Reliability and discriminative validity of real-time ultrasound elastography in the assessment of tissue stiffness after calf muscle injury

Martínez-Rodríguez, Raúl; Galán-del-Río, Fernando; Cantalapiedra, J. Aboitiz; Flórez-García, Mariano Tomás; Martínez‐Martín, Javier; Álvaro-Meca, Alejandro; Koppenhaver, Shane; Fernández‐de‐las‐Peñas, César

doi:10.1016/j.jbmt.2021.06.019

Cited by 3 publications

(3 citation statements)

References 51 publications

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“…This method has been used to differentiate benign and malignant lesions of the mammary gland [ 8 ], lymph nodes [ 9 ], and liver [ 10 ]. In recent years, this approach has been increasingly used to evaluate the muscle hardness of skeletal muscle [ 11 , 12 , 13 ]. Although some studies have reported increased muscle hardness after strength training using RTE [ 6 , 7 , 14 ], to the best of our knowledge, few studies have examined changes in lower extremity muscle hardness after aerobic exercise.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Muscle Hardness during Water-Walking and Land-Walking Using Ultrasound Real-Time Tissue Elastography in Healthy Young People

Tanabe

Nishioka

Imashiro

et al. 2023

JCM

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Compared with land-walking, water-walking is considered to be beneficial as a whole-body exercise because of the characteristics of water (buoyancy, viscosity, hydrostatic pressure, and water temperature). However, there are few reports on the effects of exercise in water on muscles, and there is no standard qualitative assessment method for muscle flexibility. Therefore, we used ultrasound real-time tissue elastography (RTE) to compare muscle hardness after water-walking and land-walking. Participants were 15 healthy young adult males (24.8 ± 2.3 years). The method consisted of land-walking and water-walking for 20 min on separate days. The strain ratio of the rectus femoris (RF) and medial head of gastrocnemius (MHGM) muscles were measured before and immediately after walking using RTE to evaluate muscle hardness. In water-walking, the strain ratio significantly decreased immediately after water-walking, with p < 0.01 for RF and p < 0.05 for MHGM, indicating a significant decrease in muscle hardness after water-walking. On the other hand, land-walking did not produce significant differences in RF and MHGM. Muscle hardness after aerobic exercise, as assessed by RTE, was not changed by land walking but was significantly decreased by water walking. The decrease in muscle hardness induced by water-walking was thought to be caused by the edema reduction effect produced by buoyancy and hydrostatic pressure.

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Section: Introductionmentioning

confidence: 99%

Comparative Study of Muscle Hardness during Water-Walking and Land-Walking Using Ultrasound Real-Time Tissue Elastography in Healthy Young People

Tanabe

Nishioka

Imashiro

et al. 2023

JCM

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“…There is a growing body of scientific research focused on the evaluation of muscle stiffness due to its potential as a discriminative factor between asymptomatic individuals and clinical populations [ 1 , 2 , 3 , 4 ]. This parameter has garnered particular attention in relation to neurological populations, as neurological conditions and neuromuscular dysfunctions often manifest with notable alterations in muscle mechanics and morphology [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…This parameter has garnered particular attention in relation to neurological populations, as neurological conditions and neuromuscular dysfunctions often manifest with notable alterations in muscle mechanics and morphology [ 1 ]. Moreover, muscle stiffness assessment is also relevant in various musculoskeletal conditions characterized by muscle tissue damage, such as calf injuries [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Body Composition and Demographic Features Do Not Affect the Diagnostic Accuracy of Shear Wave Elastography

Varol,

Valera-Calero,

Fernández-de-las-Peñas

et al. 2023

Bioengineering

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Shear-wave elastography (SWE) is an imaging method that can be used to estimate shear wave speed and the Young’s modulus based on the measured shear wave speed under certain conditions. Up to date, no research has analyzed whether body composition factors contribute to ultrasound attenuation, refraction, reflection, and, consequently, SWE measurement errors. Therefore, this study aimed to analyze the association between demographic and body composition features with SWE errors for assessing the anterior scalene stiffness (which is a key structure in patients with neck pain and nerve compressive syndromes). Demographic (sex, age, height, weight, and body mass index), body composition (water volume, fat mass, and lean mass), and anterior scalene muscle stiffness (Young’s modulus and shear wave speed) data were collected from a sample of asymptomatic subjects. After calculating the absolute SWE differences between trials and the reliability estimates, a correlation matrix was generated to quantify the association among all the variables. A total of 34 asymptomatic subjects (24 males) were included in the analyses. Test–retest reliability was excellent for assessing the Young’s modulus and shear wave velocity (ICC = 0.912 and 0.923, respectively). No significant associations were found between age, height, weight, body mass index, body fat, lean mass, or water volume with SWE errors (p > 0.05). However, the Young’s modulus error was associated with the stiffness properties (p < 0.01), whereas shear wave speed was associated with none of them (all, p > 0.05). A detailed procedure can reliably assess the AS muscle stiffness. None of the sociodemographic or body composition features assessed were correlated with SWE errors. However, baseline stiffness seems to be associated with Young’s modulus error.

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Muscles and Fasciae

Duitama

Claramunt

González³

2023

Elastography of the Musculoskeletal System

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Reliability and discriminative validity of real-time ultrasound elastography in the assessment of tissue stiffness after calf muscle injury

Cited by 3 publications

References 51 publications

Comparative Study of Muscle Hardness during Water-Walking and Land-Walking Using Ultrasound Real-Time Tissue Elastography in Healthy Young People

Comparative Study of Muscle Hardness during Water-Walking and Land-Walking Using Ultrasound Real-Time Tissue Elastography in Healthy Young People

Body Composition and Demographic Features Do Not Affect the Diagnostic Accuracy of Shear Wave Elastography

Muscles and Fasciae

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