Publication:
Soleus muscle and Achilles tendon compressive stiffness is related to knee and ankle positioning

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Abstract

Changes in fascicle length and tension of the soleus (SOL) muscle have been observed in humans using B-mode ultrasound to examine the knee from different angles. An alternative technique of assessing muscle and tendon stiffness is myometry, which is non-invasive, accessible, and easy to use. This study aimed to estimate the compressive stiffness of the distal SOL and Achilles tendon (AT) using myometry in various knee and ankle joint positions. Twenty-six healthy young males were recruited. The Myoton-PRO device was used to measure the compressive stiffness of the distal SOL and AT in the dominant leg. The knee was measured in two positions (90° of flexion and 0° of flexion) and the ankle joint in three positions (10° of dorsiflexion, neutral position, and 30° of plantar flexion) in random order. A three-way repeated-measures ANOVA test was performed. Significant interactions were found for structure × ankle position, structure × knee position, and structure × ankle position × knee position (p < 0.05). The AT and SOL showed significant increases in compressive stiffness with knee extension over knee flexion for all tested ankle positions (p < 0.05). Changes in stiffness relating to knee positioning were larger in the SOL than in the AT (p < 0.05). These results indicate that knee extension increases the compressive stiffness of the distal SOL and AT under various ankle joint positions, with a greater degree of change observed for the SOL. This study highlights the relevance of knee position in passive stiffness of the SOL and AT.

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Leg muscles, Musculoskeletal, Myofascial force transmission, Myometer, Soleus

Citation

Cruz-Montecinos C, Besomi M, Acevedo-Valenzuela N, Cares-Marambio K, Bustamante A, Guzmán-González B, Tapia-Malebrán C, Sanzana-Cuche R, Calatayud J, Méndez-Rebolledo G. Soleus muscle and Achilles tendon compressive stiffness is related to knee and ankle positioning. J Electromyogr Kinesiol. 2022 Oct;66:102698. doi: 10.1016/j.jelekin.2022.102698