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...
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MDPI AG
2021-05-01
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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. |
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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 |
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