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Purpose: To compare muscle architecture variables between sport and sex in competitive athletes, and to compare muscle architecture with performance variables in strong versus weak athletes, and good versus poor jumpers. Methods: The vastus lateralis (VL) and lateral gastrocnemius (LG) muscles of 139 collegiate athletes were collected using ultrasonography to determine muscle thickness (MT), pennation angle (PA), fascicle length (FL), and relative fascicle length (FLrel). Absolute and relative peak power, absolute and relative isometric peak force, and jump height were measured in a subset of baseball and soccer athletes. A 5x2 factorial analysis of variance (ANOVA) was used to investigate differences in group means between sex and sport for muscle architecture variables in the larger cohort. A 2x2 factorial ANOVA was used in the in the smaller cohort to investigate differences between strong and weak athletes, and good and poor jumpers. Results: Significant main effects were observed for sex in VL muscle thickness (MT), VL pennation angle (PA), LG MT, and LG fascicle length (FL). Significant main effects were observed for sport in VL MT, VL FL, VL relative fascicle length (FLrel) and LG MT. Significant interaction effects were observed for LG PA and LG FLrel. Muscle architecture profiles were significantly different between strong and weak, and good and poor jumpers in baseball, but not soccer athletes. Soccer athletes had greater PA but smaller FL than baseball athletes. Conclusions: Muscle architecture may play a role in sport selection, undergoes directed adaptation to sport specific training demands, and may differentiate between high and low performers in more anaerobic athletes. Males had greater muscle thickness than females. Patterns of PA and FL values between sport and sex differed between VL and LG. More aerobic athletes such as soccer athletes may have greater VL PA and smaller VL FL than more anaerobic athletes such as baseball athletes.

Muscle morphological parameters such as fascicle length (FL), pennationangle (PA) and physiologic cross-sectional area (PCSA) can provide an insightinto the reasons of the deteriorated muscle functions caused by pathologies.This study investigates the 3D structure of the lower leg muscles using 3Dfreehand ultrasound (3DfUS). This imaging modality uses a motion capturesystem to track the position of the US probe during acquisition and thusreconstruct the structure of the tissues in 3D. In this study, two subjects werescanned on the medial gastrocnemius (MG) and tibialis anterior (TA) musclesin the lower leg using 3DfUS system. The FL and PA of the muscles werecalculated and compared with the values previously measured using diffusiontensor imaging (DTI). The results using 3DfUS were averagely 19.2% largerin FL and 2.9%larger in PA. In conclusion, 3DfUS can successfully determinemuscle morphological parameters within a physiologically acceptable range.But the differences in FL observed between the two imaging modalities werequite big, which probably was due to the differences in sample size and area.The values can also differ greatly within the 3DfUS measurements as a resultof different manipulations during data processing, and the 3DfUS protocolneeds to be further improved in future studies.

Rotator cuff pathologies involving supraspinatus are a common cause of musculoskeletal morbidity and can lead to significant disability affecting the overall quality of life. Architectural parameters of the muscle directly influence its functional properties. Therefore, understanding of fiber bundle changes with surgery and different exercises can assist clinicians in planning better surgical and shoulder rehabilitative protocols. The first objective of this thesis was to systematically review human cadaveric studies of the normal supraspinatus architecture and highlight the key aspects that should be considered while performing studies of skeletal muscle architecture. The second objective was to understand the impact of surgical repair on the structural and functional recovery of the supraspinatus. The final objective was to provide a scientific rationale behind choosing an exercise to strengthen supraspinatus by investigating its muscle architecture. Study 1 systematically reviewed human cadaveric studies of the normal supraspinatus architecture. Results showed that the overall quality of majority of included is poor and there was a large range in the reported architectural values of the entire muscle. In conclusion, there were only a few studies providing the level of detail and quality suitable for advancing our understanding of shoulder biomechanics. Study 2 quantified and compared the fiber bundle architecture of the pathologic supraspinatus pre- and post-operatively at multiple time points. Results showed significant lengthening of fiber bundles after one month of surgery which then decreased significantly by 6 months of surgery. In contrast, an initial decrease followed by an increase in pennation angle overtime was found. The results suggest that the stretching applied to the tendon and muscle during repair could affect the length-tension relationship of the muscle, which in turn can compromise its function and may lead to inferior surgical outcomes. Study 3 compared the efficacy of three commonly prescribed supraspinatus strengthening exercises in the rehabilitation setting based on the architectural changes following resistance training. Results showed there was no change in FBL and increased strength after resistance training with prone horizontal abduction exercise. Findings suggest that prone horizontal abduction may be a more suitable exercise to strengthen supraspinatus.

Background: Muscle thickness, pennation angle, and fascicle length describe the architecture of a muscle. These properties can be observed alongside subcutaneous fat thickness using ultrasonography; however, measurement is sensitive to the angle of the transducer against the skin. Typically, the transducer is held perpendicular to skin for imaging. Nonetheless, a convenient, reliable method to ensure transducer angle consistency has not been reported. Objectives: The purpose of this study was to determine the influence of transducer angle on muscle architecture and subcutaneous fat measurements of quadriceps muscles (vastus lateralis and rectus femoris) in healthy young adults. A secondary objective was to determine intra- and inter-rater reliability. Methods: Thirty men and women were recruited (25±2.5 years; BMI: 22.6±3.0 kg/m2). Ultrasound images were acquired from two muscles. An image was taken at an estimated perpendicular angle to the skin. Then, using a 3D-printed device with a protractor that attached to the ultrasound transducer, images were taken at measured angles 5-10˚ medial and lateral to perpendicular. Agreement and error were determined using intraclass correlation coefficients (ICCs) and standard error measurements (SEMs). Results: Good to excellent agreement was demonstrated for muscle and fat thicknesses regardless of transducer angle (ICC >0.66). Intra-rater reliability was excellent for all outcomes within both muscles (ICC >0.89). Inter-rater reliability for the rectus femoris was good to excellent for all transducer angles except for measurements of fascicle lengths at 85° (ICC: 0.33–0.99). Inter-rater reliability improved >20% for the vastus lateralis with the device. Conclusion: Measurements of muscle pennation angle and fascicle lengths, but not muscle or subcutaneous fat thicknesses, were sensitive to transducer angle. Reliability of pennation angle and fascicle lengths improved with the use of our device. Using our device, reliable muscle architecture measures can be made for the rectus femoris and the vastus lateralis in healthy young adults. / Thesis / Master of Science (MSc) / The arrangement of small muscle components, known as fascicles, can be observed in humans using ultrasound imaging. These fascicle arrangements can be measured to improve understanding of muscle function and disease processes. A potential problem of viewing muscle with ultrasound is that the angle of the probe head against the skin can alter the appearance of the muscle fascicles. The goal of this research was to improve current methods of ultrasound imaging of two thigh muscles. We have created a novel 3D-printed device to attach to the existing ultrasound probe. This 3D-printed device stabilizes the ultrasound probe head; and accurately determines the angles between the ultrasound probe head and the surface of the skin. In this study, the use of this device improved reliability of our ultrasound images by >20%. Future use of this device may improve measurements of muscle fascicles acquired with ultrasound imaging.

La déchirure musculaire est la première cause de blessure chez les athlètes. De nombreuses études décrivent ce traumatisme musculaire sans parvenir à en identifier clairement la chronologie et ses circonstances. L’objectif de la thèse est de décrire le phénomène de déchirure musculaire avec la méthode des éléments discrets, en s’appuyant sur des essais expérimentaux pour valider les modèles numériques. Dans une première partie, une revue de littérature permet d’acquérir les propriétés mécaniques des différents éléments constituant le complexe musculo-tendineux afin de pouvoir en réaliser un modèle macroscopique. Dans une deuxième partie, la modélisation du complexe musculo-tendineux est réalisée. La validation du comportement mécanique en traction passive du modèle proposé est réalisée en comparaison des travaux de L-L. Gras sur le muscle sternocléidomastoïdien humain. L’influence des paramètres morphologiques sur le comportement mécanique global est ensuite étudiée. La rupture fait l’objet de la troisième partie. Une modélisation de l’ensemble {tendon d’Achille/triceps sural} est réalisée et soumise à un test de traction passif jusqu’à rupture. La validation des résultats est faite vis-à-vis des essais expérimentaux réalisés sur cet ensemble musculaire provenant de pièces anatomiques humaines. L’étape suivante s’attache à modéliser la contraction musculaire, implémentée au niveau des fibres musculaires. Une validation du comportement actif du complexe musculo-tendineux est réalisée. Cette dernière étape, combinée à la traction destructive permet d’étudier la faisabilité de modéliser la déchirure par la méthode des éléments discrets, mais également d’étudier les structures endommagées et les mécanismes de rupture. Cela ouvre des possibilités d’utilisation cliniques de ce modèle pour comprendre et prévenir des blessures par déchirure musculaire. / Tearing of the muscle-tendon complex is a common sport-related injury for athletes. Many studies reported description of this traumatism but mechanisms leading to such an injury are still unclear as are the site of mechanical failure and involved structures. The aim of the thesis is to describe the phenomenon of the muscle-tendon-complex’s tear using the discrete element method and validating the numerical model with experimental data. In the first part, a literature review explains the different properties of the muscle-tendon complex main components’ in order to model it at the macroscopic scale. In the second part, the muscle-tendon complex is modeled. Validation of the mechanical behavior in passive tensile test is proposed by comparison with experimental data from L.-L. Gras on human sternocleidomastodeus muscle. Then, the different influences of morphometric parameters on the mechanical behavior of the complex are investigated. The third part focuses on the rupture. A model of the complex set of {Achilles tendon/surae triceps} is built and a tensile test until rupture is applied. Model validity is assessed by comparison with in vitro experiments from human cadavers. The fourth part focuses on the muscular activation, implemented inside fibers’ behavior. Validity of its active behavior is investigated. This fifth and last presents the enrichment with destructive tensile test. This added test allows first to study the feasibility to model the tear with the discrete element method; and second to focus on damaged structures and rupture’s mechanisms. This offers possibilities for clinical applications of this model to understand and prevent injuries caused by a tear of the muscle-tendon complex

Physiological cross sectional area (PCSA) is used to compare force-producing capabilities of skeletal muscles. PCSA has been defined as the summation of the cross sectional area of the fiber bundles composing the muscle. As PCSA cannot be measured directly from a specimen, a formula requiring averaged muscle architectural parameters has traditionally been used. The purpose of this study was to develop a finite element method (FEM) to calculate PCSA of extensor carpi radialis longus (ECRL) and brevis (ECRB) directly from digitized fiber bundle data obtained throughout the volume of the muscle and to compare the PCSAs calculated using the FEM and formula methods. Differences were found between the FEM and formula method for both muscles. The FEM provides an approach that takes into account architectural variances while minimizing the need for averaged architectural parameters.

Physiological cross sectional area (PCSA) is used to compare force-producing capabilities of skeletal muscles. PCSA has been defined as the summation of the cross sectional area of the fiber bundles composing the muscle. As PCSA cannot be measured directly from a specimen, a formula requiring averaged muscle architectural parameters has traditionally been used. The purpose of this study was to develop a finite element method (FEM) to calculate PCSA of extensor carpi radialis longus (ECRL) and brevis (ECRB) directly from digitized fiber bundle data obtained throughout the volume of the muscle and to compare the PCSAs calculated using the FEM and formula methods. Differences were found between the FEM and formula method for both muscles. The FEM provides an approach that takes into account architectural variances while minimizing the need for averaged architectural parameters.