Isogai Kaoru, Okamoto Shogo, Asaba Takayuki, Ogusu Shogo, Shimizu Yusuke, Watanabe Takafumi, Yamada Yoji
Department of Physical Therapy, Faculty of Health and Medical Sciences, Tokoha University: 1230 Miyakoda-cho, Kita-ku, Hamamatsu-shi, Shizuoka 431-2102, Japan.
Department of Computer Science, Graduate School of System Design, Tokyo Metropolitan University, Japan.
J Phys Ther Sci. 2022 Dec;34(12):777-783. doi: 10.1589/jpts.34.777. Epub 2022 Dec 1.
[Purpose] Young's modulus distributions for subcutaneous and muscle tissues in a large sample of healthy individuals, based on ultrasonography and compression testing, remains uninvestigated till date. This study aimed to separately estimate the hardness of subcutaneous tissues and muscles in the human gluteal region under a range of loads in terms of mean Young's moduli and associated distributions. [Participants and Methods] Data of 21 males aged 20-22 years were acquired using synchronous compression testing and ultrasonography. Stress-strain curves comprised the loads applied (stress) were plotted against ultrasonographic changes in subcutaneous/muscle tissue thickness (strain). Young's moduli were calculated as slopes of approximation curves fitted to highly linear regions of the stress-strain curves. [Results] Young's moduli (mean ± standard deviation) for gluteal subcutaneous and muscle tissues were estimated as: 26.1 ± 19.0 kPa, 1-N load; 2,199.1 ± 1,354.8 kPa, 30-N load; and 62.2 ± 10.3 kPa, 5-N load; 440.4 ± 80.0 kPa, 30-N load, respectively. No correlation between any pair of these measures reached statistical significance. [Conclusion] Young's moduli were successfully measured for subcutaneous and muscle tissues in a large participant sample using ultrasonography and compression testing. Our results may serve as reference data when assessing tissue hardness by palpation.
[目的] 迄今为止,基于超声检查和压缩测试的大量健康个体皮下和肌肉组织的杨氏模量分布仍未得到研究。本研究旨在根据平均杨氏模量及相关分布,在一系列负荷下分别估计人体臀区皮下组织和肌肉的硬度。[参与者与方法] 对21名年龄在20 - 22岁的男性进行同步压缩测试和超声检查,获取数据。将施加的负荷(应力)与皮下/肌肉组织厚度的超声变化(应变)绘制应力 - 应变曲线。杨氏模量计算为拟合应力 - 应变曲线高度线性区域的近似曲线的斜率。[结果] 臀区皮下和肌肉组织的杨氏模量(平均值±标准差)估计如下:1N负荷时为26.1±19.0kPa;30N负荷时为2199.1±1354.8kPa;5N负荷时为62.2±10.3kPa;30N负荷时为440.4±80.0kPa。这些测量值中任意两两之间的相关性均未达到统计学显著性。[结论] 使用超声检查和压缩测试成功测量了大量参与者样本中皮下和肌肉组织的杨氏模量。我们的结果可作为通过触诊评估组织硬度时的参考数据。