Isokinetics and Exercise Science 14 (2006) 25–31 25
IOS Press
Passive stiffness of the plantar flexion in
relation to age and functional performance
Iris I. Caroway
a
, Katharina S. Sunnerhagen
b
, Christine E. Kasper
c
and Ulla Svantesson
d,∗
a
Winston Salem State University, School of Health Sciences, Winston-Salem, NC 11111, USA
b
G¨ oteborg University, Institute of Clinical Neurosciences, Rehabilitation Medicine, G ¨ oteborg, Sweden
c
Uniformed Services University of the Health Sciences, Graduate School of Nursing, Bethesda, MD 20814, USA
d
G¨ oteborg University, Department of Occupational Therapy and Physiotherapy, Department of Orthopaedics,
G¨ oteborg, Sweden
Abstract. Passive stiffness (Nm/
◦
) of the plantar flexors was measured during a passive stretch into dorsiflexion (DF) in 18 healthy
female subjects (range 18–60 years old) using an isokinetic dynamometer. Passive stiffness of the ankle joint was measured at a
short range of motion (from 10
◦
of plantar flexion (PF) to 10
◦
of DF), and at a full range of motion (from 10
◦
PF to maximal
DF for each individual) with a neutral EMG from a subset of four legs. The purpose of the study was to assess the variances in
the measurements of passive stiffness of the calf muscle and to correlate passive stiffness to age and jumping ability. There was
a significant correlation (r = 0.76) between the FRS and FRS test-retest. The methodological error for duplicate determinations
was 7.7% for the SRS and 5.5% for the FRS. There was a significant correlation between age and the (FRS) full-range stiffness
(r = 0.83). There was a significant negative correlation between age and jumping (r = -0.54). We conclude that the test model
of passive stiffness used in the present study is a useful method with good reliability. The passive elastic properties of muscles
and tendons might explain part of the muscle performance in functional tests with ageing. However, other qualities may influence
performance as well.
Keywords: Passive stiffness, muscle and tendon stiffness, plantar flexor muscle, stretch-shortening cycle, torque output
1. Introduction
Passive stiffness may be defined as the length-tension
relationship of muscle and tendon when it is passively
stretched [15,17]. However, the maximal range of mo-
tion of a limb has previously been used as an index
of musculoskeletal flexibility [25,39,40]. Previous re-
searcher suggest that passive tension in muscle was at-
tributed to the extensibility of the connective tissue ele-
ments in parallel with the muscle fibres, i.e. the parallel
elastic component [30,28,35,36,43]. It has also been
∗
Address for correspondence: Ulla Svantesson, RPT, PhD,
Faculty of Health Caring Sciences, Department of Occupational
Therapy and Physiotherapy, G¨ oteborg University, Box 455, SE
40530 G¨ oteborg, Sweden. Tel.: +46 31 7735742; E-mail: ulla.
svantesson@fhs.gu.se.
suggested that passive stiffness could be related to the
extensibility of the tendon and aponeurosis [34,44].
The combination of eccentric and concentric mus-
cle actions forms a natural type of muscle function
called the stretch-shortening cycle or SSC [6,7,29,31,
45]. The ability to accumulate and use elastic energy is
a capacity of the compliance or stiffness of the tendons
and muscles [22]. It was found that SSC performance
was notably affected according to stiffness in tendon
structures [32]. It has also been demonstrated that the
elasticity of tendinous structures associated with the
knee extensors influenced sprinting and jumping [32,
33]. Furthermore, past studies have shown that running
economy was affected by passive flexibility measure-
ments [8,21,23,34]. Therefore, muscle performance
during the stretch-shortening cycle exercise could be
influenced by passive stiffness as well as by the elas-
ticity of tendinous structures.
ISSN 0959-3020/06/$17.00 © 2006 – IOS Press and the authors. All rights reserved