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European Journal of Applied Physiology

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01-04-2016 | Original Article

Measurement of gastrocnemius muscle elasticity by shear wave elastography: association with passive ankle joint stiffness and sex differences

Authors: Kentaro Chino, Hideyuki Takahashi

Published in: European Journal of Applied Physiology | Issue 4/2016

Abstract

Purpose

Passive joint stiffness is an important quantitative measure of flexibility, but is affected by muscle volume and all of the anatomical structures located within and over the joint. Shear wave elastography can assess muscle elasticity independent of the influences of muscle volume and the other nearby anatomical structures. We determined how muscle elasticity, as measured using shear wave elastography, is associated with passive joint stiffness and patient sex.

Methods

Twenty-six healthy men (24.4 ± 5.9 years) and 26 healthy women (25.2 ± 4.8 years) participated in this study. The passive ankle joint stiffness and tissue elasticity of the medial gastrocnemius (MG) were quantified with the ankle in 30° plantar flexion (PF), a neutral anatomical position (NE), and 20° dorsiflexion (DF).

Results

No significant difference in passive joint stiffness by sex was observed with the ankle in PF, but significantly greater passive ankle joint stiffness in men than in women was observed in NE and DF. The MG elasticity was not significantly associated with joint stiffness in PF or NE, but it was significantly associated with joint stiffness in DF. There were no significant differences in MG elasticity by sex at any ankle position.

Conclusions

Muscle elasticity, measured independent of the confounding effects of muscle volume and the other nearby anatomical structures, is associated with passive joint stiffness in the joint position where the muscle is sufficiently lengthened, but does not vary by sex in any joint position tested.

Akagi R, Takahashi H (2013) Acute effect of static stretching on hardness of the gastrocnemius muscle. Med Sci Sports Exerc 45:1348–1354. doi:10.1249/MSS.0b013e3182850e17 CrossRefPubMed

Arda K, Ciledag N, Aktas E, Aribas BK, Kose K (2011) Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. Am J Roentgenol 197:532–536. doi:10.2214/AJR.10.5449 CrossRef

Bell DR, Myrick MP, Blackburn JT, Shultz SJ, Guskiewicz KM, Padua DA (2009) The effect of menstrual-cycle phase on hamstring extensibility and muscle stiffness. J Sport Rehabil 18:553–563PubMed

Bell DR, Blackburn JT, Ondrak KS, Hackney AC, Hudson JD, Norcross MF, Padua DA (2011) The effects of oral contraceptive use on muscle stiffness across the menstrual cycle. Clin J Sport Med 21:467–473. doi:10.1097/JSM.0b013e318230f50a CrossRefPubMed

Blackburn JT, Riemann BL, Padua DA, Guskiewicz KM (2004) Sex comparison of extensibility, passive, and active stiffness of the knee flexors. Clin Biomech 19:36–43CrossRef

Bryant AL, Clark RA, Bartold S, Murphy A, Bennell KL, Hohmann E, Marshall-Gradisnik S, Payne C, Crossley KM (2008) Effects of estrogen on the mechanical behavior of the human Achilles tendon in vivo. J Appl Physiol 105:1035–1043. doi:10.1152/japplphysiol.01281.2007 CrossRefPubMed

Chesworth BM, Vandervoort AA (1989) Age and passive ankle stiffness in healthy women. Phys Ther 69:217–224PubMed

Chino K, Takahashi H (2015) The association of muscle and tendon elasticity with passive joint stiffness: in vivo measurements using ultrasound shear wave elastography. Clin Biomech. doi:10.1016/j.clinbiomech.2015.07.014

Chleboun GS, Howell JN, Conatser RR, Giesey JJ (1997) The relationship between elbow flexor volume and angular stiffness at the elbow. Clin Biomech 12:383–392CrossRef

Eby SF, Cloud BA, Brandenburg JE, Giambini H, Song P, Chen S, LeBrasseur NK, An KN (2015) Shear wave elastography of passive skeletal muscle stiffness: influences of sex and age throughout adulthood. Clin Biomech 30:22–27. doi:10.1016/j.clinbiomech.2014.11.011 CrossRef

Eiling E, Bryant AL, Petersen W, Murphy A, Hohmann E (2007) Effects of menstrual-cycle hormone fluctuations on musculotendinous stiffness and knee joint laxity. Knee Surg Sports Traumatol Arthrosc 15:126–132CrossRefPubMed

Fukunaga T, Miyatani M, Tachi M, Kouzaki M, Kawakami Y, Kanehisa H (2001) Muscle volume is a major determinant of joint torque in humans. Acta Physiol Scand 172:249–255CrossRefPubMed

Gajdosik RL, Giuliani CA, Bohannon RW (1990) Passive compliance and length of the hamstring muscles of healthy men and women. Clin Biomech 5:23–29CrossRef

Gleim GW, McHugh MP (1997) Flexibility and its effects on sports injury and performance. Sports Med 24:289–299CrossRefPubMed

Hicks-Little CA, Thatcher JR, Hauth JM, Goldfuss AJ, Cordova ML (2007) Menstrual cycle stage and oral contraceptive effects on anterior tibial displacement in collegiate female athletes. J Sports Med Phys Fitness 47:255–260PubMed

Hoge KM, Ryan ED, Costa PB, Herda TJ, Walter AA, Stout JR, Cramer JT (2010) Gender differences in musculotendinous stiffness and range of motion after an acute bout of stretching. J Strength Cond Res 24:2618–2626. doi:10.1519/JSC.0b013e3181e73974 CrossRefPubMed

Hug F, Lacourpaille L, Maisetti O, Nordez A (2013) Slack length of gastrocnemius medialis and Achilles tendon occurs at different ankle angles. J Biomech 46:2534–2538. doi:10.1016/j.jbiomech.2013.07.015 CrossRefPubMed

Johns RJ, Wright V (1962) Relative importance of various tissues in joint stiffness. J Appl Physiol 17:824–828

Kanehisa H, Miyatani M, Azuma K, Kuno S, Fukunaga T (2004) Influences of age and sex on abdominal muscle and subcutaneous fat thickness. Eur J Appl Physiol 91:534–537CrossRefPubMed

Kawakami Y, Abe T, Kuno SY, Fukunaga T (1995) Training-induced changes in muscle architecture and specific tension. Eur J Appl Physiol Occup Physiol 72:37–43CrossRefPubMed

Kawakami Y, Kanehisa H, Fukunaga T (2008) The relationship between passive ankle plantar flexion joint torque and gastrocnemius muscle and Achilles tendon stiffness: implications for flexibility. J Orthop Sports Phys Ther 38:269–276. doi:10.2519/jospt.2008.2632 CrossRefPubMed

Kubo K, Kanehisa H, Fukunaga T (2001) Is passive stiffness in human muscles related to the elasticity of tendon structures? Eur J Appl Physiol 85:226–232CrossRefPubMed

Kumagai K, Abe T, Brechue WF, Ryushi T, Takano S, Mizuno M (2000) Sprint performance is related to muscle fascicle length in male 100-m sprinters. J Appl Physiol 88:811–816PubMed

Maïsetti O, Hug F, Bouillard K, Nordez A (2012) Characterization of passive elastic properties of the human medial gastrocnemius muscle belly using supersonic shear imaging. J Biomech 45:978–984. doi:10.1016/j.jbiomech.2012.01.009 CrossRefPubMed

Miyamoto N, Hirata K, Kanehisa H, Yoshitake Y (2015) Validity of measurement of shear modulus by ultrasound shear wave elastography in human pennate muscle. PLoS One 10:e0124311. doi:10.1371/journal.pone.0124311 CrossRefPubMedPubMedCentral

Moseley AM, Crosbie J, Adams R (2001) Normative data for passive ankle plantarflexion–dorsiflexion flexibility. Clin Biomech 16:514–521CrossRef

Muramatsu T, Muraoka T, Takeshita D, Kawakami Y, Hirano Y, Fukunaga T (2001) Mechanical properties of tendon and aponeurosis of human gastrocnemius muscle in vivo. J Appl Physiol 90:1671–1678PubMed

Muraoka T, Muramatsu T, Takeshita D, Kawakami Y, Fukunaga T (2002) Length change of human gastrocnemius aponeurosis and tendon during passive joint motion. Cells Tissues Organs 171:260–268CrossRefPubMed

Riemann BL, DeMont RG, Ryu K, Lephart SM (2001) The Effects of sex, joint angle, and the gastrocnemius muscle on passive ankle joint complex stiffness. J Athl Train 36:369–375PubMedPubMedCentral

Romani W, Patrie J, Curl LA, Flaws JA (2003) The correlations between estradiol, estrone, estriol, progesterone, and sex hormone-binding globulin and anterior cruciate ligament stiffness in healthy, active females. J Womens Health 12:287–298CrossRef

Salsich GB, Mueller MJ, Sahrmann SA (2000) Passive ankle stiffness in subjects with diabetes and peripheral neuropathy versus an age-matched comparison group. Phys Ther 80:352–362PubMed

Vandervoort AA, Chesworth BM, Cunningham DA, Rechnitzer PA, Paterson DH, Koval JJ (1992) An outcome measure to quantify passive stiffness of the ankle. Can J Public Health 83:S19–S23PubMed

Wiegner AW, Watts RL (1986) Elastic properties of muscles measured at the elbow in man: I. Normal controls. J Neurol Neurosurg Psychiatry 49:1171–1176CrossRefPubMedPubMedCentral

Title: Measurement of gastrocnemius muscle elasticity by shear wave elastography: association with passive ankle joint stiffness and sex differences
Authors: Kentaro Chino
Hideyuki Takahashi
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Applied Physiology / Issue 4/2016
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-016-3339-5

At a glance: The STEP trials

Springer Medicine

Measurement of gastrocnemius muscle elasticity by shear wave elastography: association with passive ankle joint stiffness and sex differences

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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