Close relationships between neck and upper-back stiffness and transverse cervical artery flow velocity

Purpose Neck and upper-back stiffness is encountered in daily life, with symptoms appearing as dullness or aches predominantly in the trapezius muscle (TM). Our previous study demonstrated that TM hardness as measured with a muscle hardness meter correlates well with transverse cervical artery (TCA)...

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Veröffentlicht in:European journal of applied physiology 2024-06, Vol.124 (6), p.1925-1931
Hauptverfasser: Shibasaki, Shohei, Kishino, Tomonori, Sei, Yoriko, Harashima, Keiichiro, Sakata, Konomi, Ohnishi, Hiroaki, Watanabe, Takashi
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container_end_page 1931
container_issue 6
container_start_page 1925
container_title European journal of applied physiology
container_volume 124
creator Shibasaki, Shohei
Kishino, Tomonori
Sei, Yoriko
Harashima, Keiichiro
Sakata, Konomi
Ohnishi, Hiroaki
Watanabe, Takashi
description Purpose Neck and upper-back stiffness is encountered in daily life, with symptoms appearing as dullness or aches predominantly in the trapezius muscle (TM). Our previous study demonstrated that TM hardness as measured with a muscle hardness meter correlates well with transverse cervical artery (TCA) flow supplying the TM. Muscle hardness meters, however, cannot measure hardness in the TM alone. Meanwhile, recent advances in ultrasound elastography have enabled the evaluation of localized hardness in targeted tissues. The present study, therefore, aimed to clarify the relationship between TM hardness as measured by elastography and TCA hemodynamics as measured on Doppler sonography, with reference to daily symptoms of upper-back stiffness. Methods The study population comprised 66 healthy young adults (32 males, 34 females; mean age, 21 ± 1 years). Relationships were evaluated between TM hardness as a negative correlate of strain ratio from elastography and TCA hemodynamics on Doppler sonography. Hemodynamics in the TCA were evaluated according to the frequency of neck and upper-back stiffness. Results TM strain ratio correlated with peak systolic velocity (PSV) in the TCA ( r  = 0.273, p  = 0.036), particularly in symptomatic subjects ( r  = 0.417, p  = 0.022). PSV in the TCA decreased with increasing frequency of daily symptoms ( p  = 0.045). Conclusion TCA hemodynamics correlated with muscle hardness when evaluating localized TM hardness. This relationship and low PSV in the TCA were evident in symptomatic subjects. These results suggest that PSV in the TCA is associated with neck and upper-back stiffness.
doi_str_mv 10.1007/s00421-024-05416-3
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Our previous study demonstrated that TM hardness as measured with a muscle hardness meter correlates well with transverse cervical artery (TCA) flow supplying the TM. Muscle hardness meters, however, cannot measure hardness in the TM alone. Meanwhile, recent advances in ultrasound elastography have enabled the evaluation of localized hardness in targeted tissues. The present study, therefore, aimed to clarify the relationship between TM hardness as measured by elastography and TCA hemodynamics as measured on Doppler sonography, with reference to daily symptoms of upper-back stiffness. Methods The study population comprised 66 healthy young adults (32 males, 34 females; mean age, 21 ± 1 years). Relationships were evaluated between TM hardness as a negative correlate of strain ratio from elastography and TCA hemodynamics on Doppler sonography. Hemodynamics in the TCA were evaluated according to the frequency of neck and upper-back stiffness. Results TM strain ratio correlated with peak systolic velocity (PSV) in the TCA ( r  = 0.273, p  = 0.036), particularly in symptomatic subjects ( r  = 0.417, p  = 0.022). PSV in the TCA decreased with increasing frequency of daily symptoms ( p  = 0.045). Conclusion TCA hemodynamics correlated with muscle hardness when evaluating localized TM hardness. This relationship and low PSV in the TCA were evident in symptomatic subjects. These results suggest that PSV in the TCA is associated with neck and upper-back stiffness.</description><identifier>ISSN: 1439-6319</identifier><identifier>EISSN: 1439-6327</identifier><identifier>DOI: 10.1007/s00421-024-05416-3</identifier><identifier>PMID: 38280013</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Biomedical and Life Sciences ; Biomedicine ; Blood Flow Velocity - physiology ; Elasticity Imaging Techniques - methods ; Female ; Flow velocity ; Hemodynamics ; Hemodynamics - physiology ; Human Physiology ; Humans ; Male ; Neck ; Neck - blood supply ; Neck - diagnostic imaging ; Neck - physiology ; Occupational Medicine/Industrial Medicine ; Original Article ; Population studies ; Sports Medicine ; Superficial Back Muscles - diagnostic imaging ; Superficial Back Muscles - physiology ; Trapezius muscle ; Ultrasonic imaging ; Velocity ; Young Adult ; Young adults</subject><ispartof>European journal of applied physiology, 2024-06, Vol.124 (6), p.1925-1931</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. 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Our previous study demonstrated that TM hardness as measured with a muscle hardness meter correlates well with transverse cervical artery (TCA) flow supplying the TM. Muscle hardness meters, however, cannot measure hardness in the TM alone. Meanwhile, recent advances in ultrasound elastography have enabled the evaluation of localized hardness in targeted tissues. The present study, therefore, aimed to clarify the relationship between TM hardness as measured by elastography and TCA hemodynamics as measured on Doppler sonography, with reference to daily symptoms of upper-back stiffness. Methods The study population comprised 66 healthy young adults (32 males, 34 females; mean age, 21 ± 1 years). Relationships were evaluated between TM hardness as a negative correlate of strain ratio from elastography and TCA hemodynamics on Doppler sonography. Hemodynamics in the TCA were evaluated according to the frequency of neck and upper-back stiffness. Results TM strain ratio correlated with peak systolic velocity (PSV) in the TCA ( r  = 0.273, p  = 0.036), particularly in symptomatic subjects ( r  = 0.417, p  = 0.022). PSV in the TCA decreased with increasing frequency of daily symptoms ( p  = 0.045). Conclusion TCA hemodynamics correlated with muscle hardness when evaluating localized TM hardness. This relationship and low PSV in the TCA were evident in symptomatic subjects. 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Our previous study demonstrated that TM hardness as measured with a muscle hardness meter correlates well with transverse cervical artery (TCA) flow supplying the TM. Muscle hardness meters, however, cannot measure hardness in the TM alone. Meanwhile, recent advances in ultrasound elastography have enabled the evaluation of localized hardness in targeted tissues. The present study, therefore, aimed to clarify the relationship between TM hardness as measured by elastography and TCA hemodynamics as measured on Doppler sonography, with reference to daily symptoms of upper-back stiffness. Methods The study population comprised 66 healthy young adults (32 males, 34 females; mean age, 21 ± 1 years). Relationships were evaluated between TM hardness as a negative correlate of strain ratio from elastography and TCA hemodynamics on Doppler sonography. Hemodynamics in the TCA were evaluated according to the frequency of neck and upper-back stiffness. Results TM strain ratio correlated with peak systolic velocity (PSV) in the TCA ( r  = 0.273, p  = 0.036), particularly in symptomatic subjects ( r  = 0.417, p  = 0.022). PSV in the TCA decreased with increasing frequency of daily symptoms ( p  = 0.045). Conclusion TCA hemodynamics correlated with muscle hardness when evaluating localized TM hardness. This relationship and low PSV in the TCA were evident in symptomatic subjects. These results suggest that PSV in the TCA is associated with neck and upper-back stiffness.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38280013</pmid><doi>10.1007/s00421-024-05416-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3970-9781</orcidid></addata></record>
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subjects Adult
Biomedical and Life Sciences
Biomedicine
Blood Flow Velocity - physiology
Elasticity Imaging Techniques - methods
Female
Flow velocity
Hemodynamics
Hemodynamics - physiology
Human Physiology
Humans
Male
Neck
Neck - blood supply
Neck - diagnostic imaging
Neck - physiology
Occupational Medicine/Industrial Medicine
Original Article
Population studies
Sports Medicine
Superficial Back Muscles - diagnostic imaging
Superficial Back Muscles - physiology
Trapezius muscle
Ultrasonic imaging
Velocity
Young Adult
Young adults
title Close relationships between neck and upper-back stiffness and transverse cervical artery flow velocity
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