Continuum mechanical models have been used to regularize ill-posed problems in many applications in medical imaging analysis such as image registration and left ventricular motion estimation. In this work, we present a significant extension to the common elastic model which we call the active elastic model. The active elastic model is designed to reduce bias in deformation estimation and to allow the imposition of proper priors on deformation estimation problems that contain information regarding both the expected magnitude and the expected variability of the deformation to be estimated. We test this model on the problem of left ventricular deformation estimation, and present ideas for its application in image registration and brain deformation during neurosurgery.