Current Uses of Ultrasound Imaging in Musculoskeletal Rehabilitation

2017 ◽  
Vol 19 (6) ◽  
pp. 0-0 ◽  
Author(s):  
Robert Jopowicz ◽  
Małgorzata Jopowicz ◽  
Łukasz Czarnocki ◽  
Jarosław Michał Deszczyński ◽  
Jarosław Deszczyński

The term Rehabilitative Ultrasound Imaging (RUSI) refers to the use of ultrasound imaging by physiothera­pists. Ultrasound is used by physiotherapists to evaluate the morphology of muscles and other associated soft tissues not only at rest but also for a dynamic assessment of those structures during physical activities and tasks. RUSI is most commonly utilized as part of a biofeedback mechanism, which shows good efficacy in lower back pain treatment. Several possibilities have been also described for clinically adapting this method in the rehabilitation of the shoulder and knee and postoperative improvement of tendons. RUSI is a novel method with a high clinical potential to support physiotherapeutic therapies.

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Roslind Karolina Hackenberg ◽  
Arnd Von den Driesch ◽  
Dietmar Pierre König

We report the case of a 62-year-old patient with lower back pain radiating into the right leg accompanied by numbness. The pain had an acute onset and was resistant to conservative pain treatment. A magnetic resonance imaging (MRI) scan of the lumbar spine showed no degenerative discovertebral lesions, but a swelling of the nerve root supplying the affected dermatome. For pain treatment the patient received lumbar epidural infiltrations. During this treatment the patient suddenly developed a skin rash with grouped vesicular blisters on an erythematous ground. After the diagnosis of a lumbar herpes zoster and an acyclovir treatment, the patient could be discharged in an ameliorated condition. This case demonstrates the importance to consider rare causes of lumbosciatic pain and disorders and to acknowledge unspecific changes in a MRI scan.


2007 ◽  
Vol 342-343 ◽  
pp. 853-856 ◽  
Author(s):  
Duk Young Jung ◽  
Yu Bong Kang ◽  
Toshie Tsuchiya ◽  
Sadami Tsutsumi

Accurate measurement of the mechanical properties of artificial or cultivated cartilage is a major factor for determining successive regeneration of defective soft tissues. In this study, we developed a novel method that enabled the bulk modulus (k-modulus) to be measured nondestructively using the relationship between volume and pressure of living soft tissues. In order to validate this method we estimated the bulk modulus of soft silicone rubbers using our new method and a conventional method. The results showed a 5 ~ 10% difference between the results obtained with the two methods. Our method was used subsequently to measure the mechanical properties of cultivated cartilage samples (collagen gel type), that had been incubated for four weeks in the presence or absence of human articular chondrocytes (HACs). Our experiments showed that cultivated cartilage tissues grown in the presence of HACs had a higher bulk modulus (120 ± 20 kPa) than samples grown without HACs (90 ± 15 kPa). The results indicated that our novel method offered an effective method for measurement of volume changes in minute living soft tissues, with the measurements having a high degree of accuracy and precision. Furthermore, this method has significant advantages over conventional approaches as it can be used to rapidly and accurately evaluate the strength of soft tissues during cultivation without causing damage to the specimen.


2009 ◽  
Vol 13 (6) ◽  
pp. 649-654 ◽  
Author(s):  
M.G.H. Weering ◽  
M.M.R. Vollenbroek-Hutten ◽  
T.M. Tönis ◽  
H.J. Hermens

2007 ◽  
Vol 342-343 ◽  
pp. 901-904
Author(s):  
Yu Bong Kang ◽  
T. Oida ◽  
Duk Young Jung ◽  
A. Fukuma ◽  
T. Azuma ◽  
...  

In order to evaluate the mechanical properties of the human skeletal muscles, the elasticity and viscosity of the human calf muscles were measured with Magnetic Resonance Elastography (MRE). MRE is a novel method to measure the mechanical properties of living soft tissues in vivo quantitatively by observing the strain waves propagated in the object. In this study, the shear modulus and viscosity coefficient were measured with MRE. The shear modulus was 3.7 kPa in relaxed state, and increased with increasing the muscle forces. Interestingly, the viscosity was changed with the vibration frequency applied to the muscles, that was 4.5 Pa·s at 100Hz vibration and 2.4 Pa·s at 200Hz vibration. This shows clearly the visco-elastic property.


2018 ◽  
Vol 14 (2) ◽  
pp. 99-110 ◽  
Author(s):  
E.A. Gandy ◽  
A. Bondi ◽  
T.M.C. Pigott ◽  
G. Smith ◽  
S. McDonald

Equestrian sports report three to five times higher incidence rates for lower back pain than that of the general population, with hip flexion angles of 50-60° suggested as a causal factor. Inertial motion capture technology enables dynamic measurement of rider kinematics but data extraction is time-consuming. The aim of this study was to develop a software tool to automate the process of extracting biomechanical data from the Xsens™ MVN (MoCap) system to investigate postural changes in riders, comparing static position at halt with dynamic position during the sit phase of rising trot. The software was found to be efficient, reducing data extraction time by 97% when used with a sample of 16 riders. Good correlation was found between hip flexion and pelvic anterior-posterior rotation and between halt and trot but with significantly greater values of hip flexion and pelvic anterior rotation in trot. No riders showed hip flexion >50° at halt but 11 riders (69%) showed hip flexion >50° during the sit phase of rising trot, indicating that dynamic assessment is important when considering rider postural faults that may put them at risk of back injury.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247162
Author(s):  
Kristian Snyder ◽  
Brennan Thomas ◽  
Ming-Lun Lu ◽  
Rashmi Jha ◽  
Menekse S. Barim ◽  
...  

Occupationally-induced back pain is a leading cause of reduced productivity in industry. Detecting when a worker is lifting incorrectly and at increased risk of back injury presents significant possible benefits. These include increased quality of life for the worker due to lower rates of back injury and fewer workers’ compensation claims and missed time for the employer. However, recognizing lifting risk provides a challenge due to typically small datasets and subtle underlying features in accelerometer and gyroscope data. A novel method to classify a lifting dataset using a 2D convolutional neural network (CNN) and no manual feature extraction is proposed in this paper; the dataset consisted of 10 subjects lifting at various relative distances from the body with 720 total trials. The proposed deep CNN displayed greater accuracy (90.6%) compared to an alternative CNN and multilayer perceptron (MLP). A deep CNN could be adapted to classify many other activities that traditionally pose greater challenges in industrial environments due to their size and complexity.


2020 ◽  
Vol 20 (2) ◽  
pp. 399
Author(s):  
Zifriyanthi Minanda Putri ◽  
Ilfa Khairina ◽  
Randy Refnandes

Most of the health workers are nursing staff, nursing profession demands high physical activity ranks second after industrial workers. Musculoskeletal disorders often occur in health workers, nurses have a higher risk of experiencing the disorder. Musculoskeletal disorders are disorders that occur in the muscles, bones, tendons, blood vessels, nervous system, and other soft tissues. The purpose of this study was to determine the picture of musculoskeletal disorders in nurses in General Hospital. Dr. M. Djamil Padang. Research Methods: The method used in this research is descriptive. The number of samples in this study were 132 people. The sample selection in this study was the proportional random sampling method. The results showed that more than half (81.1%) nurses experienced musculoskeletal disorders. Musculoskeletal disorders complained of body parts: shoulders 49.2%, neck and lower back 41.7%, and upper back 32.6%. It is expected that nurses can identify the incidence of musculoskeletal disorders due to work and immediately report to management for further prevention.


Author(s):  
Samer N. Narouze

Ultrasound provides direct visualization and imaging of various soft tissues without radiation exposure. Thus, it is a very appealing modality in neck injections, with the magnitude of critical soft-tissue structures compacted in a very vascular area. Moreover, ultrasound imaging allows real-time needle advancement and monitoring the spread of injectate, which improves the accuracy of the block and minimizes the risk of intravascular injection. This chapter reviews the feasibility and safety of the ultrasound-guided approach. It also provides a new insight into the technique and why some practitioners prefer an “extraforaminal” nerve root approach rather than the traditional “transforaminal” epidural approach.


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