PURPOSE To compare biceps femoris long-head (BFlh) fascicle lengths (Lfs) obtained with different ultrasound-based approaches: 1) single ultrasound images and linear Lf extrapolation; 2) single ultrasound images and one of two different trigonometric equations (termed equations A and B); and 3) extended field of view (EFOV) ultrasound images. METHODS Thirty-seven elite alpine skiers (21.7±2.8 yrs) without a previous history of hamstring strain injury were tested. Single ultrasound images were collected with a 5 cm linear transducer from BFlh at 50% femur length and were compared with whole muscle scans acquired by EFOV ultrasound. RESULTS The intra-session reliability (ICC3,k = intraclass correlation coefficient) of Lf measurements was very high for both single ultrasound images (i.e., Lf estimated by linear extrapolation; ICC3,k = 0.96-0.99, SEM = 0.18 cm) and EFOV scans (ICC3,k = 0.91-0.98, SEM = 0.19 cm). Although extrapolation methods showed cases of overestimation and underestimation of Lf when compared with EFOV scans, mean Lf measured from EFOV scans (8.07±1.36 cm) was significantly shorter than Lf estimated by trigonometric equations A (9.98±2.12 cm, P<0.01) and B (8.57±1.59 cm, P=0.03), but not significantly different from Lf estimated with manual linear extrapolation (MLE) (8.40±1.68 cm, p=0.13). Bland-Altman analyses revealed mean differences in Lfs obtained from EFOV scans and those estimated from equation A, equation B and MLE of 1.91±2.1 cm, 0.50±1.0 cm and 0.33±1.0 cm, respectively. CONCLUSIONS The typical extrapolation methods used for estimating Lf from single ultrasound images are reliable within the same session, but not accurate for estimating BFlh Lf at rest with a 5-cm FOV. We recommend that EFOV scans are implemented to accurately determine intervention-related Lf changes in BFlh.
Force enhancement during and following muscle stretch has been observed for electrically and voluntarily activated human muscle. However, especially for voluntary contractions, the latter observation has only been made for adductor pollicis and the ankle joint muscles, but not for large muscles like quadriceps femoris. Therefore, the aim of this study was to investigate the effects of active muscle stretch on force production for maximal voluntary contractions of in vivo human quadriceps femoris (n = 15). Peak torques during and torques at the end of stretch, torques following stretch, and passive torques following muscle deactivation were compared to the isometric torques at corresponding muscle length. In addition, muscle activation of rectus femoris, vastus medialis and vastus lateralis was obtained using surface EMG. Stretches with different amplitudes (15, 25 and 35 degrees at a velocity of 60 degrees s(-1)) were performed on the plateau region and the descending limb of the force-length relation in a random order. Data analysis showed four main results: (1) peak torques did not occur at the end of the stretch, but torques at the end of the stretch exceeded the corresponding isometric torque; (2) there was no significant force enhancement following muscle stretch, but a small significant passive force enhancement persisted for all stretch conditions; (3) forces during and following stretch were independent of stretch amplitude; (4) muscle activation during and following muscle stretch was significantly reduced. In conclusion, although our results showed passive force enhancement, we could not provide direct evidence that there is active force enhancement in voluntarily activated human quadriceps femoris.
The stretch-shortening cycle (SSC) occurs in most everyday movements, and is thought to provoke a performance enhancement of the musculoskeletal system. However, mechanisms of this performance enhancement remain a matter of debate. One proposed mechanism is associated with a stretch-induced increase in steady-state force, referred to as residual force enhancement (RFE). As yet, direct evidence relating RFE to increased force/work during SSCs is missing. Therefore, forces of electrically stimulated m. adductor pollicis (n = 14 subjects) were measured during and after pure stretch, pure shortening, and stretch-shortening contractions with varying shortening amplitudes. Active stretch (30°, ω = 161 ± 6°s−1) caused significant RFE (16%, P < 0.01), whereas active shortening (10°, 20°, and 30°; ω = 103 ± 3°s−1, 152 ± 5°s−1, and 170 ± 5°s−1) resulted in significant force depression (9–15%, P < 0.01). In contrast, after SSCs (that is when active stretch preceded active shortening) no force depression was found. Indeed for our specific case in which the shortening amplitude was only 1/3 of the lengthening amplitude, there was a remnant RFE (10%, P < 0.01) following the active shortening. This result indicates that the RFE generated during lengthening affected force depression when active lengthening was followed by active shortening. As conventional explanations, such as the storage and release of elastic energy, cannot explain the enhanced steady-state force after SSCs, it appears that the stretch-induced RFE is not immediately abolished during shortening and contributes to the increased force and work during SSCs.
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