Epimuscular myofascial force transmission between antagonistic and synergistic muscles can explain movement limitation in spastic paresis

P.A.J.B.M. Huijing

Research output: Contribution to journalArticleAcademicpeer-review

79 Citations (Scopus)
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Abstract

Details and concepts of intramuscular, extramuscular and intermuscular myofascial force transmission are reviewed. Some new experimental data are added regarding myofascial force transmission between antagonistic muscles across the interosseal membrane of the lower hind limb of the rat. Combined with other result presented in this issue, it can be concluded that myofascial force transmission occurs between all muscles within a limb segment. This means that force generated within sarcomeres of an antagonistic muscle may be exerted at the tendon of target muscle or its synergists. Some, in vivo, but initial indications for intersegmental myofascial force transmission are discussed. The concept of myofascial force transmission as an additional load on the muscle proved to be fruitful in the analysis of its muscular effects. In spastic paresis and for healthy muscles distal myofascial loads are often encountered, but cannot fully explain the movement limitations in spastic paresis. Therefore, the concept of simultaneous and opposing myofascial loads is analyzed and used to formulate a hypothesis for explaining the movement limitation: Myofascially transmitted antagonistic force is borne by the spastic muscle, but subsequently transmitted again to distal tendons of synergistic muscles.
Original languageEnglish
Pages (from-to)708-724
Number of pages17
JournalJournal of electromyography and kinesiology
Volume17
Issue number6
DOIs
Publication statusPublished - 2007

Keywords

  • Spastic paresis
  • METIS-240689
  • Perimysium
  • Synergistic muscles
  • Contracture
  • IR-78820
  • Antagonistic muscles
  • Force transmission
  • Deep flexor muscles
  • Movement limitation
  • Neurovascular tract
  • Muscle relative position
  • Myofascial
  • Myotendinous
  • Endomysium
  • Sarcomere length distributions
  • Proximo-distal force difference
  • Surgery

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