Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism

Context: Eccentric exercises are increasingly being used to treat lower-limb musculoskeletal conditions such as Achilles tendinopathy. Despite widespread clinical application and documented efficacy, mechanisms underpinning clinical benefit remain unclear. Positive adaptations in motor performance a...

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Main Authors: Debenham, J., Gibson, W., Travers, M., Campbell, A., Allison, Garry
Format: Journal Article
Published: Human Kinetics Publishers INC 2016
Online Access:http://hdl.handle.net/20.500.11937/49867
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author Debenham, J.
Gibson, W.
Travers, M.
Campbell, A.
Allison, Garry
author_facet Debenham, J.
Gibson, W.
Travers, M.
Campbell, A.
Allison, Garry
author_sort Debenham, J.
building Curtin Institutional Repository
collection Online Access
description Context: Eccentric exercises are increasingly being used to treat lower-limb musculoskeletal conditions such as Achilles tendinopathy. Despite widespread clinical application and documented efficacy, mechanisms underpinning clinical benefit remain unclear. Positive adaptations in motor performance are a potential mechanism. Objective: To investigate how an eccentric loading intervention influences measures of stretch-shortening-cycle (SSC) behavior during a hopping task. Design: Within-subjects repeated-measures observational study. Setting: University motion-analysis laboratory. Participants: Healthy adults. Interventions: A single intervention of 5 sets of 10 eccentric plantar-flexion contractions at 6 repetitions maximum using a commercial seated calf-raise machine. Main Outcome Measures: Lower-limb stiffness, sagittal-plane ankle kinematics, and temporal muscle activity of the agonist (soleus) and antagonist (tibialis anterior) muscles, measured during submaximal hopping on a custom-built sledge-jump system. Results: Eccentric loading altered ankle kinematics during submaximal hopping; peak angle shifted to a less dorsiflexed position by 2.9° and ankle angle precontact shifted by 4.4° (P < .001). Lower-limb stiffness increased from 5.9 to 6.8 N/m (P < .001), while surface EMG measures of soleus occurred 14–44% earlier (P < .001) after the loading intervention. Conclusions: These findings suggest that eccentric loading alters SSC behavior in a manner reflective of improved motor performance. Decreased ankle excursion, increased lower-limb stiffness, and alterations in motor control may represent a positive adaptive response to eccentric loading. These findings support the theory that mechanisms underpinning eccentric loading for tendinopathy may in part be due to improved “buffering” of the tendon by the neuromuscular system.
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spelling curtin-20.500.11937-498672017-09-13T15:50:49Z Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism Debenham, J. Gibson, W. Travers, M. Campbell, A. Allison, Garry Context: Eccentric exercises are increasingly being used to treat lower-limb musculoskeletal conditions such as Achilles tendinopathy. Despite widespread clinical application and documented efficacy, mechanisms underpinning clinical benefit remain unclear. Positive adaptations in motor performance are a potential mechanism. Objective: To investigate how an eccentric loading intervention influences measures of stretch-shortening-cycle (SSC) behavior during a hopping task. Design: Within-subjects repeated-measures observational study. Setting: University motion-analysis laboratory. Participants: Healthy adults. Interventions: A single intervention of 5 sets of 10 eccentric plantar-flexion contractions at 6 repetitions maximum using a commercial seated calf-raise machine. Main Outcome Measures: Lower-limb stiffness, sagittal-plane ankle kinematics, and temporal muscle activity of the agonist (soleus) and antagonist (tibialis anterior) muscles, measured during submaximal hopping on a custom-built sledge-jump system. Results: Eccentric loading altered ankle kinematics during submaximal hopping; peak angle shifted to a less dorsiflexed position by 2.9° and ankle angle precontact shifted by 4.4° (P < .001). Lower-limb stiffness increased from 5.9 to 6.8 N/m (P < .001), while surface EMG measures of soleus occurred 14–44% earlier (P < .001) after the loading intervention. Conclusions: These findings suggest that eccentric loading alters SSC behavior in a manner reflective of improved motor performance. Decreased ankle excursion, increased lower-limb stiffness, and alterations in motor control may represent a positive adaptive response to eccentric loading. These findings support the theory that mechanisms underpinning eccentric loading for tendinopathy may in part be due to improved “buffering” of the tendon by the neuromuscular system. 2016 Journal Article http://hdl.handle.net/20.500.11937/49867 10.1123/jsr.2015-0129 Human Kinetics Publishers INC restricted
spellingShingle Debenham, J.
Gibson, W.
Travers, M.
Campbell, A.
Allison, Garry
Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism
title Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism
title_full Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism
title_fullStr Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism
title_full_unstemmed Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism
title_short Modulation of Stretch-Shortening-Cycle Behavior With Eccentric Loading of Triceps Surae: A Possible Therapeutic Mechanism
title_sort modulation of stretch-shortening-cycle behavior with eccentric loading of triceps surae: a possible therapeutic mechanism
url http://hdl.handle.net/20.500.11937/49867