Ultrasound Assessment of Quadriceps Femoris Muscle Thickness in Critically Ill Children

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Robert M. Hoffmann ◽  
Katelyn A. Ariagno ◽  
Ivy V. Pham ◽  
Carol E. Barnewolt ◽  
Delma Y. Jarrett ◽  
...  
Author(s):  
Mahendra Dwi Aditya Lopulalan ◽  
Prananda Surya Airlangga ◽  
Arie Utariani

Abstract  Muscle wasting in critical illness is seen from inadequate nutrition intake and stress catabolism. Modified Nutrition Risk in the Critically Ill (NUTRIC) Score is a screening tool that measures starvation, inflammation, disease severity, and organ dysfunction. Relationship between muscle strength and muscle thickness causes the evaluation of muscle thickness is quite relevant. This study aimed to analyze the relationship between modified NUTRIC score and nutrition with muscle wasting in critically ill patients. The study was conducted on 30 patients in the ICU Dr Soetomo Hospital Surabaya. Nutritional intake and thickness of the quadriceps femoris muscle were monitored for one week. There was a relationship between mNUTRIC score with quadriceps femoris muscle thickness on days 3rd, 5th, and 7th. In the comparison between the low risk group and the high-risk group, it was found that there was a significant difference in the change in the percentage of muscle thickness difference on the 3rd, 5th and 7th day observation. There is a relationship between protein debt with quadriceps femoris muscle thickness (p = 0.008) with a positive correlation with moderate correlation strength (r = 0.477) on day 7. In conclusion, the modified NUTRIC Score had a moderate relationship with quadriceps femoris muscle thickness in critical patients from day 3rd until day 7th. The calorie intake not had a relationship with quadriceps femoris muscle thickness. Protein intake had a moderate relationship with quadriceps femoris muscle thickness only on day 7th measurement in critical patients. Keywords             : Modified NUTRIC Score, Nutrition, Quadriceps Femoris muscleCorrespondence   :           [email protected]


Author(s):  
Ryosuke Nakanishi ◽  
◽  
Minoru Tanaka ◽  
Noriaki Maeshige ◽  
Hidemi Fujino ◽  
...  

Background/Aims: This study investigated whether pulsed magnetic stimulation contracts superficial and/or deep muscles compared with those induced by electrical stimulations, i.e., low- and kilohertzfrequency currents. Methods: Eight healthy subjects were recruited and measured the quadriceps femoris muscle thickness using ultrasound imaging, and Visual Analog Scale (VAS) for stimulation-induced pain during the same stimulation intensity. Results: Pulsed magnetic stimulation increased the thickness of rectus femoris muscle similar to other electrical stimulations, but not the vastus intermedius muscle. Meanwhile, the pain score of VAS caused by pulsed magnetic stimulation was lower than that by those electrical stimulations. Conclusions: These results suggest that pulsed magnetic stimulation is effective for the contraction of superficial layer muscles without stimulation-induced pain but not for contraction of deep layer muscles. Keywords: pulsed magnetic stimulation; electrical stimulation; stimulation-induced pain; muscle contraction.


Author(s):  
Jorge Amestoy ◽  
Daniel Pérez-Prieto ◽  
Raúl Torres-Claramunt ◽  
Juan Francisco Sánchez-Soler ◽  
Albert Solano ◽  
...  

Abstract Purpose The aim of this study was to compare the correlation between preoperative quadriceps femoris muscle thickness and postoperative neuromuscular activation and quadriceps femoris strength in patients with and without patellofemoral pain after arthroscopic partial meniscectomy. Methods A series of 120 patients were prospectively analysed in a longitudinal cohort study of patients scheduled for arthroscopic partial meniscectomy. The patellofemoral pain group included patients who developed anterior knee pain after surgery while the control group included those who had not done so. Patients with preoperative patellofemoral pain, previous knee surgeries as well as those on whom additional surgical procedures had been performed were excluded. Of the 120 initially included in the study, 90 patients were analysed after the exclusions. Results There is a direct correlation between preoperative quadriceps femoris muscle thickness and the neuromuscular activity values and the strength of the muscle at 6 weeks after surgery. These results were seen exclusively in the group of patients who do not develop patellofemoral pain (0.543, p = 0.008). The group of patients who developed anterior knee pain in the postoperative period did not show this correlation (n.s.). Conclusion In patients without patellofemoral pain after meniscectomy, the greater the preoperative thickness of the quadriceps femoris, the more postoperative neuromuscular activation and strength they had. This correlation did not occur in those patients who develop patellofemoral pain after meniscal surgery. Level of evidence II.


2021 ◽  
Vol 3 (2) ◽  
pp. 60
Author(s):  
Gutama Arya Pringga ◽  
R. A. Meisy Andriana ◽  
Indrayuni Lukitra Wardhani ◽  
Lydia Arfianti

Background: Resistance training is an effective way to increase muscle mass. Resistance training with agonist-antagonist paired set method can be an alternative to increase muscle mass within a relatively short training time.Aim: To compare the increase in hamstrings and quadriceps femoris muscle thickness between agonist-antagonist paired set (APS) and traditional set (TS) resistance training in untrained healthy subjects.Material and Methods: This study was an experimental study on 16 untrained healthy men which were randomly assigned to the APS and the TS group. Each group got leg curl and leg extension exercises with equal training volume for 6 weeks. For the APS group, 1 set of leg curls was followed by 1 set of leg extensions, repeated for 3 sets. For the TS group, 3 sets of leg curls were followed by 3 sets of leg extensions. Muscle thickness was compared from pre- to post-training and between the intervention groups using B-mode ultrasound.Results: Muscle thickness of the hamstrings and quadriceps femoris increased significantly from pre- to post-training in both groups (p<0.05). The increase in muscle thickness between the two groups was not significantly different (p> 0.05).Conclusion: Resistance training with the APS method did not give a higher increment of hamstrings and quadriceps femoris muscle thickness compared to the TS method in healthy untrained subjects.


Nutrition ◽  
2019 ◽  
Vol 65 ◽  
pp. 1
Author(s):  
A. Sabatino ◽  
G. Regolisti ◽  
F. Di Mario ◽  
A. Parmigiani ◽  
M.R. Vari ◽  
...  

2008 ◽  
Vol 104 (5) ◽  
pp. 1320-1328 ◽  
Author(s):  
Taija Finni ◽  
Marko Havu ◽  
Shantanu Sinha ◽  
Jussi-Pekka Usenius ◽  
Sulin Cheng

We examined the relationships between morphology and muscle-tendon dynamics of the quadriceps femoris muscle of 11 men using velocity-encoded phase-contrast magnetic resonance imaging (MRI). Thigh muscle electromyography and joint range of motion were first measured outside the MRI scanner during knee extension-flexion tasks that were performed at a rate of 40 times/min with elastic bands providing peak resistance of 5.2 kp (SD 0.4) to the extension. The same movement was repeated inside the MRI scanner bore where tissue velocities and muscle morphology were recorded. The average displacement in the proximal and distal halves of the rectus femoris and vastus intermedius aponeuroses was different ( P = 0.049), reflecting shortening (1.6%), but the tensile strain along the length of the aponeuroses was uniform. The aponeurosis behavior varied among individuals, and these individual patterns were best explained by the differences in relative cross-sectional area of rectus femoris to vastus muscles ( r = 0.71, P = 0.014). During dynamic contraction, considerable deformation of muscles in the axial plane caused an anatomic measure such as muscle thickness to change differently (decrease or increase) in different sites of measurement. For example, when analyzed from the axial images, the vastus lateralis thickness did not change ( P = 0.946) in the frontal plane through femur but increased in a 45° oblique plane between the frontal and sagittal planes ( P = 0.004). The present observations of the heterogeneity and individual behavior emphasize the fact that single-point measurements do not always reflect the overall behavior of muscle-tendon unit.


2018 ◽  
Vol 51 (9) ◽  
pp. 535-538
Author(s):  
Yui Izumi ◽  
Kentaro Tanaka ◽  
Yukiko Uchiyama ◽  
Nao Okumura ◽  
Tsuguhisa Takase ◽  
...  

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