Biomedical subjects

V Baltzopoulos

Publications and source records attributed to V Baltzopoulos.

At least 19 recordsLinked to original sources

PubMed2006

Gastrocnemius muscle fascicle behavior during stair negotiation in humans.

The aim of the present study was to establish the behavior of human medial gastrocnemius (GM) muscle fascicles during stair negotiation. Ten healthy male subjects performed normal stair ascent and descent at their own comfortable speed on a standard-dimension four-step staircase with embedded force platforms in each step. Kinematic, kinetic, and electromyographic data of the lower limbs were collected. Real-time ultrasound scanning was used to determine GM muscle fascicle length changes. Musculotendon complex (MTC) length changes were estimated from ankle and knee joint kinematics. The GM muscle was mainly active during the push-off phase in stair ascent, and the muscle fascicles contracted nearly isometrically. The GM muscle was mainly active during the touch-down phase of stair descent where the MTC was lengthened; however, the GM muscle fascicles shortened by approximately 7 mm. These findings show that the behavior and function of GM muscle fascicles in stair negotiation is different from that expected on the basis of length changes of the MTC as derived from joint kinematics.

Adult↗

PubMed2005

The effects of muscle damage on running economy in healthy males.

Published information on aspects related to muscle damage and running economy is both limited and contradictory. To contribute to the current debate, we investigated the effects of an eccentric exercise session on selected muscle damage indices in relation to running economy using 10 (mean age 23 +/- 1 years) healthy male volunteers. The eccentric exercise session consisted of 120 (12 x 10) maximal voluntary repetitions by each randomly selected leg at the angular velocity of 1.05 rad . s (-1). Muscle damage (creatine kinase, delayed onset muscle soreness, range of movement, and eccentric, concentric and isometric [at 60 degrees and 110 degrees knee flexion] peak torque) and running economy (oxygen consumption, pulmonary ventilation, respiratory exchange ratio and breaths per minute during treadmill running at 133 and 200 m . min (-1)) indicators, were assessed pre-, 24-, 48-, 72- as well as 96-h after exercise. All muscle damage indicators revealed significant changes at almost all time-points of assessment compared to pre-exercise data (p < 0.05). However, none of the running economy parameters disclosed any significant change throughout the study (p > 0.05). It was concluded that changes in muscle damage and muscle performance as measured in this study are not reflected by concomitant alterations in running economy at submaximal intensities.

Adult↗

PubMed2003

Normalisation of gait EMGs: a re-examination.

The purpose of this study was to compare four different methods of normalising electromyograms (EMGs) recorded during normal gait. Comparisons were made between the amplitude, intra-individual variability and inter-individual variability of EMGs. Surface EMGs were recorded from the biceps femoris, semitendinosus, vastus lateralis and vastus medialis of ten males and two females while they walked on a treadmill at a self-selected speed. EMGs from the same muscles were subsequently recorded during isometric maximal voluntary contractions (MVCs) and concentric, isokinetic MVCs that were performed between 0.52 and 7.85 rad x s(-1) on a BIODEX dynamometer. EMGs were also recorded during eccentric, isokinetic MVCs between 0.52 and 2.62 rad x s(-1). Gait EMGs were then normalised at 2% intervals of the gait cycle by expressing them as a percentage of the following reference values: the mean (mean dynamic method) and the peak (peak dynamic method) EMG from the intra-individual ensemble average; the EMG from an isometric MVC (isometric MVC method); and the EMG from an isokinetic MVC that occurred with the same muscle action, length and velocity of musculotendinous unit as the gait EMGs (isokinetic MVC method). The isokinetic MVC method produced significantly greater (P<0.05) intra-individual variability compared to the other methods when it was measured using the variance ratio. Inter-individual variability of gait EMGs, again measured using the variance ratio, was also greatest when they were normalised using the isokinetic MVC method. The pattern and amplitude of EMGs normalised using the isometric MVC method and the isokinetic MVC method were very similar (root mean square difference and absolute difference both less than 3%). It was concluded that the isokinetic MVC method should not be adopted by gait researchers or clinicians as it does not reduce intra- or inter-individual variability anymore than existing normalisation methods, nor does it provide a more representative measure of muscle activation during gait than the isometric MVC method.

Adult↗

PubMed2001

In vivo specific tension of human skeletal muscle.

In this study, we estimated the specific tensions of soleus (Sol) and tibialis anterior (TA) muscles in six men. Joint moments were measured during maximum voluntary contraction (MVC) and during electrical stimulation. Moment arm lengths and muscle volumes were measured using magnetic resonance imaging, and pennation angles and fascicular lengths were measured using ultrasonography. Tendon and muscle forces were modeled. Two approaches were followed to estimate specific tension. First, muscle moments during electrical stimulation and moment arm lengths, fascicular lengths, and pennation angles during MVC were used (data set A). Then, MVC moments, moment arm lengths at rest, and cadaveric fascicular lengths and pennation angles were used (data set B). The use of data set B yielded the unrealistic specific tension estimates of 104 kN/m(2) in Sol and 658 kN/m(2) in TA. The use of data set A, however, yielded values of 150 and 155 kN/m(2) in Sol and TA, respectively, which agree with in vitro results from fiber type I-predominant muscles. In fact, both Sol and TA are such muscles. Our study demonstrates the feasibility of accurate in vivo estimates of human muscle intrinsic strength.

Adult↗

PubMed2000

In vivo measurement-based estimations of the human Achilles tendon moment arm.

The aim of the present study was to estimate and compare in vivo measurement-based Achilles tendon moment arm lengths at rest and during isometric plantarflexion maximum voluntary contraction (MVC) using the centre-of-rotation (COR) and the tendon-excursion (TE) methods. Both methods were based on morphometric analysis of sagittal-plane magnetic resonance images of the foot. Using the COR method, moment arms were obtained at ankle angles from 15 degrees of dorsiflexion to 30 degrees of plantarflexion in steps of 15 degrees, digitizing the perpendicular distance from a moving centre of rotation in the tibio-talar joint to the Achilles tendon action line. The TE method was based on measurement of calcaneal displacement along the tibial axis during 15 degrees rotations of the ankle joint, from 30 degrees of dorsiflexion to 45 degrees of plantarflexion. The two methods gave similar estimations at rest varying from 4.3 to 5.6 cm. Using the COR method, the Achilles tendon moment arm during MVC was larger by 1-1.5 cm (22-27%, P < 0.01) than the respective resting value. In contrast, no difference (P > 0.05) was found between the resting and MVC moment arm estimations of the TE method. The disagreement in moment arms during MVC may be attributed to differences in the assumptions made between the two methods. The TE method has more limitations than the COR method and its estimations during MVC should be treated with caution. Resting Achilles tendon moment arm estimations of the COR method should be multiplied by 1.22-1.27 when maximal isometric plantarflexion joint moments, musculotendon forces and stresses are predicted using modelling.

Achilles Tendon↗

PubMed2000

Peak power assessment in isokinetic dynamometry.

The purpose of the present study was to establish a method by which to derive accurate and valid isokinetic peak power measurements. For this purpose, peak power was calculated as the product of: (1) preselected angular velocity and peak moment without considering the angular velocity at peak moment (method I), (2) actual angular velocity and the respective moment values at that time (method II), (3) instant actual angular velocity at the point of peak moment and peak moment (method III), and (4) actual constant angular velocity and the highest moment during this period (method IV). Ten subjects performed concentric knee extensions at 30, 90, 180 and 300 degrees/s on a Lido Active isokinetic dynamometer. The product of moment and actual angular velocity derived from the angular displacement data was used to measure peak power in methods II, III and IV. Significant differences were found between the four methods. Method I results in artificial peak power and methods II and III do not produce actual isokinetic peak power. The latter can only be assessed using method IV. It was concluded that method IV (highest moment during constant angular velocity period) must be used in order to obtain valid, accurate and comparable isokinetic peak power values.

Adult↗

PubMed2000

Inertial effects on moment development during isokinetic concentric knee extension testing.

STUDY DESIGN: Two group pre-test post-test design was used with 2 isokinetic dynamometers in a laboratory setting. OBJECTIVES: To evaluate the inertial effects on moment measurements during the initial acceleration period of concentric isokinetic knee extension. BACKGROUND: Torque acceleration energy is a controversial measure of muscle "explosive power." Moments due to acceleration during the initial period of isokinetic movements have been ignored in the majority of isokinetic studies. METHODS AND MEASURES: These inertial effects were assessed at various angular velocities measuring the work production at the initial 0.125 second on a Biodex and a Lido dynamometer. Four women (age, 23.33 +/- 2.49 years) and 5 men (age, 26.00 +/- 2.63 years) were tested on Biodex. A different group of 9 men (age, 23.4 +/- 3.41 years, height, 1.77 +/- 1.02 meters, and mass, 74 +/- 8.26 kg) was tested on the Lido. Joint moment was calculated by including moments associated with the angular acceleration of the lower limb and the lever arm. RESULTS: Torque acceleration energy was significantly greater after correction for inertial effects compared with uncorrected measures at moderate (165 and 180 deg/s) and high velocities (300 deg/s) on both dynamometers. CONCLUSION: In cases where moment development in the initial 0.125 second of an isokinetic movement is measured, it would be better to use slow velocities where inertial effects are minimum. At high angular velocities inertial correction is essential to acquire valid moment measurements and conclusions about muscle and joint function.

Acceleration↗

PubMed1999

Predictability of in vivo changes in pennation angle of human tibialis anterior muscle from rest to maximum isometric dorsiflexion.

The aim of this study was to assess the predictability of in vivo, ultrasound-based changes in human tibialis anterior (TA) pennation angle from rest to maximum isometric dorsiflexion (MVC) using a planimetric model assuming constant thickness between aponeuroses and straight muscle fibres. Sagittal sonographs of TA were taken in six males at ankle angles of -15 degrees (dorsiflexion direction), 0 degrees (neutral position), + 15 (plantarflexion direction) and + 30 degrees both at rest and during dorsiflexor MVC trials performed on an isokinetic dynamometer. At all four ankle angles scans were taken from the TA proximal, central and distal regions. TA architecture did not differ (P > 0.05) neither between its two unipennate parts nor along the scanned regions over its length at a given ankle angle and state of contraction. Comparing MVC with rest at any given ankle angle, pennation angle was larger (62-71%, P < 0.01), fibre length smaller (37-40%, P < 0.01) and muscle thickness unchanged (P > 0.05). The model used estimated accurately (P > 0.05) changes in TA pennation angle occurring in the transition from rest to MVC and therefore its use is encouraged for estimating the isometric TA ankle moment and force generating capacity using musculoskeletal modelling.

Adult↗

PubMed1999

The effects of the antagonist muscle force on intersegmental loading during isokinetic efforts of the knee extensors.

Hamstrings activation when acting as antagonists is considered very important for knee joint stability. However, the effect of hamstring antagonist activity on knee joint loading in vivo is not clear. Therefore, the purpose of this study was to examine the differences in antagonistic muscle force and their effect on agonist muscle and intersegmental forces during isokinetic eccentric and concentric efforts of the knee extensors. Ten males performed maximum isokinetic eccentric and concentric efforts of the knee extensors at 30 degrees s(-1). The muscular and tibiofemoral joint forces were then estimated using a two-dimensional model with and without including the antagonist muscle forces. The antagonist moment was predicted using an IEMG-moment model. The predicted antagonist force reached a maximum of 2.55 times body weight (BW) and 1.16 BW under concentric and eccentric conditions respectively. Paired t-tests indicated that these were significantly different (p<0.05). A one-way analysis of variance indicated that when antagonist forces are included in the calculations the patella tendon, compressive and posterior shear joint forces are significantly higher compared to those calculated without including the antagonist forces. The anterior shear force was not affected by antagonist activity. The antagonists produce considerable force throughout the range of motion and affect the joint forces exerted at the knee joint. Further, it appears that the antagonist effect depends on the type of muscle action examined as it is higher during concentric compared to eccentric efforts of the knee extensors.

Adult↗

PubMed1999

In vivo determination of the patella tendon and hamstrings moment arms in adult males using videofluoroscopy during submaximal knee extension and flexion.

OBJECTIVE: The determination of patella tendon and hamstrings moment arms. DESIGN: The moment-arms were determined using a videofluoroscopy imaging method. BACKGROUND: The determination of hamstrings and quadriceps moment arms is important for the examination of muscle and joint forces in biomechanical applications. METHODS: Ten males performed one knee extension-flexion movement at a very slow (non-constant) angular velocity in front of the image intensifier screen of a videofluoroscopic system. The image of a calibration phantom with 2 cm squares was also recorded. Thirty five calibration points with known coordinates were digitized for the establishment of the polynomial equations that determined the coordinates of any point in the calibration phantom from its corresponding video coordinates. Fourteen control points were digitized and the difference between the actual and predicted coordinates was measured. The patella tendon and hamstrings (biceps femoris) moment arms to the tibiofemoral contract point were calculated. RESULTS: The mean error in the digitizing of the control points using the image deformation method ranged from 0.182 mm to 0.267 mm. The mean patella tendon moment arm ranged from 36.91 (SD 3.2) mm to 42.63 (SD 4.5) mm. The hamstrings moment arm ranged from 23.93 (SD 2.59) to 28.25 (SD 3.04) mm. CONCLUSION: The patellar tendon and hamstring moment-arms were determined using a videofluoroscopy method with acceptable accuracy. These parameters can be used for the biomechanical analysis of knee joint movements in two dimensional applications.

Adult↗

PubMed1999

Changes in the tibialis anterior tendon moment arm from rest to maximum isometric dorsiflexion: in vivo observations in man.

OBJECTIVE: In the present study, we examined the hypothesis that the tibialis anterior tendon moment arm increases during maximum isometric dorsiflexion as compared with rest. BACKGROUND: In musculoskeletal modelling applications, moment arms from passive muscles at rest are assumed representative of those measured during isometric muscle contraction. The validity of this assumption is questionable in musculotendon actuators enclosed by retinacular systems as in tibialis anterior. DESIGN AND METHODS: Sagittal-plane magnetic resonance images of the right ankle were taken in six subjects at rest and during maximum isometric dorsiflexion at six ankle angles between dorsiflexion and plantarflexion having the body placed in the supine position and the knee flexed at 90 degrees. Instant centres of rotation in the tibio-talar joint, tibialis anterior tendon action lines and moment arms were identified in the sagittal plane at ankle angles of -15 degrees, 0 degrees,+15 degrees and +30 degrees at rest and during maximum isometric dorsiflexion. RESULTS: At any given ankle angle, the tibialis anterior tendon moment arm during maximum isometric dorsiflexion increased by 0.9-1.5 cm (P<0.01) compared with rest. This was attributed to a displacement of both tibialis anterior tendon action line by 0.8-1.2 cm (P<0.01) and all instant centres of rotation by 0.3-0.4 cm (P<0. 01) distally in relation to their corresponding resting positions. CONCLUSIONS AND IMPLICATIONS: The assumption that the tibialis anterior tendon moment arm does not change from rest to maximum isometric dorsiflexion is invalid. Erroneous tendon forces, muscle stresses and joint moments by as much as 30% would be calculated using resting tibialis anterior tendon moment arms in the moment equilibrium equation around the ankle joint during maximum isometric dorsiflexion. RELEVANCE: A substantial increase in the tibialis anterior tendon moment arm occurs from rest to maximum isometric dorsiflexion. This needs to be taken into consideration when using planimetric musculoskeletal modelling for analysing maximal static ankle dorsiflexion loads.

Adult↗

PubMed1999

Upper extremity kinematics and body roll during preferred-side breathing and breath-holding front crawl swimming.

Front crawl swimmers often restrict the number of breaths they take during a race because of the possible adverse effects of the breathing action on resistance or stroke mechanics. The aim of this study was to determine whether differences exist in the kinematics of the trunk and upper extremity used during preferred-side breathing and breath-holding front crawl swimming. Six male swimmers performed trials at their 200 m race pace under breathing and breath-holding conditions. The underwater arm stroke was filmed from the front and side using video cameras suspended over periscope systems. Video recordings were digitized at 50 Hz and the three-dimensional coordinates of the upper extremity obtained using a direct linear transformation algorithm. Body roll angles were obtained by digitizing video recordings of a balsa wood fin attached to the swimmers' backs. The swimmers performed the breathing action without any decrement in stroke length (mean +/- s: breathing 2.24 +/- 0.27 m; breath-holding 2.15 +/- 0.22 m). Stroke widths were similar in the breathing (0.28 +/- 0.07 m) and breath-holding (0.27 +/- 0.07 m) trials, despite swimmers rolling further when taking a breath (66 +/- 5 degrees) than when not (57 +/- 4 degrees). The timing of the four underwater phases of the stroke was also unaffected by the breathing action, with swimmers rolling back towards the neutral position during the insweep phase. In conclusion, the results suggest that front crawl swimmers can perform the breathing action without it interfering with their basic stroke parameters. The insweep phase of the stroke assists body roll and not vice versa as suggested in previous studies.

Adult↗

PubMed1998

In vivo measurements of the triceps surae complex architecture in man: implications for muscle function.

1. The objectives of this study were to (1) quantify experimentally in vivo changes in pennation angle, fibre length and muscle thickness in the triceps surae complex in man in response to changes in ankle position and isometric plantarflexion moment and (2) compare changes in the above muscle architectural characteristics occurring in the transition from rest to a given isometric plantarflexion intensity with the estimations of a planimetric muscle model assuming constant thickness and straight muscle fibres. 2. The gastrocnemius medialis (GM), gastrocnemius lateralis (GL) and soleus (SOL) muscles of six males were scanned with ultrasonography at different sites along and across the muscle belly at rest and during maximum voluntary contraction (MVC) trials at ankle angles of -15 deg (dorsiflexed direction), 0 deg (neutral position), +15 deg (plantarflexed direction) and +30 deg. Additional images were taken at 80, 60, 40 and 20% of MVC at an ankle angle of 0 deg. 3. In all three muscles and all scanned sites, as ankle angle increased from -15 to +30 deg, pennation increased (by 6-12 deg, 39-67%, P < 0.01 at rest and 9-16 deg, 29-43%, P < 0.01 during MVC) and fibre length decreased (by 15-28 mm, 32-34%, P < 0.01 at rest and 8-10 mm, 27-30%, P < 0.05 during MVC). Thickness in GL and SOL increased during MVC compared with rest (by 5-7 mm, 36-47%, P < 0.01 in GL and 6-7 mm, 38-47%, P < 0.01 in SOL) while thickness of GM did not differ (P > 0.05) between rest and MVC. 4. At any given ankle angle the model underestimated changes in GL and SOL occurring in the transition from rest to MVC in pennation angle (by 9-12 deg, 24-38%, P < 0.01 in GL and 9-14 deg, 25-28%, P < 0.01 in SOL) and fibre length (by 6-15 mm, 22-39%, P < 0.01 in GL and 6-8 mm, 23-24%, P < 0.01 in SOL). 5. The findings of the study indicate that the mechanical output of muscle as estimated by the model used may be unrealistic due to errors in estimating the changes in muscle architecture during contraction compared with rest.

Adult↗

PubMed1998

Changes in Achilles tendon moment arm from rest to maximum isometric plantarflexion: in vivo observations in man.

1. The purpose of the present study was to examine the effect of a plantarflexor maximum voluntary contraction (MVC) on Achilles tendon moment arm length. 2. Sagittal magnetic resonance (MR) images of the right ankle were taken in six subjects both at rest and during a plantarflexor MVC in the supine position at a knee angle of 90 deg and at ankle angles of -30 deg (dorsiflexed direction), -15 deg, 0 deg (neutral ankle position), +15 deg (plantarflexed direction), +30 deg and +45 deg. A system of mechanical stops, support triangles and velcro straps was used to secure the subject in the above positions. Location of a moving centre of rotation was calculated for ankle rotations from -30 to 0 deg, -15 to +15 deg, 0 to +30 deg and +15 to +45 deg. All instant centres of rotation were calculated both at rest and during MVC. Achilles tendon moment arms were measured at ankle angles of -15, 0, +15 and +30 deg. 3. At any given ankle angle, Achilles tendon moment arm length during MVC increased by 1-1.5 cm (22-27 %, P < 0.01) compared with rest. This was attributed to a displacement of both Achilles tendon by 0.6-1.1 cm (P < 0.01) and all instant centres of rotation by about 0.3 cm (P < 0.05) away from their corresponding resting positions. 4. The findings of this study have important implications for estimating loads in the musculoskeletal system. Substantially unrealistic Achilles tendon forces and moments generated around the ankle joint during a plantarflexor MVC would be calculated using resting Achilles tendon moment arm measurements.

Achilles Tendon↗

PubMed1998

Improved extrapolation techniques in recursive digital filtering: a comparison of least squares and prediction.

Two extrapolation techniques for recursive digital filtering are presented and compared with common padding methods such as linear and reflection (reverse mirror) extrapolation. The case in which the endpoints of position data lead to peak accelerations after filtering and differentiation is examined. The first technique, 'least squares', is based on fitting a third-degree polynomial to the final 10 data points in both the forward and backward directions and extending the signal by 20 data points using the polynomial coefficients. The second technique, 'prediction', is based on a linear autoregressive model with 20 coefficients, which is applied in both directions and the signal is extrapolated by 20 points. The lowest cumulative error of the endpoint accelerations (22.8 rad s(-2)) represented just one-third of the error when the common padding methods were used in optimal digital filtering (69.7 rad s(-2)). It also represented approximately half the lowest cumulative error in optimal smoothing with quintic splines (48.0 rad (s-2)).

Acceleration↗

PubMed1998

Inertial effects on the assessment of performance in isokinetic dynamometry.

Moments due to acceleration and deceleration periods influence the joint moment (torque) in isokinetic dynamometry. The purpose of this study was to evaluate the differences in the peak moment and the moment development during the initial acceleration period of isokinetic concentric knee extension before and after correction for inertial effects, and evaluate their relationship. The moment development was expressed by the work produced during the initial 0.125 s of the movement. Five male and five female healthy young adults participated in the study. Seven concentric knee extensions at 1.04, 3.14 and 5.24 rad/s were performed on a Biodex dynamometer. Inertial moments were calculated using acceleration data derived from the Biodex software angular displacement data. After inertial correction, the maximum errors in the original peak moment and the moment development at the inital 0.125 s were 7 and 16%, respectively, and were recorded at 5.24rad/s. At slower velocities (1.04 and 3.14 rad/s) the effects of inertial moments on the peak moment and the work at the initial 0.125 s were negligible. Inertial moments did not influence the relationship between the examined parameters at the three velocities. In conclusion, inertial moments affect the peak moment and moment development during the initial acceleration period at high velocities of isokinetic testing and therefore these effects should be considered in order to obtain valid results in isokinetic dynamometry.

Adult↗

PubMed1998

Muscle activation differences between eccentric and concentric isokinetic exercise.

PURPOSE: The purpose of this study was to compare electromyographic (EMG) activity and joint moment of agonists and antagonists between isokinetic eccentric and concentric knee muscle actions. METHODS: Twelve females (20.5 +/- 2.9 yr) performed maximum knee extension and flexion effort on a Biodex dynamometer isometrically and at concentric and eccentric angular velocities ranging from 30 degrees.s-1 to 150 degrees.s-1. EMG activity of vastus lateralis, rectus femoris, vastus medialis, and hamstrings was also recorded. The moment and agonist EMG values were normalized as a percentage of the maximum isometric values. The antagonist EMG was normalized as a percentage of the IEMG activity of the same muscle group when acting as agonist at the same angular velocity and angular position and taking into consideration the effects of muscle action. RESULTS: Three-way ANOVA designs indicated significantly greater normalized eccentric moments compared with concentric moments (P < 0.05), whereas the eccentric normalized integrated EMG (IEMG) of agonists and antagonists was significantly lower compared with the respective concentric IEMG values (P < 0.05). These differences were more evident at fast angular velocities. CONCLUSIONS: The present results demonstrate that neural activation and the resulting muscular action are different between isokinetic eccentric and concentric tests and depend also on the angular velocity of the movement. The antagonist IEMG activity is different depending on the muscle examined. The IEMG activity of the antagonists in this study indicate that the antagonist activity is an important factor that affects the resultant joint moment during isolated isokinetic maximum voluntary joint movements.

Adult↗

PubMed1998

Differences in human antagonistic ankle dorsiflexor coactivation between legs; can they explain the moment deficit in the weaker plantarflexor leg?

The present study examined the hypothesis that the antagonistic ankle dorsiflexor coactivation level during maximum isometric voluntary plantarflexion (MVC) is a function of ankle angle. Six male subjects generated plantarflexion and dorsiflexion MVC trials at ankle angles of -15 deg (dorsiflexed direction), 0 deg (neutral position), +15 deg (plantarflexed direction) and +30 deg having the knee flexed at an angle of 90 deg. In all contractions surface EMG measurements were taken from tibialis anterior and soleus which were considered representative muscles of all dorsiflexors and plantarflexors, respectively. Antagonistic dorsiflexor coactivation was expressed as normalized EMG and moment. Calculations of the antagonistic dorsiflexor moment were based on the tibialis anterior EMG-dorsiflexor moment relationship from contractions at 50, 40, 30, 20 and 10 % of the dorsiflexion MVC moment. In both legs dorsiflexor coactivation level followed an open U-shaped pattern as a function of ankle angle. Differences of 9 and 14 % (P < 0.05) were found in the measured net plantarflexion MVC moment between legs at ankle angles of -15 and +30 deg, respectively. No difference (P > 0.05) was found in the calf circumference between legs. Differences were found in the antagonistic dorsiflexor coactivation between legs at ankle angles of -15 and +30 deg. In the weaker leg the antagonistic EMG measurements were higher by 100 and 45 % (P < 0.01) and the estimated antagonistic moments were higher by 70 and 43 % (P < 0.01) compared with the weaker leg at -15 and +30 deg, respectively. This finding was associated with a decreased range of motion (ROM) in the weaker leg (14 %, P < 0.01), such that no difference (P > 0.05) was found in dorsiflexor antagonistic coactivation between legs at end-range ankle angles. The findings of the study (i) have to be taken into consideration when estimating musculoskeletal loads in the lower extremity, (ii) imply that stretching training can result in a stronger plantarflexion at end-range ankle angles through inhibition of the dorsiflexors, and (iii) imply a neural drive inadequacy during a plantarflexion MVC at end-range angles.

Adult↗