Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study

The objective of this study was to evaluate the reliability of four methods of assessing vastus lateralis (VL) stiffness, and to describe the influence of structural characteristics on them. The stiffness of the dominant lower-limb’s VL was evaluated in 53 healthy participants (28.4 ± 9.1 years) wit...

Full description

Bibliographic Details
Main Authors: Alfredo Bravo-Sánchez, Pablo Abián, Jorge Sánchez-Infante, Paula Esteban-Gacía, Fernando Jiménez, Javier Abián-Vicén
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/9/3213
_version_ 1797535155498254336
author Alfredo Bravo-Sánchez
Pablo Abián
Jorge Sánchez-Infante
Paula Esteban-Gacía
Fernando Jiménez
Javier Abián-Vicén
author_facet Alfredo Bravo-Sánchez
Pablo Abián
Jorge Sánchez-Infante
Paula Esteban-Gacía
Fernando Jiménez
Javier Abián-Vicén
author_sort Alfredo Bravo-Sánchez
collection DOAJ
description The objective of this study was to evaluate the reliability of four methods of assessing vastus lateralis (VL) stiffness, and to describe the influence of structural characteristics on them. The stiffness of the dominant lower-limb’s VL was evaluated in 53 healthy participants (28.4 ± 9.1 years) with shear wave elastography (SWE), strain elastography (SE), myotonometry and tensiomyography (TMG). The SWE, SE and myotonometry were performed at 50%, and TMG was assessed at 30%, of the length from the upper pole of the patella to the greater trochanter. The thickness of the VL, adipose tissue and superficial connective tissue was also measured with ultrasound. Three repeated measurements were acquired to assess reliability, using intraclass correlation coefficients (ICC). Pearson’s correlation coefficients were calculated to determine the relationships between methodologic assessments and between structural characteristics and stiffness assessments of the VL. Myotonometry (ICC = 0.93; 95%-CI = 0.89,0.96) and TMG (ICC = 0.89; 95%-CI = 0.82,0.94) showed excellent inter-day reliability whereas with SWE (ICC = 0.62; 95%-CI = 0.41,0.77) and SE (ICC = 0.71; 95%-CI = 0.57,0.81) reliability was moderate. Significant correlations were found between myotonometry and VL thickness (r = 0.361; <i>p</i> = 0.008), adipose tissue thickness (r = −0.459; <i>p</i> = 0.001) and superficial connective tissue thickness (r = 0.340; <i>p</i> = 0.013). Myotonometry and TMG showed the best reliability values, although myotonometry stiffness values were influenced by the structural variables of the supra-adjacent tissue.
first_indexed 2024-03-10T11:40:31Z
format Article
id doaj.art-7ec2d6b7f6a54bcc823250f92b0eaa99
institution Directory Open Access Journal
issn 1424-8220
language English
last_indexed 2024-03-10T11:40:31Z
publishDate 2021-05-01
publisher MDPI AG
record_format Article
series Sensors
spelling doaj.art-7ec2d6b7f6a54bcc823250f92b0eaa992023-11-21T18:30:06ZengMDPI AGSensors1424-82202021-05-01219321310.3390/s21093213Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability StudyAlfredo Bravo-Sánchez0Pablo Abián1Jorge Sánchez-Infante2Paula Esteban-Gacía3Fernando Jiménez4Javier Abián-Vicén5Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, 45071 Toledo, SpainFaculty of Humanities and Social Sciences, Comillas Pontifical University, 28049 Madrid, SpainPerformance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, 45071 Toledo, SpainPerformance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, 45071 Toledo, SpainPerformance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, 45071 Toledo, SpainPerformance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, 45071 Toledo, SpainThe objective of this study was to evaluate the reliability of four methods of assessing vastus lateralis (VL) stiffness, and to describe the influence of structural characteristics on them. The stiffness of the dominant lower-limb’s VL was evaluated in 53 healthy participants (28.4 ± 9.1 years) with shear wave elastography (SWE), strain elastography (SE), myotonometry and tensiomyography (TMG). The SWE, SE and myotonometry were performed at 50%, and TMG was assessed at 30%, of the length from the upper pole of the patella to the greater trochanter. The thickness of the VL, adipose tissue and superficial connective tissue was also measured with ultrasound. Three repeated measurements were acquired to assess reliability, using intraclass correlation coefficients (ICC). Pearson’s correlation coefficients were calculated to determine the relationships between methodologic assessments and between structural characteristics and stiffness assessments of the VL. Myotonometry (ICC = 0.93; 95%-CI = 0.89,0.96) and TMG (ICC = 0.89; 95%-CI = 0.82,0.94) showed excellent inter-day reliability whereas with SWE (ICC = 0.62; 95%-CI = 0.41,0.77) and SE (ICC = 0.71; 95%-CI = 0.57,0.81) reliability was moderate. Significant correlations were found between myotonometry and VL thickness (r = 0.361; <i>p</i> = 0.008), adipose tissue thickness (r = −0.459; <i>p</i> = 0.001) and superficial connective tissue thickness (r = 0.340; <i>p</i> = 0.013). Myotonometry and TMG showed the best reliability values, although myotonometry stiffness values were influenced by the structural variables of the supra-adjacent tissue.https://www.mdpi.com/1424-8220/21/9/3213shear wave elastographystrain elastographyMyotonPROtensiomyographymechanical properties
spellingShingle Alfredo Bravo-Sánchez
Pablo Abián
Jorge Sánchez-Infante
Paula Esteban-Gacía
Fernando Jiménez
Javier Abián-Vicén
Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study
Sensors
shear wave elastography
strain elastography
MyotonPRO
tensiomyography
mechanical properties
title Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study
title_full Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study
title_fullStr Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study
title_full_unstemmed Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study
title_short Objective Assessment of Regional Stiffness in Vastus Lateralis with Different Measurement Methods: A Reliability Study
title_sort objective assessment of regional stiffness in vastus lateralis with different measurement methods a reliability study
topic shear wave elastography
strain elastography
MyotonPRO
tensiomyography
mechanical properties
url https://www.mdpi.com/1424-8220/21/9/3213
work_keys_str_mv AT alfredobravosanchez objectiveassessmentofregionalstiffnessinvastuslateraliswithdifferentmeasurementmethodsareliabilitystudy
AT pabloabian objectiveassessmentofregionalstiffnessinvastuslateraliswithdifferentmeasurementmethodsareliabilitystudy
AT jorgesanchezinfante objectiveassessmentofregionalstiffnessinvastuslateraliswithdifferentmeasurementmethodsareliabilitystudy
AT paulaestebangacia objectiveassessmentofregionalstiffnessinvastuslateraliswithdifferentmeasurementmethodsareliabilitystudy
AT fernandojimenez objectiveassessmentofregionalstiffnessinvastuslateraliswithdifferentmeasurementmethodsareliabilitystudy
AT javierabianvicen objectiveassessmentofregionalstiffnessinvastuslateraliswithdifferentmeasurementmethodsareliabilitystudy