Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO

Background: Adhesive capsulitis (AC) is characterized by pain and limited range of motion, caused by stiffness of the joint capsule and coracohumeral ligament. On the other hand, there have been few reports on muscle stiffness in AC. The purpose of this study was to assess muscle stiffness in patien...

Full description

Bibliographic Details
Main Authors: Wataru Kurashina, PT, MS, Yuki Iijima, MD, Hideyuki Sasanuma, MD, Tomohiro Saito, MD, Katsushi Takeshita, MD
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:JSES International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666638322001840
_version_ 1797938069852127232
author Wataru Kurashina, PT, MS
Yuki Iijima, MD
Hideyuki Sasanuma, MD
Tomohiro Saito, MD
Katsushi Takeshita, MD
author_facet Wataru Kurashina, PT, MS
Yuki Iijima, MD
Hideyuki Sasanuma, MD
Tomohiro Saito, MD
Katsushi Takeshita, MD
author_sort Wataru Kurashina, PT, MS
collection DOAJ
description Background: Adhesive capsulitis (AC) is characterized by pain and limited range of motion, caused by stiffness of the joint capsule and coracohumeral ligament. On the other hand, there have been few reports on muscle stiffness in AC. The purpose of this study was to assess muscle stiffness in patients of AC with a portable and noninvasive device, Myoton PRO. We hypothesized that muscle stiffness around shoulder joint increases in AC. Methods: At first, we surveyed correlation between Myoton PRO and shear wave elastography with phantoms. Second, reproducibility and repeatability of healthy volunteers with Myoton PRO were evaluated. Finally, muscle stiffness was measured in 40 patients who were diagnosed with AC. Muscle stiffness was quantitatively measured with Myoton PRO. We compared the stiffness of the anterior deltoid (AD), pectoralis major, and latissimus dorsi (LD) in AC patients on both the affected and nonaffected sides. Results: Correlation coefficient in shear wave elastography and Myoton PRO was 0.99(P = .001). Reliability of intraoperator and interoperator with Myoton PRO was 0.9 or higher. Muscle stiffness values (N/m) of the AD, pectoralis major, and LD were 355 ± 61, 252 ± 54, 207 ± 51 in the affected sides and 328 ± 50, 252 ± 41, 186 ± 37 in the nonaffected sides, and the differences were significant in the AD and LD (P = .005, P = .002, respectively). Conclusions: We used Myoton PRO to evaluate muscle stiffness in AC. The AD and LD muscles of AC patients were significantly stiffer on the affected side compared to the nonaffected side.
first_indexed 2024-04-10T18:53:57Z
format Article
id doaj.art-a9f5b85ca19040ca904493fab225144b
institution Directory Open Access Journal
issn 2666-6383
language English
last_indexed 2024-04-10T18:53:57Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series JSES International
spelling doaj.art-a9f5b85ca19040ca904493fab225144b2023-02-01T04:28:05ZengElsevierJSES International2666-63832023-01-01712529Evaluation of muscle stiffness in adhesive capsulitis with Myoton PROWataru Kurashina, PT, MS0Yuki Iijima, MD1Hideyuki Sasanuma, MD2Tomohiro Saito, MD3Katsushi Takeshita, MD4Department of Rehabilitation, Tochigi Medical Center Shimotsuga, Ohira, Tochigi, Japan; Graduate School of Medicine, Jichi Medical University, Tochigi, JapanDepartment of Orthopaedic Surgery, Jichi Medical University, Tochigi, Japan; Corresponding author: Yuki Iijima, MD, Department of Orthopaedic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 3292740822, Japan.Department of Orthopaedic Surgery, Jichi Medical University, Tochigi, JapanDepartment of Orthopaedic Surgery, Jichi Medical University, Tochigi, JapanDepartment of Orthopaedic Surgery, Jichi Medical University, Tochigi, JapanBackground: Adhesive capsulitis (AC) is characterized by pain and limited range of motion, caused by stiffness of the joint capsule and coracohumeral ligament. On the other hand, there have been few reports on muscle stiffness in AC. The purpose of this study was to assess muscle stiffness in patients of AC with a portable and noninvasive device, Myoton PRO. We hypothesized that muscle stiffness around shoulder joint increases in AC. Methods: At first, we surveyed correlation between Myoton PRO and shear wave elastography with phantoms. Second, reproducibility and repeatability of healthy volunteers with Myoton PRO were evaluated. Finally, muscle stiffness was measured in 40 patients who were diagnosed with AC. Muscle stiffness was quantitatively measured with Myoton PRO. We compared the stiffness of the anterior deltoid (AD), pectoralis major, and latissimus dorsi (LD) in AC patients on both the affected and nonaffected sides. Results: Correlation coefficient in shear wave elastography and Myoton PRO was 0.99(P = .001). Reliability of intraoperator and interoperator with Myoton PRO was 0.9 or higher. Muscle stiffness values (N/m) of the AD, pectoralis major, and LD were 355 ± 61, 252 ± 54, 207 ± 51 in the affected sides and 328 ± 50, 252 ± 41, 186 ± 37 in the nonaffected sides, and the differences were significant in the AD and LD (P = .005, P = .002, respectively). Conclusions: We used Myoton PRO to evaluate muscle stiffness in AC. The AD and LD muscles of AC patients were significantly stiffer on the affected side compared to the nonaffected side.http://www.sciencedirect.com/science/article/pii/S2666638322001840Adhesive capsulitisMuscle stiffnessMyoton PROShear wave elastographyAnterior deltoidPec major
spellingShingle Wataru Kurashina, PT, MS
Yuki Iijima, MD
Hideyuki Sasanuma, MD
Tomohiro Saito, MD
Katsushi Takeshita, MD
Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO
JSES International
Adhesive capsulitis
Muscle stiffness
Myoton PRO
Shear wave elastography
Anterior deltoid
Pec major
title Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO
title_full Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO
title_fullStr Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO
title_full_unstemmed Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO
title_short Evaluation of muscle stiffness in adhesive capsulitis with Myoton PRO
title_sort evaluation of muscle stiffness in adhesive capsulitis with myoton pro
topic Adhesive capsulitis
Muscle stiffness
Myoton PRO
Shear wave elastography
Anterior deltoid
Pec major
url http://www.sciencedirect.com/science/article/pii/S2666638322001840
work_keys_str_mv AT watarukurashinaptms evaluationofmusclestiffnessinadhesivecapsulitiswithmyotonpro
AT yukiiijimamd evaluationofmusclestiffnessinadhesivecapsulitiswithmyotonpro
AT hideyukisasanumamd evaluationofmusclestiffnessinadhesivecapsulitiswithmyotonpro
AT tomohirosaitomd evaluationofmusclestiffnessinadhesivecapsulitiswithmyotonpro
AT katsushitakeshitamd evaluationofmusclestiffnessinadhesivecapsulitiswithmyotonpro