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使用剪切波弹性成像和肌张力计评估衰老对肌肉僵硬度的影响。

Assessing the Effects of Aging on Muscle Stiffness Using Shear Wave Elastography and Myotonometer.

作者信息

Do Yerim, Lall Prarthana Sanya, Lee Haneul

机构信息

Department of Physical Therapy, College of Health Science, Gachon University, 191 Hambangmoe-ro, Yeonsu-gu, Incheon 21936, Korea.

出版信息

Healthcare (Basel). 2021 Dec 14;9(12):1733. doi: 10.3390/healthcare9121733.

Abstract

The current study investigated the differences in muscle stiffness between older and young adults at rest and during contraction. We also evaluated the differences in muscle stiffness assessments using a myotonometer (MyotonPRO) and shear wave elastography (SWE). Twenty-two older adults (mean age, 66.6 ± 1.6 years) and 23 young adults (mean age, 66.6 ± 1.6 years) participated in this study. Muscle stiffness of the tibialis anterior (TA) and medial gastrocnemius (MG) muscles at rest and during contraction were measured using SWE and the MyotonPRO. The stiffness increase rate (SIR) was also calculated to determine the absolute stiffness difference. The mean muscle stiffness of the TA and MG muscles was significantly lower in older adults than in young adults at rest and during contraction ( < 0.05). Similarly, the SIR values of the TA and MG were significantly lower in older adults than in young adults ( < 0.05). Our results indicate that both instruments could be used to quantify muscle stiffness changes and serve as a cornerstone for assessing aging-related losses in muscle function. Stiffness measures may help exercise professionals to develop an in-depth understanding of muscle impairment at the tissue level.

摘要

本研究调查了老年人和年轻人在静息状态及收缩过程中肌肉僵硬度的差异。我们还评估了使用肌张力计(MyotonPRO)和剪切波弹性成像(SWE)进行肌肉僵硬度评估的差异。22名老年人(平均年龄66.6±1.6岁)和23名年轻人(平均年龄22.8±1.6岁)参与了本研究。使用SWE和MyotonPRO测量了静息状态及收缩过程中胫骨前肌(TA)和腓肠肌内侧头(MG)的肌肉僵硬度。还计算了僵硬度增加率(SIR)以确定绝对僵硬度差异。在静息状态及收缩过程中,老年人TA和MG肌肉的平均肌肉僵硬度显著低于年轻人(<0.05)。同样,老年人TA和MG的SIR值也显著低于年轻人(<0.05)。我们的结果表明,这两种仪器均可用于量化肌肉僵硬度变化,并作为评估与衰老相关的肌肉功能丧失的基石。僵硬度测量可能有助于运动专业人员在组织水平上深入了解肌肉损伤情况。

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