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Published in: European Journal of Applied Physiology 5/2010

01-07-2010 | Original Article

Tissue motion pattern of ventral neck muscles investigated by tissue velocity ultrasonography imaging

Authors: Michael Peolsson, Lars-Åke Brodin, Anneli Peolsson

Published in: European Journal of Applied Physiology | Issue 5/2010

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Abstract

We designed this experimental study to investigate tissue motions and thus infer the recruitment pattern of the ventral neck muscles [sternocleidomastoid (SCM), longus capitis (Lca), and longus colli (Lco)] at the C4–C5 level in healthy volunteers during isometric manual resistance of the head in flexion in a seated position. This exercise is used in the physiotherapeutic treatment of neck pain and is assumed to activate the deep ventral muscles, but the assumption has not been clearly evaluated. Neck flexors of 16 healthy volunteers (mean age 24 years, SD 3.7) were measured using ultrasonography with strain and strain rate (SR) tissue velocity imaging (TVI) during isometric contraction of flexor muscles. TVI involves using Doppler imaging to study tissue dynamics. All three muscles showed a deformation compared to rest. Except for the initial contraction phase, Lco exhibited a lower strain than Lca and SCM but was the only muscle with a significant change in SR between the phases. When the beginning of the contraction phase was analysed, Lco was the first to be deformed among most volunteers, followed by Lca and then SCM. The exercise investigated seems to be useful as a “stabilizing” exercise for Lco. Our suggestion is that in further research, Lco and Lca should be investigated as separate muscles. TVI could be used to study tissue motions and thus serve as an indicator of muscle patterning between the neck flexors, with the possibility of separating Lco and Lca.
Literature
go back to reference Blazevich AJ, Gill ND, Zhou S (2006) Intra- and intermuscular variation in human quadriceps femoris architecture assessed in vivo. J Anat 209:289–310CrossRefPubMed Blazevich AJ, Gill ND, Zhou S (2006) Intra- and intermuscular variation in human quadriceps femoris architecture assessed in vivo. J Anat 209:289–310CrossRefPubMed
go back to reference Boyd-Clark LC, Briggs CA, Galea MP (2002) Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine 27:694–701CrossRefPubMed Boyd-Clark LC, Briggs CA, Galea MP (2002) Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine 27:694–701CrossRefPubMed
go back to reference Brodin L-Å (2004) Tissue Doppler, a fundamental tool for parametric imaging. Clin Physiol Funct Imaging 24:147–155CrossRefPubMed Brodin L-Å (2004) Tissue Doppler, a fundamental tool for parametric imaging. Clin Physiol Funct Imaging 24:147–155CrossRefPubMed
go back to reference Cagnie B, Dickx N, Peeters I, Tuytens J, Achten E, Cambier D et al (2008) The use of functional MRI to evaluate cervical flexor activity during different cervical flexion exercises. J Appl Physiol 104:230–235CrossRefPubMed Cagnie B, Dickx N, Peeters I, Tuytens J, Achten E, Cambier D et al (2008) The use of functional MRI to evaluate cervical flexor activity during different cervical flexion exercises. J Appl Physiol 104:230–235CrossRefPubMed
go back to reference Cagnie B, Derese E, Vandamme L, Verstraete K, Cambier D, Daneels L (2009) Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. Man Ther 14:421–426CrossRefPubMed Cagnie B, Derese E, Vandamme L, Verstraete K, Cambier D, Daneels L (2009) Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. Man Ther 14:421–426CrossRefPubMed
go back to reference Chino K, Oda T, Kurihara T, Nagayoshi T, Yoshikawa K, Kanehisa H et al (2008) In vivo fascicle behavior of synergistic muscles in concentric and eccentric plantar flexions in humans. J Electromyogr Kinesiol 18:79–88CrossRefPubMed Chino K, Oda T, Kurihara T, Nagayoshi T, Yoshikawa K, Kanehisa H et al (2008) In vivo fascicle behavior of synergistic muscles in concentric and eccentric plantar flexions in humans. J Electromyogr Kinesiol 18:79–88CrossRefPubMed
go back to reference Choi H, Vanderby R (2000) Muscle forces and spinal loads at C4/5 level during isometric voluntary efforts. Med Sci Sports Exerc 32:830–838CrossRefPubMed Choi H, Vanderby R (2000) Muscle forces and spinal loads at C4/5 level during isometric voluntary efforts. Med Sci Sports Exerc 32:830–838CrossRefPubMed
go back to reference Conley MS, Meyer RA, Bloomberg JJ, Feeback DL, Dudley GA (1995) Noninvasive analysis of human neck muscle function. Spine 20:2505–2512CrossRefPubMed Conley MS, Meyer RA, Bloomberg JJ, Feeback DL, Dudley GA (1995) Noninvasive analysis of human neck muscle function. Spine 20:2505–2512CrossRefPubMed
go back to reference Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ (1998) Outcome of low back pain in general practice: a prospective study. BMJ 316:1356–1359PubMed Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ (1998) Outcome of low back pain in general practice: a prospective study. BMJ 316:1356–1359PubMed
go back to reference D’Hooge J, Heimdal A, Jamal F, Kukulski T, Bijnens B, Rademakers F et al (2000) Regional strain and strain rate measurements by cardiac ultrasound: principles, implementation and limitations. Eur J Echocardiogr 1:154–170CrossRefPubMed D’Hooge J, Heimdal A, Jamal F, Kukulski T, Bijnens B, Rademakers F et al (2000) Regional strain and strain rate measurements by cardiac ultrasound: principles, implementation and limitations. Eur J Echocardiogr 1:154–170CrossRefPubMed
go back to reference Elliott JM, Jull GA, Noteboom JT, Durbridge GL, Gibbon WW (2007) Magnetic resonance imaging study of cross-sectional area of the extensor musculature in an asymptomatic cohort. Clin Anat 20:35–40CrossRefPubMed Elliott JM, Jull GA, Noteboom JT, Durbridge GL, Gibbon WW (2007) Magnetic resonance imaging study of cross-sectional area of the extensor musculature in an asymptomatic cohort. Clin Anat 20:35–40CrossRefPubMed
go back to reference Fairbank JCT, Couper J, Davies JB, O′Brien JP (1980) The Oswestry low back pain disability questionnaire. Phys Ther 70:97–114 Fairbank JCT, Couper J, Davies JB, O′Brien JP (1980) The Oswestry low back pain disability questionnaire. Phys Ther 70:97–114
go back to reference Falla D, Bilenkij G, Jull G (2004a) Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine 29:1436–1440CrossRefPubMed Falla D, Bilenkij G, Jull G (2004a) Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine 29:1436–1440CrossRefPubMed
go back to reference Falla D, Jull G, Edwards S, Koh K, Rainoldi A (2004b) Neuromuscular efficiency of the sternocleidomastoid and anterior scalene muscles in patients with chronic neck pain. Disabil Rehabil 26:712–717CrossRefPubMed Falla D, Jull G, Edwards S, Koh K, Rainoldi A (2004b) Neuromuscular efficiency of the sternocleidomastoid and anterior scalene muscles in patients with chronic neck pain. Disabil Rehabil 26:712–717CrossRefPubMed
go back to reference Falla D, Jull G, Hodges PW (2004c) Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 157:43–48CrossRefPubMed Falla D, Jull G, Hodges PW (2004c) Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 157:43–48CrossRefPubMed
go back to reference Falla D, Jull G, Hodges P, Vicenzino B (2006) An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clin Neurophysiol 117:828–837CrossRefPubMed Falla D, Jull G, Hodges P, Vicenzino B (2006) An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clin Neurophysiol 117:828–837CrossRefPubMed
go back to reference Falla D, Jull G, Russell T, Vicenzino B, Hodges P (2007a) Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 87:408–417PubMed Falla D, Jull G, Russell T, Vicenzino B, Hodges P (2007a) Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 87:408–417PubMed
go back to reference Falla D, O’Leary S, Fagan A, Jull G (2007b) Recruitment pattern of the deep cervical flexor muscles during a postural correction exercise performed in sitting. Man Ther 12:139–143CrossRefPubMed Falla D, O’Leary S, Fagan A, Jull G (2007b) Recruitment pattern of the deep cervical flexor muscles during a postural correction exercise performed in sitting. Man Ther 12:139–143CrossRefPubMed
go back to reference Fukunaga T, Ichinose Y, Ito M, Kawakami Y, Fukashiro S (1997) Determination of fascicle length and pennation in a contracting human muscle in vivo. J Appl Physiol 82:354–358PubMed Fukunaga T, Ichinose Y, Ito M, Kawakami Y, Fukashiro S (1997) Determination of fascicle length and pennation in a contracting human muscle in vivo. J Appl Physiol 82:354–358PubMed
go back to reference Grubb NR, Fleming A, Sutherland GR, Fox KA (1995) Skeletal muscle contraction in healthy volunteers: assessment with Doppler tissue imaging. Radiology 194:837–842PubMed Grubb NR, Fleming A, Sutherland GR, Fox KA (1995) Skeletal muscle contraction in healthy volunteers: assessment with Doppler tissue imaging. Radiology 194:837–842PubMed
go back to reference Heimdal A, Støylen A, Torp H, Skjaerpe T (1998) Real-time strain rate imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 11:1013–1019CrossRefPubMed Heimdal A, Støylen A, Torp H, Skjaerpe T (1998) Real-time strain rate imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 11:1013–1019CrossRefPubMed
go back to reference Jesus F, Ferreira PH, Ferreira M (2008) Ultrasonographic measurement of neck muscle recruitment: a preliminary investigation. J Man Manip Ther 16:89–92PubMed Jesus F, Ferreira PH, Ferreira M (2008) Ultrasonographic measurement of neck muscle recruitment: a preliminary investigation. J Man Manip Ther 16:89–92PubMed
go back to reference Johnston V, Jull G, Souvlis T, Jimmieson NL (2008) Neck movement and muscle activity characteristics in female office workers with neck pain. Spine 33:555–563CrossRefPubMed Johnston V, Jull G, Souvlis T, Jimmieson NL (2008) Neck movement and muscle activity characteristics in female office workers with neck pain. Spine 33:555–563CrossRefPubMed
go back to reference Jull G, Kristjansson E, DallÀlba P (2004a) Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther 9:89–94CrossRefPubMed Jull G, Kristjansson E, DallÀlba P (2004a) Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther 9:89–94CrossRefPubMed
go back to reference Jull G, Falla D, Treleaven J, Sterling M, O’Leary S (2004b) A therapeutic exercise approach for cervical disorders. In: Boyling JD, Jull G (eds) Grieve’s modern manual therapy. The vertebral column. Churchill–Livingstone, Edinburgh, pp 451–469 Jull G, Falla D, Treleaven J, Sterling M, O’Leary S (2004b) A therapeutic exercise approach for cervical disorders. In: Boyling JD, Jull G (eds) Grieve’s modern manual therapy. The vertebral column. Churchill–Livingstone, Edinburgh, pp 451–469
go back to reference Kawakami Y, Abe T, Kanehisa H, Fukunaga T (2006) Human skeletal muscle size and architecture: variability and interdependence. Am J Hum Biol 18:845–848CrossRefPubMed Kawakami Y, Abe T, Kanehisa H, Fukunaga T (2006) Human skeletal muscle size and architecture: variability and interdependence. Am J Hum Biol 18:845–848CrossRefPubMed
go back to reference Kay TM, Gross A, Goldsmith C, Santaguida PL, Hoving J, Brinfort G et al (2005) Exercises for mechanical neck disorders. Cochrane Database Syst Rev (3):CD004250 Kay TM, Gross A, Goldsmith C, Santaguida PL, Hoving J, Brinfort G et al (2005) Exercises for mechanical neck disorders. Cochrane Database Syst Rev (3):CD004250
go back to reference Mannion AF, Pulkovski N, Schenk P, Hodges PW, Gerber H, Loupas T et al (2008) A new method for the noninvasive determination of abdominal muscle feedforward activity based on tissue velocity information from tissue Doppler imaging. J Appl Physiol 104:1192–1201CrossRefPubMed Mannion AF, Pulkovski N, Schenk P, Hodges PW, Gerber H, Loupas T et al (2008) A new method for the noninvasive determination of abdominal muscle feedforward activity based on tissue velocity information from tissue Doppler imaging. J Appl Physiol 104:1192–1201CrossRefPubMed
go back to reference Mayoux-Benhamou MA, Revel M, Roudier R, Barbet JP, Bargy F (1994) Longus colli has a postural function on cervical curvature. Surg Radiol Anat 16:367–371CrossRefPubMed Mayoux-Benhamou MA, Revel M, Roudier R, Barbet JP, Bargy F (1994) Longus colli has a postural function on cervical curvature. Surg Radiol Anat 16:367–371CrossRefPubMed
go back to reference Mirsky I, Parmley WW (1973) Assessment of passive elastic stiffness for isolated heart muscle and the intact heart. Circ Res 33:233–243PubMed Mirsky I, Parmley WW (1973) Assessment of passive elastic stiffness for isolated heart muscle and the intact heart. Circ Res 33:233–243PubMed
go back to reference Narici M (1999) Human skeletal muscle architecture studied in vivo by non-invasive imaging techniques: functional significance and applications. J Electromyogr Kinesiol 9:97–103CrossRefPubMed Narici M (1999) Human skeletal muscle architecture studied in vivo by non-invasive imaging techniques: functional significance and applications. J Electromyogr Kinesiol 9:97–103CrossRefPubMed
go back to reference O’Leary S, Jull G, Mehwa K, Vicenzino B (2007) Specificity in retraining craniocervical flexor muscle performance. J Orthop Sports Phys Ther 37:3–9CrossRefPubMed O’Leary S, Jull G, Mehwa K, Vicenzino B (2007) Specificity in retraining craniocervical flexor muscle performance. J Orthop Sports Phys Ther 37:3–9CrossRefPubMed
go back to reference Oda T, Himeno RC, Hay D, Chino K, Kurihara T, Nagayoshi T et al (2007) In vivo behavior of muscle fascicles and tendinous tissues in human tibialis anterior muscle during twitch contraction. J Biomech 40:3114–3120CrossRefPubMed Oda T, Himeno RC, Hay D, Chino K, Kurihara T, Nagayoshi T et al (2007) In vivo behavior of muscle fascicles and tendinous tissues in human tibialis anterior muscle during twitch contraction. J Biomech 40:3114–3120CrossRefPubMed
go back to reference Panjabi MM, Cholewicki J, Nibu K, Grauer J, Babat LB, Dvorak J (1998) Critical load of the human cervical spine: an in vitro experimental study. Clin Biomech 13:11–17CrossRef Panjabi MM, Cholewicki J, Nibu K, Grauer J, Babat LB, Dvorak J (1998) Critical load of the human cervical spine: an in vitro experimental study. Clin Biomech 13:11–17CrossRef
go back to reference Peolsson A, Almkvist C, Dahlberg C, Lindqvist S, Pettersson S (2007) Age- and sex-specific reference values of a test of neck muscle endurance. J Manip Physiol Ther 30:171–177CrossRef Peolsson A, Almkvist C, Dahlberg C, Lindqvist S, Pettersson S (2007) Age- and sex-specific reference values of a test of neck muscle endurance. J Manip Physiol Ther 30:171–177CrossRef
go back to reference Peolsson M, Larsson B, Brodin LA, Gerdle B (2008) A pilot study using tissue velocity ultrasound imaging (TVI) to assess muscle activity pattern in patients with chronic trapezius myalgia. BMC Musculoskelet Disord 9:127–141CrossRefPubMed Peolsson M, Larsson B, Brodin LA, Gerdle B (2008) A pilot study using tissue velocity ultrasound imaging (TVI) to assess muscle activity pattern in patients with chronic trapezius myalgia. BMC Musculoskelet Disord 9:127–141CrossRefPubMed
go back to reference Pulkovski N, Schenk P, Maffiuletti NA, Mannion AF (2008) Tissue Doppler imaging for detecting onset of muscle activity. Muscle Nerve 37:638–649CrossRefPubMed Pulkovski N, Schenk P, Maffiuletti NA, Mannion AF (2008) Tissue Doppler imaging for detecting onset of muscle activity. Muscle Nerve 37:638–649CrossRefPubMed
go back to reference Rankin G, Stokes M, Newham DJ (2005) Size and shape of the posterior neck muscles measured by ultrasound imaging: normal values in males and females of different ages. Man Ther 10:108–115CrossRefPubMed Rankin G, Stokes M, Newham DJ (2005) Size and shape of the posterior neck muscles measured by ultrasound imaging: normal values in males and females of different ages. Man Ther 10:108–115CrossRefPubMed
go back to reference Stoylen A (2001) Strain rate imaging of the left ventricle by ultrasound: Feasibility, clinical validation and physiological aspects. Dissertation, NTNU, Norwegian University of Science and Technology, Trondheim Stoylen A (2001) Strain rate imaging of the left ventricle by ultrasound: Feasibility, clinical validation and physiological aspects. Dissertation, NTNU, Norwegian University of Science and Technology, Trondheim
go back to reference Vasavada A (1998) Influence of muscle morphometry and moment arms on the moment-generating capacity of human neck muscles. Spine 23:412–422CrossRefPubMed Vasavada A (1998) Influence of muscle morphometry and moment arms on the moment-generating capacity of human neck muscles. Spine 23:412–422CrossRefPubMed
go back to reference Vernon H, Mior S (1991) The neck disability index: a study of reliability and validity. J Manip Physiol Ther 14:409–415 Vernon H, Mior S (1991) The neck disability index: a study of reliability and validity. J Manip Physiol Ther 14:409–415
Metadata
Title
Tissue motion pattern of ventral neck muscles investigated by tissue velocity ultrasonography imaging
Authors
Michael Peolsson
Lars-Åke Brodin
Anneli Peolsson
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
European Journal of Applied Physiology / Issue 5/2010
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-010-1420-z

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