Usha Sinha1, Vadim Malis2, Robert Csapo3, and Shantanu Sinha3
1Physics, San Diego State University, San Diego, CA, United States, 2Physics, University of California at San Diego, San Diego, CA, United States, 3Radiology, University of California at San Diego, San Diego, CA, United States
Synopsis
In-vivo studies of muscle function under
different motion paradigms can elucidate the physiology of acute atrophy. This study maps the 2D strain rate tensor in
subjects performing eccentric contractions before and after Unilateral Limb Suspension
induced acute atrophy. As expected, strain
rate values are smaller during eccentric compared to isometric contractions, since
in the eccentric mode, muscle contraction occurs under lengthening conditions
resulting in a net smaller local elongation. Changes of SR indices with atrophy are negligible possibly due to a
balance of force loss from atrophy and greater force generation from a
potentially stiffer matrix.Purpose
Eccentric contractions are of interest since
many physiological functions occur when the muscle is actively
lengthening. Further, eccentric
contractions have been shown to be most effective for muscle strengthening.
1 This study focuses on effect of atrophy,
induced by unilateral limb suspension (ULLS), on muscle strain rate (SR) tensor
indices during eccentric contractions of the Medial Gastrocnemius (MG) derived
from velocity encoded phase contrast (VE-PC) images.
Methods
Acute atrophy
was induced by the ULLS model
2 (4 weeks of chronic unloading of the dominant
leg using crutches and a raised shoe for the non-dominant leg) in six subjects with IRB approval. Dynamic imaging was performed pre- and
post-ULLS during eccentric contractions at 60% Maximum Voluntary Contraction (MVC).
A computer controlled foot pedal device rotated the foot during eccentric
contraction, with visual feedback guidance enabling consistent force generation.
3 The parameters of the gated, 3-directionally encoded VE-PC sequence were:
7-8 oblique-sagittal slices (1.7x1.7x5 mm) to cover the MG and 22 temporal
phases. Muscle fascicles were manually contoured from water suppressed FSE
images acquired in the same orientation and tracked through the dynamic cycle
for fiber orientation. The 2D SR tensor (symmetric
part of the spatial gradient of the velocity) of the MG was calculated from the
VE-PC images to extract: (i) positive and negative eigenvalues, (ii) the
out-of-plane component calculated as the negative of the (sum of the in-plane)
eigenvalues, (iii) SR-muscle fiber angles corresponding to the angle between
the eigenvector corresponding to the positive eigenvalue and the muscle fiber. Statistical analysis compared pre- to
post-ULLS cohorts based on SR indices at the force value corresponding to the post-ULLS
for each subject.
Results
The eigenvalues extracted at each voxel were
sorted into negative and positive eigenvalue images (Figure 1). During isometric contraction, the local
deformation is negative and thus the negative eigenvalue image extracted at
peak contraction is denoted as strain rate along the muscle fiber. In eccentric contraction, the dynamic cycle
starts with the foot in a plantarflexed position and pushed to the dorsiflexed
position by the pedal while the foot is exerting a resisting force (phases 1-12
in Fig. 2) with the latter half of the cycle (12-24) being passive
plantarflexion with the foot following the pedal. Since the net deformation is active
lengthening in the first half of the cycle, the positive eigenvalue (local
elongation) is denoted as the SR along the muscle fiber (Fig. 1). The average SR indices (positive, negative,
sum eigenvalues and SR-muscle fiber angles) as a function of the dynamic cycle are
shown in Figure 2. No significant
changes were seen in any of the SR values between the pre- and post-ULLS
subjects.
Discussion
Overall, SR values are much lower for eccentric
contractions compared to our findings on isometric contractions for the same
level of MVC. The lower values of SR
arise from the fact the muscles are contracting while there is an active
lengthening during dorsiflexion caused by external force from the foot
pedal. The net result is a smaller extent
of tissue deformation due to simultaneous local contraction and elongation. The net deformation is lengthening as the
foot is pushed to the dorsiflexed position (Fig. 2, 2nd
column). The local elongation of tissue is
also confirmed by the low values of the SR-fiber angle where the SR eigenvector
corresponds to the positive eigenvalue (SR-fiber angles: pre-ULLS: -200
and post-ULLS: -300; the negative sign indicates that the SR is
rotated distally compared to the muscle fiber).
Surprisingly, there are no significant differences in the SR indices
between pre- and post-ULLS cohorts. This is in contrast to our findings on SR
indices during isometric contractions which showed significant differences in
SR-fiber angles and in fiber cross section SR.
A potential explanation for minimal changes in SR with acute atrophy in
eccentric contraction comes from our modeling studies simulating extracellular matrix
(ECM) material stiffness. Modeling
predicts that during eccentric contraction, the muscle tissue with stiffer ECM
(as may occur in atrophy) generates more force, as the ECM is in strained state
tending to enhance force generation (Figure 3). But atrophy induced reduction
in specific muscle fiber force will reduce the force generation. The balance between loss of muscle force due
to reduced specific force and increase in force due to increase in matrix ECM
stiffness may account for minimal changes in SR in eccentric contractions
between pre- and post-ULLS subjects.
Conclusion
Dynamic studies using
eccentric contraction may provide physiological insights into acute atrophy
reflecting changes in both contractile elements and ECM material properties.
Acknowledgements
This work was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases Grant 5RO1-AR-053343-08.References
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3. Sinha S, Shin D, Hodgson JA, et al. Computer-Controlled, MR-Compatible Foot-Pedal Device to Study Dynamics of the Muscle Tendon Complex Under Isometric, Concentric, and Eccentric Contractions. J Magn Reson Imaging. 2012;36(2):498–504.