Evidence map›Paper›PMID 29026107›Full record

ArticleScientific reports2017

Achilles tendon compositional and structural properties are altered after unloading by botox.

Hanifeh Khayyeri, Parmis Blomgran, Malin Hammerman, Mikael J Turunen, Annika Löwgren, Manuel Guizar-Sicairos, Per Aspenberg, Hanna Isaksson

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Regulators of ECM structure enable functional adaptation to tensile loading in tendon explants.Matrix biology : journal of the International Society for Matrix Biology · 2026
    Article
  2. Article
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  5. Article
  6. The LINC Complex Regulates Tendon Elastic Modulus, Collagen Crimp, and Lateral Expansion During Early Postnatal Development.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  7. Tendon regeneration deserves better: focused review onFrontiers in bioengineering and biotechnology · 2025
    Review
  8. Article
  9. Article
  10. LeveragingFrontiers in bioengineering and biotechnology · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Complete mid-portion rupture of the rat achilles tendon leads to remote and time-mismatched changes in uninjured regions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  18. Article
  19. Article
  20. Effects of SCCOInternational journal of molecular sciences · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hanifeh KhayyeriDepartment of Biomedical Engineering, Lund University, Lund, Sweden. hanifeh.khayyeri@bme.lth.se.
Parmis BlomgranDepartment of Clinical and Experimental Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-2654-1361
Malin HammermanDepartment of Clinical and Experimental Sciences, Linköping University, Linköping, Sweden.
Mikael J TurunenDepartment of Applied Physics, University of Eastern Finland, Kuopio, Finland.
Annika LöwgrenDepartment of Biomedical Engineering, Lund University, Lund, Sweden.
Manuel Guizar-SicairosSwiss Light Source, Paul Scherrer Institut, Villigen PSI, Switzerland.
Per AspenbergDepartment of Clinical and Experimental Sciences, Linköping University, Linköping, Sweden.
Hanna IsakssonDepartment of Biomedical Engineering, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tendon function and homeostasis rely on external loading. This study investigates the biological mechanisms behind tendon biomechanical function and how the mechanical performance is affected by reduced daily loading. The Achilles tendons of 16 weeks old female Sprague Dawley rats (n = 40) were unloaded for 5 weeks by inducing muscle paralysis with botulinum toxin injections in the right gastrocnemius and soleus muscles. The contralateral side was used as control. After harvest, the tendons underwent biomechanical testing to assess viscoelasticity (n = 30 rats) and small angle X-ray scattering to determine the structural properties of the collagen fibrils (n = 10 rats). Fourier transform infrared spectroscopy and histological staining (n = 10 rats) were performed to investigate the collagen and proteoglycan content. The results show that the stiffness increased in unloaded tendons, together with an increased collagen content. Creep and axial alignment of the collagen fibers were reduced. Stress-relaxation increased whereas hysteresis was reduced in response to unloading with botox treatment. Our findings indicate that altered matrix deposition relies on mechanical loading to reorganize the newly formed tissue, without which the viscoelastic behavior is impaired. The results demonstrate that reduced daily loading deprives tendons of their viscoelastic properties, which could increase the risk of injury.

Indexed as

Achilles TendonAnimalsBotulinum Toxins, Type ACollagenFemaleMuscle, SkeletalProteoglycansRatsRats, Sprague-DawleySpectroscopy, Fourier Transform InfraredTendon InjuriesViscosityBotulinum Toxins, Type ACollagenProteoglycans

Identifiers

PMID29026107
PMCPMC5638919

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.