During movement, skeletal muscles contract and bulge in thickness or width. These shape changes play a key role in modulating the performance of skeletal muscle by increasing its range of operating velocities. Yet to date the underlying mechanisms associated with muscle shape change remain largely unexplored. This study identified muscle force, and not velocity, as the mechanistic driving factor to allow for muscle gearing to vary depending on the contractile conditions during human cycling.
Keywords: force-velocity relationship, gearing, muscle force, pennation angle, ultrasonography
Abstract
When muscles contract, they bulge in thickness or in width to maintain a (nearly) constant volume. These dynamic shape changes are tightly linked to the internal constraints placed on individual muscle fibers and play a key functional role in modulating the mechanical performance of skeletal muscle by increasing its range of operating velocities. Yet to date we have a limited understanding of the nature and functional implications of in vivo dynamic muscle shape change under submaximal conditions. This study determined how the in vivo changes in medial gastrocnemius (MG) fascicle velocity, pennation angle, muscle thickness, and subsequent muscle gearing varied as a function of force and velocity. To do this, we obtained recordings of MG tendon length, fascicle length, pennation angle, and thickness using B-mode ultrasound and muscle activation using surface electromyography during cycling at a range of cadences and loads. We found that that increases in contractile force were accompanied by reduced bulging in muscle thickness, reduced increases in pennation angle, and faster fascicle shortening. Although the force and velocity of a muscle contraction are inversely related due to the force-velocity effect, this study has shown how dynamic muscle shape changes are influenced by force and not influenced by velocity.
NEW & NOTEWORTHY During movement, skeletal muscles contract and bulge in thickness or width. These shape changes play a key role in modulating the performance of skeletal muscle by increasing its range of operating velocities. Yet to date the underlying mechanisms associated with muscle shape change remain largely unexplored. This study identified muscle force, and not velocity, as the mechanistic driving factor to allow for muscle gearing to vary depending on the contractile conditions during human cycling.
when muscles contract and shorten, they must increase in girth to maintain (or nearly maintain) their volume; this occurs at the level of the myofilament lattice (14, 63), muscle fibers (26), muscle fiber bundles (54), and whole muscle (9, 13). Pennate muscles can increase their girth in thickness (the distance between the aponeuroses), in width (the distance orthogonal to thickness), or in some combination of both dimensions (65). Studies have shown that whole muscle undergoes variable changes in thickness and width during both isometric and dynamic contractions (5, 30, 48) and that individual muscle fascicles undergo transverse expansions during shortening (61). These dynamic shape changes are thought to play an important functional role in modulating the mechanical performance of skeletal muscle by enhancing the range of velocities over which a fascicle can shorten (6, 48) and may even help to explain the decline in muscle performance that occurs with age (24, 48). However, to date, our understanding of dynamic muscle shape change during submaximal dynamic tasks is limited.
Shape changes are tightly linked to the muscle’s architecture. In pennate muscles, fascicles shorten and rotate to greater pennation angles during contraction (10, 19, 20, 41, 48). These rotations decouple the length changes of the fascicles from the length changes of the whole muscle in a process known as gearing vMTU/vf (6). In a muscle-tendon unit (MTU) with a compliant tendon, gearing is the product of two components, vMTU/vb and vb/vf, where vMTU, vb, and vf are the shortening velocities of the MTU, the muscle belly, and the muscle fascicles, respectively (60). Studies have shown that gearing changes in response to the mechanical demands of the task, thereby allowing fascicles to operate at more favorable velocities for force and power production across a range of MTU velocities (6, 8, 48, 60). For example, low force-high velocity contractions are associated with large fascicle rotations and high gearing, whereas high force-low velocity contractions are associated with smaller fascicle rotations and low gearing (6, 48, 60). It has been suggested that the structural and material properties of surrounding connective tissues contribute to dynamic muscle shape changes, gearing, and the overall mechanical behavior of skeletal muscles (3, 6, 7, 24, 39, 45), yet the underlying mechanisms still remain unknown.
For a muscle to remain isovolumetric, muscle shortening must be accompanied by an increase in width, an increase in thickness, or changes in both dimensions (Fig. 1). Previous studies have shown that pennate muscles bulge asymmetrically during shortening (e.g., see Refs. 6, 44, and 48); however, the direction of muscle bulging depends on the mechanical demands of the contraction. For example, Randhawa et al. (48) have shown that the medial gastrocnemius (MG) gets thinner during isovelocity ankle plantarflexion contractions but undergoes much smaller decreases in thickness during isotonic plantarflexions, whereas others have shown that the MG does not change in thickness across a range of ankle angles or contraction levels (30, 40, 48). Furthermore, Narici et al. (40) found that although the changes in thickness were not significant, they varied depending on both the level of contractile force and the region of the muscle where the thickness measurement was taken. These in vivo results are similar to in situ animal studies that have demonstrated that fiber shortening in the MG is accompanied by increases in muscle thickness at low force levels but relatively small changes in thickness at high-force levels (6).
These variable shape changes are also linked to the internal constraints placed on the muscle fibers. When muscle actively shortens, cross-bridges develop forces that cause fibers to shorten and myofilaments to compress in girth (63). However, to maintain a (nearly) isovolumetric state, fibers develop additional forces that oppose the decreases in fiber girth and instead act to expand the fibers in their transverse direction (39, 45). These expansions require muscle fibers to rotate to higher pennation angles to fit within the same volume. Fiber expansions also depend on the properties of the surrounding connective tissues that both cover the whole muscle belly and wrap around individual muscle fibers. In pennate muscles, fascicles insert via the sheet-like aponeuroses that cover the superficial and deep portions of the muscle belly (62). When a muscle shortens, a component of the fascicle force acts to pull the superficial and deep aponeuroses together and effectively resists the muscle’s tendency to expand in thickness (39). However, muscle fascicles are wrapped by myofascial connective tissue that contributes additional stiffness that functions to resist increases in muscle girth (24). Thus, when fascicles shorten, the interplay between compressive fascicle forces and connective tissue resistance results in stress asymmetries within the contracting fibers that lead to the variable dynamic shape changes observed within skeletal muscle (6, 24, 39). Therefore, the ability of fascicles to rotate and operate at high gearing will be limited in situations where fascicle compressive forces and myofascial and aponeurosis stiffness constrain increases in muscle thickness. Although these ideas are derived from a range of different studies, there have not yet been any studies that integrate the varying muscle forces that occur with submaximal and voluntary contractions with the set of measurements (fascicle lengths, pennation angles, and muscle thicknesses) required to test this mechanism of muscle shape change and gearing.
Therefore, the purpose of the present study was to 1) determine the in vivo changes in fascicle velocity, pennation angle, and muscle thickness in the MG as a function of velocity and force and 2) determine how these dynamic muscle shape changes are linked to muscle belly gearing under varied levels of force and velocity. We hypothesized that 1) shortening contractions that develop higher forces would be associated with smaller changes in muscle thickness and decreased fascicle rotations and 2) increases in force would be accompanied by decreased muscle gearing.
MATERIALS AND METHODS
Acquisition of experimental data.
We collected a comprehensive set of kinematic, kinetic, EMG, and ultrasound data from 10 competitive cyclists (6 males, 4 females, age 33 ± 6 yr; Fig. 2). Subjects pedaled on a stationary cycle ergometer (Indoor Trainer; SRM, Julich, Germany) at cadences between 80 and 140 rpm and crank loads between 14 and 44 N m while we recorded ultrasound images of the MG muscle belly and muscle-tendon junction (MTJ), the three-dimensional (3D) trajectories of 32 LED markers, reaction forces effective and ineffective (normal and radial) to the crank, and surface EMG patterns from 10 muscles. All subjects gave informed consent, and protocols were approved by the Institutional Review Boards at Simon Fraser University and Harvard University.
Subjects pedaled at nine combinations of cadence and crank torque: 80 rpm at 14 N m, 80 rpm at 26 N m, 80 rpm at 35 N m, 80 rpm at 44 N m, 100 rpm at 13 N m, 100 rpm at 26 N m, 120 rpm at 13 N m, 120 rpm at 24 N m, and 140 rpm at 13 N m, corresponding to crank powers of 115, 220, 290, 370, 135, 270, 165, 300, and 200 W, respectively. Crank torques were calculated as the average torque for both legs per pedal cycle. The average maximum cadence and crank power for the 10 subjects tested here was 185 ± 17 rpm and 908 ± 240 W, respectively. Each trial lasted 15 s, and each block of nine experimental conditions was presented in a random order and repeated twice so that we could separately image both the MG muscle belly and the MG MTJ. Subjects rested for 5 min in between blocks of conditions. While pedaling, subjects wore sport sandals with cleats that were secured to clipless instrumented pedals (Powerforce; Radlabor, Freiburg, Germany); the sandals had a stiff sole and allowed markers on the ankle and foot to be placed directly over bony landmarks on the skin.
A B-mode ultrasound probe (7 MHz, 60-mm field of view, Echoblaster; Telemed, Vilnius, Lithuania) was secured over either the MG muscle belly or the MG MTJ on the right limb using a stretchy adhesive bandage, and an ultrasound gel pad (Parker Laboratories) was placed between the probe and skin to enhance image quality and allow the muscle to bulge (Fig. 2B). Ultrasound images were recorded at 40 Hz (and subsequently pooled for 10 consecutive cycles), and prior calibration (42) determined the position of the ultrasound scanning plane relative to a triad of optical markers on the probe so that two-dimensional (2D) ultrasound images of the MTJ could be projected into the 3D laboratory coordinate system.
On the left limb, bipolar Ag/AgCl surface EMG electrodes (10-mm diameter, 21-mm spacing, Norotrode; Myotronics) were placed over the mid-bellies of the MG, lateral gastrocnemius (LG), soleus (SOL), tibialis anterior (TA), and six other muscles (not reported here). EMG signals were sampled at 2,000 Hz (bandwidth 10–500 Hz; Biovision, Wehrheim, Germany), amplified (gain 1,000), and band-pass filtered as described elsewhere (e.g., see Refs. 11 and 59). “Maximum effort” sprint trials (high power and cadence) were collected at the beginning and end of each session in an effort to elicit maximum muscle activity, and we used these data as a reference when normalizing the muscles’ EMG intensities (e.g., see Ref. 50).
We used an optical motion capture system (Certus Optotrak; NDI, Waterloo, ON, Canada) sampling at 100 Hz to track the 3D locations of 32 LED markers placed bilaterally on the lower extremities and the pedals and on the ultrasound probe. Markers were placed bilaterally over the greater trochanter, lateral epicondyle, lateral malleolus, calcaneus, and fifth metatarsal. Five markers were positioned on the pelvis, and two were fixed on each pedal, and rigid marker triads were secured to the right thigh, shank, and ultrasound probe. Six “virtual” markers were defined based on the measured marker motions, segment lengths determined from 3D spatial data acquired via motion capture during a static trial, and known bike dimensions; these markers located the subjects’ hip centers (53), lateral epicondyles, and pedal centers of pressure. Static calibration trials were collected in cycling posture to scale a musculoskeletal model to each subject (OpenSim version 3.3) (16).
Pedal reaction forces effective and ineffective (normal and radial) to the right and left cranks were recorded at 2,000 Hz (Powerforce; Radlabor, Freiburg, Germany), and in a previous study, we verified that plantarflexion moments estimated from ultrasound-based measures of tendon strain were consistent with the net ankle moments determined from inverse dynamics (17).
Analysis of experimental data.
Ultrasound images from the MG muscle belly and MTJ were manually digitized in a blinded fashion (ImageJ; National Institutes of Health, Bethesda, MD) to estimate time-varying fascicle lengths, pennation angles, muscle thickness, and tendon lengths during cycling (Figs. 2B and 3). Eight points in each ultrasound image were digitized: three points on each of the superficial and deep aponeuroses and two points on the same representative muscle fascicle in each image. The aponeuroses were defined based on a linear fit of the three points. Pennation angle was calculated in each image as the mean of the two angles made by the fascicle with the deep and superficial aponeuroses. Thickness was defined as the distance between the superficial and deep aponeurosis. Fascicle lengths, pennation angles, and muscle thickness from 10 complete crank revolutions were fit with 2-harmonic Fourier series for each subject in each condition (Figs. 2B and 3).
Ultrasound images from the distal MTJ were manually digitized to estimate time-varying Achilles tendon (AT) lengths during pedaling (Figs. 2B and 3). AT length was determined by the distance from the 3D coordinates of the AT insertion on the calcaneus (after correcting for LED marker dimensions and skin thickness) to the digitized MG MTJ. MG tendon force was estimated based on the measured AT length changes, tendon stiffness, and slack length. We used these methods to calculate force, as described and validated previously (17), rather than traditional inverse dynamics due to the presence of coactivation between the plantarflexors and the dorsi-flexors (TA), which occurs at the highest cadences. Tendon stiffness was estimated from ramped isometric tests where we quantified the total stiffness of the AT (17, 35). We determined the proportion of the total AT stiffness contributed by the MG based on the ratio of the maximum force-generating capacity Fmax of the MG to the combined triceps surae maximum force. Tendon slack length was measured at 310° of the crank cycle, which was averaged over all cycles; this choice was motivated by tendon buckle data showing this point to occur before the tendon begins to stretch (17, 21). The time-varying tendon force from 10 cycles was used to compute a mean force trace for each condition.
Time-varying MG MTU lengths were determined using a subject-specific scaled musculoskeletal model together with the experimental LED marker data via inverse kinematics (OpenSim version 3.3 (4, 16) (Fig. 2B). The model we used is based on existing models (1, 4, 15) and characterizes the geometry of the bones, the kinematics of the hip, knee, ankle, subtalar, and metatarsophalangeal joints, and the paths of the muscles (Fig. 2B). We constrained the path of the MG “wrap” over the posterior femoral condyles (4), and we verified that the scaled models have plantar flexion moment arms that are similar to moment arms published in the literature (17). Time-varying MG muscle belly lengths were calculated as the difference between MTU length from the scaled musculoskeletal model and tendon length from the tracked ultrasound images (Figs. 2B and 3).
Instantaneous muscle belly velocity (vb) and fascicle velocity (vf) were calculated as the first time-derivative of the changes in 1b and lf, respectively. Muscle belly gearing vb/vf was determined at the time when belly shortening velocity, vb, was maximum. Maximum belly shortening velocity, vb, and fascicle shortening velocity, vf, occurred within 8° of each other. Shortening velocities are indicated by negative values.
EMG intensities of the muscles were calculated across a 10- to 450-Hz frequency band using an EMG-specific wavelet analysis (58) and were normalized for each muscle by the maximum intensity detected during the “maximum effort” reference cycling trials. Muscle force is linearly related to the EMG amplitude and not its power (33), so we used the square-root of the normalized EMG intensity as a measure of muscle excitation (ê) We used a first-order differential equation to determine normalized muscle activation [â(t)] from normalized muscle excitation[ê(t)] (64) that is commonly used for modeling human muscle. This choice was motivated partly by a parallel project that will compare the muscle models from this study to muscle force predictions from the OpenSim musculoskeletal simulation enviroN ment (16) that also uses this transfer function. However, it should be noted that other transfer functions are capable of estimating better activation dynamics (23, 28, 49) but require additional model parameters that are currently unknown for muscle in humans:
(1) |
The activation time constant τact was 35 ms, and the ratio of the activation to deactivation time constant β was 0.6 (Fig. 3); these values were derived from tetanic contraction data (27). The maximum activation and force values used in the analysis were chosen as the peak values in pedal cycle, which coincides with the timing of peak belly shortening velocity within 12 ± 4°.
Statistics.
A general linear model ANOVA was conducted to determine whether differences in the experimental measurements [belly shortening velocity, fascicle shortening velocity, rate of pennation angle change, change in muscle thickness, activation, gearing, tendon strain, and tendon force (unnormalized)] existed between the different pedaling conditions (load and cadence) and subject (random factor). Additionally, because we obtained experimental estimates of muscle-tendon force and MTU velocity, we conducted a general linear model ANCOVA with tendon force and MTU velocity as covariates and subject (random factor) to determine how the muscle parameters varied with force and velocity. The results within the text are reported for the ANCOVA; however, Figs. 4 and 5 are based on the ANOVA results. A general linear model ANCOVA was also conducted to test for significant associations between activation and gearing, tendon strain and gearing, and tendon force and gearing, with fascicle-shortening velocity, pennation angle, and thickness as covariates. Linear regression was used to determine the association between activation and tendon force and, additionally, an ANCOVA to determine whether the association (slope of regression lines) between activation and tendon force differed between pedaling conditions with increasing crank load at a constant cadence (80 rpm) and those with increasing cadence at a constant crank load (13–14 N m). Finally, we used multiple regression analysis to determine whether activation or force (independent variables) had an effect on each of the dependent variables: maximum belly shortening velocity, maximum fascicle shortening velocity, maximum rate of pennation angle change, change in thickness, and gearing. A linear relationship between the dependent variable and each of the covariates was confirmed before the ANCOVAs were conducted. Differences were considered significant at the P < 0.05 level. Data are reported as means ± SE.
RESULTS
Our results show that the cadence and crank torque tested in this study independently altered the muscle’s contractile mechanics. During pedaling, increases in cadence were accompanied by increases in MTU velocity (P < 0.05) but not significant increases in muscle force, whereas increases in crank load were accompanied by increases in force (P < 0.05) but not MTU velocity (Fig. 4, A and C). MTU velocity ranged from −0.19 ± 0.01 m/s at 80 rpm to −0.32 ± 0.02 m/s at 140 rpm. On average, peak tendon strains varied from 3.1 ± 0.14% at the lowest load to 5.1 ± 0.16% at the highest load (Fig. 4B). Subjects’ estimated peak tendon forces increased, with load ranging from 27 to 30% of Fmax at the lowest loads to nearly 50% of Fmax at the highest load (Fig. 4C). Muscle activation also varied with the mechanical conditions of the task. Peak muscle activation ranged from 32 to 45% (Fig. 4D). Activation increased with both force and MTU velocity, with the minimum activation 32 ± 3.1% at the low-velocity/low-force condition and the maximum activation at both the low-velocity/high-force condition (45 ± 2.7% at 80 rpm at 44 N m) and the high-velocity/low-force condition (45 ± 3.3% at 140 rpm at 13 N m).
The shortening behavior of the muscle fascicles was uncoupled from the shortening behavior of the muscle belly. Maximum belly shortening velocity decreased with force (Fig. 5A). Maximum belly shortening velocity ranged from −0.24 ± 0.02 m/s at 120 rpm at 13 N m to −0.11 ± 0.004 m/s at 80 rpm at 44 N m. Maximum fascicle shortening velocity followed an opposite trend compared with the muscle belly and increased with force (Fig. 5A). Maximum fascicle shortening velocity ranged from −0.11 ± 0.01 m/s at 80 rpm at 14 N m to −0.20 ± 0.01 m/s at the high-velocity/low-force condition, 140 rpm at 13 N m (Fig. 5A). The measured belly and fascicle shortening velocities were tightly linked to the dynamic muscle shape changes. Across the range of mechanical conditions, fascicle shortening was accompanied by an increase in pennation angle and an increase in muscle thickness within the MG (Fig. 3). The increase in fascicle shortening velocity with force (P < 0.05) was accompanied by decreases in the extent and rate at which the fascicles rotated (P < 0.05) (range: 57–128°/s) (Fig. 5B). The changes in muscle thickness (range: 1.6–2.6 mm) were also related to the associated belly and fascicle velocities. Average muscle thickness was 15.3 ± 1.6 mm, and the change in muscle thickness decreased with force (P < 0.05; Fig. 5C). These results are in support of our first hypothesis.
Muscle belly gearing was linked to the measured shape changes. Gearing varied from 0.97 ± 0.09 to 1.46 ± 0.14 across the range of conditions (Fig. 6A). The maximum gearing was 1.46 ± 0.14 and occurred at the intermediate-velocity/low-force condition, 100 rpm at 13 N m. Force, tendon strain, and activation were all significantly associated with gearing (P < 0.05). In support of our second hypothesis, gearing decreased with increasing force (P < 0.05) but did not vary significantly with MTU velocity (Fig. 6, B and C). This finding remained unchanged when gearing was determined at the time of maximum fascicle shortening velocity rather than at the time of maximum belly shortening velocity (these time points are within 8° of each other across all conditions and trials).
Activation and force were uncoupled in our experiments, which was in part due to the intrinsic force-velocity relationship of a muscle. Across the nine conditions, there was a weak association between peak muscle activation and peak force (r2 = 0.29; Fig. 7). For example, in the high-cadence/low-load condition, the MG had a relatively high activation (45 ± 3.3%) but low force (29 ± 1.3% Fmax), whereas at the low-cadence/high-load condition, the MG had a relatively high activation (45 ± 2.1%) and also a high force (52 ± 1.1% Fmax). When we separated the pedaling conditions into two distinct groups, 1) constrained MTU velocity with increasing force and 2) constrained force with increasing MTU velocity, we observed the independent effects of force (group 1) and MTU velocity (group 2) on the relationship between activation and force (Fig. 7). These results show that although there was a strong association between activation and force within each group of mechanical conditions (group 1: r2 = 0.94; group 2: r2 = 0.92), there was a significant difference between this relationship, which was apparent by the difference in the slopes between the two groups (slopes of normalized activation/force of 0.51 and 6.19).
The multiple regression analysis showed that force was a significant predictor of maximum belly shortening velocity (r2 = 0.64, P < 0.05), maximum fascicle shortening velocity (r2 = 0.59, P < 0.05), and gearing (r2 = 0.56, P < 0.05); however, activation was only a significant predictor of maximum belly shortening velocity (r2 = 0.58, P < 0.05).
DISCUSSION
In this study, we used ultrasound-based measurements of muscle architecture and tendon length change to determine how a muscle’s dynamic shape changes and contractile behavior are influenced by force and velocity. We have shown that dynamic muscle shape changes and the uncoupling of the shortening behavior of muscle fascicles from the shortening behavior of the whole muscle belly (i.e., gearing) are influenced by force but not velocity. Specifically, increases in force were accompanied by reduced changes in muscle thickness, reduced fascicle rotations, and increased fascicle shortening velocities. Yet due to the increased strain in the series elastic tendon, increases in force were also accompanied by decreases in muscle belly shortening velocity. Our results provide some of the first in vivo experimental data to support theorized mechanisms of muscle shape change and contribute to our understanding about the independent mechanical effects of force and velocity on muscle behavior.
Dynamic muscle shape changes.
The shape changes reported in this study are related to the internal constraints placed on the muscle fibers. During active shortening, cross-bridges develop forces that cause fibers to shorten in length and compress in girth (63). Yet to remain (nearly) isovolumetric, forces develop that oppose these decreases in fiber girth (39, 45), thereby requiring fiber rotation, as shown here. However, the fiber rotation is affected by additional forces caused by myofascial connective tissue that wraps around muscle fibers (24), surrounding aponeuroses and nearby structures such as bones and neighboring muscles.
Modeling studies have shown that asymmetries in fiber bulging reflect asymmetries in the transverse stresses acting on the fibers (when fibers are considered transversely isotropic; 39, 45). For example, finite-element models of the gastrocnemii have shown that during shortening contractions, an asymmetric stress distribution will develop across the muscle belly, in particular with a higher compressive force between the superficial and deep aponeuroses. This is in large part due to the longitudinal fiber forces having a component that draws the aponeuroses together that is not matched by an equivalent compressive force in the width-wise direction. Therefore, the compressive forces during shortening are greater in the direction bound by the aponeuroses (thickness) in comparison to the width direction, where there are no aponeuroses bounding the muscle.
The mechanical properties of the aponeurosis may also play a key role in modulating dynamic shape changes and internal muscle geometry (6, 7, 43–45). When muscles bulge, the aponeurosis stretches longitudinally, with reported strains varying from 1 to 12% (2, 7, 18, 25, 29, 31, 32, 34, 36, 37, 52, 56), and to a greater extent transversely (width-wise), with reported strains of up to 8% (3, 6, 7, 31, 46, 52, 56). These biaxial properties have been suggested to play an important functional role in variable muscle shape change, allowing longitudinal aponeurosis stiffness to be modulated by the amount of width-wise bulging (7). In the context of our results, it is plausible that the increases in muscle force, which were likely associated with increases in muscle width, would have resulted in greater transverse aponeurosis strains and subsequent increases in the longitudinal stiffness. This is supported by the observed decreases in MG fascicle rotation that occurred with increased force. However, the influence of the aponeurosis strain on internal muscle geometry (shortening and rotations) is likely only as important as far as the aponeurosis can stretch. Under the highest activation levels measured here and assuming the aponeuroses strain 6% at maximum force (based on the average strain from literature values), we predict that the aponeuroses would stretch ∼5 mm, which is considerably less than the amount fascicles shorten (up to 20 mm; Fig. 3). Although the presence of aponeurosis does indeed lead to stress asymmetries developing within the muscle belly, the effect of aponeurosis properties alone (e.g., biaxial stiffness) on variable muscle shape change is potentially minor.
Our results support the idea that variable muscle shape changes during fascicle shortening are in part due to the stress asymmetries that result from the interplay between the compressive forces and the connective tissue resistance (7, 24, 43). These stress asymmetries additionally depend on the base material properties of the muscle tissue (45), but to date little remains known about this effect. The changes in muscle thickness and pennation observed within this study are consistent with the mechanisms put forward in both in situ animal studies (6, 24) and modeling studies (43, 44). Specifically, we found a reduction in the increases in muscle thickness and a decrease in fascicle rotation with increasing force. At higher muscle forces (where there is greater compressive force between the aponeuroses), it would be expected that the thickness of the MG would remain steady or even decrease, and this is consistent with the results from previous studies in man (30, 40, 48).
Gearing.
Gearing within the gastrocnemii has been studied in different experimental contexts but with conflicting results. The muscle belly gearing results for the MG reported here differ from those reported for the MG, LG, and SOL measured in a previous cycling study under similar mechanical conditions (60). In particular, our results show that muscle belly gearing was relatively unaffected by MTU velocity (Fig. 6B), whereas it was previously shown that muscle belly gearing increased with increasing cadence (See Table 2 in Ref. 60). This may be related to differences in the experimental methods used to calculate gearing. Here, we directly measured tendon length changes using ultrasound and then estimated time-varying muscle belly lengths as the difference between MTU lengths, which were derived from kinematics and a scaled musculoskeletal model, and tendon lengths, which were measured using ultrasound. Previously, Randhawa et al. (48) estimated the belly velocity using the implicit assumption that the aponeurosis stretch was negligible. Additionally, modeling results suggest that the effects of velocity on gearing may only come into play at high MTU velocities, so the lack of association between gearing and MTU velocity seen in this study could be related to the fact that the peak MTU velocities reached by elite cyclists may be less than MTU velocities in the general population.
It should also be noted that muscle force is related to its velocity through the force-velocity relationship, and in this context the findings of higher gearing at high velocity/low forces are consistent with lower gearings occurring at low velocity/high forces (6). The variable nature of the force and velocity during cycling makes these experimental conditions different from those elicited within typical in situ experiments, where gearing and shape changes are determined at constant force or constant MTU velocity (6, 8, 24). However, in vivo cycling data are advantageous in that we are able to test the independent effects of force, velocity, and activation, which has not been possible in previous studies. The range of conditions, varied levels of activation, and detailed experimental techniques in the current study have allowed us to identify muscle force, and not velocity, as the mechanistic driving factor to allow for the gearing to vary between these in vivo contractile conditions.
The variations in gearing during pedaling observed in this study are not solely a result of the changes in fascicle shortening velocity. Changes in gearing are related to alterations in the shortening velocity of the muscle belly. During cycling, it is not possible to maintain constant belly velocity while altering load due to the series elasticity of the AT. Our data show that increases in load at a constant cadence result in decreases in gearing; this is related to the increased fascicle shortening velocity as well as the decreased belly shortening velocity. With increasing loads, the AT underwent larger strains that uncoupled length changes of the MTU from length changes of the muscle belly, leading to the observed decrease in belly shortening velocity. This has previously been defined as tendon gearing (60). We must note that our ultrasound measurements are in one plane and assumed that the fascicles are linear, following paths from the superficial to the deep aponeurosis. However, muscle fascicles are in fact curvilinear (38, 39, 47) to maintain mechanical stability within the muscle (57). However, 2D B-mode ultrasound measurements of pennate muscles report errors of less than 6% for fascicle length (38) and less than 1° for pennation angle (47) when treating fascicles as linear rather than curvilinear structures, and thus the effects of this assumption on our results are likely minor.
Measuring in vivo muscle forces in humans remains challenging. In this study, we used tendon strains measured using B-mode ultrasound together with subject-specific values of tendon stiffness and slack length to estimate time-varying forces. These methods for estimating forces have previously been evaluated and are consistent with ankle moments derived from inverse dynamics (17). When comparing this method with previous approaches that estimate muscle forces using moments derived from inverse dynamics together with moment arms and physiological cross-sectional areas, one advantage of our method is that it accounts for the relative contributions of the MG, LG, and SOL to tendon force based on their EMG intensities (17). However, this method is not without limitations. First, tendon force estimates vary with tendon stiffness and tendon slack length, and thus errors in either of these two parameters could result in errors in the time-varying forces. For example, a ± 10% error in tendon stiffness would result in a ± 10% error in tendon force, whereas a ±1% error in tendon slack length could lead to a ±20% error in tendon force as well as a substantial delay in the onset of force (17). Because of this sensitivity, we determined tendon slack length on a subject-specific basis during the cycling trials and verified that these lengths were consistent with those derived from each subject’s net ankle moments (from inverse dynamics) vs. the subject’s AT lengths measured using ultrasound during pedaling (17).
Second, we assumed that tendon force-length properties remain constant across knee angles, and we did not characterize the nonuniform length changes that may occur between the MG, LG, and SOL. It is possible that at different knee angles, where the relative lengths of these muscles are affected differently as a result of the biarticular nature of the LG and MG vs. the uniarticular nature of the SOL, we may get a different value of stiffness and thus a different value of force. In the context of this study, the effects of this assumption are likely to be small given that the knee reaches 130° of flexion at a crank angle of 90°, and this matches the isometric test conditions under which we measured tendon stiffness (17, 35) and coincides with the time where measurements of interest for this study were taken. However, extending this method to locomotor tasks with fewer kinematic constraints such as walking and running may introduce additional challenges, such as noisy tendon strain measurements, that were minimized in this study given that subjects were seated (knee angles constrained) and wore clipless pedals (ankle angles constrained) during measurements. Deriving individual muscle forces from inverse dynamics during periods of co-contraction is limited, and although we are most interested in MG behavior at the time of the peak shortening velocity when any force from co-contraction between the triceps surae muscles and the TA is likely to be negligible, we believe our methods of estimating force are appropriate for this study.
Conclusions.
The mechanisms governing dynamic muscle shape change and their influence on the mechanical behavior of skeletal muscle during submaximal activation levels remain largely unexplored. In this study, we used human cycling to uncouple and understand the independent mechanical effects of force and velocity on the behavior of skeletal muscle. We found that dynamic muscle shape changes are influenced by force but not velocity, such that muscle belly gearing decreases with increasing levels of force. Previous studies have suggested that there are a range of factors that contribute to dynamic muscle shape changes, and here we provide a comprehensive set of in vivo data that support the myriad of theorized mechanisms of muscle shape change from both animal studies (e.g., see Ref. 6) and human muscle modeling (e.g., see Ref. 43). The complex interactions between the contractile and elastic machinery under varied mechanical conditions warrant further investigation. Future work should aim to both use advanced imaging techniques to characterize dynamic muscle shape change in three dimensions (e.g., see Ref. 12) and develop continuum-based muscle models to explore the mechanical effects of the base material properties of muscle tissue (e.g., see Ref. 45).
GRANTS
This work is supported by National Institutes of Health Grant no. R01-2R01-AR-055648 and an National Sciences and Engineering Research Council Graduate Research Fellowship to T. J. M. Dick.
DISCLOSURES
No conflicts of interest, financial or otherwise, are declared by the authors.
AUTHOR CONTRIBUTIONS
T.J.M.D. and J.M.W. conceived and designed research; T.J.M.D. and J.M.W. performed experiments; T.J.M.D. analyzed data; T.J.M.D. and J.M.W. interpreted results of experiments; T.J.M.D. prepared figures; T.J.M.D. drafted manuscript; T.J.M.D. and J.M.W. edited and revised manuscript; J.M.W. approved final version of manuscript.
ACKNOWLEDGMENTS
We thank Sidney Morrison for assistance during experiments. We also thank Drs. Allison Arnold and Andrew Biewener for very insightful discussions.
REFERENCES
- 1.Anderson FC, Pandy MG. A dynamic optimization solution for vertical jumping in three dimensions. Comput Methods Biomech Biomed Engin 2: 201–231, 1999. doi: 10.1080/10255849908907988. [DOI] [PubMed] [Google Scholar]
- 2.Arampatzis A, De Monte G, Karamanidis K, Morey-Klapsing G, Stafilidis S, Brüggemann GP. Influence of the muscle-tendon unit’s mechanical and morphological properties on running economy. J Exp Biol 209: 3345–3357, 2006. doi: 10.1242/jeb.02340. [DOI] [PubMed] [Google Scholar]
- 3.Arellano CJ, Gidmark NJ, Konow N, Azizi E, Roberts TJ. Determinants of aponeurosis shape change during muscle contraction. J Biomech 49: 1812–1817, 2016. doi: 10.1016/j.jbiomech.2016.04.022. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Arnold EM, Ward SR, Lieber RL, Delp SL. A model of the lower limb for analysis of human movement. Ann Biomed Eng 38: 269–279, 2010. doi: 10.1007/s10439-009-9852-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Azizi E, Gillis GB, Brainerd EL. Morphology and mechanics of myosepta in a swimming salamander (Siren lacertina). Comp Biochem Physiol A Mol Integr Physiol 133: 967–978, 2002. doi: 10.1016/S1095-6433(02)00223-4. [DOI] [PubMed] [Google Scholar]
- 6.Azizi E, Brainerd EL, Roberts TJ. Variable gearing in pennate muscles. Proc Natl Acad Sci USA 105: 1745–1750, 2008. doi: 10.1073/pnas.0709212105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Azizi E, Roberts TJ. Biaxial strain and variable stiffness in aponeuroses. J Physiol 587: 4309–4318, 2009. doi: 10.1113/jphysiol.2009.173690. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Azizi E, Roberts TJ. Geared up to stretch: pennate muscle behavior during active lengthening. J Exp Biol 217: 376–381, 2014. doi: 10.1242/jeb.094383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Baskin RJ, Paolini PJ. Volume change and pressure development in muscle during contraction. Am J Physiol 213: 1025–1030, 1967. [DOI] [PubMed] [Google Scholar]
- 10.Benninghoff A, Rollhäuser H. Zur inneren Mechanik des gefiederten Muskels. Pflugers Arch 254: 527–548, 1952. doi: 10.1007/BF00362785. [DOI] [PubMed] [Google Scholar]
- 11.Blake OM, Wakeling JM. Muscle coordination limits efficiency and power output of human limb movement under a wide range of mechanical demands. J Neurophysiol 114: 3283–3295, 2015. doi: 10.1152/jn.00765.2015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Bolsterlee B, Veeger HE, van der Helm FC, Gandevia SC, Herbert RD. Comparison of measurements of medial gastrocnemius architectural parameters from ultrasound and diffusion tensor images. J Biomech 48: 1133–1140, 2015. doi: 10.1016/j.jbiomech.2015.01.012. [DOI] [PubMed] [Google Scholar]
- 13.Cobb M. Timeline: exorcizing the animal spirits: Jan Swammerdam on nerve function. Nat Rev Neurosci 3: 395–400, 2002. doi: 10.1038/nrn806. [DOI] [PubMed] [Google Scholar]
- 14.Daniel TL, George NT, Williams CD, Irving TC. In vivo time resolved X-ray diffraction reveals radial motions of myofilaments in insect flight muscle. Biophys J 104: 485a–486a, 2013. doi: 10.1016/j.bpj.2012.11.2678. [DOI] [Google Scholar]
- 15.Delp SL, Loan JP, Hoy MG, Zajac FE, Topp EL, Rosen JM. An interactive graphics-based model of the lower extremity to study orthopaedic surgical procedures. IEEE Trans Biomed Eng 37: 757–767, 1990. doi: 10.1109/10.102791. [DOI] [PubMed] [Google Scholar]
- 16.Delp SL, Anderson FC, Arnold AS, Loan P, Habib A, John CT, Guendelman E, Thelen DG. OpenSim: open-source software to create and analyze dynamic simulations of movement. IEEE Trans Biomed Eng 54: 1940–1950, 2007. doi: 10.1109/TBME.2007.901024. [DOI] [PubMed] [Google Scholar]
- 17.Dick TJM, Arnold AS, Wakeling JM. Quantifying Achilles tendon force in vivo from ultrasound images. J Biomech 49: 3200–3207, 2016. doi: 10.1016/j.jbiomech.2016.07.036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Ettema GJC, Huijing PA. Properties of the tendinous structures and series elastic component of EDL muscle-tendon complex of the rat. J Biomech 22: 1209–1215, 1989. doi: 10.1016/0021-9290(89)90223-6. [DOI] [PubMed] [Google Scholar]
- 19.Fukunaga T, Ichinose Y, Ito M, Kawakami Y, Fukashiro S. Determination of fascicle length and pennation in a contracting human muscle in vivo. J Appl Physiol (1985) 82: 354–358, 1997. [DOI] [PubMed] [Google Scholar]
- 20.Gans C, Bock WJ. The functional significance of muscle architecture–a theoretical analysis. Ergeb Anat Entwicklungsgesch 38: 115–142, 1965. [PubMed] [Google Scholar]
- 21.Gregor RJ, Komi PV, Järvinen M. Achilles tendon forces during cycling. Int J Sports Med 8, Suppl 1: S9–S14, 1987. doi: 10.1055/s-2008-1025698. [DOI] [PubMed] [Google Scholar]
- 22.Handsfield GG, Meyer CH, Hart JM, Abel MF, Blemker SS. Relationships of 35 lower limb muscles to height and body mass quantified using MRI. J Biomech 47: 631–638, 2014. doi: 10.1016/j.jbiomech.2013.12.002. [DOI] [PubMed] [Google Scholar]
- 23.Hatze H. A myocybernetic control model of skeletal muscle. Biol Cybern 25: 103–119, 1977. doi: 10.1007/BF00337268. [DOI] [PubMed] [Google Scholar]
- 24.Holt NC, Danos N, Roberts TJ, Azizi E. Stuck in gear: age-related loss of variable gearing in skeletal muscle. J Exp Biol 219: 998–1003, 2016. doi: 10.1242/jeb.133009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Huijing PA, Ettema GJC. Length-force characteristics of aponeurosis in passive muscle and during isometric and slow dynamic contractions of rat gastrocnemius muscle. Acta Morphol Neerl Scand 26: 51–62, 1988. –1989. [PubMed] [Google Scholar]
- 26.Huxley HE. The mechanism of muscular contraction. Science 164: 1356–1366, 1969. doi: 10.1126/science.164.3886.1356. [DOI] [PubMed] [Google Scholar]
- 27.Kernell D, Eerbeek O, Verhey BA. Relation between isometric force and stimulus rate in cat’s hindlimb motor units of different twitch contraction time. Exp Brain Res 50: 220–227, 1983. [DOI] [PubMed] [Google Scholar]
- 28.Lee SS, de Boef Miara M, Arnold AS, Biewener AA, Wakeling JM. EMG analysis tuned for determining the timing and level of activation in different motor units. J Electromyogr Kinesiol 21: 557–565, 2011. doi: 10.1016/j.jelekin.2011.04.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Lieber RL, Leonard ME, Brown CG, Trestik CL. Frog semitendinosis tendon load-strain and stress-strain properties during passive loading. Am J Physiol Cell Physiol 261: C86–C92, 1991. [DOI] [PubMed] [Google Scholar]
- 30.Maganaris CN, Baltzopoulos V, Sargeant AJ. In vivo measurements of the triceps surae complex architecture in man: implications for muscle function. J Physiol 512: 603–614, 1998. doi: 10.1111/j.1469-7793.1998.603be.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Maganaris CN, Kawakami Y, Fukunaga T. Changes in aponeurotic dimensions upon muscle shortening: in vivo observations in man. J Anat 199: 449–456, 2001. doi: 10.1046/j.1469-7580.2001.19940449.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Magnusson SP, Aagaard P, Rosager S, Dyhre-Poulsen P, Kjaer M. Load-displacement properties of the human triceps surae aponeurosis in vivo. J Physiol 531: 277–288, 2001. doi: 10.1111/j.1469-7793.2001.0277j.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Milner-Brown HS, Stein RB. The relation between the surface electromyogram and muscular force. J Physiol 246: 549–569, 1975. doi: 10.1113/jphysiol.1975.sp010904. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Monti RJ, Roy RR, Zhong H, Edgerton VR. Mechanical properties of rat soleus aponeurosis and tendon during variable recruitment in situ. J Exp Biol 206: 3437–3445, 2003. doi: 10.1242/jeb.00550. [DOI] [PubMed] [Google Scholar]
- 35.Morrison SM, Dick TJ, Wakeling JM. Structural and mechanical properties of the human Achilles tendon: Sex and strength effects. J Biomech 48: 3530–3533, 2015. doi: 10.1016/j.jbiomech.2015.06.009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Muramatsu T, Muraoka T, Takeshita D, Kawakami Y, Hirano Y, Fukunaga T. Mechanical properties of tendon and aponeurosis of human gastrocnemius muscle in vivo. J Appl Physiol (1985) 90: 1671–1678, 2001. [DOI] [PubMed] [Google Scholar]
- 37.Muramatsu T, Muraoka T, Kawakami Y, Fukunaga T. Superficial aponeurosis of human gastrocnemius is elongated during contraction: implications for modeling muscle-tendon unit. J Biomech 35: 217–223, 2002. doi: 10.1016/S0021-9290(01)00196-8. [DOI] [PubMed] [Google Scholar]
- 38.Muramatsu T, Muraoka T, Kawakami Y, Shibayama A, Fukunaga T. In vivo determination of fascicle curvature in contracting human skeletal muscles. J Appl Physiol (1985) 92: 129–134, 2002. [DOI] [PubMed] [Google Scholar]
- 39.Namburete AI, Rana M, Wakeling JM. Computational methods for quantifying in vivo muscle fascicle curvature from ultrasound images. J Biomech 44: 2538–2543, 2011. doi: 10.1016/j.jbiomech.2011.07.017. [DOI] [PubMed] [Google Scholar]
- 40.Narici MV, Binzoni T, Hiltbrand E, Fasel J, Terrier F, Cerretelli P. In vivo human gastrocnemius architecture with changing joint angle at rest and during graded isometric contraction. J Physiol 496: 287–297, 1996. doi: 10.1113/jphysiol.1996.sp021685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Otten E. A myocybernetic model of the jaw system of the rat. J Neurosci Methods 21: 287–302, 1987. doi: 10.1016/0165-0270(87)90123-3. [DOI] [PubMed] [Google Scholar]
- 42.Prager RW, Rohling RN, Gee AH, Berman L. Rapid calibration for 3-D freehand ultrasound. Ultrasound Med Biol 24: 855–869, 1998. doi: 10.1016/S0301-5629(98)00044-1. [DOI] [PubMed] [Google Scholar]
- 43.Rahemi H, Nigam N, Wakeling JM. Regionalizing muscle activity causes changes to the magnitude and direction of the force from whole muscles-a modeling study. Front Physiol 5: 298, 2014. doi: 10.3389/fphys.2014.00298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Rahemi H. Structural mechanics of skeletal muscle contractions: mechanistic findings using a finite element model. PhD thesis, Simon Fraser University, 2015. [Google Scholar]
- 45.Rahemi H, Nigam N, Wakeling JM. The effect of intramuscular fat on skeletal muscle mechanics: implications for the elderly and obese. J R Soc Interface 12: 20150365, 2015. doi: 10.1098/rsif.2015.0365. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Raiteri BJ, Cresswell AG, Lichtwark GA. Three-dimensional geometrical changes of the human tibialis anterior muscle and its central aponeurosis measured with three-dimensional ultrasound during isometric contractions. PeerJ 4: e2260, 2016. doi: 10.7717/peerj.2260. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Rana M, Hamarneh G, Wakeling JM. 3D fascicle orientations in triceps surae. J Appl Physiol (1985) 115: 116–125, 2013. doi: 10.1152/japplphysiol.01090.2012. [DOI] [PubMed] [Google Scholar]
- 48.Randhawa A, Jackman ME, Wakeling JM. Muscle gearing during isotonic and isokinetic movements in the ankle plantarflexors. Eur J Appl Physiol 113: 437–447, 2013. doi: 10.1007/s00421-012-2448-z. [DOI] [PubMed] [Google Scholar]
- 49.Rockenfeller R, Günther M, Schmitt S, Götz T. Comparative sensitivity analysis of muscle activation dynamics. Comput Math Methods Med 2015: 585409, 2015. doi: 10.1155/2015/585409. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Rouffet DM, Hautier CA. EMG normalization to study muscle activation in cycling. J Electromyogr Kinesiol 18: 866–878, 2008. doi: 10.1016/j.jelekin.2007.03.008. [DOI] [PubMed] [Google Scholar]
- 51.Roy RR, Meadows ID, Baldwin KM, Edgerton VR. Functional significance of compensatory overloaded rat fast muscle. J Appl Physiol Respir Environ Exerc Physiol 52: 473–478, 1982. [DOI] [PubMed] [Google Scholar]
- 52.Scott SH, Loeb GE. Mechanical properties of aponeurosis and tendon of the cat soleus muscle during whole-muscle isometric contractions. J Morphol 224: 73–86, 1995. doi: 10.1002/jmor.1052240109. [DOI] [PubMed] [Google Scholar]
- 53.Siston RA, Delp SL. Evaluation of a new algorithm to determine the hip joint center. J Biomech 39: 125–130, 2006. doi: 10.1016/j.jbiomech.2004.10.032. [DOI] [PubMed] [Google Scholar]
- 54.Smith LR, Gerace-Fowler LH, Lieber RL. Muscle extracellular matrix applies a transverse stress on fibers with axial strain. J Biomech 44: 1618–1620, 2011. doi: 10.1016/j.jbiomech.2011.03.009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 55.Spector SA, Gardiner PF, Zernicke RF, Roy RR, Edgerton VR. Muscle architecture and force-velocity characteristics of cat soleus and medial gastrocnemius: implications for motor control. J Neurophysiol 44: 951–960, 1980. [DOI] [PubMed] [Google Scholar]
- 56.van Donkelaar CC, Willems PJ, Muijtjens AMM, Drost MR. Skeletal muscle transverse strain during isometric contraction at different lengths. J Biomech 32: 755–762, 1999. doi: 10.1016/S0021-9290(99)00073-1. [DOI] [PubMed] [Google Scholar]
- 57.Van Leeuwen JL, Spoor CW. Modelling mechanically stable muscle architectures. Philos Trans R Soc Lond B Biol Sci 336: 275–292, 1992. doi: 10.1098/rstb.1992.0061. [DOI] [PubMed] [Google Scholar]
- 58.von Tscharner V. Intensity analysis in time-frequency space of surface myoelectric signals by wavelets of specified resolution. J Electromyogr Kinesiol 10: 433–445, 2000. doi: 10.1016/S1050-6411(00)00030-4. [DOI] [PubMed] [Google Scholar]
- 59.Wakeling JM, Horn T. Neuromechanics of muscle synergies during cycling. J Neurophysiol 101: 843–854, 2009. doi: 10.1152/jn.90679.2008. [DOI] [PubMed] [Google Scholar]
- 60.Wakeling JM, Blake OM, Wong I, Rana M, Lee SS. Movement mechanics as a determinate of muscle structure, recruitment and coordination. Philos Trans R Soc Lond B Biol Sci 366: 1554–1564, 2011. doi: 10.1098/rstb.2010.0294. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Wakeling JM, Randhawa A. Transverse strains in muscle fascicles during voluntary contraction: a 2D frequency decomposition of B-mode ultrasound images. Int J Biomed Imaging 2014: 352910, 2014. doi: 10.1155/2014/352910. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Williams PL. Gray’s Anatomy. New York: Churchill Livingstone, 1995, p. 749–789. [Google Scholar]
- 63.Williams CD, Salcedo MK, Irving TC, Regnier M, Daniel TL. The length-tension curve in muscle depends on lattice spacing. Proc Biol Sci 280: 20130697, 2013. doi: 10.1098/rspb.2013.0697. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Zajac FE. Muscle and tendon: properties, models, scaling, and application to biomechanics and motor control. Crit Rev Biomed Eng 17: 359–411, 1989. [PubMed] [Google Scholar]
- 65.Zatsiorsky V, Prilutsky B. Biomechanics of Skeletal Muscles. Champaign, IL: Human Kinetics, 2012. [Google Scholar]