Functional and clinical significance of the architecture of human skeletal muscles

The architectural properties of the triceps surae muscle were studied in vivo in groups of healthy subjects (eight men) and patients with locomotor function disorders (four men and four women) with the ankle joint positioned at a plantar flexion 0° and the knee set at 90° (neutral position). In this position, using ultrasonic scanning, longitudinal ultrasonic images of the medial gastrocnemius (MG), lateral gastrocnemius (LG), and soleus (Sol) muscles were obtained when the subject was relaxed (the passive state) or performed isometric plantar flexion (50% of the maximum voluntary contraction (MVC), the active state). The fascicle lengths, fascicle angles, and muscle thickness were determined. In the passive state, the fascicle lengths of the MG, LG, and Sol muscles in the group of healthy subjects were 33, 35, and 30 mm and the pennation angle, 25°, 19°, and 25°; in the group of patients with motor disorders, 38, 39, and 29 mm and 21°, 19°, and 24°, respectively. The MG, LG, and Sol thicknesses in the group of healthy subjects were 15, 13, and 12 mm, and in the group of patients with motor disorders, 14, 12, and 14 mm, respectively. In the active state (50% of the MVC), the MG, LG, and Sol fiber lengths in the group of healthy subjects shortened by 31, 24, and 18%; the fiber pennation angle increased by 60, 41, and 41%, respectively. In the group of patients with motor disorders, the fiber lengths shortened by 28, 14, and 18% and the fiber pennation angle decreased by 28, 26, and 36%, respectively. The MG, LG, and Sol thicknesses in the group of healthy subjects increased by 9, 22, and 18%, while in the group of patients with motor disorders the thickness decreased by 4% in the MG and increased by 11 and 4% in the LG and Sol muscles, respectively. Different fiber lengths and pennation angles and their changes upon contraction might be related to differences in the force-producing capabilities of the muscles and the viscoelastic properties of muscle tendons and aponeuroses.