Skip to main content
Erschienen in: Skeletal Radiology 5/2013

01.05.2013 | Scientific Article

Shear wave elastography properties of vastus lateralis and vastus medialis obliquus muscles in normal subjects and female patients with patellofemoral pain syndrome

verfasst von: Huseyin Botanlioglu, Fatih Kantarci, Gokhan Kaynak, Yelda Unal, Sema Ertan, Onder Aydingoz, Rifat Erginer, Mehmet Can Unlu, Ismail Mihmanli, Muharrem Babacan

Erschienen in: Skeletal Radiology | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Objective

The aim of our study was to define and compare the mechanical properties of the vastus lateralis (VL) and vastus medialis obliquus muscles (VMO) by the way of quantitative shear-wave elastography in male and female healthy control (HC) subjects, and in female patients with patellofemoral pain syndrome (PFPS).

Materials and methods

Twenty-two healthy volunteers (11 male and 11 female) and 11 female patients with anterior knee pain were included in the study. The SWE examinations for VL and VMO were performed while the subjects were performing open kinetic chain exercises in neutral and 30° hip abduction. The contraction capacity (CC) and contraction ratio (CR) values were determined in resting and contraction phases in both hip positions.

Results

The mean elasticity values in the CC for VL and VMO muscles were significantly higher in male HC subjects when compared to female HC subjects (p < 0.05). The CR of the VL muscle in female patients with PFPS was not significantly different than the female HC group. The CR for the VMO muscle was significantly lower in female patients with PFPS when compared to female HC subjects (p < 0.05).

Conclusions

We found a significant VMO weakness, and this method may provide quantitative data that might influence the diagnosis of muscle weakness, in female patients with PFPS.
Literatur
1.
Zurück zum Zitat Avraham F, Aviv S, Ya’akobi P, et al. The efficacy of treatment of different intervention programs for patellofemoral pain syndrome—a single blinded randomized clinical trial. Pilot study. Sci World J. 2007;24:1256–62.CrossRef Avraham F, Aviv S, Ya’akobi P, et al. The efficacy of treatment of different intervention programs for patellofemoral pain syndrome—a single blinded randomized clinical trial. Pilot study. Sci World J. 2007;24:1256–62.CrossRef
2.
Zurück zum Zitat Chiu JK, Wong YM, Yung PS, et al. The effects of quadriceps strengthening on pain, function, and patellofemoral joint contact area in persons with patellofemoral pain. Am J Phys Med Rehabil. 2012;91:98–106.PubMedCrossRef Chiu JK, Wong YM, Yung PS, et al. The effects of quadriceps strengthening on pain, function, and patellofemoral joint contact area in persons with patellofemoral pain. Am J Phys Med Rehabil. 2012;91:98–106.PubMedCrossRef
3.
Zurück zum Zitat Harvie D, O’Leary T, Kumar S. A systematic review of randomized controlled trials on exercise parameters in the treatment of patellofemoral pain: what works? J Multidiscip Healthc. 2011;4:383–92.PubMed Harvie D, O’Leary T, Kumar S. A systematic review of randomized controlled trials on exercise parameters in the treatment of patellofemoral pain: what works? J Multidiscip Healthc. 2011;4:383–92.PubMed
4.
Zurück zum Zitat Wong YM, Ng GY. The relationships between the geometrical features of the patellofemoral joint and patellar mobility in able-bodied subjects. Am J Phys Med Rehabil. 2008;87:134–8.PubMedCrossRef Wong YM, Ng GY. The relationships between the geometrical features of the patellofemoral joint and patellar mobility in able-bodied subjects. Am J Phys Med Rehabil. 2008;87:134–8.PubMedCrossRef
5.
Zurück zum Zitat Mascal CL, Landel R, Powers C. Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports. J Orthop Sports Phys Ther. 2003;33:647–60.PubMed Mascal CL, Landel R, Powers C. Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports. J Orthop Sports Phys Ther. 2003;33:647–60.PubMed
6.
Zurück zum Zitat Cowan SM, Bennell KL, Crossley KM, et al. Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome. Med Sci Sports Exerc. 2002;34:1879–85.PubMedCrossRef Cowan SM, Bennell KL, Crossley KM, et al. Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome. Med Sci Sports Exerc. 2002;34:1879–85.PubMedCrossRef
7.
Zurück zum Zitat Cowan SM, Bennell KL, Hodges PW, et al. Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2001;82:183–9.PubMedCrossRef Cowan SM, Bennell KL, Hodges PW, et al. Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2001;82:183–9.PubMedCrossRef
8.
Zurück zum Zitat Sakai N, Luo ZP, Rand JA, et al. The influence of weakness in the vastus medialis oblique muscle on the patellofemoral joint: an in vitro biomechanical study. Clin Biomech (Bristol, Avon). 2000;15:335–9.CrossRef Sakai N, Luo ZP, Rand JA, et al. The influence of weakness in the vastus medialis oblique muscle on the patellofemoral joint: an in vitro biomechanical study. Clin Biomech (Bristol, Avon). 2000;15:335–9.CrossRef
9.
Zurück zum Zitat Syme G, Rowe P, Martin D, et al. Disability in patients with chronic patellofemoral pain syndrome: a randomised controlled trial of VMO selective training versus general quadriceps strengthening. Man Ther. 2009;14:252–63.PubMedCrossRef Syme G, Rowe P, Martin D, et al. Disability in patients with chronic patellofemoral pain syndrome: a randomised controlled trial of VMO selective training versus general quadriceps strengthening. Man Ther. 2009;14:252–63.PubMedCrossRef
10.
Zurück zum Zitat Gennisson JL, Deffieux T, Macé E, et al. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010;36:789–801.PubMedCrossRef Gennisson JL, Deffieux T, Macé E, et al. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010;36:789–801.PubMedCrossRef
11.
Zurück zum Zitat Beck TW, Housh TJ, Johnson GO, et al. Mechanomyographic and electromyographic responses during submaximal to maximal eccentric isokinetic muscle actions of the biceps brachii. J Strength Cond Res. 2006;20:184–91.PubMed Beck TW, Housh TJ, Johnson GO, et al. Mechanomyographic and electromyographic responses during submaximal to maximal eccentric isokinetic muscle actions of the biceps brachii. J Strength Cond Res. 2006;20:184–91.PubMed
12.
Zurück zum Zitat Malek MH, Coburn JW. The utility of electromyography and mechanomyography for assessing neuromuscular function: a noninvasive approach. Phys Med Rehabil Clin N Am. 2012;23:23–32.PubMedCrossRef Malek MH, Coburn JW. The utility of electromyography and mechanomyography for assessing neuromuscular function: a noninvasive approach. Phys Med Rehabil Clin N Am. 2012;23:23–32.PubMedCrossRef
13.
Zurück zum Zitat Bensamoun SF, Ringleb SI, Littrell L, et al. Determination of thigh muscle stiffness using magnetic resonance elastography. J Magn Reson Imaging. 2006;23:242–7.PubMedCrossRef Bensamoun SF, Ringleb SI, Littrell L, et al. Determination of thigh muscle stiffness using magnetic resonance elastography. J Magn Reson Imaging. 2006;23:242–7.PubMedCrossRef
14.
Zurück zum Zitat Van Campen A, De Groote F, Bosmans L, et al. Functional knee axis based on isokinetic dynamometry data: Comparison of two methods, MRI validation, and effect on knee joint kinematics. J Biomech. 2011;13:2595–600.CrossRef Van Campen A, De Groote F, Bosmans L, et al. Functional knee axis based on isokinetic dynamometry data: Comparison of two methods, MRI validation, and effect on knee joint kinematics. J Biomech. 2011;13:2595–600.CrossRef
15.
Zurück zum Zitat Qi L, Wakeling JM, Ferguson-Pell M. Spectral properties of electromyographic and mechanomyographic signals during dynamic concentric and eccentric contractions of the human biceps brachii muscle. J Electromyogr Kinesiol. 2011;21:1056–63.PubMedCrossRef Qi L, Wakeling JM, Ferguson-Pell M. Spectral properties of electromyographic and mechanomyographic signals during dynamic concentric and eccentric contractions of the human biceps brachii muscle. J Electromyogr Kinesiol. 2011;21:1056–63.PubMedCrossRef
16.
Zurück zum Zitat Schreiber JU, Mucha E, Fuchs-Buder T. Acceleromyography to assess neuromuscular recovery: is calibration before measurement mandatory? Acta Anaesthesiol Scand. 2011;55:328–31.PubMedCrossRef Schreiber JU, Mucha E, Fuchs-Buder T. Acceleromyography to assess neuromuscular recovery: is calibration before measurement mandatory? Acta Anaesthesiol Scand. 2011;55:328–31.PubMedCrossRef
17.
Zurück zum Zitat Chester R, Smith TO, Sweeting D, et al. The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2008;1:64.CrossRef Chester R, Smith TO, Sweeting D, et al. The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2008;1:64.CrossRef
18.
Zurück zum Zitat Smith TO, Bowyer D, Dixon J, et al. Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies. Physiother Theory Pract. 2009;25:69–98.PubMedCrossRef Smith TO, Bowyer D, Dixon J, et al. Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies. Physiother Theory Pract. 2009;25:69–98.PubMedCrossRef
19.
Zurück zum Zitat Gennisson JL, Cornu C, Catheline S, et al. Human muscle hardness assessment during incremental isometric contraction using transient elastography. J Biomech. 2005;38:1543–50.PubMedCrossRef Gennisson JL, Cornu C, Catheline S, et al. Human muscle hardness assessment during incremental isometric contraction using transient elastography. J Biomech. 2005;38:1543–50.PubMedCrossRef
20.
Zurück zum Zitat Davis J, Kaufmann KR, Lieber RL. Correlation between active and passive isometric force and intramuscular pressure in the isolated rabbit tibialis anterior muscle. J Biomech. 2003;36:505–12.PubMedCrossRef Davis J, Kaufmann KR, Lieber RL. Correlation between active and passive isometric force and intramuscular pressure in the isolated rabbit tibialis anterior muscle. J Biomech. 2003;36:505–12.PubMedCrossRef
21.
Zurück zum Zitat Nordez A, Hug F. Muscle shear elastic modulus measured using supersonic shear imaging is highly related to muscle activity level. J Appl Physiol. 2010;108:1389–94.PubMedCrossRef Nordez A, Hug F. Muscle shear elastic modulus measured using supersonic shear imaging is highly related to muscle activity level. J Appl Physiol. 2010;108:1389–94.PubMedCrossRef
22.
Zurück zum Zitat Antich TJ, Brewster CE. Modification of quadriceps femoris muscle exercises during knee rehabilitation. Phys Ther. 1986;66:1246–51.PubMed Antich TJ, Brewster CE. Modification of quadriceps femoris muscle exercises during knee rehabilitation. Phys Ther. 1986;66:1246–51.PubMed
23.
Zurück zum Zitat Bose K, Kanagasuntheram R, Osman MBH. Vastus medialis oblique: an anatomic and physiologic study. Orthopedics. 1980;3:880–3. Bose K, Kanagasuntheram R, Osman MBH. Vastus medialis oblique: an anatomic and physiologic study. Orthopedics. 1980;3:880–3.
24.
Zurück zum Zitat Shinohara M, Sabra K, Gennisson JL, et al. Real-time visualization of muscle stiffness distribution with ultrasound shear wave imaging during muscle contraction. Muscle Nerve. 2010;42:438–41.PubMedCrossRef Shinohara M, Sabra K, Gennisson JL, et al. Real-time visualization of muscle stiffness distribution with ultrasound shear wave imaging during muscle contraction. Muscle Nerve. 2010;42:438–41.PubMedCrossRef
25.
Zurück zum Zitat Witvrouw E, Werner S, Mikkelsen C, et al. Clinical classification of patellofemoral pain syndrome: guidelines for non-operative treatment. Knee Surg Sports Traumatol Arthrosc. 2005;13:122–30.PubMedCrossRef Witvrouw E, Werner S, Mikkelsen C, et al. Clinical classification of patellofemoral pain syndrome: guidelines for non-operative treatment. Knee Surg Sports Traumatol Arthrosc. 2005;13:122–30.PubMedCrossRef
26.
Zurück zum Zitat Jan MH, Lin DH, Lin JJ, et al. Differences in sonographic characteristics of the vastus medialis obliquus between patients with patellofemoral pain syndrome and healthy adults. Am J Sports Med. 2009;37:1743–9.PubMedCrossRef Jan MH, Lin DH, Lin JJ, et al. Differences in sonographic characteristics of the vastus medialis obliquus between patients with patellofemoral pain syndrome and healthy adults. Am J Sports Med. 2009;37:1743–9.PubMedCrossRef
27.
Zurück zum Zitat LaBella C. Patellofemoral pain syndrome: evaluation and treatment. Prim Care. 2004;31:977–1003.PubMedCrossRef LaBella C. Patellofemoral pain syndrome: evaluation and treatment. Prim Care. 2004;31:977–1003.PubMedCrossRef
28.
Zurück zum Zitat Zappala FG, Taffel CB, Scuderi GR. Rehabilitation of patellofemoral joint disorders. Orthop Clin N Am. 1992;23:555–66. Zappala FG, Taffel CB, Scuderi GR. Rehabilitation of patellofemoral joint disorders. Orthop Clin N Am. 1992;23:555–66.
Metadaten
Titel
Shear wave elastography properties of vastus lateralis and vastus medialis obliquus muscles in normal subjects and female patients with patellofemoral pain syndrome
verfasst von
Huseyin Botanlioglu
Fatih Kantarci
Gokhan Kaynak
Yelda Unal
Sema Ertan
Onder Aydingoz
Rifat Erginer
Mehmet Can Unlu
Ismail Mihmanli
Muharrem Babacan
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 5/2013
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-012-1520-4

Weitere Artikel der Ausgabe 5/2013

Skeletal Radiology 5/2013 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.