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Achilles tendon rupture (ATR) patients have persistent functional deficits in the triceps surae muscle–tendon unit (MTU). The complex remodeling of the MTU accompanying these deficits remains poorly understood. The purpose of the present study was to associate in vivo and in silico data to investigate the relations between changes inMTU properties and strength deficits inATR patients. Methods: Elevenmale subjects who had undergone surgical repair of complete unilateral ATR were examined 4.6 ± 2.0 (mean ± SD) yr after rupture. Gastrocnemius medialis (GM) tendon stiffness, morphology, and muscle architecture were determined using ultrasonography. The force–length relation of the plantar flexor muscles was assessed at five ankle joint angles. In addition, simulations (OpenSim) of the GM MTU force–length properties were performed with various iterations of MTU properties found between the unaffected and the affected side. Results: The affected side of the patients displayed a longer, larger, and stiffer GM tendon (13% ± 10%, 105% ± 28%, and 54% ± 24%, respectively) compared with the unaffected side. The GM muscle fascicles of the affected side were shorter (32% ± 12%) and with greater pennation angles (31% ± 26%). A mean deficit in plantarflexion moment of 31% ± 10% was measured. Simulations indicate that pairing an intact muscle with a longer tendon shifts the optimal angular range of peak force outside physiological angular ranges, whereas the shorter muscle fascicles and tendon stiffening seen in the affected side decrease this shift, albeit incompletely. Conclusions: These results suggest that the substantial changes in MTU properties found in ATR patients may partly result from compensatory remodeling, although this process appears insufficient to fully restore muscle function.
Wohnen als neue soziale Frage ist mehr als die Produktion neuer Formen von Wohnen und deren architektonischer Gestalt, und auch mehr als nur die Umsetzung sich verändernder, jedoch individuell formulierter Wohnwünsche. Sie spannt sich auf zwischen gesellschafts- und nachhaltigkeitspolitischen, hardcore-kapitalistischen und globalen Rahmenbedingungen, Hardware und Software, Individuum und Gemeinwohl, Konsum und Mitgestaltung. Entscheidend sind die Akteure und die Art und Weise, wie und nach welchen Maßstäben sie handeln. Entscheidend ist aber auch, Wohnen sowohl kontextuell wie auch programmatisch neu zu denken und dadurch zu neuen Mischungen, Nachbarschaften und Bewertungskriterien einer Projekt- und Stadtentwicklung zu kommen, die mehr als die Summe seiner Einzelteile wollen – ein gutes Leben für Alle abseits der Frage des Geldbeutels und der sozialen Zugehörigkeit.