Rowan R. Smart

Influence of biceps brachii tendon mechanical properties on elbow flexor force steadiness in young and old males

Elbow flexor force steadiness (FS) depends on strength and decreases with age. Achilles tendon mechanics effect standing balance and isometric plantarflexion FS. This study investigated the influence of distal biceps brachii (BB) tendon mechanics and elbow flexor strength on age‐related decline in FS. Nine young (23 ± 2 years) and nine old (77 ± 5 years) males performed submaximal isometric elbow flexion tasks at low (2.5%, 5%, 10% maximal voluntary contraction (MVC)) and high (20%, 40%, 60%, 80%MVC) forces in a neutral forearm position. Distal BB tendon elongation and cross‐sectional area (CSA) were recorded on ultrasound to calculate mechanics of strain, stress, and stiffness. Coefficient of variation (CV) of force was used to assess relationship of FS to tendon mechanics and strength. Young were 22% stronger and 41% steadier than old (P < .05). Tendon stiffness (170.1 ± 132.9 N/mm; 113.0 ± 55.1 N/mm) did not differ with age (P > .05). Young had 40% less strain compared to old at 5% MVC, but 42% greater strain at 60% and 80% MVC (P ≤ .05). Stress was ~18% greater in young at 10%, 20%, and 80% MVC (P ≤ .05). At low forces, CV of force was predicted by stress (r2 = 0.56) in young, and stress and MVC (r2 = 0.641) in old. At high forces for both age groups, CV of force was predicted by MVC and stress (r2 = 0.39‐0.43). Stress and strain is greater in young compared with old males. Because strength influences tendon mechanics and is also associated with FS, absolute strength is a large and modifiable contributor to age‐related decline in FS.

Voluntary activation and twitch potentiation of the elbow flexors across supinated, neutral, and pronated forearm orientations

Elbow flexion force depends on forearm orientation with supinated and neutral being stronger than pronated. The purpose of this study was to assess the influence of forearm orientation on voluntary activation (VA), postactivation potentiation (PAP), and twitch properties. Eleven males (23 ± 3 years) performed isometric elbow flexion maximal voluntary contractions (MVC) in supinated, neutral, and pronated forearm orientations with supramaximal stimulation to the biceps brachii muscle belly before, during, and after the MVC. MVC and VA were higher in supinated (213.6 ± 49.6 N; 93.0 ± 5.2%) and neutral (243.6 ± 48.0 N; 96.1 ± 3.2%) compared with pronated (113.6 ± 21.3 N; 70.9 ± 20.4%) (P < 0.05), while PAP did not differ across the three orientations (71.6 ± 42.2%) (P > 0.05). In the rested state, pronated peak tension (PT) was less compared with supinated (42%). In the potentiated state, pronated PT was less than supinated (50%) and neutral (53%) (P < 0.05). Reduced strength in the pronated orientation is partially attributed to reduced drive; however, reductions in peak tension indicate that there also is a mechanical disadvantage when the forearm is placed into a pronated orientation, and this does not alter PAP.

Influence of forearm orientation on biceps brachii tendon mechanics and elbow flexor force steadiness

Achilles tendon mechanics influence plantar flexion force steadiness (FS) and balance. In the upper limb, elbow flexor FS is greater in supinated and neutral forearm orientations compared to pronated, with contributions of tendon mechanics remaining unknown in position-dependent FS. This study investigated whether distal biceps brachii (BB) tendon mechanics across supinated, neutral and pronated forearm orientations influence position-dependent FS of the elbow flexors. Eleven males (23 ± 3 years) performed submaximal isometric elbow flexion tasks at low (5, 10% maximal voluntary contraction (MVC)) and high (25, 50, 75% MVC) force levels in supinated, neutral and pronated forearm orientations. Distal BB tendon elongation and CSA were recorded on ultrasound to calculate mechanics of tendon stress, strain and stiffness. Relationships between FS, calculated as coefficient of variation (CV) of force, and tendon mechanics were evaluated with multiple regressions. Supinated and neutral were ∼50% stronger and ∼60% steadier than pronated (p < 0.05). Tendon stress was ∼52% greater in supinated and neutral compared to pronated, tendon strain was ∼36% greater in neutral than pronated (p < 0.05), while tendon stiffness (267.4 ± 78.9 N/mm) did not differ across orientations (p > 0.05). At low forces, CV of force was predicted by MVC (r2: 0.52) in supinated, and MVC and stress in neutral and pronated (r2: 0.65-0.81). At high force levels, CV of force was predicted by MVC and stress in supinated (r2: 0.49), and MVC in neutral (r2: 0.53). Absolute strength and tendon mechanics influence the ability of the BB tendon to distribute forces, and thus are key factors in position-dependent FS.

Validity and reliability of an iPhone App to assess time, velocity and leg power during a sit-to-stand functional performance test

The purposes of this study were: (i) Analyze the concurrent validity and reliability of an iPhone App for measuring time, velocity and power during a single sit-to-stand (STS) test compared with measurements recorded from a force plate; and (ii) Evaluate the relationship between the iPhone App measures with age and functional performance. Forty-eight healthy individuals (age range: 26-81 years) were recruited. All participants completed a STS test on a force plate with the movement recorded on an iPhone 6 at 240 frames-per-second. Functional ability was also measured using isometric handgrip strength and self-paced walking time tests. Intraclass correlation coefficients (ICC), Pearsons correlation coefficient, Cronbachs alpha (α) and Bland-Altman plots with 95% confidence intervals (CI) were used to test validity and reliability between instruments. The results showed a good agreement between all STS measurement variables; time (ICC=0.864, 95%CI=0.77-0.92; α=0.926), velocity (ICC=0.912, 95%CI=0.85-0.95; α=0.953) and power (ICC=0.846, 95%CI=0.74-0.91; α=0.917) with no systematic bias between instruments for any variable analyzed. STS time, velocity and power derived from the iPhone App show moderate to strong associations with age (|r|=0.63-0.83) and handgrip strength (|r|=0.4-0.64) but not the walking test. The results of this study identify that this iPhone App is reliable for measuring STS and the derived values of time, velocity and power shows strong associations with age and handgrip strength.

Is there sufficient evidence to explain the cause of sexually dimorphic behaviour in force steadiness

Neuromuscular noise is a determining factor in the control of isometric force steadiness (FS), quantified as coefficient of variation (CV) of force around a preestablished target output. In this paper we examine sex-related differences of neural, muscular, and tendon influences on neuromuscular noise to understand FS in females and males. We use evidence from the literature to identify that CV of force is higher in females compared with males in the upper and lower body, with sex-related differences becoming less apparent with increasing age. Evaluation of sex-related physiology in tandem with results from FS studies indicate that differences in fibre type, contractile properties, and number of motor units (MUs) are unlikely contributors to differences in FS between females and males. MU type, behaviour of the population (inclusive of number of active MUs from the population), agonist-antagonist activity, maximal strength, and tendon mechanics are probable contributors to sexually dimorphic behaviour in FS. To clearly determine underlying causes of sex-related differences in FS, further study and reporting between females and males is required. Females and males are included in many studies; however, rich data on sexually dimorphic behaviour is lost when data are collapsed across sex or identified as nonsignificant without supporting values. This poses a challenge to identifying the underlying cause of females having higher CV of force than males. This review provides evidence of sexually dimorphic behaviour in FS and suggests that physiological differences between females and males effect neuromuscular noise, and in-turn contribute to sex-related differences in FS.

Velocity of the muscle tendon unit is sex-dependent and not altered with acute static stretch

Contraction velocity of a muscle tendon unit (MTU) is dependent upon the interrelationship between fascicles shortening and the tendon lengthening. Altering the mechanical properties of these tissues through a perturbation such as static stretching slows force generation. Females, who have inherently greater compliance compared with males, have slower velocity of MTU components. The addition of a static stretch might further exacerbate this sex difference. The purpose of this study was to investigate the velocity of fascicle shortening and tendon lengthening in males and females during isometric maximal voluntary contraction (MVC) of the plantar flexors prior to and following an acute static stretch. The MTU was imaged with ultrasound and voluntary activation tested with twitch interpolation for the 5-s plantar flexion MVC, which proceeded and followed an acute stretch. For the 3-min stretch the ankle was passively rotated to maximal dorsi-flexion. The males were stronger (128.71 ± 7.88 Nm) than the females (89.92 ± 4.70 Nm) but voluntary activation did not differ. Tendon lengthening velocity (p = 0.001) and fascicle shortening velocity (p = 0.01) were faster in males than females. Tendon velocity was positively and significantly correlated with fascicle velocity, (r2 = 0.307, p = 0.02). Although sex was significant as a predictor (p = 0.05) time was not independently significant. Thus, stretch did not alter this relationship in either sex (p = 0.6). The velocity of the individual components of the MTU is slower in females when compared with males; however, acute stretch does not alter the relationship between these components in males or females.