Römer Claudia, Legerlotz Kirsten, Czupajllo Julia, Fischer Thomas, Wolfarth Bernd, Lerchbaumer Markus Herbert
Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany.
Movement Biomechanics, Institute of Sport Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany.
Diagnostics (Basel). 2023 Sep 15;13(18):2957. doi: 10.3390/diagnostics13182957.
Shear Wave Elastography (SWE) is currently used to detect tissue pathologies, i.e., tendinopathy. For preventive medicine, it is important to examine the sensitivity of SWE and to investigate how stiffness measures are affected by methodological variables. The aim of this study is to examine shear wave elastography (SWE) measures in order to compare the pre- and post-running values and to determine the correlation between the shear wave speed values (m/s). SWE examinations of the Achilles tendon (AT), soleus muscle (MS) and gastrocnemius muscle (MG)) were performed in 24 healthy professional female athletes. Measurements of the shear wave speed (m/s) were taken before and after incremental treadmill running until exhaustion. Correlations were investigated using the Pearson correlation coefficient and were examined for significance using the Student's -test. The pre- and post-exercise shear wave speed did not differ. The pre-exercise and post-exercise stiffness for MS (r = 0.613), MG (r = 0.609) and AT (r = 0.583) correlated strongly. The pre-exercise values and changes in stiffness showed a significant correlation ( < 0.001). In professional athletes, acute exercise induces different tissue stiffness changes in AT, MS and MG for each individual. Thus, exercise activity immediately prior to the SWE measurement needs to be factored in when evaluating tissue stiffness.
剪切波弹性成像(SWE)目前用于检测组织病变,即肌腱病。对于预防医学而言,检查SWE的敏感性并研究刚度测量如何受到方法学变量的影响非常重要。本研究的目的是检查剪切波弹性成像(SWE)测量值,以便比较跑步前后的值,并确定剪切波速度值(米/秒)之间的相关性。对24名健康的职业女性运动员的跟腱(AT)、比目鱼肌(MS)和腓肠肌(MG)进行了SWE检查。在递增式跑步机跑步至力竭前后测量剪切波速度(米/秒)。使用Pearson相关系数研究相关性,并使用学生t检验检查其显著性。运动前后的剪切波速度没有差异。MS(r = 0.613)、MG(r = 0.609)和AT(r = 0.583)运动前和运动后的刚度呈强相关。运动前的值与刚度变化呈显著相关(P < 0.001)。在职业运动员中,急性运动对每个个体的AT、MS和MG会引起不同的组织刚度变化。因此,在评估组织刚度时,需要考虑SWE测量前立即进行的运动活动。