Department of Physiology, The University of Melbourne, Victoria 3010, Australia
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ABSTRACT |
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Frueh, Bartley R., Paul Gregorevic, David A. Williams, and Gordon S. Lynch. Specific Force of the Rat Extraocular Muscles, Levator and Superior Rectus, Measured In Situ. J. Neurophysiol. 85: 1027-1032, 2001. Extraocular muscles are characterized by their faster rates of contraction and their higher resistance to fatigue relative to limb skeletal muscles. Another often reported characteristic of extraocular muscles is that they generate lower specific forces (sPo, force per muscle cross-sectional area, kN/m2) than limb skeletal muscles. To investigate this perplexing issue, the isometric contractile properties of the levator palpebrae superioris (levator) and superior rectus muscles of the rat were examined in situ with nerve and blood supply intact. The extraocular muscles were attached to a force transducer, and the cranial nerves exposed for direct stimulation. After determination of optimal muscle length (Lo) and stimulation voltage, a full frequency-force relationship was established for each muscle. Maximum isometric tetanic force (Po) for the levator and superior rectus muscles was 177 ± 13 and 280 ± 10 mN (mean ± SE), respectively. For the calculation of specific force, a number of rat levator and superior rectus muscles were stored in a 20% nitric acid-based solution to isolate individual muscle fibers. Muscle fiber lengths (Lf) were expressed as a percentage of overall muscle length, allowing a mean Lf to Lo ratio to be used in the estimation of muscle cross-sectional area. Mean Lf:Lo was determined to be 0.38 for the levator muscle and 0.45 for the superior rectus muscle. The sPo for the rat levator and superior rectus muscles measured in situ was 275 and 280 kN/m2, respectively. These values are within the range of sPo values commonly reported for rat skeletal muscles. Furthermore Po and sPo for the rat levator and superior rectus muscles measured in situ were significantly higher (P < 0.001) than Po and sPo for these muscles measured in vitro. The results indicate that the force output of intact extraocular muscles differs greatly depending on the mode of testing. Although in vitro evaluation of extraocular muscle contractility will continue to reveal important information about this group of understudied muscles, the lower sPo values of these preparations should be recognized as being significantly less than their true potential. We conclude that extraocular muscles are not intrinsically weaker than skeletal muscles.
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INTRODUCTION |
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The contractile properties of
the extraocular muscles differ significantly from typical skeletal
muscles. Numerous studies have shown that despite being among the
muscles with the fastest speed of contraction (Porter and Baker
1996) the extraocular muscles are relatively resistant to
fatigue (Frueh et al. 1994
). One of the most perplexing
issues in muscle physiology is why extraocular muscles generate
significantly lower specific forces
(sPo, force per muscle cross-sectional
area, kN/m2) than skeletal muscles. Previous
studies on extraocular muscle contractility have used muscle length
(Lo) in the calculation of muscle
cross-sectional area, a procedure that actually leads to an
overestimation of sPo. These studies
have reported sPo values in the range
of 7-110 kN/m2 (Asmussen and Gaunitz
1981
; Asmussen et al. 1994
; Close and
Luff 1974
; Frueh 1985
; Frueh et al.
1994
; Luff 1981
), significantly less than the
220-300 kN/m2 reported for limb skeletal muscles
of rats (Devor and Faulkner 1999
) and mice
(Lynch et al. 1999
) that have used muscle fiber length
(Lf) in the calculation of muscle
cross-sectional area. In these previous studies, the examination of
extraocular muscle contractility was generally performed on isolated
muscles in vitro. It is possible that during the intricate dissections
required for in vitro investigation that surgical trauma results in
damage directly to the extraocular muscles and this contributes to the disparity in sPo values between
extraocular and skeletal muscles (Frueh 1985
).
To specifically address the issue of whether the intrinsic force
development is different between extraocular and other skeletal muscles, assessment of muscle function can be performed in situ, i.e.,
where the muscles contract following direct stimulation of the nerve
and where blood supply to the muscle is not compromised. Although there
is generally good agreement among investigators who have studied
extraocular muscle forces in situ (Bach-y-Rita and Ito
1966; Barmack et al. 1971
; Cooper and
Eccles 1930
), none have reported
sPo. Cooper and Eccles
(1930)
reported a maximum isometric force
(Po) of the internal (medial) rectus
muscle of the cat measured in situ of 0.1 kg (~980 mN).
Bach-y-Rita and Ito (1966)
determined the
Po of the inferior oblique muscles
from cats, in situ to be 40 g (~390 mN). Barmack et al.
(1971)
reported a peak fusion tension of 110 g (~1000
mN) for the lateral rectus muscle of the cat measured in situ.
Hanson and Lennerstrand (1977)
investigated the
contractile properties of the inferior oblique muscle of the rat and
the cat, in situ. Although Po was not
stated, it can be estimated to be 1.4 g (~13.7 mN) in the rat
and 11.3 g (~111 mN) in the cat. This
Po for the cat inferior oblique is much lower than that reported by Bach-y-Rita and Ito
(1966)
.
The issue of whether extraocular muscles produce lower specific force
than skeletal muscles has been addressed partly in the elegant studies
by Goldberg and colleagues (Goldberg and Shall 1997;
Goldberg et al. 1997
; Gurahian and Goldberg
1987
; Meredith and Goldberg 1986
;
Shall and Goldberg 1992
; Shall et al.
1995
), which reported in situ force output of individual motor
units in the lateral rectus, inferior oblique, and medial rectus
muscles of the cat. There is also generally good agreement among
investigators (including Goldberg and colleagues) regarding motor unit
forces in cat extraocular muscles (Nelson et al. 1986
;
Waldeck et al. 1995
). Based on the delineation of
average twitch tension related to motor unit type, Shall and
Goldberg (1992)
found that only one-half of the twitch response
was evident during actual stimulation of whole nerve. They hypothesized
that the serial arrangement and branching of cat lateral rectus muscle
fibers (Alvarado-Mallart and Pinçon-Raymond 1976
)
led to lower than expected muscle unit forces when adjacent muscle
units contracted (Goldberg et al. 1997
). In another
study, Goldberg and Shall (1997)
measured contractile properties of the intact lateral rectus muscle from two cats in situ,
via stimulation of the sixth cranial nerve, and again found that
Po was significantly less than would
be predicted by linear summation of individual motor unit twitch and
maximal tetanic forces. Unfortunately,
Lo,
Lf, or muscle mass were not reported that would have enabled an estimation of
sPo (Goldberg and Shall 1997
).
In this study, we have re-examined the issue of whether extraocular muscles produce lower specific forces than skeletal muscles. Specifically we have investigated the force producing capacity of the extraocular muscles, the levator and superior rectus, from the rat, in situ. We then compared the values for Po and sPo with those for muscles studied in vitro. We tested the null hypothesis that the specific force for extraocular muscles obtained in situ would not be different from that of limb skeletal muscles. A corollary to our primary hypothesis was that absolute and specific forces for extraocular muscles obtained in situ and in vitro would not be different.
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METHODS |
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All experimental procedures performed were approved by the Animal Experimentation Ethics Committee of The University of Melbourne. Male and female Sprague-Dawley rats (250-450 g) were used in these studies.
For the evaluation of extraocular muscle function in situ, the rats were anesthetized deeply with intraperitoneal injections of sodium pentobarbitone of (Nembutal, Rhone Merieux, Pinkenba, QLD, Australia, 60-80 mg/kg) such that they did not respond to tactile stimuli throughout the procedures. This depth of anesthesia was monitored carefully and maintained with supplemental injections of sodium pentobarbitone. The skin and subcutaneous tissue was excised over the calvarium. The temporalis muscle and fascia was separated from the skull and subtotally excised. The calvarium was reduced to tissue-paper thinness with a power-driven burr. The thin remaining skull bone was separated from the dura and excised from anterior to the posterior suture lines to the beginning of the olfactory bulbs. Laterally bone was removed to the region at which it thickens markedly below the point of insertion of the temporalis muscle, exposing much of the anterior brain. If the dura had not been opened in the course of bone removal, it was opened at this time. The saggital sinus and visible surface vessels were cauterized. The anterior brain was lightly retracted from each side, and the middle meningeal artery was cauterized. The brain was vertically transected with a hot cautery in front of the posterior skull suture lines, and the anterior brain similarly was separated from the olfactory bulbs. The optic nerves were cut and the anterior brain excised. Bleeding on the cut surface of the brain was cauterized. This procedure exposed cranial nerves III-VI as they ran along the floor of the brain cavity just prior to entering the orbit. Cranial nerve attachments to the brain stem were not disrupted. The anesthetized rats maintained cardiac and respiratory function throughout the evaluation procedures following removal of their anterior brain.
The levator palpebrae superioris (levator) muscle was isolated from a randomly chosen side. The upper eyelid was transected medial and lateral to the fornix. A 4-0 silk suture was placed through the anterior portion of the tarsal plate centrally. This suture was later used to fix the tarsus and hence the tendon of the levator muscle to the force transducer. The lid was retracted carefully with the suture. Antero-posterior conjunctival/Tenons capsule incisions were made on either side of the superior rectus muscle, and a conjunctival periotomy was performed distal to the insertion of the superior rectus muscle. The superior oblique muscle was identified and cut. The insertion of the superior rectus muscle was looped with a 4-0 silk suture and pulled down carefully, rotating the eye forward. Conjunctiva was incised across the fornix, and all attachments between the superior rectus and the levator muscles were lysed sharply. The insertional tendon of the superior rectus muscle was isolated, tied, and cut from the globe. The superior rectus muscle was retracted, and the globe was pulled forward to expose the retractor bulbi muscles and optic nerve, which were then cut from the globe. The tendons of insertion for the lateral rectus, medial rectus, inferior rectus, and the inferior oblique muscles were all severed and the eye was removed. The anterior two-thirds of the superior rectus muscle was amputated, and the remainder was allowed to retract.
On the contralateral side, the superior rectus muscle was isolated from the other extraocular muscles. Dissection was similar to that performed to isolate the levator muscle except that the superior rectus muscle was not amputated. However, the suture looping the tendon of the superior rectus muscle was tightly tied around it prior to cutting the tendon from the globe, and this suture was later used to attach the tendon to the force transducer. Additionally, the upper eyelid and the anterior two-thirds of the levator muscle were excised, and the remainder of the levator muscle was allowed to retract.
After the muscle dissections were completed, the anesthetized, decorticate rat was mounted on a stereotaxic unit with the head rigidly fixed by the front incisors, a clamp on the nose, and blunt pins contacting the interior of the ear canals. The suture attached to the tendon of the muscle to be tested was looped through the arm of a calibrated isometric force transducer (Research Grade 60-2999, Harvard Apparatus, South Natick, MA). The transducer arm was adjusted (via x-, y-, and z-axis micromanipulation) to ensure alignment with the muscle. The plane of tension measurement was ~45° to the midline of the animal. Preliminary testing revealed that the highest force was obtained with the transducer aligned ~45° up from the horizontal plane of the animal's head. The muscle was then tied tightly to the transducer arm, and the arm was retracted with a vernier-scaled micromanipulator until the muscle was adjusted to a just-taut length. Two flexible platinum wires with bulbous ends, separated by 2 mm, were connected to a square wave stimulator (S48 Grass Instruments, Quincy, MA). The electrodes were positioned within the anterior cranium using an X-Y micromanipulator, such that both ends contacted the medial side of the bundle of cranial nerves III-VI of the side being tested, ~5 mm proximal to the point of entry to the orbit. The nerves were stimulated with 6-8 V pulses (0.2-ms duration). Contractile measurements were recorded with a four-channel PowerLab recorder (ADInstruments, Castle Hill, N.S.W., Australia) run by a personal computer (PII, Paragon Computers, Australia) operating Chart data acquisition software (v0.3.4.6, ADInstruments, Castle Hill, N.S.W., Australia).
Optimal muscle length (Lo) and stimulation voltage were determined from micromanipulation of muscle length and a series of twitch contractions that produced maximum isometric twitch force (Pt). A full frequency-force relationship was determined by stimulating the muscles at frequencies of 1, 5, 10, 20, 30, 50, 80, 100, 120, 150, 180, 200, 250, 300, and 350 Hz. Muscles were rested for 2.5 min between tetanic stimuli. Maximal Po was determined from the plateau of the frequency force relationship. The muscles were then stimulated once every 5 s for a 4-min period, using the optimal parameters for voltage and frequency determined previously. The position of the insertion and the origin of the muscle were estimated, and optimum muscle length (Lo) was determined as the distance between those two points.
Following completion of muscle testing, the attachment suture was then severed, and the transducer was moved to the contralateral side of the animal to test the other muscle in an identical fashion. At the conclusion of the contractile measurements, each muscle was dissected carefully, trimmed of nonmuscle tissue, blotted on filter paper, and then weighed on an analytical balance. The animals were killed by cervical dislocation while still under deep anesthesia.
In one experiment, after the frequency-force relationship of one
superior rectus and one levator muscle had been determined in situ,
each muscle was dissected from its origin and transferred immediately
into a custom-built Plexiglass bath filled with Krebs Ringer solution
[which contained (in mM) 137 NaCl, 24 NaHCO3, 11 D-glucose, 5 KCl, 2 CaCl2, 1 NaH2PO4, 1 MgSO4, and 0.025 D-tubocurarine chloride] that was bubbled with Carbogen (5%
CO2 in oxygen, BOC, Preston, Victoria, Australia)
and thermostatically maintained at 25°C. The contractile properties
of the muscles were then assessed in vitro, using techniques described
previously (Lynch et al. 1999). The muscles were tied
directly between a fixed immovable hook and the same force transducer
used for the in situ evaluations. Muscles were field stimulated by
supramaximal square-wave pulses (0.2 ms duration, S48 stimulator, Grass
Instruments), that were amplified (EP500B Ebony power amplifier, Audio
Assemblers Pty, Campbellfield, Victoria, Australia), and delivered to
two platinum plate electrodes that flanked the length of the muscle to
produce a maximum isometric tetanic contraction. After determination of Lo and optimal voltage, maximum
Po was determined from the plateau of
the frequency-force relationship following stimulation at increasing frequencies, with 2.5-min rest between stimuli.
Estimation of muscle cross-sectional area
The mean fiber lengths (Lf) in
the levator and superior rectus muscles of the rat were determined
using methods adapted from Segal et al. (1986). One
levator and one superior rectus muscle was dissected from each of three
rats. The six muscles were pinned at resting length in a dish with a
base of 184 silicone elastomer (Sylgard, Dow Corning, Midland, MI) and
filled with 4% paraformaldehyde in phosphate-buffered saline (PBS).
After 3 days, the paraformaldehyde was aspirated, the muscle washed
three times with PBS, and the muscle then covered with a 20% nitric
acid solution. After 5 days, the nitric acid was aspirated and the
muscle washed three times with PBS. The muscle (still pinned in the
dish) was then covered with a solution of 50% glycerol with 0.1%
sodium dodecyl sulfate. Muscle length was determined using calibrated
digital calipers with an accuracy within 0.01 mm. As many fibers as
possible were separated under a microscope using either a pair of
jeweler's forceps or fine-tipped glass micropipettes. The fiber
lengths were recorded as a proportion of the final length of the muscle following storage in the 20% nitric acid solution.
Lf was determined from the fibers that
could be sampled from the three superior rectus and three levator muscles.
Muscle mass, Lf and
Po, were used to calculate maximum
specific isometric tetanic force (sPo)
or maximum Po normalized per total
muscle cross sectional area (kN/m2). The total
fiber cross-sectional area (CSA) of each muscle was estimated by
dividing muscle mass (mg) by the product of the determined mean
Lf and 1.06 mg/mm3, the density of mammalian skeletal muscle
(Méndez and Keys 1960). Absolute
Po values were normalized for muscle
CSA using the formula sPo
(kN/m2) = Po (mN)/CSA
(mm
2). Values are
presented in the text and tables as means ± SE unless stated otherwise.
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RESULTS |
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Calculation of fiber length to muscle length ratio
For the superior rectus muscle, the ratio of Lf to Lo based on a sample of 269 fibers, ranged from 0.25 to 0.81, with a mean value of 0.45 ± 0.16 (SD). The distribution of Lf:Lo values for the superior rectus muscle is presented in Fig. 1A. For the levator muscle, the Lf:Lo based on a sample of 65 fibers, ranged from 0.17 to 0.85, with a mean value of 0.38 ± 0.08 (SD). The distribution of Lf:Lo values is presented in Fig. 1B.
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Contractile properties of extraocular muscles studied in situ
The contractile properties of the levator and superior rectus muscles evaluated in situ are detailed in Table 1. Representative force traces for each of the two muscles are presented in Fig. 2. For comparative purposes, Table 2 lists some isometric contractile properties of one levator muscle and five isolated rat superior rectus muscles evaluated in vitro. The sPo for the levator muscles measured in situ, 275 kN/m2, was significantly higher than that measured in vitro, 10 kN/m2 (P < 0.001, 2-tailed t-test). The mean sPo for the superior rectus muscles measured in situ, 280 kN/m2, was significantly higher than that measured in vitro, 27 kN/m2 (P < 0.001, 2-tailed t-test).
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In one experiment, the levator and superior rectus muscles of one rat were tested first in situ and then tested immediately in vitro. The sPo for the levator muscle was 222 kN/m2 in situ and 7.5 kN/m2 in vitro. For the superior rectus muscle, the specific force was 270 kN/m2 in situ and 39 kN/m2 in vitro.
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DISCUSSION |
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The most important finding of this study was that the specific
force of extraocular muscles examined in situ was similar to the
specific force of limb skeletal muscles. The extraocular muscles have
always been considered to produce low forces, based primarily on data
obtained from isolated muscles evaluated in vitro. The sPo values for the levator and
superior rectus muscles (275-280 kN/m2) are
within the range of sPo values for in
vitro and in situ recordings from skeletal muscles from a variety of
different species including the mouse (Brooks et al.
1995; Lynch et al. 1999
) and rat (Brown
and Hasser 1996
; Devor and Faulkner 1998
;
Gregorevic et al. 2000
; Van der Meulen et al.
1997
). Our original hypothesis that the specific force for
extraocular muscles obtained in situ would not be different from that
of limb skeletal muscles was supported. Our findings are important
because they revise our understanding of the contractile properties of
extraocular muscles.
Previous studies that have reported
sPo for extraocular muscles have
conducted their experiments in vitro (Asmussen and Gaunitz 1981; Asmussen et al. 1994
; Close and
Luff 1974
; Frueh et al. 1994
; Luff
1981
). Our data for force output of extraocular muscles in
vitro (Table 2) are within the range previously reported. While the
data for extraocular muscles evaluated in vitro can still provide
important information about the contractility of these muscles, they
clearly give a poor estimate of the true
sPo. Because the
sPo values reported in this study are
about six times greater than the highest of those reported previously
for extraocular muscles in vitro even after the reduction caused by
computing the sPo of muscles using
Lf rather than
Lo, our data require careful evaluation. This includes examination of potential sources of error,
including the angle at which force is recorded in relation to the
muscle's position within the head, co-contraction of nearby muscles,
and measurement of critical factors used in the calculation of
sPo:absolute
Po and muscle fiber length.
Consideration of the anatomical location of the extraocular muscles being tested
Both the levator and superior rectus muscles rise in an arc over
the eye in the natural state. We found that this angle of rise was
critical to the measurement of maximum force. When the muscle force was
measured with the muscle horizontal (parallel to the horizontal plane
of the animal) and then at two levels (~22 and ~45°) above the
horizontal, Po of the superior rectus muscle increased serially to 203% of the horizontal
Po. With the levator muscle, the angle
was increased twice, starting from a position just above the
horizontal, and Po increased serially to 187% of the initial Po. With the
anesthetized animal mounted horizontally on the stereotaxic equipment,
the optimal plane of tension development was ~45° above the
horizontal and ~45° lateral to the midline of the animal. Clearly
identifying the appropriate angle between the orbit and the extraocular
muscle under consideration (to mimic that in the natural state) is
critical for the determination of force output in situ. We found that
any deviation from the optimal angle caused
Po to be underestimated. This factor
may contribute to the disparity between the forces reported by
Hanson and Lennerstrand (1977) and Bach-y-Rita
and Ito (1966)
.
The anatomy of the levator and superior rectus muscles are quite
similar in humans and rats, with each originating from the annulus of
Zinn, the levator muscle being medial and external to the superior
rectus muscle. The superior branch of the third nerve innervates both
muscles, coming into the underside of the superior rectus and through
its upper surface to enter the levator muscle. In its anterior
two-thirds, the levator muscle lies directly above the superior rectus
muscle but without significant attachments to it. Orbital fat is
interposed between them along the posterior third of each muscle. In
humans, there is evidence that co-contraction of the superior rectus
has little effect on the force output of the levator muscle. The force
generated by the levator muscle has been measured in patients by having
them look upward maximally (volitional contraction of both the superior
rectus and the levator) while the force output from the levator muscle
is recorded by a force transducer connected to an eyelash clamp
(Frueh and Musch 1990). In patients with ptosis
(drooping upper eyelid) caused by levator muscle myopathy and with
normal elevation of the eye (indicating a normal superior rectus
muscle), the force of the levator muscle was as small as 40-50 mN,
while the normal range of levator force was 370-1,000 mN (Frueh
and Musch 1996
). Therefore the superior rectus muscle would
have contributed little to the forces recorded. In the present study,
co-contraction of the adjacent extraocular muscle that might
conceivably have contributed to the force output was eliminated by
excising the anterior two-thirds of that muscle.
In preliminary experiments, where the eye was not enucleated, we noted that the eye retracted ~1.8 mm on stimulation of the third nerve. We suspected that the retractor bulbi muscles were contributing to the force output since the anterior end of the superior portion of these muscles was in contact with the superior rectus muscle. Posterior to the globe, orbital fat is interposed between the retractor bulbi muscles and the rectus muscles. Therefore these muscles were not only separated from the superior rectus muscles but were severed from the globe, allowed to retract, as were the other extraocular muscles, and the globe removed. These procedures would have negated any effects of co-contraction of surrounding muscles contributing to the recorded force of the specific extraocular muscle attached to the force transducer.
There was considerable variation in fiber length
(Lf) within each muscle (Fig. 1). The
superior rectus muscle contains multiply innervated slow tonic fibers
while the levator does not (Harker 1972). Analysis of
serial sections of the orbital surface layer of the superior rectus
muscle of the rabbit indicated that the population of multiply
innervated fibers were longer than the more numerous singly innervated
fibers (Davidowitz et al. 1977
). This may explain why
the average fiber length of the superior rectus muscle is greater than
that of the levator muscle.
The sPo of a skeletal muscle is more
accurately described when the estimated muscle CSA is derived from the
use of average fiber length (Lf) as
opposed to the commonly but incorrectly used optimum muscle length
(Lo). Under appropriate conditions for
temperature (25°C) and muscle stimulation in vitro (i.e., use of a
power amplifier to increase and sustain current intensity sufficient to
produce a maximal isometric tetanic contraction),
Po of the extensor digitorum longus
(EDL) muscle of an adult male rat (muscle mass: 240 mg; Lo: 37 mm), will usually exceed 3,000 mN (Gregorevic et al. 2000). Assessments of
sPo using
Lo (for the calculation of CSA)
instead of Lf, would yield a value of
552 kN/m2 for the rat EDL muscle. When
Lf is used instead of
Lo for the calculation of muscle CSA,
the sPo is ~243
kN/m2.
Similarly for the extraocular muscles, assessment of
sPo based on CSA values derived from
the incorrect use of Lo would yield ~724 kN/m2 for the levator muscle and ~622
kN/m2 for the superior rectus muscle. However,
when the sPo is calculated using a
muscle CSA derived from the calculated
Lf values, the sPo's measured in situ are ~275
kN/m2 for the levator muscle and 283 kN/m2 for the superior rectus muscle. These
sPo values for extraocular muscles are
therefore consistent with those reported for limb skeletal muscles of
rats and mice (Brooks et al. 1995; Devor and Faulkner 1998
; Lynch et al. 1999
; Van der
Meulen et al. 1997
). The Po
and sPo values for limb skeletal
muscles of the rat are similar whether they are investigated in situ or
in vitro (Brown and Hasser 1996
). The much lower
sPo values for extraocular muscles examined in vitro compared with in situ is therefore difficult to
explain. The difference reflects, at least in part, how easily the
origin of these muscles can be damaged during the intricate dissection
procedures since there is no tendon at the origin of the extraocular
muscles. Another contributing factor that could explain the disparity
between the specific forces obtained under the different experimental
conditions relates to whether electrical field stimulation (as opposed
to direct stimulation of the nerve) can recruit all fibers within
extraocular muscles, especially when the orientation of the fibers may
not be optimal. Our results indicate that maximum
Po was only obtained (in situ) when
the extraocular muscles were orientated 45° above the horizontal, an
orientation difficult to mimic in vitro. This fact coupled with the
often atypical fiber architecture within extraocular muscles, provides
some explanation as to why this disparity in sPo exists under the two different
experimental conditions.
Our findings reveal that the force output of intact extraocular muscles
differs greatly depending on the mode of testing. In situ evaluation
preserves extraocular muscle function such that
sPo values are similar to those for
limb skeletal muscles. However, most skeletal muscles develop the same
forces in situ and in vitro, whereas extraocular muscles generate far
less force in all studies performed in vitro. Although in vitro
evaluation of extraocular muscle contractility will continue to reveal
important information about these very much understudied muscles
(Campbell et al. 1999; Lynch et al.
1994
), the lower sPo values of
these preparations should be recognized as being significantly less than the true potential for these muscles. We should no longer view
extraocular muscles as intrinsically weaker than skeletal muscles but
every bit their equal in specific force.
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ACKNOWLEDGMENTS |
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This work was supported by the National Health and Medical Research Council of Australia.
Permanent address of B. R. Frueh: Dept. of Ophthalmology, W. K. Kellogg Eye Center, The University of Michigan, Ann Arbor, MI 48109-0714.
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FOOTNOTES |
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Address for reprint requests: G. S. Lynch (E-mail: g.lynch{at}physiology.unimelb.edu.au).
Received 8 August 2000; accepted in final form 17 November 2000.
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REFERENCES |
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