Key result
Biaxial stretch of passive skeletal muscle exhibited significant differences in time-dependent behavior based on orientation (p < 0.0001), suggesting different mechanisms support load longitudinally versus transversely.
Why the study?
Efforts to correlate stiffness with specific muscle constituents have been mixed and the mechanisms for changes remain unknown, leading to the hypothesis that biaxial stretch can improve passive muscle stiffness evaluation.
p-value: p=<0.0001
Biaxial stretch testing combined with constitutive modeling reveals differences in passive muscle stiffness and the role of ECM collagen not apparent in uniaxial stretch.
Biaxial testing may better capture ECM-driven stiffness in myocardium; extends animal constitutive models but leaves human translation open.
INTRODUCTION: , such as the case for fibrotic tissue or patients with cerebral palsy. The two constituents of skeletal muscle that dominate passive stiffness are the intracellular protein titin and the collagenous extracellular matrix (ECM). However, efforts to correlate stiffness and measurements of specific muscle constituents have been mixed, and thus the complete mechanisms for changes to muscle stiffness remain unknown. We hypothesize that biaxial stretch can provide an improved approach to evaluating passive muscle stiffness. METHODS: We performed planar biaxial materials testing of passively stretched skeletal muscle and identified three previously published datasets of uniaxial materials testing. We developed and employed a constitutive model of passive skeletal muscle that includes aligned muscle fibers and dispersed ECM collagen fibers with a bimodal von Mises distribution. Parametric modeling studies and fits to experimental data (both biaxial and previously published) were completed. RESULTS: < 0.0001), suggesting different mechanisms supporting load in the direction of muscle fibers (longitudinal) and in the perpendicular (transverse) directions. Model parametric studies and fits to experimental data exhibited the robustness of the model (<20% error) and how differences in tissue stiffness may not be observed in uniaxial longitudinal stretch, but are apparent in biaxial stretch. CONCLUSION: This work presents novel materials testing data of passively stretched skeletal muscle and use of constitutive modeling and finite element analysis to explore the interaction between stiffness, constituent variability, and applied deformation in passive skeletal muscle. The results highlight the importance of biaxial stretch in evaluating muscle stiffness and in further considering the role of ECM collagen in modulating passive muscle stiffness.
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Benjamin Wheatley (2020) studied Passive skeletal muscle mechanics (n=16). Planar biaxial stretch vs. Uniaxial stretch / Transverse orientation was evaluated on Time-dependent stress relaxation behavior based on orientation (p=<0.0001). Biaxial stretch of passive skeletal muscle exhibited significant differences in time-dependent behavior based on orientation (p < 0.0001), suggesting different mechanisms support load longitudinally versus transversely.
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