“…22,23 As a decrease in muscle size has been linked to various pathologies and impairments, 16,19 the use of the technology has continued to expand to include investigation of muscles such as the supraspinatus and infraspinatus, 35 rectus femoris, 13 biceps brachii, 2 transversus abdominis (TrA) and internal oblique (IO), 20 rectus abdominis, 8 cervical multifidus, 45 trapezius, 56 rectus femoris, sartorius, and iliopsoas. 53 Other aspects of muscle morphology and function that have been explored with USI include composition, 44,61,66 changes in internal architecture (pennation angles), 48,80 force generation, 13 and muscle activity (ie, electrical activity recorded by electromyography [EMG]). 6,28,34,36,52 While physical therapists are familiar with therapeutic ultrasound and the underlying physics, they often lack training regarding the principles and instrumentation underlying USI.…”