Muscle and Tendon Contributions to Reduced Rate of Torque Development in Healthy Older Males

作者：Quinlan Jonathan I; Maganaris Constantinos N; Franchi Martino V; Smith Kenneth; Atherton Philip J; Szewczyk Nathaniel J; Greenhaff Paul L; Phillips Bethan E; Blackwell James I; Boereboom Catherine; Williams John P; Lund John; Narici Marco V^*

来源：Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 2018, 73(4): 539-545.

DOI：10.1093/gerona/glx149

• Ageing
• Muscle-tendon unit
• Tendon Stiffness

Background: The ability to rapidly generate and transfer muscle force is essential for effective corrective movements in order to prevent a fall. The aim of this study was to establish the muscle and tendon contributions to differences in rate of torque development (RTD) between younger (YM) and older males (OM).
Method: Twenty-eight young males (23.9 years +/- 1.1) and 22 old males (68.5 years +/- 0.5) were recruited for assessment of Quadriceps Anatomical CSA (ACSA), maximal voluntary contraction (MVC), rate of torque development (RTD), and tendon biomechanical properties. Activation capacity (AC), maximal muscle twitch df/dt) and time to peak EMG amplitude (TTPE) were also assessed.
Results: Absolute RTD (aRTD) was lower in OM (577.5 +/- 34.6 Nm/s vs 881.7 +/- 45.6 Nm/s, p < .0001). RTD remained lower in OM following normalization (nRTD) for muscle ACSA (9.93 +/- 0.7 Nm/s/cm(2) vs 11.9 +/- 0.6 Nm/s/cm2, p < .05). Maximal muscle twitch df/dt (1,086 Nm.s(-1) vs 2,209 Nm.s(-1), p < .0001), TTPE (109.2 +/- 8.6ms vs 154.6 +/- 16.6 ms, p < .05), and AC (75.8 +/- 1.5% vs 80.1 +/- 0.9%, p < .01) were all affected in OM. Tendon stiffness was found to be lower in OM (1,222 +/- 78.4 N/mm vs 1,771 +/- 154.1 N/mm, p < .004). nRTD was significantly correlated with tendon stiffness (R-2 = .15).
Conclusion: These observations provide evidence that in absolute terms, a lower RTD in the elderly adults is caused by slower muscle contraction speeds, slower TTPE, reduced ACSA, reduced MVC, and a decrease in tendon stiffness. Once the RTD is normalized to quadriceps ACSA, only MVC and tendon stiffness remain influential. This strongly reinforces the importance of both muscle and tendon characteristics when considering RTD.

• 出版日期2018-4