scholarly journals Development of Stiffness Measurement Program Using Color Mapping in Shear Wave Elastography

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 362
Author(s):  
Haneul Lee ◽  
Kyuseok Kim ◽  
Youngjin Lee

Shear wave elastography with ultrasound is a noninvasive method used for measuring stiffness in the human body. Shear wave elastography can be used for accurately and quantitatively measuring stiffness. However, its disadvantage is that the stiffness value can vary significantly because the region of interest (ROI) setting depends on the diagnostic operator. In this study, a stiffness measurement program using color mapping in shear wave elastography was developed to address the above-mentioned disadvantage. Color map and color ratios were obtained and evaluated for major lower limb muscles (i.e., biceps femoris, medial gastrocnemius, rectus femoris, and tibialis anterior) at active voluntary contraction. According to the result, when the developed program was used, a small standard deviation compared to the conventional stiffness measurement method, such as kilopascal or meter per second unit using ROIs, was measured in all cases. In conclusion, our results demonstrate that the stiffness measurement method using our program is expected to improve reliability in shear wave elastography ultrasound imaging.

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 524
Author(s):  
Youngjin Lee ◽  
Minkyoung Kim ◽  
Haneul Lee

The present study was performed to assess the relationship between hand-held myotonometer MyotonPRO and shear wave elastography (SWE) measurements of lower limb muscle stiffness during resting and active voluntary contraction. Forty healthy young adults, (20 males and 20 females) participated in the study. The stiffness of each subject’s rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and medial gastrocnemius (MG) was measured repeatedly by MyotonPRO and SWE. Moderate to strong correlations between the two methods’ measurements were found for both resting and active voluntary contraction. (r = 0.416–0.669, p < 0.05; r = 0.398–0.594, p < 0.05, respectively). Muscle stiffness at rest was significantly lower compared contraction in all four muscles measured by both methods (p < 0.05). Intra-rater reliabilities were generally lower when measurements were taken during contraction. Additionally, when compared by gender, muscle stiffness measured by MyotonPRO was significantly higher at rest in men compared to women, except for the TA. However, a significant difference was found in TA muscle stiffness by gender when measured with SWE. When muscles were contracted, all muscles showed significantly higher stiffness in men compared to women. There were moderate to good correlations in muscle stiffness between measurements of SWE and MyotonPRO at rest and during active voluntary contraction. Additionally, both instruments showed good intra-rater reliability.


2020 ◽  
Vol 35 (1) ◽  
pp. 89-101
Author(s):  
Kanokwan Srisupornkornkool ◽  
Kanphajee Sornkaew ◽  
Kittithat Chatkanjanakool ◽  
Chayanit Ampairattana ◽  
Pariyanoot Pongtasom ◽  
...  

PurposeTo compare the electromyography (EMG) features during physical and imagined standing up in healthy young adults.Design/methodology/approachTwenty-two participants (ages ranged from 20–29 years old) were recruited to participate in this study. Electrodes were attached to the rectus femoris, biceps femoris, tibialis anterior and the medial gastrocnemius muscles of both sides to monitor the EMG features during physical and imagined standing up. The %maximal voluntary contraction (%MVC), onset and duration were calculated.FindingsThe onset and duration of each muscle of both sides had no statistically significant differences between physical and imagined standing up (p > 0.05). The %MVC of all four muscles during physical standing up was statistically significantly higher than during imagined standing up (p < 0.05) on both sides. Moreover, the tibialis anterior muscle of both sides showed a statistically significant contraction before the other muscles (p < 0.05) during physical and imagined standing up.Originality/valueMuscles can be activated during imagined movement, and the patterns of muscle activity during physical and imagined standing up were similar. Imagined movement may be used in rehabilitation as an alternative or additional technique combined with other techniques to enhance the STS skill.


2021 ◽  
Vol 11 (1) ◽  
pp. 452
Author(s):  
Long-Jun Ren ◽  
Connie Lok-Kan Cheng ◽  
Christina Zong-Hao Ma ◽  
Yong-Ping Zheng

Muscle hardness and its relationship with different muscle lengths/positions are important for understanding its underlying physiological status, and yet remained unclear. This study aimed to detect the local muscle hardness at different muscle lengths and identify the influence of muscle position on muscle hardness in healthy adults. A total of 26 healthy adults participated in this study. Shear wave elastography (SWE) was used to measure the muscle hardness of the Rectus Femoris (RF), Tibialis Anterior (TA) and Gastrocnemius Medialis (GM). Each muscle was tested at both resting (RST) and mid-range lengthened (MRL) positions. A novel ultrasound probe placing method was introduced, applied, and evaluated in this study. Moderate to excellent intra-/inter-rater reliability (Intraclass Correlation Coefficient, ICC ≥ 0.70) was found for muscle hardness measurements. The muscle hardness significantly increased from the RST to MRL position for all three muscles (p < 0.001). This study found that the muscle hardness increased at its mid-range lengthened position from the resting position. The mid-range lengthened muscle position of TA and GM could also be sensitive enough to reflect the age-related changes in local muscle hardness. This study also highlights the importance of placing the assessed extremities in an appropriate and consistent position when assessing muscle qualities by ultrasonics in clinical practice.


Author(s):  
Courtney Middelcoop ◽  
Colten Fales ◽  
Richard T. Stone ◽  
Joseph Kim ◽  
Kristina Schaffhausen ◽  
...  

In studying the effects of expertise on different performance aspects of the gymnastic vault event, various springboard types with similar compression forces were evaluated between expert and novice-level gymnasts. Surface EMGs (sEMG) were placed on four major muscles (biceps femoris, rectus femoris, gastrocnemius medialis, and tibialis anterior) to find each gymnasts’ maximum voluntary contraction. Similarly, board compression and knee flexion angles were also captured at various phases of the performed vaults. Given that gymnasts with more expertise were more consistent in their landing spot on the various vault boards, they had more consistent performance outputs as a result. Expert gymnasts did this by more accurately hitting the sweet spot, more consistently activating their hamstring and gastrocnemius, and decreasing variability during the initial contact phase. By doing this, board compression and performance were both optimized. Coaches can use this information to accelerate the development of novice gymnasts by targeting these aspects.


2020 ◽  
Vol 29 (5) ◽  
pp. 578-582
Author(s):  
Masatoshi Nakamura ◽  
Shigeru Sato ◽  
Ryosuke Kiyono ◽  
Nobushige Takahashi ◽  
Tomoichi Yoshida

Context: In clinical and sports settings, static stretching (SS) is usually performed to increase range of motion (ROM) and decrease passive muscle stiffness. Recently, the shear elastic modulus was measured by ultrasonic shear wave elastography as an index of muscle stiffness. Previous studies reported that the shear elastic modulus measured by ultrasound shear wave elastography decreased after SS, and the effects of SS on shear elastic modulus were likely affected by rest duration between sets of SS. Objective: To investigate the acute effects of SS with different rest durations on ROM and shear elastic modulus of gastrocnemius and to clarify whether the rest duration between sets of SS decreases the shear elastic modulus. Design: A randomized, repeated-measures experimental design. Setting: University laboratory. Participants: Sixteen healthy males volunteered to participate in the study (age 21.3 [0.8] y; height 171.8 [5.1] cm; weight 63.1 [4.5] kg). Main Outcome Measures: Each participant underwent 3 different rest interval durations during SS (ie, long rest duration: 90 s; normal rest duration: 30 s; and short rest duration: 10 s). This SS technique was repeated 10 times, thus lasting a total of 300 seconds with different rest durations in each protocol. The dorsiflexion ROM and shear elastic modulus were measured before and after SS. Results: Our results revealed that dorsiflexion ROM and shear elastic modulus were changed after 300-second SS; however, no effects of the rest duration between sets of SS were observed. Conclusions: In terms of decreasing the shear elastic modulus, clinicians and coaches should not focus on the rest duration when SS intervention is performed.


2019 ◽  
Vol 32 (06) ◽  
pp. 454-459 ◽  
Author(s):  
Miki Shimizu ◽  
Yu Ito

Objectives This study investigated the relationship between the change in the shear elastic modulus and the change in muscle length using ultrasound shear wave elastography. Study Design Four thigh muscles, cranial part of the sartorius, vastus lateralis, biceps femoris and semitendinosus muscles, of 21 pelvic limbs in 12 clinically healthy Beagle dogs were used. The muscle length was estimated using a radiograph and the flexed and extended positions of the coxofemoral and stifle joints, respectively. The shear elastic modulus (kPa) was measured in two joint positions using ultrasound shear wave elastography. Shear elastic modulus was expressed as median of 10 consecutive measurements. The percentage change of elastic modulus was calculated from the shear elastic modulus in elongated condition and pre-elongated condition of muscle. Results The elastic modulus of all muscles increased when the muscle was elongated. The shear elastic modulus for both joint positions and the percentage change of the shear elastic modulus (%) in cranial part of the sartorius were highest in all muscles. Intra-observer correlation coefficient (1.2) was 0.75 to 0.96 and intra-observer correlation coefficients (2.2) was 0.46 to 0.96. Conclusion This study revealed that the shear elastic modulus of muscle was changed by the change in muscle length and increased when the muscle was elongated. Ultrasound shear wave elastography can be used to assess the elastic properties of canine muscle.


2020 ◽  
Vol 73 ◽  
pp. S696
Author(s):  
Chiara Becchetti ◽  
Giacomo Germani ◽  
Patrizia Burra ◽  
Jean-François Dufour ◽  
Annalisa Berzigotti

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