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Published in: European Journal of Applied Physiology 1/2018

01-01-2018 | Original Article

A cross-sectional study on the mechanical properties of the Achilles tendon with growth

Authors: Yasuyoshi Mogi, Suguru Torii, Yasuo Kawakami, Toshimasa Yanai

Published in: European Journal of Applied Physiology | Issue 1/2018

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Abstract

Purpose

This study aimed to elucidate growth pattern of mechanical properties of the Achilles tendon and to examine if imbalance between growth of bone and muscle–tendon unit occurs during adolescence.

Methods

Fourteen elementary school boys, 30 junior high school boys, 20 high school boys and 15 male adults participated in this study. Based on estimated age at peak height velocity (PHV), junior high school boys were separated into two groups (before or after PHV). An ultrasonography technique was used to determine the length, cross-sectional area, stiffness and Young’s modulus of Achilles tendon. In addition, the maximum strain in “toe region” (strainTP) was determined to describe the balance between growth of bone and muscle–tendon unit.

Results

No group difference was observed in length, cross-sectional area and strainTP among the groups. However, stiffness and Young’s modulus in after PHV groups were significantly higher than those of elementary school boys and before PHV groups (p ≤ 0.05).

Conclusions

These results indicate that mechanical properties of Achilles tendon change dramatically at and/or around PHV to increased stiffness. The widely believed assumption that muscle–tendon unit is passively stretched due to rapid bone growth in adolescence is not supported.
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Literature
go back to reference Boakes JL, Foran J, Ward SR, Lieber RL (2007) Muscle adaptation by serial sarcomere addition 1 year after femoral lengthening. Clin Orthop Relat Res 456:250–253CrossRef Boakes JL, Foran J, Ward SR, Lieber RL (2007) Muscle adaptation by serial sarcomere addition 1 year after femoral lengthening. Clin Orthop Relat Res 456:250–253CrossRef
go back to reference Bohm S, Mersmann F, Schroll A, Mäkitalo N, Arampatzis A (2016) Insufficient accuracy of the ultrasound-based determination of Achilles tendon cross-sectional area. J Biomech 49:2932–2937CrossRef Bohm S, Mersmann F, Schroll A, Mäkitalo N, Arampatzis A (2016) Insufficient accuracy of the ultrasound-based determination of Achilles tendon cross-sectional area. J Biomech 49:2932–2937CrossRef
go back to reference Dudley-Javoroski S, McMullen T, Borgwardt MR, Peranich LM, Shields RK (2010) Reliability and responsiveness of musculoskeletal ultrasound in subjects with and without spinal cord injury. Ultrasound Med Biol 36:1594–607CrossRef Dudley-Javoroski S, McMullen T, Borgwardt MR, Peranich LM, Shields RK (2010) Reliability and responsiveness of musculoskeletal ultrasound in subjects with and without spinal cord injury. Ultrasound Med Biol 36:1594–607CrossRef
go back to reference Frisch A, Croisier JL, Urhausen A, Seil R, Theisen D (2009) Injuries, risk factors and prevention initiatives in youth sport. Br Med Bull 92:95–121CrossRef Frisch A, Croisier JL, Urhausen A, Seil R, Theisen D (2009) Injuries, risk factors and prevention initiatives in youth sport. Br Med Bull 92:95–121CrossRef
go back to reference Grieve DW, Pheasant S, Cavanagh PR (1978) Predicton of gastrocnemius length from knee and ankle joint posture. In: Asmussen E, Jorgensen K (eds) Biomechanics VI. Proceeding of the Sixth International Congress of Biomechanics, Copenhagen, Baltimore, pp 405–412 Grieve DW, Pheasant S, Cavanagh PR (1978) Predicton of gastrocnemius length from knee and ankle joint posture. In: Asmussen E, Jorgensen K (eds) Biomechanics VI. Proceeding of the Sixth International Congress of Biomechanics, Copenhagen, Baltimore, pp 405–412
go back to reference Iwanuma S, Akagi R, Hashizume S, Kanehisa H, Yanai T, Kawakami Y (2011) Triceps surae muscle-tendon unit length changes as a function of ankle joint angles and contraction levels: the effect of foot arch deformation. J Biomech 44:2579–2583CrossRef Iwanuma S, Akagi R, Hashizume S, Kanehisa H, Yanai T, Kawakami Y (2011) Triceps surae muscle-tendon unit length changes as a function of ankle joint angles and contraction levels: the effect of foot arch deformation. J Biomech 44:2579–2583CrossRef
go back to reference Krivickas LS (1997) Anatomical factors associated with overuse sports injuries. Sports Med 24:132–146CrossRef Krivickas LS (1997) Anatomical factors associated with overuse sports injuries. Sports Med 24:132–146CrossRef
go back to reference Kruse A, Stafilidis S, Tilp M (2017) Ultrasound and magnetic resonance imaging are not interchangeable to assess the Achilles tendon cross-sectional-area. Eur J Appl Physiol 117:73–82CrossRef Kruse A, Stafilidis S, Tilp M (2017) Ultrasound and magnetic resonance imaging are not interchangeable to assess the Achilles tendon cross-sectional-area. Eur J Appl Physiol 117:73–82CrossRef
go back to reference Kubo K, Kanehisa H, Kawakami Y, Fukanaga T (2001) Growth changes in the elastic properties of human tendon structures. Int J Sports Med 22:138–143CrossRef Kubo K, Kanehisa H, Kawakami Y, Fukanaga T (2001) Growth changes in the elastic properties of human tendon structures. Int J Sports Med 22:138–143CrossRef
go back to reference Kubo K, Teshima T, Ikebukuro T, Hirose N, Tsunoda N (2014) Tendon properties and muscle architecture for knee extensors and plantar flexors in boys and men. Clin Biomech (Bristol Avon) 29:506–511CrossRef Kubo K, Teshima T, Ikebukuro T, Hirose N, Tsunoda N (2014) Tendon properties and muscle architecture for knee extensors and plantar flexors in boys and men. Clin Biomech (Bristol Avon) 29:506–511CrossRef
go back to reference Lefevre J, Beunen G, Steens G, Claessens A, Renson R (1990) Motor performance during adolescence and age thirty as related to age at peak height velocity. Ann Hum Biol 17:423–435CrossRef Lefevre J, Beunen G, Steens G, Claessens A, Renson R (1990) Motor performance during adolescence and age thirty as related to age at peak height velocity. Ann Hum Biol 17:423–435CrossRef
go back to reference Lindgren G (1978) Growth of schoolchildren with early, average and late ages of peak height velocity. Ann Hum Biol 5:253–267CrossRef Lindgren G (1978) Growth of schoolchildren with early, average and late ages of peak height velocity. Ann Hum Biol 5:253–267CrossRef
go back to reference Magnusson SP, Aagaard P, Dyhre-Poulsen P, Kjaer M (2001) Load-displacement properties of the human triceps surae aponeurosis in vivo. J Physiol 531:277–288CrossRef Magnusson SP, Aagaard P, Dyhre-Poulsen P, Kjaer M (2001) Load-displacement properties of the human triceps surae aponeurosis in vivo. J Physiol 531:277–288CrossRef
go back to reference Malina RM, Bouchard C, Bar-Or O (2004) Someatic growth. In: Growth, maturation, and physical activity, 2nd edn. Human Kinetics, USA, pp 41–81CrossRef Malina RM, Bouchard C, Bar-Or O (2004) Someatic growth. In: Growth, maturation, and physical activity, 2nd edn. Human Kinetics, USA, pp 41–81CrossRef
go back to reference Micheli LJ, Fehlandt AF Jr (1992) Overuse injuries to tendons and apophyses in children and adolescents. Clin Sports Med 11:713–726CrossRef Micheli LJ, Fehlandt AF Jr (1992) Overuse injuries to tendons and apophyses in children and adolescents. Clin Sports Med 11:713–726CrossRef
go back to reference Micheli LJ, Klein JD (1991) Sports injuries in children and adolescents. Br J Sports Med 25:6–9CrossRef Micheli LJ, Klein JD (1991) Sports injuries in children and adolescents. Br J Sports Med 25:6–9CrossRef
go back to reference Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP (2002) An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc 34:689–694PubMed Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP (2002) An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc 34:689–694PubMed
go back to reference Mogi Y, Torii S, Kawakami Y, Yanai T (2013) Morphological and mechanical properties of the Achilles tendon in adolescent boys. Jpn J Phys Fitness Sports Med 62:303–313CrossRef Mogi Y, Torii S, Kawakami Y, Yanai T (2013) Morphological and mechanical properties of the Achilles tendon in adolescent boys. Jpn J Phys Fitness Sports Med 62:303–313CrossRef
go back to reference Mogi Y, Kawakami Y, Yanai T (2014) Measurement of the mechanical properties of tendons in vivo:Identifying toe region and linear region. Jpn J Biomech Sports Exerc 18:40–48 Mogi Y, Kawakami Y, Yanai T (2014) Measurement of the mechanical properties of tendons in vivo:Identifying toe region and linear region. Jpn J Biomech Sports Exerc 18:40–48
go back to reference Muramatsu T, Muraoka T, Takeshita D, Kawakami Y, Hirano Y, Fukunaga T (2001) Mechanical properties of tendon and aponeurosis of human gastrocunemius muscle in vivo. J Appl Physiol 90:1671–1678CrossRef Muramatsu T, Muraoka T, Takeshita D, Kawakami Y, Hirano Y, Fukunaga T (2001) Mechanical properties of tendon and aponeurosis of human gastrocunemius muscle in vivo. J Appl Physiol 90:1671–1678CrossRef
go back to reference Muraoka T, Muramatsu T, Fukunaga T, Kanehisa H (2005) Elastic properties of human Achilles tendon are correlated to muscle strength. J Appl Physiol 99:665–669CrossRef Muraoka T, Muramatsu T, Fukunaga T, Kanehisa H (2005) Elastic properties of human Achilles tendon are correlated to muscle strength. J Appl Physiol 99:665–669CrossRef
go back to reference Nakagawa Y, Hayashi K, Yamamoto N, Nagashima K (1996) Age-related changes in biomechanical properties of the Achilles tendon in rabbits. Eur J Appl Physiol 73:7–10CrossRef Nakagawa Y, Hayashi K, Yamamoto N, Nagashima K (1996) Age-related changes in biomechanical properties of the Achilles tendon in rabbits. Eur J Appl Physiol 73:7–10CrossRef
go back to reference Neugebauer JM, Hawkins DA (2012) Identifying factors related to Achilles tendon stress, strain, and stiffness before and after 6 months of growth in youth 10–14 years of age. J Biomech 45:2457–2461CrossRef Neugebauer JM, Hawkins DA (2012) Identifying factors related to Achilles tendon stress, strain, and stiffness before and after 6 months of growth in youth 10–14 years of age. J Biomech 45:2457–2461CrossRef
go back to reference Nishijima N, Yamamuro T, Ueba Y (1994) Flexor tendon growth in chickens. J Orthop Res 12:576–581CrossRef Nishijima N, Yamamuro T, Ueba Y (1994) Flexor tendon growth in chickens. J Orthop Res 12:576–581CrossRef
go back to reference O’Brien TD, Reeves ND, Baltzopoulos V, Jones DA, Maganaris CN (2010) Mechanical properties of the patellar tendon in adults and children. J Biomech 43:1190–1195CrossRef O’Brien TD, Reeves ND, Baltzopoulos V, Jones DA, Maganaris CN (2010) Mechanical properties of the patellar tendon in adults and children. J Biomech 43:1190–1195CrossRef
go back to reference Scammon RE (1930) The measurement of the body in children. In: Harris JA, Jackson CM, Paterson DG, Scammon RE (eds) The measurement of man. University of Minnesota Press, USA, pp 173–215 Scammon RE (1930) The measurement of the body in children. In: Harris JA, Jackson CM, Paterson DG, Scammon RE (eds) The measurement of man. University of Minnesota Press, USA, pp 173–215
go back to reference Sever JW (1912) Apophysitis of the os calcis. N Y Med J 95:1025–1029 Sever JW (1912) Apophysitis of the os calcis. N Y Med J 95:1025–1029
go back to reference Tanner JM (1981) Growth and maturation during adolescence. Nutr Rev 39:43–55CrossRef Tanner JM (1981) Growth and maturation during adolescence. Nutr Rev 39:43–55CrossRef
go back to reference Waugh CM, Blazevich AJ, Fath F, Korff T (2012) Age-related changes in mechanical properties of the Achilles tendon. J Anat 220:144–155CrossRef Waugh CM, Blazevich AJ, Fath F, Korff T (2012) Age-related changes in mechanical properties of the Achilles tendon. J Anat 220:144–155CrossRef
go back to reference Wren TA (2003) A computational model for the adaptation of muscle and tendon length to average muscle length and minimum tendon strain. J Biomech 36:1117–1124CrossRef Wren TA (2003) A computational model for the adaptation of muscle and tendon length to average muscle length and minimum tendon strain. J Biomech 36:1117–1124CrossRef
Metadata
Title
A cross-sectional study on the mechanical properties of the Achilles tendon with growth
Authors
Yasuyoshi Mogi
Suguru Torii
Yasuo Kawakami
Toshimasa Yanai
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 1/2018
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-017-3760-4

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