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Hent hele bladet som pdf - Dansk Sportsmedicin

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20<br />

DIMS årsmøde<br />

A2<br />

THE EFFECT OF TRAINING ON ACHILLES APONEUROSIS PROPER-<br />

TIES<br />

Sofie Rosager, Per Aagaard, Michael Kjaer, S Peter Magnusson<br />

Team Danmark Test Center/Sports Medicine Research Unit, Bispebjerg Hospital,<br />

Copenhagen<br />

INTRODUCTION: We measured the load-displacement and stress-strain<br />

characteristics of the human triceps surae aponeurosis and tendon, in vivo,<br />

during voluntary plantarflexion, in trained (n=7) and control (n=8) subjects.<br />

METHODS: During a 10-s ramp i<strong>som</strong>etric maximal plantarflexion simultaneous<br />

and synchronous measures of real-time ultrasonography of aponeurosis<br />

displacement, EMG of the gastrocnemius, soleus, and tibialis anterior<br />

muscles, and joint angular motion were obtained. MRI was used to estimate<br />

tendon CSA and moment arm. Force and EMG data from maximal i<strong>som</strong>etric<br />

dorsiflexion efforts were used to examine the effect of coactivity on the<br />

mechanical properties. Tendon force was calculated from the measured joint<br />

moment and tendon moment arm, and stress was obtained by dividing it<br />

with CSA. Tendon strain was obtained from displacements normalized to<br />

tendon length, and subsequently stiffness and Young’s modulus were calculated.<br />

RESULTS: (meansem).<br />

CSA,mm 2 Force N Displ, mm Strain, % Stress, MPa<br />

Runner 925 2114456 8.71.6 3.60.7 224<br />

Control 784 2095330 9.41.2 4.20.8 297<br />

The stiffness was 40085 N/mm for controls and 28146 N/mm for runners.<br />

The modulus was 74390 MPa for runners and 1131224 Mpa for controls.<br />

Controls only differed from runners in CSA, P

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