scholarly journals Validity Of Lower Leg Muscle Cross-sectional Area Measurements Using Ultrasound Imaging Compared To MRI

2020 ◽  
Vol 52 (7S) ◽  
pp. 82-82
Author(s):  
Aaron W. Johnson ◽  
Christopher Thompson ◽  
Victoria Violette ◽  
Dustin A. Bruening ◽  
Sarah T. Ridge
2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Bálint Kovács ◽  
István Kóbor ◽  
Zsolt Gyimes ◽  
Örs Sebestyén ◽  
József Tihanyi

Abstract The human ankle joint and plantar flexor muscle–tendon unit play an important role in endurance running. It has been assumed that muscle and tendon interactions and their biomechanical behaviours depend on their morphological and architectural characteristics. We aimed to study how plantar flexor muscle characteristics influence marathon running performance and to determine whether there is any difference in the role of the soleus and gastrocnemii. The right lower leg of ten male distance runners was scanned with magnetic resonance imagining. The cross-sectional areas of the Achilles tendon, soleus, and lateral and medial gastrocnemius were measured, and the muscle volumes were calculated. Additional ultrasound scanning was used to estimate the fascicle length of each muscle to calculate the physiological cross-sectional area. Correlations were found between marathon running performance and soleus volume (r = 0.55, p = 0.048), soleus cross-sectional area (r = 0.57, p = 0.04), soleus physiological cross-sectional area (PCSA-IAAF r = 0.77, p < 0.01, CI± 0.28 to 0.94), Achilles tendon thickness (r = 0.65, p < 0.01), and soleus muscle-to-tendon ratio (r = 0.68, p = 0.03). None of the gastrocnemius characteristics were associated with marathon performance. We concluded that a larger soleus muscle with a thicker Achilles tendon is associated with better marathon performance. Based on these results, it can be concluded the morphological characteristics of the lower leg muscle–tendon unit correlate with running performance.


Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 70
Author(s):  
Satoshi Arima ◽  
Noriaki Maeda ◽  
Makoto Komiya ◽  
Tsubasa Tashiro ◽  
Kazuki Fukui ◽  
...  

Background and Objectives: The effectiveness of multiple ultrasound evaluations of the peroneus muscles morphology, including muscle cross-sectional area (CSA) and connective tissue, after lateral ankle sprain (LAS) is unknown. This study aimed to measure the peroneus muscles after LAS at three points, adding distal 75% to the conventional measurement points, in order to obtain a detailed understanding of the post-injury morphology and to propose a new evaluation index of the peroneus muscles for multiple LAS. Materials and Methods: Participants with and without LAS (LAS and control groups, 16 each) were recruited. The muscle cross-sectional area (CSA) and muscle echogenicity were measured using a B-mode ultrasound system at 25%, 50%, and 75% proximal to the line connecting the fibular head to the lateral malleolus. The ankle evertor strength was measured using a handheld dynamometer. Simultaneously, the peroneus longus (PL) and peroneus brevis (PB) muscle activities were measured using surface electromyography. Measurements for the LAS side, non-LAS side, and control leg were performed separately. Results: The CSA was significantly higher at 75% on the LAS side than on the non-LAS side and in the control leg. Muscle echogenicity of the LAS side at 75% was significantly lower than that of the non-LAS side and the control leg. Muscle activity of the PL was significantly lower and the PB was higher on the LAS side than on the non-LAS side and in the control leg. Conclusions: The PL was less active than the PB, while the PB was found to be overactive, suggesting that PB hypertrophy occurs due to an increase in the percentage of muscle fibers and a decrease in the connective tissue. Therefore, it is necessary to evaluate the condition of the PL and PB separately after LAS.


2018 ◽  
Vol 34 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Paige E. Rice ◽  
Herman van Werkhoven ◽  
Edward K. Merritt ◽  
Jeffrey M. McBride

Greater levels of bone ultimate fracture load, bone stress–strain index, muscle cross-sectional area, and maximal voluntary isometric plantarflexion (MVIP) strength of the lower leg may be adaptations from chronic exposure to stretch-shortening cycle (SSC) actions. Dancers, a population that habitually performs SSC movements primarily about the ankle joint, may serve as a novel population to gain broader understanding of SSC function. A total of 10 female collegiate dancers and 10 untrained controls underwent peripheral quantitative computed tomography scans of both lower legs and performed MVIPs, countermovement hops, and drop hops at 20, 30, and 40 cm on a custom-made inclined sled. Dancers had greater right and left ultimate fracture load values and significantly (P ≤ .05) greater left leg stress–strain index than controls. Dancers had significantly larger right and left muscle cross-sectional area and MVIP values and hopped significantly higher during all hopping conditions in comparison with controls. Average force–time and power–time curves revealed significantly greater relative force and power measurements during the concentric phase for all hopping conditions in dancers when compared with controls. This investigation provides evidence that dance may be a stimulus for positive muscle and bone adaptations, strength levels, and enhanced SSC capabilities.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chong Liu ◽  
Jiang Xue ◽  
Jingjing Liu ◽  
Gang Ma ◽  
Abu Moro ◽  
...  

Abstract Background The purpose of the study is to investigate the correlation between upper lumbar disc herniation (ULDH) and multifidus muscle degeneration via the comparison of width, the cross-sectional area and degree of fatty infiltration of the lumbar multifidus muscle. Methods Using the axial T2-weighted images of magnetic resonance imaging as an assessment tool, we retrospectively investigated 132 patients with ULDH and 132 healthy individuals. The total muscle cross-sectional area (TMCSA) and the pure muscle cross-sectional area (PMCSA) of the multifidus muscle at the L1/2, L2/3, and L3/4 intervertebral disc levels were measured respectively, and in the meantime, the average multifidus muscle width (AMMW) and degree of fatty infiltration of bilateral multifidus muscle were evaluated. The resulting data were analyzed to determine the presence/absence of statistical significance between the study and control groups. Multivariate logistical regression analyses were used to evaluate the correlation between ULDH and multifidus degeneration. Results The results of the analysis of the two groups showed that there were statistically significant differences (p < 0.05) between TMCSA, PMCSA, AMMW and degree of fatty infiltration. The multivariate logistic regression analysis indicated that the TMCSA, PMCSA, AMMW and the degree of fatty infiltration of multifidus muscle were correlated with ULDH, and the differences were statistically significant (P < 0.05). Conclusions A correlation could exist between multifidus muscles degeneration and ULDH, that may be a process of mutual influence and interaction. Lumbar muscle strengthening training could prevent and improve muscle atrophy and degeneration.


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