Changes in connective tissues of the skeletal muscle-tendon unit (MTU) of aging animal muscles have been associated with increased passive viscoelastic properties. This study examined whether similar changes in the viscoelastic properties were present in short calf MTUs of older women in vivo. Fifteen women 68-87 years of age with short calf MTUs, as represented by limited active dorsiflexion (DF) range of motion (ROM) of < or =5 degrees, and 15 women 20-26 years of age without decreased DF ROM participated. A Kin-Com dynamometer stretched the MTU from plantarflexion to maximal DF at the slow velocity of 5 degrees s(-1) (0.087 rad s(-1)) and the fast velocity of 120 degrees s(-1) (2.094 rad s(-1)) with minimal surface electromyogram activity in the soleus, gastrocnemius, and tibialis anterior muscles. Two-way analysis of variance (ANOVA) tests for repeated measures (Velocity x Group) indicated that all women showed greater passive torque, average passive elastic stiffness, and total absorbed passive elastic energy for the fast stretch than for the slow stretch (P < 0.001). The older women had greater percent increases for the average passive torque (30%) and total absorbed passive elastic energy (26%) for the fast stretch than the younger women (P < 0.05), who had 17.5 and 13% increases, respectively. The older women had less maximal and average passive torque (Nm) and total absorbed passive elastic energy (degrees Nm), but greater average passive elastic stiffness (Nm degrees (-1)) at both stretch velocities (P < 0.001). The results indicated that short calf MTUs of older women have increased passive viscoelastic properties that could have implications for balance and ambulatory function.
Background and Purpose. Therapeutic stretching of the calf muscle-tendon unit is used to increase its length and to ameliorate decreased dorsiflexion range of motion (ROM), but the influence of age on the passive properties of the calf muscle-tendon unit has not been studied adequately. The purpose of this study was to examine the influence of age on length and passive elastic stiffness (PES) characteristics of the calf muscle-tendon unit when stretched through the full, available dorsiflexion ROM. Subjects. Twenty-four younger women (aged 20–39 years), 24 middle-aged women (aged 40–59 years), and 33 older women (aged 60–84 years) participated. Methods. An isokinetic dynamometer was used to passively stretch the right calf muscle-tendon unit from relaxed plantar flexion to the maximal angle of available dorsiflexion at 5°·s−1. The maximal passive resistive torque was measured, and passive angle-torque curves were constructed for a full ROM from an initial angle of passive resistive torque to the maximal dorsiflexion angle. The full ROM represented length extensibility. The average PES was calculated for this full stretch ROM and for the first half and the last half of this stretch ROM. The maximal passive dorsiflexion angle, maximal passive resistive torque, angular change for the full stretch ROM, and average PES for the full stretch ROM and the first half and the last half of the full stretch ROM were examined for group differences and their relationships with age. Results. The maximal passive dorsiflexion angle, maximal passive resistive torque, angular change for the full stretch ROM, and average PES within the last half of the full stretch ROM were less for the older women than for the younger women. Age was negatively associated with these variables. Conclusion and Discussion. Decreased maximal passive dorsiflexion ROM in older women was associated with decreased maximal passive resistive torque, decreased calf muscle-tendon unit length extensibility, and decreased average PES within the last half of their available passive dorsiflexion ROM.
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