Non-invasive assessment of human multifidus muscle stiffness using ultrasound shear wave elastography: A feasibility study
There is a lack of numeric data for the mechanical characterization of spine muscles, especially in vivo data. The multifidus muscle is a major muscle for the stabilization of the spine and may be involved in the pathogenesis of chronic low back pain (LBP). Supersonic shear wave elastography (SWE) h...
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| Veröffentlicht in: | Journal of Engineering in Medicine 2016-08, Vol.230 (8), p.809-814 |
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| creator | Moreau, Baptiste Vergari, Claudio Gad, Hisham Sandoz, Baptiste Skalli, Wafa Laporte, Sébastien |
| description | There is a lack of numeric data for the mechanical characterization of spine muscles, especially in vivo data. The multifidus muscle is a major muscle for the stabilization of the spine and may be involved in the pathogenesis of chronic low back pain (LBP). Supersonic shear wave elastography (SWE) has not yet been used on back muscles. The purpose of this prospective study is to assess the feasibility of ultrasound SWE to measure the elastic modulus of lumbar multifidus muscle in a passive stretching posture and at rest with a repeatable and reproducible method. A total of 10 asymptotic subjects (aged 25.5 ± 2.2 years) participated, 4 females and 6 males. Three operators performed 6 measurements for each of the 2 postures on the right multifidus muscle at vertebral levels L2-L3 and L4-L5. Repeatability and reproducibility have been assessed according to ISO 5725 standard. Intra-class correlation coefficients (ICC) for intra- and inter-observer reliability were rated as both excellent [ICC=0.99 and ICC=0.95, respectively]. Reproducibility was 11% at L2-L3 level and 19% at L4-L5. In the passive stretching posture, shear modulus was significantly higher than at rest (µ |
| doi_str_mv | 10.1177/0954411916656022 |
| format | Article |
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The multifidus muscle is a major muscle for the stabilization of the spine and may be involved in the pathogenesis of chronic low back pain (LBP). Supersonic shear wave elastography (SWE) has not yet been used on back muscles. The purpose of this prospective study is to assess the feasibility of ultrasound SWE to measure the elastic modulus of lumbar multifidus muscle in a passive stretching posture and at rest with a repeatable and reproducible method. A total of 10 asymptotic subjects (aged 25.5 ± 2.2 years) participated, 4 females and 6 males. Three operators performed 6 measurements for each of the 2 postures on the right multifidus muscle at vertebral levels L2-L3 and L4-L5. Repeatability and reproducibility have been assessed according to ISO 5725 standard. Intra-class correlation coefficients (ICC) for intra- and inter-observer reliability were rated as both excellent [ICC=0.99 and ICC=0.95, respectively]. Reproducibility was 11% at L2-L3 level and 19% at L4-L5. In the passive stretching posture, shear modulus was significantly higher than at rest (µ < 0.05). This preliminary work enabled to validate the feasibility of measuring the shear modulus of the multifidus muscle with SWE. This kind of measurement could be easily introduces into clinical routine like for the medical follow-up of chronic LBP or scoliosis treatments.</description><identifier>ISSN: 0954-4119</identifier><identifier>EISSN: 2041-3033</identifier><identifier>DOI: 10.1177/0954411916656022</identifier><identifier>PMID: 27435466</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Back pain ; Bioengineering ; Biomechanical Phenomena ; Biomechanics ; Correlation analysis ; Elastic Modulus ; Elasticity Imaging Techniques - methods ; Engineering Sciences ; Feasibility Studies ; Female ; Humans ; Life Sciences ; Lumbosacral Region - diagnostic imaging ; Lumbosacral Region - physiology ; Male ; Mechanics ; Muscles ; Muscular system ; Paraspinal Muscles - diagnostic imaging ; Paraspinal Muscles - physiology ; Pathogenesis ; Reproducibility ; Reproducibility of Results ; Rest ; Scoliosis ; Sound waves ; Spine ; Stretching ; Ultrasonic imaging ; Ultrasound ; Young Adult</subject><ispartof>Journal of Engineering in Medicine, 2016-08, Vol.230 (8), p.809-814</ispartof><rights>IMechE 2016</rights><rights>IMechE 2016.</rights><rights>Copyright SAGE PUBLICATIONS, INC. 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The multifidus muscle is a major muscle for the stabilization of the spine and may be involved in the pathogenesis of chronic low back pain (LBP). Supersonic shear wave elastography (SWE) has not yet been used on back muscles. The purpose of this prospective study is to assess the feasibility of ultrasound SWE to measure the elastic modulus of lumbar multifidus muscle in a passive stretching posture and at rest with a repeatable and reproducible method. A total of 10 asymptotic subjects (aged 25.5 ± 2.2 years) participated, 4 females and 6 males. Three operators performed 6 measurements for each of the 2 postures on the right multifidus muscle at vertebral levels L2-L3 and L4-L5. Repeatability and reproducibility have been assessed according to ISO 5725 standard. Intra-class correlation coefficients (ICC) for intra- and inter-observer reliability were rated as both excellent [ICC=0.99 and ICC=0.95, respectively]. Reproducibility was 11% at L2-L3 level and 19% at L4-L5. In the passive stretching posture, shear modulus was significantly higher than at rest (µ < 0.05). This preliminary work enabled to validate the feasibility of measuring the shear modulus of the multifidus muscle with SWE. This kind of measurement could be easily introduces into clinical routine like for the medical follow-up of chronic LBP or scoliosis treatments.</description><subject>Adult</subject><subject>Back pain</subject><subject>Bioengineering</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Correlation analysis</subject><subject>Elastic Modulus</subject><subject>Elasticity Imaging Techniques - methods</subject><subject>Engineering Sciences</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Lumbosacral Region - diagnostic imaging</subject><subject>Lumbosacral Region - physiology</subject><subject>Male</subject><subject>Mechanics</subject><subject>Muscles</subject><subject>Muscular system</subject><subject>Paraspinal Muscles - diagnostic imaging</subject><subject>Paraspinal Muscles - physiology</subject><subject>Pathogenesis</subject><subject>Reproducibility</subject><subject>Reproducibility of Results</subject><subject>Rest</subject><subject>Scoliosis</subject><subject>Sound waves</subject><subject>Spine</subject><subject>Stretching</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Young Adult</subject><issn>0954-4119</issn><issn>2041-3033</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk2LFDEQhoMo7rh69yQBL3porUqn093ehkVdYdCLnptMd2UmS3-Mqc7I-OtNM-siC8ISyFc99VZSvEK8RHiHWJbvoS60RqzRmMKAUo_ESoHGLIc8fyxWSzhb4hfiGfMNACCCeSouVKnzQhuzEr-_TmPmx6NlfyRpmYl5oHGWk5P7ONhRDrGfvfNd5LTltifJ6ezGBMrIftzJBATLUxw7yXuyQf6ySYt6y_O0C_awP32Qa-ko1dj63s-npBC703PxxNme6cXteil-fPr4_eo623z7_OVqvclao3DOCgIoWyxrBagJ07DaoK6h2zoEm7emqizVhAYqbHOHrnOq7WwFW1REdX4p3p5197ZvDsEPNpyayfrmer1pljvAvKwqwCMm9s2ZPYTpZySem8FzS31vR5oiN1jlRZF6DuoBKFTlQhcPQQ2UaVoe8PoeejPFMKb-LFQNqbbSiYIz1YaJOZC7-xdCszijue-MlPLqVjhuB-ruEv5aIQHZGWC7o3-q_k_wD7NJv8c</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Moreau, Baptiste</creator><creator>Vergari, Claudio</creator><creator>Gad, Hisham</creator><creator>Sandoz, Baptiste</creator><creator>Skalli, Wafa</creator><creator>Laporte, Sébastien</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>H8G</scope><scope>JG9</scope><scope>JQ2</scope><scope>K9.</scope><scope>KR7</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-7049-2405</orcidid></search><sort><creationdate>20160801</creationdate><title>Non-invasive assessment of human multifidus muscle stiffness using ultrasound shear wave elastography: A feasibility study</title><author>Moreau, Baptiste ; 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The multifidus muscle is a major muscle for the stabilization of the spine and may be involved in the pathogenesis of chronic low back pain (LBP). Supersonic shear wave elastography (SWE) has not yet been used on back muscles. The purpose of this prospective study is to assess the feasibility of ultrasound SWE to measure the elastic modulus of lumbar multifidus muscle in a passive stretching posture and at rest with a repeatable and reproducible method. A total of 10 asymptotic subjects (aged 25.5 ± 2.2 years) participated, 4 females and 6 males. Three operators performed 6 measurements for each of the 2 postures on the right multifidus muscle at vertebral levels L2-L3 and L4-L5. Repeatability and reproducibility have been assessed according to ISO 5725 standard. Intra-class correlation coefficients (ICC) for intra- and inter-observer reliability were rated as both excellent [ICC=0.99 and ICC=0.95, respectively]. Reproducibility was 11% at L2-L3 level and 19% at L4-L5. In the passive stretching posture, shear modulus was significantly higher than at rest (µ < 0.05). This preliminary work enabled to validate the feasibility of measuring the shear modulus of the multifidus muscle with SWE. This kind of measurement could be easily introduces into clinical routine like for the medical follow-up of chronic LBP or scoliosis treatments.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27435466</pmid><doi>10.1177/0954411916656022</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7049-2405</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Back pain Bioengineering Biomechanical Phenomena Biomechanics Correlation analysis Elastic Modulus Elasticity Imaging Techniques - methods Engineering Sciences Feasibility Studies Female Humans Life Sciences Lumbosacral Region - diagnostic imaging Lumbosacral Region - physiology Male Mechanics Muscles Muscular system Paraspinal Muscles - diagnostic imaging Paraspinal Muscles - physiology Pathogenesis Reproducibility Reproducibility of Results Rest Scoliosis Sound waves Spine Stretching Ultrasonic imaging Ultrasound Young Adult |
| title | Non-invasive assessment of human multifidus muscle stiffness using ultrasound shear wave elastography: A feasibility study |
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