Improvements to Hoang et al.'s method for measuring passive length-tension properties of human gastrocnemius muscle in vivo.

While the passive mechanical properties of a musculo-articular complex can be determined using the relationship between the articular angle and the passive torque developed in resistance to motion, the properties of different structures of the musculo-articular complex cannot be easily assessed. Recently, an elegant method has been proposed to estimate the passive length-tension properties of gastrocnemius muscle-tendon unit (Hoang et al., 2005). In the present paper, two improvements of this method are proposed to decrease the number of parameters required to assess the passive length-tension relationship from 9 to 2. Furthermore, these two parameters have physical meaning as they represent a passive muscle-tendon stiffness index (alpha) and the muscle-tendon slack length (l(0)). alpha and l(0) are relevant clinical parameters to study the chronic effects of aging, training protocols or neuromuscular pathologies on the passive mechanical properties of the muscle-tendon unit. Eight healthy subjects performed passive loading/unloading cycles at 5 degrees /s with knee angle at 6 knee angles to assess the torque-angle relationships and to apply the modified method. Numerical optimization was used to minimize the squared error between the experimental and the modeled relationships. The experiment was performed twice to assess the reliability of alpha and l(0) across days. The results showed that the reliability of the two parameters was good (alpha: ICC=0.82, SEM=6.1m(-1), CV=6.3% and l(0): ICC=0.83, SEM=0.29 cm, CV=0.9%). Using a sensitivity analysis, it was shown that the numerical solution was unique. Overall, the findings may provide increased interest in the method proposed by Hoang et al. (2005).

Modeling of the passive mechanical properties of the musculo-articular complex: acute effects of cyclic and static stretching.

The primary aim of this study was to implement a rheological model of the mechanical behavior of the passive musculo-articular complex (MAC). The second objective was to adapt this model to simulate changes in the passive MAC's mechanical properties induced by passive stretching protocols commonly performed in sport and rehabilitation programs. Nine healthy subjects performed passive ankle dorsi-flexion and plantar-flexion cycles at different velocities (from 0.035 to 2.09 rads(-1)) on an isokinetic dynamometer. This procedure enabled the articular angle to be controlled and the passive torque developed by the MAC in resistance to stretch to be measured. Our rheological model, dependent on nine parameters, was composed of two non-linear (exponential) springs for both plantar- and dorsi-flexion, a linear viscoelastic component and a solid friction component. The model was implemented with the Simulink software package, and the nine parameters were identified, for each subject, by minimizing the square-difference between experimental torque-angle relationships and modeled curves. This model is in good agreement with experiment, whatever the considered stretching velocity. Finally, the model was adapted to incorporate static stretching (4x2.5 min) and cyclic stretching (five loading/unloading cycles) protocols. Our results indicate that the model could be used to simulate the effects of stretching protocols by adjusting a single (different) parameter for each protocol.

[Design of a force sensor to evaluate the grasping movement]. / Développement d'un capteur de force pour l'analyse du comportement de grasping.

Grasping phenomena are abnormal motor behaviours described after cerebral lesions. They are defined as a stereotyped response, consisting of a progressive forced closure of the patient's hand on the examiner's fingers, when they are slowly moved exerting a strong pressure across the palm in an upward direction. Several types are described. The aim of the study was to develop a force sensor to evaluate the force of grasping in accordance with the force of dragging. The characteristics of this force sensor are presented and the clinical application in two selected patients demonstrated.