The tendinopathic Achilles tendon does not remain iso-volumetric upon repeated loading: insights from 3D ultrasound

Nuri, Leila, Obst, Steven J., Newsham-West, Richard and Barrett, Rod S. (2017) The tendinopathic Achilles tendon does not remain iso-volumetric upon repeated loading: insights from 3D ultrasound. Journal of Experimental Biology, 220 17: 3053-3061. doi:10.1242/jeb.159764

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Author Nuri, Leila
Obst, Steven J.
Newsham-West, Richard
Barrett, Rod S.
Title The tendinopathic Achilles tendon does not remain iso-volumetric upon repeated loading: insights from 3D ultrasound
Journal name Journal of Experimental Biology   Check publisher's open access policy
ISSN 0022-0949
Publication date 2017-09-01
Year available 2017
Sub-type Article (original research)
DOI 10.1242/jeb.159764
Open Access Status File (Publisher version)
Volume 220
Issue 17
Start page 3053
End page 3061
Total pages 9
Place of publication Cambridge, United Kingdom
Publisher The Company of Biologists
Language eng
Abstract Mid-portion Achilles tendinopathy (MAT) alters the normal three-dimensional (3D) morphology of the Achilles tendon (AT) at rest and under a single tensile load. However, how MAT changes the 3D morphology of the AT during repeated loading remains unclear. This study compared the AT longitudinal, transverse and volume strains during repeated loading of the tendinopathic AT with those of the contralateral tendon in people with unilateral MAT. Ten adults with unilateral MAT performed 10 successive 25 s submaximal (50%) voluntary isometric plantarflexion contractions with both legs. Freehand 3D ultrasound scans were recorded and used to measure whole AT, free AT and proximal AT longitudinal strains and free AT cross-sectional area (CSA) and volume strains. The free AT experienced higher longitudinal and CSA strain and reached steady state following a greater number of contractions (five contractions) in the tendinopathic AT compared with the contralateral tendon (three contractions). Further, free tendon CSA and volume strain were greater in the tendinopathic AT than in the contralateral tendon from the first contraction, whereas free AT longitudinal strain was not greater than that of the contralateral tendon until the fourth contraction. Volume loss from the tendon core therefore preceded the greater longitudinal strain in the tendinopathic AT. Overall, these findings suggest that the tendinopathic free AT experiences an exaggerated longitudinal and transverse strain response under repeated loading that is underpinned by an altered interaction between solid and fluid tendon matrix components. These alterations are indicative of accentuated poroelasticity and an altered local stress–strain environment within the tendinopathic free tendon matrix, which could affect tendon remodelling via mechanobiological pathways.
Keyword Creep
Cross-sectional area
Free tendon
Mid-portion Achilles tendinopathy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Child Health Research Centre Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 10 Jan 2018, 08:34:21 EST by Steven Obst on behalf of Child Health Research Centre