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Erschienen in: Skeletal Radiology 8/2020

03.03.2020 | Scientific Article

High school male basketball athletes exhibit greater hamstring muscle stiffness than females as assessed with shear wave elastography

verfasst von: April L. McPherson, Takashi Nagai, Nathan D. Schilaty, Rena Hale, Timothy E. Hewett, Nathaniel A. Bates

Erschienen in: Skeletal Radiology | Ausgabe 8/2020

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Abstract

Objective

The purpose of this study was to characterize lower extremity passive muscle stiffness in a young, healthy, athletic population. It was hypothesized that males would exhibit greater stiffness than females and that hamstring stiffness would increase with increased passive hamstring stretch.

Methods

Male (n = 52, age 16.0 ± 1.3 years, height 180.3 ± 7.9 cm, weight 73.1 ± 11.8 kg) and female (n = 89, age 15.6 ± 1.3 years, height 169.7 ± 8.1 cm, weight 65.2 ± 13.2 kg) high school basketball athletes were recruited for this study. Shear wave elastography (SWE) was used to measure shear wave velocity (m/s) of the biceps femoris muscle at three leg positions (40%, 60%, and 80%) of the maximum passive 90–90 straight-leg raise position for each leg. Hamstring stiffness (kPa) was quantified from the SWE elastogram using custom processing software.

Results

Hamstring stiffness was significantly greater for males than females at every position on both the dominant and non-dominant limbs (p < 0.05). Hamstring stiffness was greater on the non-dominant limb than the dominant for females at the 40% position. Stiffness at 60% was greater than stiffness at 40% for males on both the dominant and non-dominant limbs. However, stiffness at 60% was greater than stiffness at 80% on the male non-dominant limb. Females demonstrated higher stiffness at 40% than both 60% and 80% for the dominant and non-dominant limbs.

Conclusion

Healthy male basketball players had higher hamstring muscle stiffness than female players. Future studies may investigate what factors contribute to the large variability observed in muscle stiffness, resulting in mixed results on the effects of leg dominance and stretching positions.
Literatur
1.
Zurück zum Zitat Drakonaki EE, Allen GM, Wilson DJ. Ultrasound elastography for musculoskeletal applications. Br J Radiol. 2012;85(1019):1435–45.CrossRef Drakonaki EE, Allen GM, Wilson DJ. Ultrasound elastography for musculoskeletal applications. Br J Radiol. 2012;85(1019):1435–45.CrossRef
2.
Zurück zum Zitat Klauser AS, Miyamoto H, Bellmann-Weiler R, Feuchtner GM, Wick MC, Jaschke WR. Sonoelastography: musculoskeletal applications. Radiology. 2014;272(3):622–33.CrossRef Klauser AS, Miyamoto H, Bellmann-Weiler R, Feuchtner GM, Wick MC, Jaschke WR. Sonoelastography: musculoskeletal applications. Radiology. 2014;272(3):622–33.CrossRef
3.
Zurück zum Zitat Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics. 2017;37(3):855–70.CrossRef Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics. 2017;37(3):855–70.CrossRef
4.
Zurück zum Zitat Eby SF, Song P, Chen S, Chen Q, Greenleaf JF, An KN. Validation of shear wave elastography in skeletal muscle. J Biomech. 2013;46(14):2381–7.CrossRef Eby SF, Song P, Chen S, Chen Q, Greenleaf JF, An KN. Validation of shear wave elastography in skeletal muscle. J Biomech. 2013;46(14):2381–7.CrossRef
5.
Zurück zum Zitat Roberts TJ. Contribution of elastic tissues to the mechanics and energetics of muscle function during movement. J Exp Biol. 2016;219(Pt 2):266–75.CrossRef Roberts TJ. Contribution of elastic tissues to the mechanics and energetics of muscle function during movement. J Exp Biol. 2016;219(Pt 2):266–75.CrossRef
6.
Zurück zum Zitat Le Sant G, Ates F, Brasseur JL, Nordez A. Elastography study of hamstring behaviors during passive stretching. PLoS One. 2015;10(9):e0139272.CrossRef Le Sant G, Ates F, Brasseur JL, Nordez A. Elastography study of hamstring behaviors during passive stretching. PLoS One. 2015;10(9):e0139272.CrossRef
7.
Zurück zum Zitat Miyamoto N, Hirata K, Kanehisa H. Effects of hamstring stretching on passive muscle stiffness vary between hip flexion and knee extension maneuvers. Scand J Med Sci Sports. 2017;27(1):99–106.CrossRef Miyamoto N, Hirata K, Kanehisa H. Effects of hamstring stretching on passive muscle stiffness vary between hip flexion and knee extension maneuvers. Scand J Med Sci Sports. 2017;27(1):99–106.CrossRef
8.
Zurück zum Zitat Akagi R, Yamashita Y, Ueyasu Y. Age-related differences in muscle shear moduli in the lower extremity. Ultrasound Med Biol. 2015;41(11):2906–12.CrossRef Akagi R, Yamashita Y, Ueyasu Y. Age-related differences in muscle shear moduli in the lower extremity. Ultrasound Med Biol. 2015;41(11):2906–12.CrossRef
9.
Zurück zum Zitat Umegaki H, Ikezoe T, Nakamura M, Nishishita S, Kobayashi T, Fujita K, et al. Acute effects of static stretching on the hamstrings using shear elastic modulus determined by ultrasound shear wave elastography: differences in flexibility between hamstring muscle components. Man Ther. 2015;20(4):610–3.CrossRef Umegaki H, Ikezoe T, Nakamura M, Nishishita S, Kobayashi T, Fujita K, et al. Acute effects of static stretching on the hamstrings using shear elastic modulus determined by ultrasound shear wave elastography: differences in flexibility between hamstring muscle components. Man Ther. 2015;20(4):610–3.CrossRef
10.
Zurück zum Zitat Eby SF, Cloud BA, Brandenburg JE, Giambini H, Song P, Chen S, et al. Shear wave elastography of passive skeletal muscle stiffness: influences of sex and age throughout adulthood. Clin Biomech. 2015;30(1):22–7.CrossRef Eby SF, Cloud BA, Brandenburg JE, Giambini H, Song P, Chen S, et al. Shear wave elastography of passive skeletal muscle stiffness: influences of sex and age throughout adulthood. Clin Biomech. 2015;30(1):22–7.CrossRef
11.
Zurück zum Zitat Chen J, O'Dell M, He W, Du LJ, Li PC, Gao J. Ultrasound shear wave elastography in the assessment of passive biceps brachii muscle stiffness: influences of sex and elbow position. Clin Imaging. 2017;45:26–9.CrossRef Chen J, O'Dell M, He W, Du LJ, Li PC, Gao J. Ultrasound shear wave elastography in the assessment of passive biceps brachii muscle stiffness: influences of sex and elbow position. Clin Imaging. 2017;45:26–9.CrossRef
12.
Zurück zum Zitat Souron R, Bordat F, Farabet A, Belli A, Feasson L, Nordez A, et al. Sex differences in active tibialis anterior stiffness evaluated using supersonic shear imaging. J Biomech. 2016;49(14):3534–7.CrossRef Souron R, Bordat F, Farabet A, Belli A, Feasson L, Nordez A, et al. Sex differences in active tibialis anterior stiffness evaluated using supersonic shear imaging. J Biomech. 2016;49(14):3534–7.CrossRef
13.
Zurück zum Zitat Botanlioglu H, Kantarci F, Kaynak G, Unal Y, Ertan S, Aydingoz O, et al. Shear wave elastography properties of vastus lateralis and vastus medialis obliquus muscles in normal subjects and female patients with patellofemoral pain syndrome. Skelet Radiol. 2013;42(5):659–66.CrossRef Botanlioglu H, Kantarci F, Kaynak G, Unal Y, Ertan S, Aydingoz O, et al. Shear wave elastography properties of vastus lateralis and vastus medialis obliquus muscles in normal subjects and female patients with patellofemoral pain syndrome. Skelet Radiol. 2013;42(5):659–66.CrossRef
14.
Zurück zum Zitat Um GM, Wang JS, Park SE. An analysis on muscle tone of lower limb muscles on flexible flat foot. J Phys Ther Sci. 2015;27(10):3089–92.CrossRef Um GM, Wang JS, Park SE. An analysis on muscle tone of lower limb muscles on flexible flat foot. J Phys Ther Sci. 2015;27(10):3089–92.CrossRef
15.
Zurück zum Zitat Ahmad CS, Redler LH, Ciccotti MG, Maffulli N, Longo UG, Bradley J. Evaluation and management of hamstring injuries. Am J Sports Med. 2013;41(12):2933–47.CrossRef Ahmad CS, Redler LH, Ciccotti MG, Maffulli N, Longo UG, Bradley J. Evaluation and management of hamstring injuries. Am J Sports Med. 2013;41(12):2933–47.CrossRef
16.
Zurück zum Zitat Warren P, Gabbe BJ, Schneider-Kolsky M, Bennell KL. Clinical predictors of time to return to competition and of recurrence following hamstring strain in elite Australian footballers. Br J Sports Med. 2010;44(6):415–9.CrossRef Warren P, Gabbe BJ, Schneider-Kolsky M, Bennell KL. Clinical predictors of time to return to competition and of recurrence following hamstring strain in elite Australian footballers. Br J Sports Med. 2010;44(6):415–9.CrossRef
17.
Zurück zum Zitat Reurink G, Goudswaard GJ, Oomen HG, Moen MH, Tol JL, Verhaar JA, et al. Reliability of the active and passive knee extension test in acute hamstring injuries. Am J Sports Med. 2013;41(8):1757–61.CrossRef Reurink G, Goudswaard GJ, Oomen HG, Moen MH, Tol JL, Verhaar JA, et al. Reliability of the active and passive knee extension test in acute hamstring injuries. Am J Sports Med. 2013;41(8):1757–61.CrossRef
18.
Zurück zum Zitat Maisetti O, Hug F, Bouillard K, Nordez A. Characterization of passive elastic properties of the human medial gastrocnemius muscle belly using supersonic shear imaging. J Biomech. 2012;45(6):978–84.CrossRef Maisetti O, Hug F, Bouillard K, Nordez A. Characterization of passive elastic properties of the human medial gastrocnemius muscle belly using supersonic shear imaging. J Biomech. 2012;45(6):978–84.CrossRef
19.
Zurück zum Zitat Martin JA, Biedrzycki AH, Lee KS, DeWall RJ, Brounts SH, Murphy WL, et al. In vivo measures of shear wave speed as a predictor of tendon elasticity and strength. Ultrasound Med Biol. 2015;41(10):2722–30.CrossRef Martin JA, Biedrzycki AH, Lee KS, DeWall RJ, Brounts SH, Murphy WL, et al. In vivo measures of shear wave speed as a predictor of tendon elasticity and strength. Ultrasound Med Biol. 2015;41(10):2722–30.CrossRef
20.
Zurück zum Zitat Creze M, Nordez A, Soubeyrand M, Rocher L, Maitre X, Bellin MF. Shear wave sonoelastography of skeletal muscle: basic principles, biomechanical concepts, clinical applications, and future perspectives. Skelet Radiol. 2018;47(4):457–71.CrossRef Creze M, Nordez A, Soubeyrand M, Rocher L, Maitre X, Bellin MF. Shear wave sonoelastography of skeletal muscle: basic principles, biomechanical concepts, clinical applications, and future perspectives. Skelet Radiol. 2018;47(4):457–71.CrossRef
21.
Zurück zum Zitat Malina RM, Bouchard C, Bar-Or O. Timing and sequence of changes during adolescence. growth, maturation, and physical activity. 2nd Edition ed. Champaign: Human Kinetics; 2004. p. 307–33. Malina RM, Bouchard C, Bar-Or O. Timing and sequence of changes during adolescence. growth, maturation, and physical activity. 2nd Edition ed. Champaign: Human Kinetics; 2004. p. 307–33.
22.
Zurück zum Zitat Quatman CE, Ford KR, Myer GD, Paterno MV, Hewett TE. The effects of gender and pubertal status on generalized joint laxity in young athletes. J Sci Med Sport. 2008;11(3):257–63.CrossRef Quatman CE, Ford KR, Myer GD, Paterno MV, Hewett TE. The effects of gender and pubertal status on generalized joint laxity in young athletes. J Sci Med Sport. 2008;11(3):257–63.CrossRef
23.
Zurück zum Zitat Hewett TE, Myer GD, Ford KR. Decrease in neuromuscular control about the knee with maturation in female athletes. J Bone Joint Surg Am. 2004;86-A(8):1601–8.CrossRef Hewett TE, Myer GD, Ford KR. Decrease in neuromuscular control about the knee with maturation in female athletes. J Bone Joint Surg Am. 2004;86-A(8):1601–8.CrossRef
24.
Zurück zum Zitat Dubois G, Kheireddine W, Vergari C, Bonneau D, Thoreux P, Rouch P, et al. Reliable protocol for shear wave elastography of lower limb muscles at rest and during passive stretching. Ultrasound Med Biol. 2015;41(9):2284–91.CrossRef Dubois G, Kheireddine W, Vergari C, Bonneau D, Thoreux P, Rouch P, et al. Reliable protocol for shear wave elastography of lower limb muscles at rest and during passive stretching. Ultrasound Med Biol. 2015;41(9):2284–91.CrossRef
25.
Zurück zum Zitat MacDonald D, Wan A, McPhee M, Tucker K, Hug F. Reliability of abdominal muscle stiffness measured using elastography during trunk rehabilitation exercises. Ultrasound Med Biol. 2016;42(4):1018–25.CrossRef MacDonald D, Wan A, McPhee M, Tucker K, Hug F. Reliability of abdominal muscle stiffness measured using elastography during trunk rehabilitation exercises. Ultrasound Med Biol. 2016;42(4):1018–25.CrossRef
26.
Zurück zum Zitat Alfuraih AM, O'Connor P, Hensor E, Tan AL, Emery P, Wakefield RJ. The effect of unit, depth, and probe load on the reliability of muscle shear wave elastography: variables affecting reliability of SWE. J Clin Ultrasound. 2018;46(2):108–15.CrossRef Alfuraih AM, O'Connor P, Hensor E, Tan AL, Emery P, Wakefield RJ. The effect of unit, depth, and probe load on the reliability of muscle shear wave elastography: variables affecting reliability of SWE. J Clin Ultrasound. 2018;46(2):108–15.CrossRef
Metadaten
Titel
High school male basketball athletes exhibit greater hamstring muscle stiffness than females as assessed with shear wave elastography
verfasst von
April L. McPherson
Takashi Nagai
Nathan D. Schilaty
Rena Hale
Timothy E. Hewett
Nathaniel A. Bates
Publikationsdatum
03.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 8/2020
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-020-03397-w

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