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Bouvier J, Ogier AC, Martin C, Fouré A. Effect of knee joint angle on vastus medialis and vastus lateralis rigidity during isometric submaximal voluntary knee extensions. J Electromyogr Kinesiol 2023; 73:102826. [PMID: 37774557 DOI: 10.1016/j.jelekin.2023.102826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 07/21/2023] [Accepted: 09/20/2023] [Indexed: 10/01/2023] Open
Abstract
The use of shear wave elastography during voluntary contraction has enabled the non-invasive assessment of load sharing strategies between agonist muscles. However, the change in joint angle and voluntary contraction intensity can modify contribution between muscles. The aim of this study was to investigate the effect of knee joint angle on the local mechanical properties of the vastus medialis (VM) and the vastus lateralis (VL) during isometric submaximal voluntary contractions from shear wave elastography mapping. The VM and VL Young's modulus at rest and during constant isometric submaximal voluntary contractions (i.e., 25%, 50% and 75% of maximal voluntary contraction [MVC]) were assessed for two knee angles (50° and 100° | knee fully extended = 0°) in twelve participants. No significant difference was found in the VM Young's modulus among all torque levels and knee angles (p > 0.05). VL Young's modulus was significantly higher at 25% MVC for a knee angle of 100° than at 75% MVC for the same knee angle and was greater at 25% MVC for a knee angle of 100° than for 50° (p < 0.05). In contrast to the VM, the contribution of the VL to the knee joint torque production during isometric voluntary contraction appears to depend on the muscle length and the relative knee extension torque level.
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Affiliation(s)
- Jérémie Bouvier
- Universite Claude Bernard Lyon 1, Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM), F-69622 Villeurbanne, France.
| | - Augustin C Ogier
- University of Lausanne, Lausanne University Hospital, Department of Diagnostic and Interventional Radiology, Lausanne, Switzerland
| | - Cyril Martin
- Universite Claude Bernard Lyon 1, Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM), F-69622 Villeurbanne, France
| | - Alexandre Fouré
- Universite Claude Bernard Lyon 1, Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM), F-69622 Villeurbanne, France.
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Dick TJM, Hug F. Advances in imaging for assessing the design and mechanics of skeletal muscle in vivo. J Biomech 2023; 155:111640. [PMID: 37244210 DOI: 10.1016/j.jbiomech.2023.111640] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 05/10/2023] [Indexed: 05/29/2023]
Abstract
Skeletal muscle is the engine that powers what is arguably the most essential and defining feature of human and animal life-locomotion. Muscles function to change length and produce force to enable movement, posture, and balance. Despite this seemingly simple role, skeletal muscle displays a variety of phenomena that still remain poorly understood. These phenomena are complex-the result of interactions between active and passive machinery, as well as mechanical, chemical and electrical processes. The emergence of imaging technologies over the past several decades has led to considerable discoveries regarding how skeletal muscles function in vivo where activation levels are submaximal, and the length and velocity of contracting muscle fibres are transient. However, our knowledge of the mechanisms of muscle behaviour during everyday human movements remains far from complete. In this review, we discuss the principal advancements in imaging technology that have led to discoveries to improve our understanding of in vivo muscle function over the past 50 years. We highlight the knowledge that has emerged from the development and application of various techniques, including ultrasound imaging, magnetic resonance imaging, and elastography to characterise muscle design and mechanical properties. We emphasize that our inability to measure the forces produced by skeletal muscles still poses a significant challenge, and that future developments to accurately and reliably measure individual muscle forces will promote newfrontiers in biomechanics, physiology, motor control, and robotics. Finally, we identify critical gaps in our knowledge and future challenges that we hope can be solved as a biomechanics community in the next 50 years.
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Affiliation(s)
- Taylor J M Dick
- The University of Queensland, School of Biomedical Sciences, Brisbane, QLD, Australia.
| | - François Hug
- The University of Queensland, School of Biomedical Sciences, Brisbane, QLD, Australia; Université Côte d'Azur, LAMHESS, Nice, France
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Zimmer M, Kleiser B, Marquetand J, Ateş F. Shear wave elastography characterizes passive and active mechanical properties of biceps brachii muscle in vivo. J Mech Behav Biomed Mater 2023; 137:105543. [PMID: 36371993 DOI: 10.1016/j.jmbbm.2022.105543] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 10/14/2022] [Accepted: 10/24/2022] [Indexed: 11/06/2022]
Abstract
Mechanical characterization of individual muscles in their in vivo environment is not well studied. Shear wave elastography (SWE) as a non-invasive technique was shown to be promising in quantifying the local mechanical properties of skeletal muscles. This study aimed to investigate the mechanics of the biceps brachii muscle (BB) derived from SWE in relation to elbow joint position and contraction intensity during isometric contraction. 14 healthy, young subjects participated in the study and five different joint positions (60°-180° elbow angle) were investigated. Shear elastic modulus and surface electromyography (sEMG) of the BB and elbow torque were measured simultaneously, both in passive (i.e., resting) and active states during slow, sub-maximal isometric ramp contractions up to 25%, 50%, and 75% of the maximum voluntary contraction. At passive state, the shear elastic modulus of the BB increased with increasing elbow angle (p < 0.001). Maximum elbow flexion torque was produced at 60° and it decreased with increasing elbow angle (p = 0.001). During sub-maximal contractions, both elbow angle (p < 0.001) and contraction intensity (p < 0.001) had significant effects on the shear elastic modulus but only contraction intensity (p < 0.001) affected sEMG amplitude of the BB. Although torque was decreased at extended elbow positions (150°, 180°), higher active shear elastic modulus of BB muscle was found compared to flexed positions (60°, 90°). Linear regression of the BB sEMG amplitude over elbow torque showed good agreement for all joint positions (R2 between 0.69 and 0.89) while the linear agreement between shear elastic modulus of BB and elbow torque differed between flexed (R2 = 0.70 at 60° and R2 = 0.79 at 90°) and extended positions (with the lowest R2 = 0.57 at 150°). We conclude that using SWE, we can detect length-dependent mechanical changes of BB both in passive and active states. More importantly, SWE can be used to characterize active muscle properties in vivo. The present findings have critical importance for developing muscle stiffness as a measure of individual muscle force to validate muscle models and using SWE in clinical diagnostics.
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Affiliation(s)
- Manuela Zimmer
- Institute of Structural Mechanics and Dynamics in Aerospace Engineering, University of Stuttgart, Pfaffenwaldring 27, 70569, Stuttgart, Germany.
| | - Benedict Kleiser
- Department of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany
| | - Justus Marquetand
- Department of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany; Department of Neural Dynamics and Magnetoencephalography, Hertie-Institute for Clinical Brain Research, University of Tübingen, Otfried-Müller-Str. 25, 72076, Tübingen, Germany; MEG-Center, University of Tübingen, Otfried-Müller-Str. 47, 72076, Tübingen, Germany
| | - Filiz Ateş
- Institute of Structural Mechanics and Dynamics in Aerospace Engineering, University of Stuttgart, Pfaffenwaldring 27, 70569, Stuttgart, Germany
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Hoshikawa K, Yuri T, Giambini H, Mura N, Kiyoshige Y. The functional role of the supraspinatus and infraspinatus muscle subregions during forward flexion: a shear wave elastography study. JSES Int 2022; 6:849-854. [PMID: 36081699 PMCID: PMC9446250 DOI: 10.1016/j.jseint.2022.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2022] Open
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Mencel J, Jaskólska A, Marusiak J, Kisiel-Sajewicz K, Siemiatycka M, Kaminski L, Jaskólski A. Effect of gender, muscle type and skinfold thickness on myometric parameters in young people. PeerJ 2021; 9:e12367. [PMID: 34824907 PMCID: PMC8590390 DOI: 10.7717/peerj.12367] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 10/01/2021] [Indexed: 12/04/2022] Open
Abstract
Background The aim of the study was to compare the mechanical properties of three human skeletal muscles: biceps brachii (BB), rectus femoris (RF), and tibialis anterior (TA) at rest measured by myoton device in males (n = 16, mean age 21.2 ± 0.6 years) and females (n = 16; 21.2 ± 0.9 years) and to investigate the influence of skin and subcutaneous tissue thickness (skinfold thickness, SFT) and gender on myometric parameters of the three skeletal muscles. Methods We measured the following mechanical and viscoelastic muscle properties using MyotonPRO®: frequency (F [Hz]), decrement (D [log]), stiffness (S [N/m]), relaxation time (R [ms]) and creepability (C [De]). The values of SFT for all selected muscles were assessed by caliper. A mixed-design analysis of variance with gender as between subject comparison was used for assessing the differences between gender and muscles in SFT and each of the myometric parameters separately (F, D, S, R and C). Pearson correlation coefficient or Spearman’s rank correlation coefficient between SFT and myometric parameters was conducted for males, females and males and females together. The level of statistical significance was set at α ≤ 0.05 with Bonferroni correction for multiple comparisons. Results The SFT over the RF, TA, and BB muscles in women was statistically significantly larger compared with that of males. In females and males, the SFT over the RF was larger than over the TA and BB, and the SFT over the TA was larger compared with over the BB. The values of F and S recorded for the TA muscle were the highest among the three muscles, while D, C, and R were lowest in TA but highest in the RF muscle in men and women. The values of F and S were smaller in females than in males. Gender comparison of D, C, and R values showed that only D for the RF was significantly lower in females than in males, and C for the RF and TA was significantly larger in females than in males. Some correlation between SFT and myometric parameters were different between males and females. For example, there was a significant, negative correlation between SFT and F for all muscles in females, and a significant, positive correlation between these parameters for BB and TA (not for RF) in males. For pooled data (males and females together), a negative significant correlation between SFT and F was observed for RF and TA (not significant for BB muscle). Discussion It is concluded that the TA compared with the BB and RF has significantly greater F and S but the smallest D and C and the shortest R. Gender and muscle differences in the SFT may affect the measurements of muscle properties using MyotonPRO®. The relationship between SFT and myometric parameters is different in males and females in the RF, TA, and BB muscles. Therefore, the myometric data should be analyzed in males and females separately.
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Affiliation(s)
- Joanna Mencel
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Poland, Wroclaw, Poland
| | - Anna Jaskólska
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Poland, Wroclaw, Poland
| | - Jaroslaw Marusiak
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Poland, Wroclaw, Poland
| | | | - Magdalena Siemiatycka
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Poland, Wroclaw, Poland
| | - Lukasz Kaminski
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Poland, Wroclaw, Poland
| | - Artur Jaskólski
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Poland, Wroclaw, Poland
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6
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Enomoto S, Oda T, Sugisaki N, Toeda M, Kurokawa S, Kaga M. Muscle stiffness of the rectus femoris and vastus lateralis in children with Osgood-Schlatter disease. Knee 2021; 32:140-147. [PMID: 34507092 DOI: 10.1016/j.knee.2021.08.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 06/08/2021] [Accepted: 08/04/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND The relevance of the mechanical properties of muscles in relation to Osgood-Schlatter disease (OSD) remains unclear. The present study aimed to examine rectus femoris (RF) and vastus lateralis (VL) muscle stiffness in children with OSD. METHODS A total of 28 legs affected by OSD and 26 legs without OSD were assessed. The shear-wave velocity (SWV) of the RF and VL (in m/s) during passive knee flexion (0° (i.e., fully extended position), 45°, and 90° knee joint flexion) and isometric contraction (50% of maximal voluntary contraction) was measured using shear-wave elastography. RESULTS The SWV of the RF was higher in subjects with OSD than in those without OSD at 45° and 90° flexion (P = 0.033 and P = 0.035, respectively); however, the SWV of the RF did not significantly differ at 0° flexion (P = 0.469). Similarly, the SWV of the VL exhibited no significant difference between the tested groups (P > 0.05). No significant difference in the SWV of both muscles during isometric contraction was observed between the two groups (P > 0.05). CONCLUSIONS The results suggest that a stiffer RF under stretched conditions (45° and 90° flexion) is related to the presence of OSD. Furthermore, both muscles under unstretched and contracted conditions and the VL under stretched conditions have limited association with the presence of OSD. These results have important implications for understanding the association between the mechanical properties of muscles and OSD.
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Affiliation(s)
- Shota Enomoto
- Center for Liberal Arts, Meiji Gakuin University, Yokohama, Japan; Joint Graduate School in Science of School Education, Hyogo University of Teacher Education, Hyogo, Japan.
| | - Toshiaki Oda
- Graduate School of Education, Hyogo University of Teacher Education, Hyogo, Japan
| | | | - Misaki Toeda
- Department of Clothing, Faculty of Human sciences and Design, Japan Women's University, Tokyo, Japan
| | - Sadao Kurokawa
- Center for Liberal Arts, Meiji Gakuin University, Yokohama, Japan
| | - Masaru Kaga
- Graduate School of Education, Okayama University, Okayama, Japan
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Grinspan GA, Cabral HV, de Souza LML, de Oliveira LF, Aguiar S, Blanco E, Benech N. Surface wave elastography is a reliable method to correlate muscle elasticity, torque, and electromyography activity level. Physiol Rep 2021; 9:e14955. [PMID: 34337894 PMCID: PMC8326893 DOI: 10.14814/phy2.14955] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 07/05/2021] [Accepted: 06/17/2021] [Indexed: 11/24/2022] Open
Abstract
The shear elastic modulus is one of the most important parameters to characterize the mechanical behavior of soft tissues. In biomechanics, ultrasound elastography is the gold standard for measuring and mapping it locally in skeletal muscle in vivo. However, their applications are limited to the laboratory or clinic. Thus, low-frequency elastography methods have recently emerged as a novel alternative to ultrasound elastography. Avoiding the use of high frequencies, these methods allow obtaining a mean value of bulk shear elasticity. However, they are frequently susceptible to diffraction, guided waves, and near field effects, which introduces biases in the estimates. The goal of this work is to test the performance of the non-ultrasound surface wave elastography (NU-SWE), which is portable and is based on new algorithms designed to correct the incidence of such effects. Thus, we show its first application to muscle biomechanics. We performed two experiments to assess the relationships of muscle shear elasticity versus joint torque (experiment 1) and the electromyographic activity level (experiment 2). Our results were comparable regarding previous works using the reference ultrasonic methods. Thus, the NU-SWE showed its potentiality to get wide the biomechanical applications of elastography in many areas of health and sports sciences.
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Affiliation(s)
- Gustavo A. Grinspan
- Sección Biofísica y Biología de SistemasFacultad de CienciasUniversidad de la RepúblicaMontevideoUruguay
- Laboratorio de Acústica UltrasonoraFacultad de CienciasUniversidad de la RepúblicaMontevideoUruguay
| | - Hélio V. Cabral
- Centre of Precision Rehabilitation for Spinal Pain (CPR Spine)School of Sport, Exercise and Rehabilitation SciencesCollege of Life and Environmental SciencesUniversity of BirminghamBirminghamUK
| | - Leonardo M. L. de Souza
- Programa de Engenharia Biomédica (COPPE)Universidade Federal do Rio de JaneiroRio de JaneiroBrazil
| | - Liliam F. de Oliveira
- Programa de Engenharia Biomédica (COPPE)Universidade Federal do Rio de JaneiroRio de JaneiroBrazil
| | - Sofía Aguiar
- Instituto de Ensayo de MaterialesFacultad de IngenieríaUniversidad de la RepúblicaMontevideoUruguay
| | - Ernesto Blanco
- Instituto de FísicaFacultad de CienciasUniversidad de la RepúblicaMontevideoUruguay
| | - Nicolás Benech
- Laboratorio de Acústica UltrasonoraFacultad de CienciasUniversidad de la RepúblicaMontevideoUruguay
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Hisaund A, Pietton R, Vialle R, Skalli W, Vergari C. Feasibility of Rib Kinematics and Intercostal-Space Biomechanical Characterization by Ultrasound in Adolescent Idiopathic Scoliosis. ULTRASOUND IN MEDICINE & BIOLOGY 2021; 47:1957-1963. [PMID: 33926755 DOI: 10.1016/j.ultrasmedbio.2021.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 03/08/2021] [Accepted: 03/19/2021] [Indexed: 06/12/2023]
Abstract
The aim of this work was to determine the feasibility of combined ultrasonography and elastography measurement to characterize the mechanical properties of the intercostal space during breathing. Eighteen asymptomatic participants (ages 13 ± 2 y) and six participants with adolescent idiopathic scoliosis (AIS) were included (Cobb angle 60° ± 12°). Ultrasonographic and elastographic clips were acquired of T8-T9 ribs and the intercostal space. The two adjacent ribs were tracked to infer the breathing cycle. Shear-wave speed (SWS) was measured in the intercostal space at different stages of the breathing cycle. SWS was symmetric in the control group, during both expiration and inspiration. In AIS, the SWS during inspiration was higher in the convex side than in the concave one (p = 0.02). Furthermore, SWS was higher during inspiration than expiration in the control group and in the AIS convex side, but not in the AIS concave side (p > 0.05). This new method combining echography and shear-wave elastography allowed measurement of the mechanical characteristics of the intercostal space at different phases of the breathing cycle and highlighted differences between the AIS and control groups. This approach opens the way to further analyses of the biomechanical characteristics of breathing in severe AIS.
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Affiliation(s)
- Alisa Hisaund
- Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC - Institut de Biomécanique Humaine Georges Charpak, HESAM Université, F-75013, Paris, France
| | - Raphaël Pietton
- Department of Pediatric Orthopaedics, Sorbonne Université, Hôpital Armand Trousseau, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Raphaël Vialle
- Department of Pediatric Orthopaedics, Sorbonne Université, Hôpital Armand Trousseau, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Wafa Skalli
- Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC - Institut de Biomécanique Humaine Georges Charpak, HESAM Université, F-75013, Paris, France
| | - Claudio Vergari
- Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC - Institut de Biomécanique Humaine Georges Charpak, HESAM Université, F-75013, Paris, France.
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Evangelidis PE, Shan X, Otsuka S, Yang C, Yamagishi T, Kawakami Y. Hamstrings load bearing in different contraction types and intensities: A shear-wave and B-mode ultrasonographic study. PLoS One 2021; 16:e0251939. [PMID: 34010359 PMCID: PMC8133428 DOI: 10.1371/journal.pone.0251939] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 05/05/2021] [Indexed: 11/29/2022] Open
Abstract
The main aim was to examine the load bearing of individual hamstring muscles in different contraction types and intensities, through local stiffness measurement by shear wave elastography (SWE). A secondary aim was to examine the relationship between the SWE stiffness measure and hamstrings morphology. Ten healthy males (age 22.1±4.1 years; height 173.7±5.9 cm; body mass 68.6±12.4 kg; mean ± SD) performed knee flexions on an isokinetic dynamometer at different intensities (20–70%MVC, random order) in three separate, randomized conditions: isometric (ISO), concentric (CON) and eccentric (ECC). SWE was used to measure muscle shear wave velocity (SWV) in biceps femoris long head (BFlh), semitendinosus (ST) and semimembranosus (SM) during contraction. Muscle anatomical cross-sectional area (ACSA) was measured with magnetic resonance imaging and muscle architecture with B-mode ultrasonography. Muscle SWV increased linearly with contraction intensity, but at a varying rate among muscles and contraction types. ST exhibited greater SWV than BFlh and SM in all contraction types, however, there was an upward shift in the SM SWV–torque relationship in ECC compared to ISO and CON. Strong negative correlations were found between peak ISO SWV and ST ACSA (r = -0.81, p = 0.005) and BFlh pennation angle (r = -0.75, p = 0.012). These results suggest that ST has a primary role in hamstrings load bearing in all contraction types, likely due to its morphology; however, there is evidence of increased contribution from SM in eccentric muscle actions.
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Affiliation(s)
- Pavlos E. Evangelidis
- Faculty of Sport Sciences, Waseda University, Tokyo, Japan
- Japan Society for the Promotion of Science, Tokyo, Japan
| | - Xiyao Shan
- First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Shun Otsuka
- Graduate School of Sport Sciences, Waseda University, Tokyo, Japan
| | - Chi Yang
- Graduate School of Sport Sciences, Waseda University, Tokyo, Japan
| | | | - Yasuo Kawakami
- Faculty of Sport Sciences, Waseda University, Tokyo, Japan
- * E-mail:
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Stiffness of the infraspinatus and the teres minor muscles during shoulder external rotation: An in-vitro and in-vivo shear wave elastography study. Clin Biomech (Bristol, Avon) 2021; 85:105328. [PMID: 33930680 DOI: 10.1016/j.clinbiomech.2021.105328] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 02/02/2021] [Accepted: 03/16/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND A better understanding of the morphological and functional differences in the anatomical sub-regions of the rotator cuff muscles is critical so that appropriate surgical and rehabilitation methodologies can be implemented in patients with shoulder-related injuries. The purpose of the current study was to develop a comprehensive imaging protocol using shear-wave elastography for the infraspinatus and teres minor muscles, and investigate differences in elastic properties of three distinct infraspinatus muscle sub-regions and of the teres minor muscle. METHODS First, we developed a protocol for probe positioning for both muscles using three cadaveric shoulders. Second, we evaluated in-vivo elastic properties [passive and active stiffness (kPa)] and excursion (mm) outcomes from these muscles during shoulder external rotation. FINDINGS Elastic properties were significantly different among the infraspinatus muscle sub-regions and teres minor muscle. Passive stiffness decreased with increasing rotation angles except for the middle sub-region of the infraspinatus muscle which showed a decreased up to mid-range followed by an increment towards the end-range. Overall, active stiffness of the infraspinatus muscle and teres minor muscle decreased with increasing rotation angles, while that of the middle sub-region increased up to mid-range, and decreased at the end-range. INTERPRETATION Distinct characteristics of the infraspinatus and teres minor muscles, and more importantly, of the individual sub-regions within the infraspinatus muscle call for an in-depth analysis of their morphological and functional differences. Special attention should be put into these sub-regions when performing surgical and rehabilitation procedures for patients with shoulder-related injuries.
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Regional Differences in Biceps Femoris Long Head Stiffness during Isometric Knee Flexion. J Funct Morphol Kinesiol 2021; 6:jfmk6010018. [PMID: 33578650 PMCID: PMC7931076 DOI: 10.3390/jfmk6010018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 02/04/2021] [Accepted: 02/05/2021] [Indexed: 11/17/2022] Open
Abstract
This study sought to investigate whether the stiffness of the biceps femoris long head differs between proximal and distal regions during isometric knee flexion at different contraction intensities and muscle lengths. Twelve healthy individuals performed knee flexion isometric contractions at 20% and 60% of maximum voluntary isometric contraction, with the knee flexed at 15 and 45 degrees. Muscle stiffness assessment was performed using ultrasound-based shear wave elastography. Proximal and distal regions of the biceps femoris long head were assessed. Biceps femoris long head muscle showed a greater stiffness (i) in the distal region, (ii) at higher contraction intensity, and (iii) at longer muscle length. The proximal-to-distal stiffness ratio was significantly lower than 1 (i.e., heterogenous) at lower contraction intensity regardless of the muscle length. However, this was not observed at higher contraction intensity. This study is the first to show heterogeneity in the active stiffness of the biceps femoris long head. Given the greater incidence of injury at the proximal region of biceps femoris long head, this study opens new directions for future research. Additionally, the present study results indicate that studies assessing muscle stiffness at one single muscle region should be interpreted with caution.
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Kronlage C, Grimm A, Romano A, Stahl JH, Martin P, Winter N, Marquetand J. Muscle Ultrasound Shear Wave Elastography as a Non-Invasive Biomarker in Myotonia. Diagnostics (Basel) 2021; 11:diagnostics11020163. [PMID: 33498617 PMCID: PMC7911703 DOI: 10.3390/diagnostics11020163] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 01/15/2021] [Accepted: 01/21/2021] [Indexed: 12/31/2022] Open
Abstract
Myotonia, i.e., delayed muscle relaxation in certain hereditary muscle disorders, can be assessed quantitatively using different techniques ranging from force measurements to electrodiagnostics. Ultrasound shear wave elastography (SWE) has been proposed as a novel tool in biomechanics and neuromuscular medicine for the non-invasive estimation of muscle elasticity and, indirectly, muscle force. The aim of this study is to provide ‘proof-of-principle’ that SWE allows a quantitative measurement of the duration of delayed muscle relaxation in myotonia in a simple clinical setting. In six myotonic muscle disorder patients and six healthy volunteers, shear wave velocities (SWV) parallel to the fiber orientation in the flexor digitorum superficialis muscle in the forearm were recorded with a temporal resolution of one per second during fist-clenching and subsequent relaxation; the relaxation time to 10% of normalized shear wave velocity (RT0.1) was calculated. Forty-six SWE imaging sequences were acquired, yielding a mean RT0.1 of 7.38 s in myotonic muscle disorder patients, significantly higher than in healthy volunteers (1.36 s), which is comparable to data obtained by mechanical dynamometry. SWV measurements during the baseline relaxation and voluntary contraction phases did not differ significantly between groups. We conclude that SWE is a promising, non-invasive, widely available tool for the quantitative assessment of myotonia to aid in diagnosis and therapeutic monitoring.
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Hoshikawa K, Yuri T, Giambini H, Kiyoshige Y. Shoulder scaption is dependent on the behavior of the different partitions of the infraspinatus muscle. Surg Radiol Anat 2021; 43:653-659. [PMID: 33464394 PMCID: PMC8105206 DOI: 10.1007/s00276-020-02674-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 12/30/2020] [Indexed: 01/06/2023]
Abstract
Purpose The purpose of this study was to investigate if the three partitions (superior, middle, and inferior partitions) of the infraspinatus muscle previously described in anatomical studies will present different behavior during scapular plane abduction (scaption) as described using shear-wave elastography, especially during initial range of motion. Methods Eight volunteers held their arm against gravity 15° intervals from 30° to 150° in scaption. Shear-wave elastography was implemented at each position to measure shear modulus at rest and during muscle contraction, as a surrogate for muscle stiffness, of each partition. Muscle activity was defined as the difference in stiffness values between the resting positions and those during muscle contraction (ΔE = stiffness at contraction—stiffness at rest). Results The activity value for the middle partition was 25.1 ± 10.8 kPa at 30° and increased up to 105° (52.2 ± 10.8 kPa), with a subsequent decrease at larger angle positions (p < .001). The superior partition showed a flatter and constant behavior with smaller activity values except at higher angles (p < .001). Peak activity values for the superior partition were observed at 135° (23.0 ± 12.0 kPa). Increase activity for inferior partition began at 60° and showed a peak at 135° (p < .001; 32.9 ± 13.8 kPa). Conclusion Stiffness measured using shear-wave elastography in each partition of the infraspinatus muscle demonstrated different behavior between these partitions during scaption. The middle partition generated force throughout scaption, while the superior and inferior partitions exerted force at end range.
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Affiliation(s)
- Kyosuke Hoshikawa
- Department of Physical Therapy, Yamagata Prefectural University of Health Sciences, Yamagata, Japan
| | - Takuma Yuri
- Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan.
- Department of Biomedical Engineering, The University of Texas at San Antonio, San Antonio, TX, USA.
| | - Hugo Giambini
- Department of Biomedical Engineering, The University of Texas at San Antonio, San Antonio, TX, USA
| | - Yoshiro Kiyoshige
- Department of Physical Therapy, Yamagata Prefectural University of Health Sciences, Yamagata, Japan
- Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan
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14
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Wolff WL, Leonardis JM, Lipps DB. The relationship between muscle activation and shear elastic modulus of the sternocleidomastoid muscle during 3-D torque production. J Electromyogr Kinesiol 2020; 55:102480. [PMID: 33157483 DOI: 10.1016/j.jelekin.2020.102480] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 09/22/2020] [Accepted: 10/05/2020] [Indexed: 11/30/2022] Open
Abstract
The sternocleidomastoid (SCM) is a primary neck torque generator, but the relationship between its muscle activation and shear elastic modulus during 3-D torque production is unknown. This study examined variations in neural control and shear elastic modulus of the SCM across various 3-D isometric torques. Our primary hypothesis was that the SCM would display similar preferred directions where muscle activity and shear elastic modulus were maximal during voluntary 3-D isometric torque production. Surface electromyography (EMG) and ultrasound shear wave elastography (SWE) data were collected from the SCM in 20 participants performing 3-D isometric target-matching at two different torque amplitudes. We used spherical statistics to compare the preferred directions calculated from the SWE and EMG data at 40% and 80% torque level during 3-D isometric torque production. We demonstrated a small but significant difference between EMG and SWE preferred directions, with the SWE preferred direction oriented more towards ipsilateral bending and less towards contralateral axial rotation than the preferred direction for the EMG data. We conclude that, although small differences exist, SCM shear elastic modulus is largely driven by activation during 3-D neck torques for healthy individuals.
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Affiliation(s)
- Whitney L Wolff
- School of Kinesiology, University of Michigan, Ann Arbor, MI, USA
| | | | - David B Lipps
- School of Kinesiology, University of Michigan, Ann Arbor, MI, USA; Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.
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15
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Kato T, Taniguchi K, Kikukawa D, Kodesho T, Katayose M. Effect of hip flexion angle on stiffness of the adductor longus muscle during isometric hip flexion. J Electromyogr Kinesiol 2020; 56:102493. [PMID: 33227524 DOI: 10.1016/j.jelekin.2020.102493] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 11/06/2020] [Accepted: 11/06/2020] [Indexed: 11/19/2022] Open
Abstract
This study examined the effect of hip flexion angle on the stiffness of the adductor longus (AL) muscle during isometric hip flexion. Seventeen men were recruited. Ten participants performed submaximal voluntary contraction at 0%, 25%, 50%, and 75% of maximal voluntary contraction (MVC) during isometric hip flexion after performing MVC at 0°, 40°, and 80° of hip flexion. Seven participants performed submaximal voluntary tasks during isometric hip extension in addition to hip flexion task. The shear modulus of the AL muscle was used as the index of muscle stiffness, and was measured using ultrasound shear-wave elastography during the tasks at each contraction intensity for each hip flexion angle. During hip flexion, the shear modulus of the AL muscle was higher at 0° than at 40° and 80° of hip flexion at each contraction intensity (p < 0.016). Conversely, a significant effect was not found among hip flexion angle during hip extension at 75% of MVC (p = 0.867). These results suggest that mechanical stress of the AL muscle may be higher at 0° of hip flexion during isometric hip flexion.
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Affiliation(s)
- Takuya Kato
- Graduate School of Health Sciences, Sapporo Medical University, Japan; Research Fellow of Japan Society for the Promotion of Science, Japan
| | - Keigo Taniguchi
- Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Japan.
| | - Daisuke Kikukawa
- Department of Rehabilitation, Yokohama Sports Medical Center, Japan; Graduate School of Nursing and Rehabilitation Sciences, Showa University, Japan
| | - Taiki Kodesho
- Graduate School of Health Sciences, Sapporo Medical University, Japan
| | - Masaki Katayose
- Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Japan
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16
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McPherson AL, Bates NA, Haider CR, Nagai T, Hewett TE, Schilaty ND. Thigh musculature stiffness during active muscle contraction after anterior cruciate ligament injury. BMC Musculoskelet Disord 2020; 21:320. [PMID: 32438905 PMCID: PMC7243327 DOI: 10.1186/s12891-020-03342-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 05/11/2020] [Indexed: 12/31/2022] Open
Abstract
Background Altered motor unit (MU) activity has been identified after anterior cruciate ligament (ACL) injury, but its effect on muscle tissue properties is unknown. The purpose of this study was to compare thigh musculature muscle stiffness between control and ACL-injured subjects. Methods Thirty ACL-injured subjects and 25 control subjects were recruited. Subjects completed a randomized protocol of isometric contractions while electromyography (EMG) signals were recorded. Three maximum voluntary isometric contractions (MVIC) determined peak force for 10 and 25% MVIC trials. Shear wave elastography was captured during each 10 and 25% MVIC trials. Results Differences in muscle stiffness were assessed between limbs and groups. 12 months post-surgery had higher stiffness for VM 0% MVIC, VL 0 and 10% MVIC, and ST 10 and 25% MVIC (all p ≤ 0.04). Conclusion Thigh musculature stiffness changed throughout rehabilitation and remained altered at 12 months after ACL reconstruction.
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Affiliation(s)
- April L McPherson
- Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, Rochester, MN, USA
| | - Nathaniel A Bates
- Department of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.,Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.,Sports Medicine Center, Mayo Clinic, Rochester, MN, USA
| | - Clifton R Haider
- Special Purpose Processor Development Group, Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA
| | - Takashi Nagai
- Department of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.,Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.,Sports Medicine Center, Mayo Clinic, Rochester, MN, USA
| | | | - Nathan D Schilaty
- Department of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. .,Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, MN, USA. .,Sports Medicine Center, Mayo Clinic, Rochester, MN, USA. .,Department of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, MN, USA.
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17
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Bernabei M, Lee SSM, Perreault EJ, Sandercock TG. Shear wave velocity is sensitive to changes in muscle stiffness that occur independently from changes in force. J Appl Physiol (1985) 2019; 128:8-16. [PMID: 31556833 DOI: 10.1152/japplphysiol.00112.2019] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Clinical assessments for many musculoskeletal disorders involve evaluation of muscle stiffness, although it is not yet possible to obtain quantitative estimates from individual muscles. Ultrasound elastography can be used to estimate the material properties of unstressed, homogeneous, and isotropic materials by tracking the speed of shear wave propagation; these waves propagate faster in stiffer materials. Although elastography has been applied to skeletal muscle, there is little evidence that shear wave velocity (SWV) can directly estimate muscle stiffness since this tissue violates many of the assumptions required for there to be a direct relationship between SWV and stiffness. The objective of this study was to evaluate the relationship between SWV and direct measurements of muscle force and stiffness in contracting muscle. Data were collected from six isoflurane-anesthetized cats. We measured the short-range stiffness in the soleus via direct mechanical testing in situ and SWV via ultrasound imaging. Measurements were taken during supramaximal activation at optimum muscle length, with muscle temperature varying between 26°C and 38°C. An increase in temperature causes a decrease in muscle stiffness at a given force, thus decoupling the tension-stiffness relationship normally present in muscle. We found that increasing muscle temperature decreased active stiffness from 4.0 ± 0.3 MPa to 3.3 ± 0.3 MPa and SWV from 16.9 ± 1.5 m/s to 15.9 ± 1.6 m/s while force remained unchanged (mean ± SD). These results demonstrate that SWV is sensitive to changes in muscle stiffness during active contractions. Future work is needed to determine how this relationship is influenced by changes in muscle structure and tension.NEW & NOTEWORTHY Shear wave ultrasound elastography is a noninvasive tool for characterizing the material properties of muscle. This study is the first to compare direct measurements of stiffness with ultrasound measurements of shear wave velocity (SWV) in a contracting muscle. We found that SWV is sensitive to changes in muscle stiffness, even when controlling for muscle tension, another factor that influences SWV. These results are an important step toward developing noninvasive tools for characterizing muscle structure and function.
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Affiliation(s)
- Michel Bernabei
- Department of Biomedical Engineering, Northwestern University, Evanston, Illinois.,Shirley Ryan AbilityLab, Chicago, Illinois
| | - Sabrina S M Lee
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois
| | - Eric J Perreault
- Department of Biomedical Engineering, Northwestern University, Evanston, Illinois.,Shirley Ryan AbilityLab, Chicago, Illinois.,Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois
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Ultrasound Elastography for Rapid, Real-time Detection of Localized Muscular Reaction in Malignant Hyperthermia-susceptible Pigs. Anesthesiology 2019; 129:989-999. [PMID: 30204593 DOI: 10.1097/aln.0000000000002424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
WHAT WE ALREADY KNOW ABOUT THIS TOPIC WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Halothane and caffeine induce excessive sarcoplasmic calcium liberation and skeletal muscle contracture in patients susceptible to malignant hyperthermia (MH) and are utilized for diagnosis in the in vitro contracture test. Intramuscular injection previously caused a marked local lactate increase in MH-susceptible but not in MH-nonsusceptible individuals in vivo. Using shear-wave elastography, this study evaluated localized changes in muscle stiffness after intramuscular injection of halothane and caffeine. METHODS Microdialysis probes were placed into the gracilis muscle of 16 pigs (9 MH-susceptible and 7 MH-nonsusceptible). After local injection of either halothane or caffeine in different concentrations, changes of tissue elasticity surrounding the probe were examined by quantitative shear-wave elastography. Local lactate concentrations were analyzed spectrophotometrically. RESULTS Ultrasound elastography detected a temporary increase in local muscle rigidity in MH-susceptible but not in MH-nonsusceptible pigs after 2.5 and 5 vol% halothane and after 10, 40, and 80 mM caffeine, whereas there were no differences in the control groups (median [interquartile range] for maximum effect after 5 vol% halothane: MH-susceptible: 97 [31 to 148] vs. MH-nonsusceptible: 5 [-6 to 18] kPa; P = 0.0006; maximum effect after 80 mM caffeine: 112 [64 to 174] vs. -3 [-6 to 35] kPa; P = 0.0002). These effects were seen rapidly within 5 min. Local lactate concentrations were higher in MH-susceptible versus nonsusceptible pigs after 1 and 2.5 vol% halothane and 10, 40, and 80 mM caffeine (2.5 vol% halothane: MH-susceptible: 2.8 [1.9 to 4.4] vs. MH-nonsusceptible: 0.6 [0.6 to 0.7] mmol/l; P < 0.0001; 80 mM caffeine: 5.2 [4.1 to 6.3] vs. 1.6 [1.2 to 2.4] mmol/l; P < 0.0001). After 10 vol% halothane, rigidity and lactate levels were increased in both MH-susceptible and MH-nonsusceptible animals. CONCLUSIONS This pilot study revealed shear-wave elastography as a suitable technique for real-time detection of altered tissue elasticity in response to pharmacologic stimulation. By considering the variability of these results, further test protocol optimization is required before elastography could serve as a minimally invasive MH diagnostic test.
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19
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Wang AB, Perreault EJ, Royston TJ, Lee SSM. Changes in shear wave propagation within skeletal muscle during active and passive force generation. J Biomech 2019; 94:115-122. [PMID: 31376979 DOI: 10.1016/j.jbiomech.2019.07.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 07/15/2019] [Accepted: 07/16/2019] [Indexed: 12/22/2022]
Abstract
Muscle force can be generated actively through changes in neural excitation, and passively through externally imposed changes in muscle length. Disease and injury can disrupt force generation, but it can be challenging to separate passive from active contributions to these changes. Ultrasound elastography is a promising tool for characterizing the mechanical properties of muscles and the forces that they generate. Most prior work using ultrasound elastography in muscle has focused on the group velocity of shear waves, which increases with increasing muscle force. Few studies have quantified the phase velocity, which depends on the viscoelastic properties of muscle. Since passive and active forces within muscle involve different structures for force transmission, we hypothesized that measures of phase velocity could detect changes in shear wave propagation during active and passive conditions that cannot be detected when considering only group velocity. We measured phase and group velocity in the human biceps brachii during active and passive force generation and quantified the differences in estimates of shear elasticity obtained from each of these measurements. We found that measures of group velocity consistently overestimate the shear elasticity of muscle. We used a Voigt model to characterize the phase velocity and found that the estimated time constant for the Voigt model provided a way to distinguish between passive and active force generation. Our results demonstrate that shear wave elastography can be used to distinguish between passive and active force generation when it is used to characterize the phase velocity of shear waves propagating in muscle.
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Affiliation(s)
- Allison B Wang
- Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA; Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA; Shirley Ryan AbilityLab, Chicago, IL, USA.
| | - Eric J Perreault
- Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA; Department of Physical Medicine and Rehabilitation, Northwestern, Chicago, IL, USA; Shirley Ryan AbilityLab, Chicago, IL, USA
| | - Thomas J Royston
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Sabrina S M Lee
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA
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20
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Dependence of muscle and deep fascia stiffness on the contraction levels of the quadriceps: An in vivo supersonic shear-imaging study. J Electromyogr Kinesiol 2019; 45:33-40. [DOI: 10.1016/j.jelekin.2019.02.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 02/07/2019] [Accepted: 02/08/2019] [Indexed: 02/06/2023] Open
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21
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Lee SS, Jakubowski KL, Spear SC, Rymer WZ. Muscle material properties in passive and active stroke-impaired muscle. J Biomech 2019; 83:197-204. [DOI: 10.1016/j.jbiomech.2018.11.043] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 11/26/2018] [Accepted: 11/26/2018] [Indexed: 01/08/2023]
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22
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Chino K, Takahashi H. Influence of pennation angle on measurement of shear wave elastography: in vivo observation of shear wave propagation in human pennate muscle. Physiol Meas 2018; 39:115003. [DOI: 10.1088/1361-6579/aae7e2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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23
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Souron R, Lapole T. Eight Weeks of Local Vibration Training Do Not Increase Tibialis Anterior Muscle Stiffness Evaluated by Supersonic Shear Imaging. Ing Rech Biomed 2018. [DOI: 10.1016/j.irbm.2018.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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24
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Kawai M, Taniguchi K, Suzuki T, Katayose M. Estimation of quadriceps femoris muscle dysfunction in the early period after surgery of the knee joint using shear-wave elastography. BMJ Open Sport Exerc Med 2018; 4:e000381. [PMID: 30364553 PMCID: PMC6196956 DOI: 10.1136/bmjsem-2018-000381] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2018] [Indexed: 11/05/2022] Open
Abstract
Objectives Orthopaedic surgery of the knee joint results in functional deterioration of the quadriceps femoris muscle. However, little is known about quadriceps femoris muscle dysfunction in the early postsurgical period. Therefore, we examined the stiffness of the quadriceps femoris muscle in the early postsurgical period. Methods Seven patients and seven healthy controls performed quadriceps contraction exercises. In resting and contraction conditions, the shear modulus, muscle thickness and pennation angle were measured for the vastus medialis (VM), vastus lateralis (VL) and the rectus femoris (RF) using ultrasound elastography. Results The shear moduli of the VM, VL and RF in the control group did not significantly interact, while the shear moduli in the patient group did show a significant interaction. In the resting condition, there was no difference between the unaffected and affected sides in the patient group, but the shear moduli of the VM and VL in the contraction condition was significantly lower on the affected side than the unaffected side. The contraction ratios between muscles by limbs did not significantly interact. However, there were main effects due to muscle and limb factors. The VM and VL had a significantly higher contraction ratio than the RF, and the control and unaffected limbs had a higher contraction ratio than the affected limb. Conclusion The results demonstrated a decrease in muscle stiffness during contraction in patients with quadriceps femoris dysfunction. Measurement of the shear modulus has potential as a new evaluation index and with high sensitivity to decreases in muscle contraction.
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Affiliation(s)
- Makoto Kawai
- Department of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan
| | - Keigo Taniguchi
- Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan
| | | | - Masaki Katayose
- Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan
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25
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Yuri T, Mura N, Yuki I, Fujii H, Kiyoshige Y. Contractile property measurement of the torn supraspinatus muscle using real-time tissue elastography. J Shoulder Elbow Surg 2018; 27:1700-1704. [PMID: 29709414 DOI: 10.1016/j.jse.2018.02.065] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2017] [Revised: 02/23/2018] [Accepted: 02/28/2018] [Indexed: 02/01/2023]
Abstract
HYPOTHESIS In the restoration of shoulder abduction, decreased contractility of the torn rotator cuff muscle may be a cause of a poor result. The aim of this study was to investigate the relationship between the contractile property of the torn supraspinatus muscle measured by real-time tissue elastography and the Goutallier stage as modified by Fuchs et al. METHODS: The muscular hardness of the torn supraspinatus muscle was measured in 32 patients at rest and during isometric contraction with the shoulder abducted to 60° in the scapular plane. The muscular hardness was calculated as the strain ratio. Fatty degeneration was assessed according to the modified Goutallier stage. Because the activity value (defined as the difference between the strain ratio at rest and the strain ratio during isometric contraction) estimated the contractile property of the muscle, stepwise multiple regression analysis was used to compare the activity value with age, sex, side, time from injury onset to obtaining the measurements, and modified Goutallier stage. RESULTS The mean activity value was 0.26 ± 0.16. Fatty degeneration of the supraspinatus muscle was grade 0 in 5 patients, grade 1 in 16, grade 2 in 10, and grade 3 in 1. The activity value was significantly correlated only with the modified Goutallier stage (r = -0.78, P < .001). CONCLUSION The contractile property of the supraspinatus muscles decreased with an increase in the modified Goutallier stage. Real-time tissue elastography can measure the contractile property of the muscles before surgery and thus may be a predictor for the resulting restoration of lost muscle function.
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Affiliation(s)
- Takuma Yuri
- Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan.
| | - Nariyuki Mura
- Department of Orthopaedic Surgery, Yoshioka Hospital, Tendo, Japan
| | - Issei Yuki
- Department of Orthopaedic Surgery, Yoshioka Hospital, Tendo, Japan
| | - Hiromi Fujii
- Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan
| | - Yoshiro Kiyoshige
- Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan
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Hamstring stiffness pattern during contraction in healthy individuals: analysis by ultrasound-based shear wave elastography. Eur J Appl Physiol 2018; 118:2403-2415. [DOI: 10.1007/s00421-018-3967-z] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Accepted: 08/06/2018] [Indexed: 11/25/2022]
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Sugahara I, Doi M, Nakayama R, Sasaki K. Acute effect of wearing compression stockings on lower leg swelling and muscle stiffness in healthy young women. Clin Physiol Funct Imaging 2018; 38:1046-1053. [PMID: 29862634 DOI: 10.1111/cpf.12527] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 05/07/2018] [Indexed: 12/01/2022]
Abstract
Compression stockings are known to be effective in reducing peripheral oedema or leg swelling by increasing tissue pressure and venous blood flow. While previous studies on compression stockings have focused on its prolonged, preventive effect on leg swelling, the aim of this study was to investigate an acute effect of wearing compression stockings on lower leg swelling and muscle stiffness. Twenty healthy women aged 18-23 years participated in the experiment conducted in the evening, in which they wore below-knee graduated compression stockings and rested in a seated position for 30 min. Before and after the application of stockings, maximum calf circumference, volume, extracellular water resistance (RECW ) and muscle stiffness of the right lower leg were determined by tape measure, water displacement volumetry, segmental bioelectrical impedance spectroscopy and ultrasound shear-wave elastography, respectively. The maximum calf circumference and the reciprocal of RECW (an index of extracellular fluid volume) significantly decreased after the application of stockings, whereas the total lower leg volume and the stiffness (shear modulus) of the medial gastrocnemius muscle tended to decrease. These changes, except for that in the medial gastrocnemius muscle stiffness, were opposite to those from morning to evening studied in the subgroup of participants (n = 8). However, partial correlation analysis failed to detect significant associations among these changes. These results suggest that even for a short period of application, compression stockings have some positive effects against lower leg swelling.
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Affiliation(s)
- Ikumi Sugahara
- Faculty of Human Sciences and Design, Japan Women's University, Tokyo, Japan
| | - Misaki Doi
- Faculty of Human Sciences and Design, Japan Women's University, Tokyo, Japan
| | - Rinko Nakayama
- Faculty of Human Sciences and Design, Japan Women's University, Tokyo, Japan
| | - Kazushige Sasaki
- Faculty of Human Sciences and Design, Japan Women's University, Tokyo, Japan
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Luciani BD, Desmet DM, Alkayyali AA, Leonardis JM, Lipps DB. Identifying the mechanical and neural properties of the sternocleidomastoid muscles. J Appl Physiol (1985) 2018; 124:1297-1303. [PMID: 29420159 DOI: 10.1152/japplphysiol.00892.2017] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Neck muscles are preferentially activated in specific force directions, but the constraints that the central nervous system considers when programming these preferred directions of muscle activity are unknown. The current study used ultrasound shear wave elastography (SWE) to investigate whether the material properties of the sternocleidomastoid (SCM) muscles exhibit preferred directions similar to their preferred direction of muscle activity during an isometric task. Twenty-four healthy participants matched isometric forces in 16 axial directions. All force targets were scaled to 20% of a maximum voluntary contraction. Muscle activity was recorded with surface electromyography (EMG) from six muscles (the bilateral SCMs, upper trapezius, and splenius capitis muscles), and shear wave velocities (SWVs) were recorded with SWE from both SCM muscles. We observed statistically significant differences between the preferred directions of muscle activity and SWVs for both the left SCM ( P = 0.002) and the right SCM ( P < 0.001), with the SWE data exhibiting a more lateral preferred direction. Significant differences in the spatial focus ( P < 0.001) were also observed, with the dispersion of SWV data covering a greater angular range than the EMG data during isometric tasks. The preferred directions of muscle activity and material properties for the SCM muscles were closer than previous comparisons of muscle activity and moment arms, suggesting muscle mechanics could play a more important role than anatomy in how the central nervous system spatially tunes muscle activation. NEW & NOTEWORTHY Our study used a novel combination of surface electromyography and ultrasound shear wave elastography to investigate the neuromuscular control of the neck. Our work highlights differences in how the activation and material properties of the sternocleidomastoid muscles are modulated as the central nervous system stabilizes the neck during isometric force production. These findings provide normative data for future studies to investigate pathologic changes to both the activation and material properties of the sternocleidomastoid muscles.
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Affiliation(s)
| | - David M Desmet
- School of Kinesiology, University of Michigan , Ann Arbor, Michigan
| | | | | | - David B Lipps
- School of Kinesiology, University of Michigan , Ann Arbor, Michigan.,Department of Biomedical Engineering, University of Michigan , Ann Arbor, Michigan
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Creze M, Nordez A, Soubeyrand M, Rocher L, Maître X, Bellin MF. Shear wave sonoelastography of skeletal muscle: basic principles, biomechanical concepts, clinical applications, and future perspectives. Skeletal Radiol 2018; 47:457-471. [PMID: 29224123 DOI: 10.1007/s00256-017-2843-y] [Citation(s) in RCA: 135] [Impact Index Per Article: 22.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Revised: 11/20/2017] [Accepted: 11/30/2017] [Indexed: 02/02/2023]
Abstract
Imaging plays an important role in the diagnosis and therapeutic response evaluation of muscular diseases. However, one important limitation is its incapacity to assess the in vivo biomechanical properties of the muscles. The emerging shear wave sonoelastography technique offers a quantifiable spatial representation of the viscoelastic characteristics of skeletal muscle. Elastography is a non-invasive tool used to analyze the physiologic and biomechanical properties of muscles in healthy and pathologic conditions. However, radiologists need to familiarize themselves with the muscular biomechanical concepts and technical challenges of shear wave elastography. This review introduces the basic principles of muscle shear wave elastography, analyzes the factors that can influence measurements and provides an overview of its potential clinical applications in the field of muscular diseases.
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Affiliation(s)
- Maud Creze
- Radiology Department, Bicêtre Hospital, APHP, Le Kremlin-Bicetre, France. .,Laboratory Complexité, Innovations, Activités Motrices et Sportives, CIAMS (EA4532), University Paris-Sud, Université Paris-Saclay, Orsay, France. .,Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M, CNRS, Univ Paris-Sud, Université Paris-Saclay, Orsay, France. .,Service de Radiologie, CHU de Bicêtre, Le Kremlin-Bicetre, France.
| | - Antoine Nordez
- Laboratory "Movement, Interactions, Performance" (EA 4334), Faculty of Sport Sciences, University of Nantes, Nantes Cedex 3, France
| | - Marc Soubeyrand
- Orthopedic Department, Bicêtre Hospital, APHP, Le Kremlin-Bicetre, France
| | - Laurence Rocher
- Radiology Department, Bicêtre Hospital, APHP, Le Kremlin-Bicetre, France.,Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M, CNRS, Univ Paris-Sud, Université Paris-Saclay, Orsay, France
| | - Xavier Maître
- Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M, CNRS, Univ Paris-Sud, Université Paris-Saclay, Orsay, France
| | - Marie-France Bellin
- Radiology Department, Bicêtre Hospital, APHP, Le Kremlin-Bicetre, France.,Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M, CNRS, Univ Paris-Sud, Université Paris-Saclay, Orsay, France
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Passive material properties of stroke-impaired plantarflexor and dorsiflexor muscles. Clin Biomech (Bristol, Avon) 2017; 49:48-55. [PMID: 28866442 PMCID: PMC5681874 DOI: 10.1016/j.clinbiomech.2017.08.009] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Revised: 08/02/2017] [Accepted: 08/23/2017] [Indexed: 02/07/2023]
Abstract
BACKGROUND Following a stroke, intrinsic muscle properties such as stiffness may be altered, which is accompanied by increased spasticity and contractures. Previously, quantification of muscle stiffness has been based off of indirect measurements. Using shear wave ultrasound elastography, direct measurements of muscle material properties can be made. METHODS Our aim was to evaluate material properties, specifically passive stiffness, using shear wave ultrasound elastography across a range of muscle lengths, in the medial gastrocnemius and the tibialis anterior in chronic stroke survivors. FINDINGS Our main results show significant increases of 27.7% and 26.9% in shear wave velocity of stroke-impaired medial gastrocnemius compared to the unimpaired contralateral side at 90° ankle angle (P=0.033) and 15° plantarflexion (P=0.001), respectively. However, no significant difference was found in the tibialis anterior between the two sides. Relatively weak correlations were found between SW velocity in the medial gastrocnemius and joint stiffness for both the non-paretic (ρ=0.384, P=0.001), and paretic side (ρ=0.363, P=0.002). Additionally, muscle stiffness estimates of stroke-impaired tibialis anterior from joint torque and angle measurements were significantly greater by 23.1% (P=0.033) than the unimpaired contralateral side. However, no significant difference was found in the medial gastrocnemius. INTERPRETATION These results indicate that there are non-uniform changes in passive stiffness of stroke-impaired muscle. Therefore, muscles need to be evaluated individually to assess alterations. Additionally, interpretation of joint-based calculations of muscle stiffness should be made cautiously. Having the ability to non-invasively assess muscle stiffness adaptations in vivo would aid in prognosis, evaluation, and treatment following a stroke.
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Lacourpaille L, Nordez A, Hug F. The nervous system does not compensate for an acute change in the balance of passive force between synergist muscles. ACTA ACUST UNITED AC 2017; 220:3455-3463. [PMID: 28751493 DOI: 10.1242/jeb.163303] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Accepted: 07/20/2017] [Indexed: 11/20/2022]
Abstract
It is unclear how muscle activation strategies adapt to differential acute changes in the biomechanical characteristics between synergist muscles. This issue is fundamental to understanding the control of almost every joint in the body. The aim of this human experiment was to determine whether the relative activation of the heads of the triceps surae [gastrocnemius medialis (GM), gastrocnemius lateralis (GL) and soleus (SOL)] compensates for differential changes in passive force between these muscles. Twenty-four participants performed isometric ankle plantarflexion at 20 N m and 20% of the active torque measured during a maximal contraction, at three ankle angles (30 deg of plantarflexion, 0 and 25 deg of dorsiflexion; knee fully extended). Myoelectric activity (electromyography, EMG) provided an index of neural drive. Muscle shear modulus (elastography) provided an index of muscle force. Passive dorsiflexion induced a much larger increase in passive shear modulus for GM (+657.6±257.7%) than for GL (+488.7±257.9%) and SOL (+106.6±93.0%). However, the neural drive during submaximal tasks did not compensate for this change in the balance of the passive force. Instead, when considering the contraction at 20% MVC, GL root mean square (RMS) EMG was reduced at both 0 deg (-39.4±34.5%) and 25 deg dorsiflexion (-20.6±58.6%) compared with 30 deg plantarflexion, while GM and SOL RMS EMG did not change. As a result, the GM/GL ratio of shear modulus was higher at 0 deg and 25 deg dorsiflexion than at 30 deg plantarflexion, indicating that the greater the dorsiflexion angle, the stronger the bias of force to GM compared with GL. The magnitude of this change in force balance varied greatly between participants.
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Affiliation(s)
- Lilian Lacourpaille
- University of Nantes, Laboratory "Movement, Interactions, Performance" (EA 4334), Faculty of Sport Sciences, 44000 Nantes, France
| | - Antoine Nordez
- University of Nantes, Laboratory "Movement, Interactions, Performance" (EA 4334), Faculty of Sport Sciences, 44000 Nantes, France.,Health and Rehabilitation Research Institute, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0627, New Zealand
| | - François Hug
- University of Nantes, Laboratory "Movement, Interactions, Performance" (EA 4334), Faculty of Sport Sciences, 44000 Nantes, France .,The University of Queensland, NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, Brisbane, QLD 4072, Australia.,Institut Universitaire de France (IUF), 75231 Paris, France
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CREZE MAUD, NYANGOH TIMOH KRYSTEL, GAGEY OLIVIER, ROCHER LAURENCE, BELLIN MARIEFRANCE, SOUBEYRAND MARC. Feasibility assessment of shear wave elastography to lumbar back muscles. Clin Anat 2017; 30:774-780. [DOI: 10.1002/ca.22903] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Revised: 04/29/2017] [Accepted: 05/05/2017] [Indexed: 12/13/2022]
Affiliation(s)
- MAUD CREZE
- Radiology Department; Bicêtre Hospital, APHP; Le Kremlin-Bicêtre France
- Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M; CNRS, University Paris-Sud, Université Paris-Saclay; Orsay France
| | - KRYSTEL NYANGOH TIMOH
- Obstetrics and Gynecology Department; Hopital Universitaire de Rennes, University Rennes 1; Rennes France
| | - OLIVIER GAGEY
- Orthopedic Department; Bicêtre Hospital, APHP; Le Kremlin-Bicêtre France
| | - LAURENCE ROCHER
- Radiology Department; Bicêtre Hospital, APHP; Le Kremlin-Bicêtre France
- Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M; CNRS, University Paris-Sud, Université Paris-Saclay; Orsay France
| | - MARIE-FRANCE BELLIN
- Radiology Department; Bicêtre Hospital, APHP; Le Kremlin-Bicêtre France
- Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M; CNRS, University Paris-Sud, Université Paris-Saclay; Orsay France
| | - MARC SOUBEYRAND
- Orthopedic Department; Bicêtre Hospital, APHP; Le Kremlin-Bicêtre France
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Lamouille J, Müller C, Aubry S, Bensamoun S, Raffoul W, Durand S. Extensor indicis proprius tendon transfer using shear wave elastography. HAND SURGERY & REHABILITATION 2017; 36:173-180. [DOI: 10.1016/j.hansur.2017.02.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Revised: 12/10/2016] [Accepted: 02/13/2017] [Indexed: 11/29/2022]
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Age and Sex Effects on the Active Stiffness of Vastus Intermedius under Isometric Contraction. BIOMED RESEARCH INTERNATIONAL 2017; 2017:9469548. [PMID: 28473990 PMCID: PMC5394906 DOI: 10.1155/2017/9469548] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 10/30/2016] [Accepted: 03/16/2017] [Indexed: 12/03/2022]
Abstract
Previously, a novel technique was proposed to quantify the relationship between the muscle stiffness and its nonfatigue contraction intensity. The method extended the measured range of isometric contraction to 100% maximum voluntary contraction (MVC) using an ultrasonic shear wave measurement setup. Yet, it has not been revealed how this relationship could be affected by factors like age or sex. To clarify these questions, vastus intermedius (VI) stiffness of 40 healthy subjects was assessed under 11 step levels of isometric contraction. The subjects were divided into four groups: young males, young females, elderly males, and elderly females (n = 10 for each). In a relaxed state, no significant difference was observed between the male and female subjects (p = 0.156) nor between the young and elderly subjects (p = 0.221). However, when performing isometric contraction, the VI stiffness of males was found to be significantly higher than that of females at the same level (p < 0.001), and that of the young was higher than the elderly (p < 0.001). Meanwhile, for two knee joint angles used, the stiffness measured at a 90° knee joint angle was always significantly larger than that measured at 60° (p < 0.001). Recognizing the active muscle stiffness of VI contributes to body stability, and these results may provide insight into the age and sex bias in musculoskeletal studies, such as those on fall risks.
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Inami T, Tsujimura T, Shimizu T, Watanabe T, Lau WY, Nosaka K. Relationship between isometric contraction intensity and muscle hardness assessed by ultrasound strain elastography. Eur J Appl Physiol 2017; 117:843-852. [DOI: 10.1007/s00421-016-3528-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 12/08/2016] [Indexed: 01/16/2023]
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Acute effect of static stretching on passive stiffness of the human gastrocnemius fascicle measured by ultrasound shear wave elastography. Eur J Appl Physiol 2017; 117:493-499. [PMID: 28161870 DOI: 10.1007/s00421-017-3550-z] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Accepted: 01/16/2017] [Indexed: 10/20/2022]
Abstract
PURPOSE Passive muscle stiffness and muscle architecture at a given joint angle, as well as slack angle of the muscle have been shown to change after an acute bout of stretching. However, it remains unclear whether passive muscle stiffness at a given fascicle length is reduced after stretching. We aimed to elucidate the acute effect of static stretching on the passive fascicle stiffness using ultrasound shear wave elastography. METHODS Shear modulus, fascicle length, and slack angle of the medial gastrocnemius (MG) as well as passive plantar flexion torque during passive dorsiflexion were measured before and after a 5-min static stretching in 14 healthy males. RESULTS After stretching, passive torques were significantly reduced at >50% of range of motion (ROM). Shear modulus at a given fascicle length was significantly reduced at >80% of the change in fascicle length during passive dorsiflexion. Slack angle of MG was observed at the middle part of ROM and significantly shifted toward more dorsiflexed position after stretching. CONCLUSION The present study showed the significant effectiveness of static stretching on the passive fascicle stiffness. Furthermore, the present results suggest that both the shift in slack angle and the reduction in passive fascicle stiffness contribute to produce the change in passive torque-joint angle relationship during passive dorsiflexion. Notably, the contribution of the reduced passive fascicle stiffness to the decrease in passive torque is substantial over the latter part of ROM.
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Souron R, Bordat F, Farabet A, Belli A, Feasson L, Nordez A, Lapole T. Sex differences in active tibialis anterior stiffness evaluated using supersonic shear imaging. J Biomech 2016; 49:3534-3537. [DOI: 10.1016/j.jbiomech.2016.08.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 06/23/2016] [Accepted: 08/02/2016] [Indexed: 11/26/2022]
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MacDonald D, Wan A, McPhee M, Tucker K, Hug F. Reliability of Abdominal Muscle Stiffness Measured Using Elastography during Trunk Rehabilitation Exercises. ULTRASOUND IN MEDICINE & BIOLOGY 2016; 42:1018-1025. [PMID: 26746381 DOI: 10.1016/j.ultrasmedbio.2015.12.002] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2015] [Revised: 10/29/2015] [Accepted: 12/07/2015] [Indexed: 06/05/2023]
Abstract
The aim of this study was to assess the intra-session and inter-rater reliability of shear modulus measured in abdominal muscles during two commonly used trunk stability exercises. Thirty healthy volunteers performed a series of abdominal hollow and abdominal brace tasks. Supersonic shear imaging was used to measure the shear modulus (considered an index of muscle tension) of the four anterior trunk muscles: obliquus externus abdominis, obliquus internus abdominis, transversus abdominis and rectus abdominis. Because of measurement artifacts, internus abdominis and transversus abdominis data were not analyzed for 36.7% and 26.7% of the participants, respectively. These participants exhibited thicker superficial fat layers than the others. For the remaining participants, fair to excellent intra-session and inter-rater reliability was observed with moderate to high intra-class coefficients (0.45-0.97) and low to moderate standard error of measurement values (0.38-3.53 kPa). Reliability values were consistently greater for superficial than for deeper muscles.
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Affiliation(s)
- David MacDonald
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Alan Wan
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Megan McPhee
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Kylie Tucker
- School of Biomedical Sciences, University of Queensland, Brisbane, QLD, Australia
| | - François Hug
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia; Laboratory "Movement, Interactions, Performance" (EA 4334), UFR STAPS, University of Nantes, Nantes, France.
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Lapole T, Tindel J, Galy R, Nordez A. Contracting biceps brachii elastic properties can be reliably characterized using supersonic shear imaging. Eur J Appl Physiol 2014; 115:497-505. [DOI: 10.1007/s00421-014-3037-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Accepted: 10/23/2014] [Indexed: 10/24/2022]
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