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In this study, the force-length characteristics of the in vivo medial (GM) and lateral (GL)
heads of the human gastrocnemius muscle were estimated from measurements in eight
healthy male subjects. This involved: 1) dynamometry-based measurements of the moment
generated during maximal isometric plantar flexion; 2) ultrasound-based measurements of
fascicular length and pennation angle; and 3) ultrasound-based calculations of moment arm
lengths. All measurements were taken over the ankle angle range from 20° of dorsiflexion to
30° of plantar flexion. Tendon forces were calculated by dividing the moments recorded by
the muscle moment arm lengths, and fascicular forces were calculated by dividing the tendon
forces estimated by the cosine of pennation angle. In the transition from 30° of plantar flexion
to 20° of dorsiflexion, the GM muscle fascicular length and force increased linearly from 24
to 39 mm and from 222 to 931 N, respectively. Over the same ankle angle range, the GL
muscle fascicular length and force increased linearly from 30 to 47 mm and from 139 to 393
N, respectively. Estimates of the sarcomeric lengths corresponding to the fascicular lengths
measured indicated that the two muscles operated in the range 1.4 –2.2 m, below the optimal
length region for force generation according to the cross-bridge mechanism of contraction.
These results indicate that the force–length relation of the in vivo human gastrocnemius
muscle is limited to the ascending limb of the bell-shaped force–length curve obtained from
experiments on isolated material. Clin. Anat. 16:215–223, 2003. © 2003 Wiley-Liss, Inc.
should be viewed with caution when referring to in ittal plane. In vitro and in vivo experiments have
vivo muscle function. shown that the lateral side of the tibiotalar joint axis
Ultrasonography, however, has recently made it points downwards and posteriorly by 10° relative to
possible to measure in vivo muscular architecture with the medial side (Isman and Inman, 1969; van den
high accuracy and reproducibility (Narici et al., 1996; Bogert et al., 1994). This geometric arrangement re-
Kawakami et al., 1998; Maganaris et al., 1998). We sults in a triplanar orientation in the moment pro-
used ultrasonography and dynamometry to estimate duced about the tibiotalar joint; however, ankle mo-
the force–length characteristics of the intact human ment measurements in the sagittal plane include only
gastrocnemius muscle. the cosine component of this moment. Trigonometry-
based calculations using the above axis angle values
indicate that the measurable component of moment
MATERIALS AND METHODS accounts for 97% of the entire moment vector. Thus,
Experimental Design the present MVC moment measurements were con-
sidered to be valid.
The force–length relation of the gastrocnemius
muscle of the right limb was examined in eight Measurements of Fascicular Length and
healthy male volunteers (age, 22 ⫾ 2 years; height, Pennation Angle
173 ⫾ 3 cm; and body mass, 75 ⫾ 3 kg; mean ⫾ SD)
with approval from the institutional ethics committee. Fascicular lengths and pennation angles were mea-
Measurements were taken at ankle angles of ⫺20° sured in vivo from sonographs taken during MVCs
(dorsiflexion direction), ⫺10°, 0° (the sole of the foot elicited at the knee extension angle (Narici et al.,
at right angles to the longitudinal axis of the tibia), 1996; Kawakami et al., 1998; Maganaris et al., 1998;
⫹10° (plantar flexion direction), ⫹20°, and ⫹30°. All Martin et al., 2001). A linear-array, 7.5 MHz, B-mode
subjects could passively rotate the foot from ⫹30 to ultrasound probe (Esaote Biomedica, Florence, Italy),
⫺10°, but a slight force was applied externally to bring with width and depth resolutions of 1 mm and 0.62
the foot to ⫺20°. At each ankle angle studied, the mm, respectively, was coated with transmission gel
following parameters were either measured or calcu- and placed over the midlongitudinal axes of the me-
lated: 1) the moment elicited upon isometric plantar dial (GM) and lateral (GL) heads of the gastrocnemius
flexion maximal voluntary contraction (MVC); 2) the muscle, 5 cm above (first and third MVCs) and 5 cm
gastrocnemius muscle fascicular length and pennation below (second and fourth MVCs) the midlength of the
angle; and 3) the gastrocnemius muscle moment arm muscle belly during MVC (Fig. 1). The architecture of
length. the two muscle heads in the above regions has been
shown to be representative of that along and across the
Measurement of MVC Moment muscle belly (Narici et al., 1996; Maganaris et al.,
1998). In the muscle scans recorded, fascicular, inter-
MVC contractions were elicited in the prone posi-
fascicular, and aponeurotic echoes were identified.
tion on the bench of an isokinetic dynamometer (Lido
The criterion adopted for ensuring that the scanning
Active, Loredan Biomedical, Davis, CA). The pivot
point of the dynamometer lever was aligned with the plane coincided with the plane in which the fascicles
lateral malleoli and the foot was firmly secured at the lay was that the echo of the entire fascicular path
dynamometer footplate with Velcro straps. Measure- could be seen in the scans (Narici et al., 1996;
ments were taken after compensating for gravitational Kawakami et al., 1998; Maganaris et al., 1998). This
and passive moments about the ankle. After a warm- criterion was met in most of the scans taken with the
ing up protocol consisting of three submaximal con- scanning head placed in the midsagittal plane of the
tractions, the subjects generated four MVCs with the muscle. If, however, this probe position generated
knee fully extended (0°) and two MVCs with the knee echoes in only a part of the fascicular path, the probe
flexed at 120°. MVCs were elicited randomly for knee was oriented manually to a plane that included the
and ankle angles, and were separated by a 2-min rest. entire length of the fascicles. In each scan, the length
Measurements were repeated until obtaining the of one to three fascicles was digitized using comput-
MVC moments established in a familiarization trial erized image analysis (NIH Image, National Institute
(⫾5%) 2 to 3 days earlier. of Health, Bethesda, MD), taking into account any
Conventional dynamometers record moments in visible curvature along the fascicular path. Pennation
only one plane in each test. In the present experi- angle measurements were taken at the fascicular in-
ment, moment measurements were taken in the sag- sertions in the deep aponeurosis (Fig. 2).
In Vivo Force–Length Characteristics 217
Fig. 2. Left: Typical sonographs 5 cm above the midlength of the medial head of the gastrocnemius muscle; GL, lateral head of the
GM (top) and GL (bottom) muscle bellies at an ankle angle of ⫺20°. gastrocnemius muscle; SOL, soleus muscle; FHL, flexor hallucis lon-
The horizontal white striations are aponeurotic echoes, the oblique gus muscle. Right: Typical sonographs over the medial head of the
white striations are interfascicular echoes, and the oblique black stri- gastrocnemius myotendinous junction at ankle angles of ⫺5° (top) and
ations are fascicular echoes. The superimposed white line at the top ⫹5° (bottom). M, muscle; DA, deep aponeurosis; MTJ, myotendinous
indicates the path of a fascicle between the superficial and deep junction; T, tendon. Note the negligible angulation between the ori-
aponeuroses. , the angle of pennation; SF, subcutaneous fat; GM, entations of the deep aponeurosis and tendon.
trial. For these measurements, twitch doublets of tendon force in a recent study (Arndt et al., 1998);
150 –175 V were applied to the GM and GL muscles however, these measurements were taken in only one
through two self-adhesive rubber electrodes of dimen- subject. More importantly, the authors assumed that
sions 7.5 ⫻ 12.5 cm. Our pilot measurements showed the length of the Achilles tendon moment arm does
no evidence of incomplete motor unit activation dur- not change as a function of muscle-tendon length and
ing MVC. The validity of the second assumption is contraction-state, which later proved to be incorrect
supported by previous EMG-based studies (Hof and (Maganaris et al., 1998).
van den Berg, 1977; Gravel et al., 1987) and by recent The moment contribution of the GM and GL mus-
results showing that knee flexion above 115° yields no cles to the entire gastrocnemius muscle moment was
measurable decrease in the moment generated during obtained from the relative physiological cross-sec-
plantar flexion contraction (Maganaris, 2001). The tional areas of the GM and GL muscles to that of the
third assumption has been discussed in detail by Her- entire gastrocnemius muscle: 70 and 30%, respec-
zog and ter Keurs (1988a) and Herzog et al. (1991): tively (Huijing, 1985; Fukunaga et al., 1992). Tendon
because all the synergists and antagonists of the gas- forces in each muscle were calculated by dividing the
trocnemius muscle span the ankle joint only, their estimated moment by the moment arm length of the
moment contribution to the net MVC moment at any muscle (Fig. 3B). Fascicular forces were estimated by
given ankle angle would not differ between knee representing the muscle as a parallelogram with apo-
angles. This view has been challenged by moment neuroses and tendons operating over the same line
calculations from in vivo measurements of Achilles (Gans, 1982; Cutts, 1988; Narici et al., 1996;
In Vivo Force–Length Characteristics 219
RESULTS
Tables 1 and 2 show the measured and calculated
values of the parameters examined. The following
observations can be made from the data shown:
*MVC, maximum voluntary contraction; GM and GL, medial and lateral heads of the gastrocnemius muscle, respectively; A and B, 5 cm
above and 5 cm below the midlength of the muscle belly, respectively. Fascicular lengths and pennation angles are average values from
one to three fascicles. Values are mean ⫾ SD (n ⫽ 8).
changes in any given parameter examined as a cles, but the normalized force–length curves were
function of ankle angle, not surprising given that very similar (Fig. 4B), thus indicating that the two
both muscles are anatomic subunits of the same muscles operated over similar relative length regions.
actuator (the gastrocnemius muscle).
4. Neither muscle exerted its maximal force at the
DISCUSSION
ankle angle of 0°, in contrast with the general
notion that skeletal muscles generate maximal Determination of force-length characteristics in in-
forces at neutral anatomical positions (see also tact human muscles has often been attempted; how-
Lieber et al., 1994). ever, the following unrealistic assumptions have been
made: 1) the architecture of cadaveric muscles repre-
The observed changes in all parameters examined sents muscular architecture during contraction (Cutts,
as a function of ankle angle agree with several previ- 1988); 2) pennate muscles behave mechanically like
ous studies (Sale et al., 1982; Rugg et al., 1990; Herzog parallel fiber muscles (Herzog and ter Keurs, 1988b;
et al., 1991; Narici et al., 1996; Kawakami et al., 1998; Herzog et al., 1991); 3) antagonist muscles are inactive
Maganaris et al., 1998, 2000). during contraction (Ichinose et al., 1997); and 4) the
As shown in Figure 4A, the contractile force of each operating range of a muscle during submaximal and
muscle increased as a function of fascicular length. In maximal contractions is the same (Leedham and
either muscle, fitting the force–length data with linear Dowling, 1995). In the present experiment, these lim-
models produced R2 ⬎ 0.98. No further improvement itations have been eliminated. An additional advan-
in R2 (P ⬎ 0.05; Student’s t-test) was obtained by tage of the present methodology is that it allows esti-
fitting the data using second and third order polyno- mates to be derived of the theoretical operating range
mials. The starting point and the slope of the force– of the average sarcomere. Dividing the GM and GL
length relation were different between the two mus- fascicular lengths in the present study by 17,600 and
*GM and GL, medial and lateral heads of the gastrocnemius muscle, respectively. Values are mean ⫾ SD (n ⫽ 8).
In Vivo Force–Length Characteristics 221
the stretch of the series elastic component during Gordon AM, Huxley AF, Julian FJ. 1966. The variation in
contraction (Lieber et al., 1994). The present meth- isometric tension with sarcomere length in vertebrate mus-
odology allows noninvasive measurements to be taken cle fibers. J Physiol 184:170 –192.
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in a healthy muscle during contraction, e.g., in the mius synergies in controlled contractions produced around
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relation as shown here, lengthening the in-series ten- trocnemius muscles. Clin Biomech 6:230 –238.
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