Comparison of the Immediate Effect of Petrissage Massage and Manual Lymph Drainage Following Exercise on Biomechanical and Viscoelastic Properties of the Rectus Femoris Muscle in Women

2021 ◽  
pp. 1-6
Author(s):  
Nilüfer Kablan ◽  
Nuray Alaca ◽  
Yaşar Tatar
Keyword(s):  
Relaxation Time ◽  
Repeated Measures ◽  
Viscoelastic Properties ◽  
Muscle Tone ◽  
Rectus Femoris ◽  
Lymph Drainage ◽  
Cross Sectional ◽  
Manual Lymph Drainage ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Context: Fast and adequate recovery after exercise and activity is important for increasing performance and preventing injuries. Inadequate recovery usually causes changes in the biomechanical and viscoelastic properties of the muscle. Objective: To compare the immediate effect of petrissage massage (PM) and manual lymph drainage (MLD) following submaximal exercise on the biomechanical and viscoelastic properties of the rectus femoris muscle in healthy women. Design: Cross-sectional, repeated-measures. Setting: Marmara University. Participants: 18 healthy female students. Intervention(s): Following the submaximal quadriceps strengthening exercise performed in 3 sets of 8 repetitions with intensity of 75% of 1 maximum repetition, participants’ right leg received a 5-minute PM (PM group) and the contralateral leg received a 5-minute MLD application (MLD group). Main Outcome Measures: Skin temperature was measured using P45 thermographic thermal camera (Flir System; ThermaCAM, Danderyd, Sweden), and muscle tone, biomechanical, and viscoelastic features were measured with a myometer (Myoton AS, Tallinn, Estonia) at baseline, immediately postexercise, post-PM/MLD application, and 10 minutes postexercise. Results: In the PM group, the tonus (P = .002) and stiffness (P < .001) values measured after the massage and at the end of the 10-minute resting period were found to be statistically different than those measured right after the exercise (P < .05). Relaxation time and creep values at all measurement times were significantly different (P < .05). In the MLD group, it was observed the tonus (P < .001), stiffness (P = .025), and relaxation time (P < .01) values decreased significantly after the MLD compared with the values measured after the exercise; however, the creep value was found to be significantly different in all measurements (P < .05). Conclusion: PM and MLD reduce passive tissue stiffness and improve the extent of muscle extensibility over time against the muscle tensile strength. PM and MLD are therapeutic methods that can be used to support tissue recovery after exercise and prevent injuries.

VALIDATION STUDY OF CADAVER RECTUS FEMORIS MUSCLE MEASUREMENT BY ULTRASONOGRAPHY AND ANATOMICAL PLANIMETRY

2008 ◽  
Vol 11 (04) ◽  
pp. 173-179 ◽  
Author(s):  
Wolfram Weinrebe ◽  
Dietmar Stippler ◽  
Sara Doll ◽  
Kurt Zahr ◽  
Ekkehart Jenetzky ◽  
...  
Keyword(s):  
Validation Study ◽  
Rectus Femoris ◽  
The Elderly ◽  
Accurate Method ◽  
Mean Difference ◽  
Muscle Size ◽  
Cross Sectional ◽  
Significant Difference ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Ultrasonography is frequently used to measure the rectus femoris muscle cross-section area, and has been suggested to associate with poor health condition. However, no validation studies have been performed to compare rectus femoris muscle ultrasonography (RFMS) with anatomical planimetry when measuring the muscle cross-sectional area (CSA). This validation study compared the two methods of CSA measurement of unfixed (frozen) and fixed (unfrozen) rectus femoris muscle specimens obtained from elderly human cadavers. Agreement between tests was studied by Bland–Altman analysis. We found a significant difference between planimetry and RFMS of unfixed (frozen) muscle specimens (mean difference, -0.389 cm2; 95% CI, -0.144 to -0.634), p = 0.022. No significant difference was observed between the two methods when measuring fixed (unfrozen) muscle specimens (mean difference, 0.032 cm2, 95% CI, -0.007 to -0.070), p = 0.107. In fixed specimens, the 95% limit of agreement between the two methods ranged between 0.12 cm2 and -0.06 cm2 (<10% deviation); while in unfixed muscle specimens, the range was between 0.28 cm2 and -1.06 cm2 (~50% deviation). In light of the similar results obtained in fixed specimens, ultrasound is a safe and accurate method of rectus femoris muscle size assessment. In clinical practice, RFMS may be used to detect a decrease in rectus femoris muscle mass, typically associated with malnutrition of the elderly, and may therefore be a simple and practical tool for the screening of malnutrition.

scholarly journals Evaluation of Sarcopenia by Ultrasound of the Rectus Femoris Muscle as a Predictor of Outcomes of Surgical Intensive Care Unit Patients, A Prospective, Observational Study

2021 ◽  
pp. 43-52
Author(s):  
Aya Hassan Hegazy ◽  
Mohammad Samir Abd El-Ghafar ◽  
Nagat Sayed El-shmaa ◽  
Sohair Moustafa Soliman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rectus Femoris ◽  
Cross Sectional Area ◽  
Surgical Intensive Care Unit ◽  
Sectional Area ◽  
Surgical Intensive Care ◽  
Cross Sectional ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Background: Muscle wasting is a frequent finding in critically ill patients and is associated with worse short- and long term outcomes. Loss of mass and function of skeletal muscles starts early - in the first 24 hours after admission to Intensive Care Unit (ICU) - and may persist for years ‘Post-ICU syndrome’. Ultrasound of rectus femoris muscle is a valid and simple technique that could be used for longitudinal assessment of treatment success and facilitates the use of postoperative interventions that help in problems related to critical illness. The aim of this study is to evaluate sarcopenia by ultrasound of rectus femoris muscle as a predictor of outcomes of surgical intensive care unit. Materials and Methods: This prospective observational study was performed on 40 patients admitted to the surgical ICU, Tanta University Hospitals, Egypt, after approval of the Institutional Ethical Committee, Tanta University. The study started from April 2019 till January 2020. An informed consent was taken from the nearest relatives of the patients. All data of the patients was confidential with secret codes and private files for each patient. All given data was used for the current medical research only. Any unexpected risks appeared during the course of the research were cleared to the participants and ethical committee at time. Results: Cross-sectional area of rectus femoris muscle decreased significantly at all-time measurements as compared to the baseline at day 0 (within 24 hours from SICU admission), 5, 10, 15, 20, 25 and 30. There were negative correlations between delta cross-sectional area of rectus femoris muscle and age, height, weight, Body Mass Index and baseline cross-sectional area of rectus femoris muscle. There was a positive correlation between delta cross-sectional area of rectus femoris muscle and duration of mechanical ventilation, ICU length of stay and mortality. Conclusion: Rectus femoris cross-sectional area measured by B-mode ultrasonography showed significant role in nutritional assessment as it decreases in critically ill patients with positive correlation with duration of mechanical ventilation and ICU stay.

EFICÁCIA DA CORRENTE AUSSIE NA MELHORA DA FORÇA DO QUADRÍCEPS EM INDIVÍDUOS RESTRITOS AO LEITO

2019 ◽  
Vol 22 (2) ◽  
pp. 112
Author(s):  
Filipe Abdalla dos Reis ◽  
Carolina Palma ◽  
Patrícia Isabel Machry Barbosa ◽  
Filipe Abdalla dos Reis ◽  
Daniel Martins Pereira
Keyword(s):  
Muscle Strength ◽  
Rectus Femoris ◽  
Treated Group ◽  
Quadriceps Muscle ◽  
Control Group ◽  
Cross Sectional ◽  
Significant Strength ◽  
The Right ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

O imobilismo acomete diversos sistemas tais como o gastrointestinal, urinário, cardiovascular, respiratório, cutâneo e musculoesqueléticoe intervenções precoces são necessárias para reduzir os problemas físicos e psicológicos. Objetivo: analisar a eficácia da corrente Aussie namelhora da força muscular do quadríceps em indivíduos restritos ao leito. Métodos: Participaram do estudo 12 indivíduos, sendo 7 homens e5 mulheres, distribuídos aleatoriamente em grupo controle (GC) e grupo tratado (GT). Utilizou-se a dinamometria isométrica (handheld) paraavaliação da força e, também, o ultrassom diagnóstico para avaliar a área de secção transversa do músculo reto femoral. Todos os participantes foram avaliados em dois períodos denominados de pré e pós. Resultados: Verificou-se redução significativa de força no GC coxa direita 2,5 N (p=0,047) e esquerda 3,8 N (p=0,008) nos momentos pré e pós. O GT apresentou ganho de força não significativa na coxa direita 4,9 N (p=0,117) e esquerda 3,2 N (p=0,107). Na ultrassonografia verificou-se no GC, redução não significativa na área da coxa direita 0,04 cm (p=0,283) e significativa na esquerda 0,06 cm (p=0,037). No GT houve redução não significativa coxa direita 0,13 cm (p=0,099) e significativa esquerda 0,22 cm (p=0,002). Conclusão: Pode-se inferir que a associação entre exercícios isométricos e corrente Aussie contribuiu para aumentar a força muscular do quadríceps em indivíduos com imobilidade ao leito.Palavras-chave: Força Muscular. Resposta de Imobilidade Tônica. Músculo Quadriceps.AbstractImmobilism affects several systems such as the gastrointestinal, urinary, cardiovascular, respiratory, cutaneous and musculoskeletal and earlyinterventions are necessary to reduce physical and psychological problems. Objective: to analyze the effectiveness of the Aussie current in the improvement of quadriceps muscle strength in bed restricted individuals. Methods: Twelve individuals, 7 males and 5 females, were randomly assigned to the control group (CG) and treated group (TG). The use of isometric dynamometry (handheld) for strength evaluation and also the diagnostic ultrasound to evaluate the cross-sectional area of the rectus femoris muscle. All participants were evaluated in two periods called pre and post. Results: There was a significant reduction of strength in the right thigh in CG 2.5 N (p = 0.047) and left 3.8 N (p = 0.008) in the pre and post moments. TG presented a non-significant strength gain in the right thigh 4.9 N (p = 0.117) and left 3.2 N (p = 0.107). Ultrasonography showed no significant reduction in the right thigh area 0.04 cm (p = 0.283) and significant at the left (0.06 cm) (p = 0.037). In the TG there was no significant reduction in the right thigh 0.13 cm (p = 0.099) and significant in the left one 0.22 cm (p = 0.002). Conclusion: It can be inferred that the association between isometric exercises and current Aussie contributed to increase the muscular strength of the quadriceps in individuals with immobility to bed.Keywords: Muscle Strength. Tonic Immobility Response. Quadriceps Muscle.

scholarly journals Reliability and differences in quadriceps femoris muscle morphology using ultrasonography: The effects of body position and rest time

Ultrasound ◽  
2018 ◽  
Vol 26 (4) ◽  
pp. 214-221 ◽  
Author(s):  
Patrick M Tomko ◽  
Tyler WD Muddle ◽  
Mitchel A Magrini ◽  
Ryan J Colquhoun ◽  
Micheal J Luera ◽  
...  
Keyword(s):  
Supine Position ◽  
Rest Period ◽  
Rectus Femoris ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Echo Intensity ◽  
Cross Sectional ◽  
Muscle Cross Sectional Area ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Introduction The purpose of this investigation was to: (1) to determine the reliability of rectus femoris muscle cross-sectional area and echo intensity obtained using panoramic ultrasound imaging during seated and supine lying positions before and after a 5-minute rest period and (2) to determine the influence of body position and rest period on the magnitude of rectus femoris muscle cross-sectional area and echo intensity measurements. Methods A total of 23 males and females (age = 21.5 ± 1.9 years) visited the laboratory on two separate occasions. During each visit, panoramic ultrasound images of the rectus femoris were obtained in both a seated and a supine position before (T1) and after a 5-minute (T2) rest period to quantify any potential changes in either muscle cross-sectional area and/or echo intensity. Results None of the muscle cross-sectional area or echo intensity measurements exhibited systematic variability, and the ICCs were 0.98–0.99 and 0.88–0.91, and the coefficients of variation were ≤ 3.9% and ≤ 8.2% for muscle cross-sectional area and echo intensity, respectively. Our results indicated that muscle cross-sectional area was greater in the seated than supine position, whereas echo intensity was greater in the supine position. Further, echo intensity increased in the seated position from T1 to T2. Conclusion Both rectus femoris muscle cross-sectional area and echo intensity may be reliably measured in either a seated or supine lying position before or after a 5-minute rest period. Aside from echo intensity in the seated position, rest period had no influence on the magnitude of muscle cross-sectional area or echo intensity. Comparison of muscle cross-sectional area values that are obtained in different body positions is ill-advised.

scholarly journals Rectus femoris muscle thickness and cross-sectional area on ultrasonography may predict isometric and isokinetic knee extension strength: A cross-sectional study

2021 ◽  
Author(s):  
Ufuk Şekir 9) ◽  
Uğur Can Yalaki ◽  
Bedrettin Akova
Keyword(s):  
Vastus Lateralis ◽  
Muscle Thickness ◽  
Rectus Femoris ◽  
Pennation Angle ◽  
Cross Sectional Area ◽  
Isokinetic Strength ◽  
Sectional Area ◽  
Cross Sectional ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Objective: To examine the relationship between knee extensor strength and quadriceps muscle architecture evaluated with ultrasonography during relaxed and contracted situations. Materials and Methods: A total of 40 healthy participants (age range 18-40), doing sports at a recreational level were included. Pennation angle, muscle thickness, and cross-sectional area of the vastus medialis, vastus lateralis, and rectus femoris muscles were measured firstly during rest while participants are sitting on an isokinetic dynamometer with their knees at 0° and 60° of flexion. Thereafter, ultrasound evaluations were performed during maximal isometric contraction at 60° knee flexion and maximal isokinetic contraction at 30°/sec and 60°/sec speeds. The architectural parameters were correlated with peak isometric (measured at 60° knee flexion) and isokinetic (measured at 30°/sec and 60°/sec angular velocities) torque values. Results: Pennation angle (p<0.001), muscle thickness (p<0.001) and muscle cross-sectional area (p<0.001) of the vastus medialis muscle during rest, and isometric and isokinetic maximal contractions were higher than the vastus lateralis and rectus femoris muscles. Pennation angle, muscle thickness and muscle cross-sectional area parameters measured during rest, and isometric and isokinetic maximal contractions in the vastus medialis (r=0.39-0.64, p<0.05-0.01) and vastus lateralis (r=0.36-0.68, p<0.05-0.01) showed weak to moderate correlations with isometric and isokinetic peak torque. In rectus femoris muscle, on the other hand, except the weak correlation in pennation angle (r=0.35-0.49, p<0.05-0.01), muscle thickness (r=0.74-0.80, p<0.001) and cross-sectional area (r=0.71-0.80, p<0.001) had a moderate to strong correlation with isometric and isokinetic strength. Stepwise regression analysis indicated that rectus femoris cross-sectional area measured during knee relaxed at 60° flexion (R2=0.532-0.610) and rectus femoris muscle thickness measured during isometric and isokinetic contraction modes (R2=0.538-0.600) were decisive to predict the isometric and isokinetic strength of the quadriceps muscle. Conclusion: Contrary to pennation angle, muscle thickness and cross-sectional area of the rectus femoris measured during relaxed and contracted conditions may be determinative in predicting isometric and isokinetic strength.

scholarly journals Noninvasive assessment of peripheral skeletal muscle weakness in idiopathic pulmonary fibrosis: a pilot study with multiparametric MRI of the rectus femoris muscle

2020 ◽  
Vol 15 ◽  
Author(s):  
Wagner Diniz de Paula ◽  
Marcelo Palmeira Rodrigues ◽  
Nathali Mireise Costa Ferreira ◽  
Viviane Vieira Passini ◽  
César Augusto Melo-Silva
Keyword(s):  
Skeletal Muscle ◽  
Muscle Strength ◽  
Idiopathic Pulmonary Fibrosis ◽  
Rectus Femoris ◽  
Cross Sectional ◽  
Quadriceps Femoris Muscle ◽  
Fat Fraction ◽  
Rectus Femoris Muscle ◽  
Quadriceps Femoris Muscle Strength ◽  
Femoris Muscle

Background: To investigate differences in magnetic resonance imaging (MRI) features of rectus femoris muscle between idiopathic pulmonary fibrosis (IPF) patients and healthy volunteers.Methods: Thirteen IPF patients with GAP Index stage II disease were subjected to pulmonary function tests, 6-minute walk test (6MWT), quadriceps femoris muscle strength measurement and MRI of the thigh at rest. At MRI, muscle cross-sectional areas, T2 and T2* relaxometry, and 3-point Dixon fat fraction were measured. The results were compared to those of eight healthy sedentary volunteers.Results: IPF patients had significantly lower %predicted FVC, FEV1 and DLCO (p<0.001 for the three variables) and walked significantly less in the 6MWT (p=0.008). Mean quadriceps femoris muscle strength also was significantly lower in IPF patients (p=0.041). Rectus femoris muscle T2* measurements were significantly shorter in IPF patients (p=0.027). No significant intergroup difference was found regarding average muscle cross-sectional areas (p=0.790 for quadriceps and p=0.816 for rectus femoris) or rectus femoris fat fraction (p=0.901). Rectus femoris T2 values showed a non-significant trend to be shorter in IPF patients (p=0.055).Conclusions: Our preliminary findings suggest that, besides disuse atrophy, other factors such as hypoxia (but not inflammation) may play a role in the peripheral skeletal muscle dysfunction observed in IPF patients. This might impact the rehabilitation strategies for IPF patients and warrants further investigation.

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