distal fascicle in a representative subject. Data points represent the strain measured at different locations along the fascicle. Left, region closest to the fiber insertion (deep aponeurosis/Achilles tendon); right, region closest to the fiber origin (superficial aponeurosis). Individual lines identify the elapsed time (noted in the insets) from the initiation of dorsiflexion. B: same as in A except from a fascicle in the midregion of the same subject. C: same as in A and B except from a fascicle in the most proximal location. D: intrafascicular end-to-end strain ratio for all subjects showing significant regional differences but no difference between the passive and eccentric mode. Values are means ⫾ SD; n ⫽ 12 (distal), 30 (mid), and 12 (proximal). 1283 MG MUSCLE ARCHITECTURE muscle (8, 16, 18). This and other work has suggested that the gear ratio may vary depending on the initial pennation angle, the precise mechanics of aponeurosis separation, and even the level of forces generated by the muscle relative to the opposing forces (2, 9). Our present observations demonstrate that the mechanics of each component of the muscle-tendon complex can vary substantially based on the contractile conditions under which the muscle operates and even on regional differences in a muscle contraction. For example, we found a significant proximodistal decrease in the gear ratio, suggesting a changing characteristic of muscle along the proximodistal axis (Fig. 7). The gear ratio increases with pennation angle and decreases as the aponeurosis separation decreases, suggesting either lower (acute) pennation angles distally, or inward movement of aponeuroses during a contraction or muscle length change. One clear finding of this study was that the initial pennation angle of the distal region was significantly lower than the mid and proximal regions (Fig. 4B). The occurrence of gear ratios equal to or less than unity, however, cannot be explained by the pennation angle, suggesting that there may be less aponeurosis separation in the distal region than in proximal region of the muscle (7). A reduction of interaponeuroses distance of a few millimeters during shortening would accomplish the observed drop in the gear ratio (9). These findings challenge the commonly held assumptions that the distance between aponeuroses remains constant when a muscle shortens. The present finding not only suggests that this distance can change but that this change can vary along the length of the muscle. The higher gear ratio in the proximal region of the muscle can be explained by higher pennation angles in that region (Fig. 4B). Consistent with this finding is the greater pennation angle change in the region (Fig. 5C) permitting higher gear ratios by increasing the rotation of muscle fibers while maintaining a similar range of fiber stretching/shortening (Fig. 5B). In more general terms, evidence is accumulating that the intramuscular mechanics are considerably more complex than is generally assumed, i.e., muscles are not neatly constructed in J Appl Physiol • VOL Limitations A significant limitation of this study pertains to selection of fascicle location and orientation along the length of the MG muscle. It can be argued that the determination of fiber architecture is not possible with the conventional magnetic resonance imaging, although the diffusion tensor imaging of muscle holds promise (4, 24), since the spatial resolution offered by MRI is a few orders of magnitude larger than the scale of fibers and even fascicles. However, a reasonable assumption was made in regards to their orientation based on fatty layers of connective tissue aligned in parallel with the fascicle arrangement in the MG muscle using enhanced imaging of fat compared with water. Even though the tissue tracking as used in this study would not have resolved the movement of a single muscle fiber, it is reasonable to conclude that the local strain measured reflects a large collection of fibers moving in tandem. The measurements were shown to be sensitive enough to detect Table 1. Summary of statistical differences of the measured parameters relative to muscle regions and modes of the exercise paradigm Region (Distal, Mid, and Proximal) Contraction Mode (Passive and Eccentric) Parameter F value P value F value P value Initial fascicle length Initial pennation angle Fascicle length change Pennation angle change Gear ratio End-to-end strain ratio 0.53 55.86 2.43 7.88 12.94 21.48 NS ⬍0.001† NS ⬍0.001* ⬍0.001† ⬍0.001† NA NA 17.5 9.56 2.9 0.35 NA NA ⬍0.001 ⬍0.01 NS NS NS, not significant; NA, not applicable. *Significant difference between proximal and distal regions; †significant difference between all three regions. 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 Fig. 7. Architectural gear ratio as a function of muscle region and mode of contraction. Summary data from all subjects are shown. #P ⬍ 0.05, significant differences between all regions. Values are means ⫾ SD; n ⫽ 12 (distal), 30 (mid), and 12 (proximal). an optimized way, which often seems to be implied in efforts to understand their function. Variability in resting fiber length relative to optimum length is becoming well accepted and even recognized as a mechanism to broaden the range of operating lengths of a muscle (6). Mechanically, it may be impossible to integrate uniform fiber strain into a complex muscle structure that, due to regional differences in stress levels and mixes of passive and active materials, must exhibit a high degree of mechanical heterogeneity. Perhaps most importantly, we must recognize that the behavioral repertoire of an organism requires a wide range of functional demands such as changing levels of deformation and regional stresses. It is not difficult to imagine that such functional flexibility would be difficult to implement without significant changes in the intramuscular mechanical environment, expressed as regional inhomogeneity and changing mechanics as the demand upon the muscle changes. For the most commonly used behaviors, muscles seem to operate at relatively low levels, leaving a large reservoir of unused operational potential (9, 10). In that case, suboptimal operation, such as fibers operating in different regions of the lengthtension curve, may not be a major concern in most movements. With this in mind, it may be that much may be learned from investigating the contributions of the diverse structural variation of certain muscles to the performance of an organism in critical high-output performance that simulates survival conditions such as escape from predators. 1284 MG MUSCLE ARCHITECTURE GRANTS This work was supported by National Institute of Arthritis and Musculoskeletal and Skin Diseases Grant RO1-AR-53343 and by General Electric Grant TAB-A26. REFERENCES 1. Azizi E, Brainerd EL. Architectural gear ratio and muscle fiber strain homogeneity in segmented musculature. J Exp Zool Part A Ecol Genet Physiol 307: 145–155, 2007. 2. Azizi E, Brainerd EL, Roberts TJ. Variable gearing in pennate muscles. Proc Natl Acad Sci USA 105: 1745–1750, 2008. 3. Blemker SS, Pinsky PM, Delp SL. A 3D model of muscle reveals the causes of nonuniform strains in the biceps brachii. J Biomech 38: 657– 665, 2005. 4. Damon BM, Ding Z, Anderson AW, Freyer AS, Gore JC. 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Mapping of Movements in the Dynamically Contacting Human Triceps Surae Muscles Using a Computer-Controlled Hydraulic Foot-Pedal Device with Velocity Encoded Phase Contrast MRI. Toronto, ON, Canada: Proceedings of the 16th Annual Meeting of ISMRM, 2008. 21. Shin D, Finni T, Ahn S, Hodgson JA, Lee HD, Edgerton VR, Sinha S. In vivo estimation and repeatability of force-length relationship and stiffness of the human Achilles tendon using phase contrast MRI. J Magn Reson Imaging 28: 1039 –1045, 2008. 22. Shin D, Finni T, Ahn S, Hodgson JA, Lee HD, Edgerton VR, Sinha S. Effect of chronic unloading and rehabilitation on human Achilles tendon properties: a velocity-encoded phase-contrast MRI study. J Appl Physiol 105: 1179 –1186, 2008. 23. Sinha S, Hodgson JA, Finni T, Lai AM, Grinstead J, Edgerton VR. Muscle kinematics during isometric contraction: development of phase contrast and spin tag techniques to study healthy and atrophied muscles. J Magn Reson Imaging 20: 1008 –1019, 2004. 24. Sinha S, Sinha U, Edgerton VR. In vivo diffusion tensor imaging of the human calf muscle. J Magn Reson Imaging 24: 182–190, 2006. 25. van Soest AJ, Huijing PA, Solomonow M. The effect of tendon on muscle force in dynamic isometric contractions: a simulation study. J Biomech 28: 801– 807, 1995. 26. Yucesoy CA, Koopman BH, Huijing PA, Grootenboer HJ. Threedimensional finite element modeling of skeletal muscle using a twodomain approach: linked fiber-matrix mesh model. J Biomech 35: 1253– 1262, 2002. 107 • OCTOBER 2009 • www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.32.247 on June 18, 2017 changes in the mechanical output of these fascicles as a function of anatomical position and loading conditions. Furthermore, to assess the sensitivity of fiber orientation on the outcome of measured parameters (13), we repeated the intrafascicle strain ratio measurement two more times on the same data, by increasing and decreasing the orientation of the selected fibers. As shown in Fig. 2C, varying the angle relative to the original orientation did not change the main trend in the intrafascicle strain ratio. It is also to be noted that the translation of linear displacement of the motor piston to the angular rotation of the foot pedal was nonlinear. In fact, the piston oscillation was driven by step acceleration functions of ⫾8 in./s2, causing the piston displacement to be quadratic in both forward and backward directions. However, the mean angular velocity of the foot pedal was maintained at ⬃31.47°/s between rotational cycles for all subjects and such nonlinearities (which are generally the norm in natural movements) do not invalidate the observations that we have reported in this study. In conclusion, this study measured several architectural parameters in vivo in the healthy human MG muscle. The fascicular strains were translated into proximodistal movement of the deep aponeurosis, whereas the superficial aponeurosis remained approximately stationary. The fascicles positioned at the distal end of the MG muscle exhibited the highest strain close to the deep aponeurosis (insertion point), whereas those at the proximal end experienced the greatest strain close to the superficial aponeurosis (origin). The fascicles in the midregion were strained similarly at both of their ends (Fig. 6, B and D). A higher gear ratio was found in the proximal region (Fig. 7) accompanied by a higher initial pennation angle (Fig. 4B), with a higher range of fascicular rotation in the same region (Fig. 5C). The distinct intrafascicular strain pattern measured as the intrafascicle end-to-end strain ratio along the proximodistal direction (Fig. 6D) matched the output of some finite-element models, which predicted high stress and strain concentrations at both ends of the muscle as it thins and becomes the tendon (11, 26). Although the PC MRI technique has previously been used to study the mechanics of tendinous structures, the new method established herein has demonstrated its ability to characterize muscle architectural parameters, which may be useful not only for the further elucidation of structure and function but also for studying the effects of clinical conditions including aging, muscle atrophy, and surgical procedures.
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