Myofascial force transmission and tendon transfer for patients suffering from spastic paresis: A review and some new observations

Abstract The current rationale of clinical practice in spastic tendon transfer surgery is based on four assumptions: (1) changes in muscle fiber length (serial number of sarcomeres) determine the available length range and joint excursion, (2) muscle cross-sectional area determines the maximal force...

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Veröffentlicht in:Journal of electromyography and kinesiology 2007-12, Vol.17 (6), p.644-656
Hauptverfasser: Smeulders, Mark J.C, Kreulen, Michiel
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container_title Journal of electromyography and kinesiology
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creator Smeulders, Mark J.C
Kreulen, Michiel
description Abstract The current rationale of clinical practice in spastic tendon transfer surgery is based on four assumptions: (1) changes in muscle fiber length (serial number of sarcomeres) determine the available length range and joint excursion, (2) muscle cross-sectional area determines the maximal force output, (3) fiber length and muscle force are invariable functions of muscle length, (4) there is an invariable relation between the elastic force and the active force exerted by the sarcomeres. The validity of these assumptions is discussed. Additionally, some new perspectives in muscle research are discussed and myofascial force transmission is introduced as a co-determinant for the outcome of tendon transfer by presenting some exploratory observations.
doi_str_mv 10.1016/j.jelekin.2007.02.002
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Biomechanical Phenomena
Cerebral Palsy - physiopathology
Cerebral Palsy - surgery
Elasticity
Fascia - pathology
Fascia - physiopathology
Force-length characteristics
Humans
Muscle Contraction - physiology
Muscle Fibers, Skeletal - physiology
Muscle Fibers, Skeletal - ultrastructure
Muscle Spasticity - physiopathology
Muscle Spasticity - surgery
Muscle, Skeletal - pathology
Muscle, Skeletal - physiopathology
Myofascial force transmission
Paresis - physiopathology
Paresis - surgery
Physical Medicine and Rehabilitation
Sarcomeres - physiology
Sarcomeres - ultrastructure
Spastic muscle
Tendon Transfer
title Myofascial force transmission and tendon transfer for patients suffering from spastic paresis: A review and some new observations
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