剪切波弹性成像定量评估正常青年人踝关节不同角度时小腿三头肌硬度变化
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1.长春中医药大学;2.长春中医药大学附属第三临床医院

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吉林省中医药科技项目(编号2024055)


Shear wave elastography was used to evaluate the effect of ankle Angle on the stiffness of triceps calf in young adults
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Changchun University of Chinese Medicine

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TCM Science and Technology Projects in Jilin Province

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    摘要:

    目的 探讨应用剪切波弹性成像(SWE)定量评估健康青年人腓肠肌内侧头(MG)、腓肠肌外侧头(LG)和比目鱼肌(Sol)在不同踝关节角度下的硬度改变情况。方法 选取50名青年健康志愿者纳入研究,在其俯卧位膝关节完全伸展的姿势下应用SWE对其小腿三头肌分别进行硬度测量,改变踝关节角度为背伸(DF)10°、解剖中立位(NE)0°、跖屈(PF)30°和跖屈(PF)50°,记录剪切波速度(SWV)并进行统计学分析。结果 (1)俯卧位膝关节完全伸展,踝关节DF10°、NE0°、PF30°和PF50°时同侧MG的SWV 分别为[(5.12±1.13)m/s、(3.98±0.73)m/s、(2.24±0.31)m/s 、(2.46±1.38)m/s],LG的SWV分别为 [(4.60±0.83)m/s 、(3.57±0.57)m/s、(2.29±0.40)m/s 、(2.43±0.51)m/s],其中PF30°和PF50°组间,LG硬度改变无统计学差异( P>0.05)。(2)踝关节DF10°组Sol硬度大于PF30°和NE0°组,差异有统计学意义(P<0.05);PF50°组Sol硬度大于PF30°和NE0°组,差异有统计学意义(P<0.01)(3)双下肢在相同踝关节角度下,惯用腿侧与非惯用腿侧小腿三头肌SWV差异无统计学意义。(4)男女组小腿三头肌随着踝关节角度发生硬度变化的趋势相同,MG在踝关节NE0°与DF10°组男性的被动关节硬度明显高于女性(P < 0.01);LG在踝关节DF10°组男性的被动关节硬度明显高于女性(P < 0.01)。结论 SWE可对小腿三头肌肌肉硬度进行客观评价,小腿三头肌硬度改变与踝关节角度相关,因此检查时应注意踝关节角度对小腿三头肌硬度的影响。

    Abstract:

    Objective To quantitatively evaluate the stiffness changes of the medial head of gastrocnemius (MG), lateral head of gastrocnemius (LG) and soleus (Sol) at different ankle angles by shear wave elastography (SWE) in healthy young adults.Methods A total of 50 healthy young volunteers were recruited for this study. They were placed in the prone position with the knee fully extended, and the ankle joint angle was changed to dorsiflexion 10°, neutral position 0°, plantarflexion 30° and plantarflexion 50°. SWE was used to measure the hardness of triceps crus, and statistical analysis was performed. Results (1) In the prone position with the knee in full extension, the SWV of the MG was [(5.12±1.13) m/s, (3.98±0.73) m/s, (2.24±0.31) m/s, (2.46±1.38) m/s] and that of the LG was [(4.60±0.83) m/s, (3.57±0.57) m/s, (2.29±0.40) m/s, (2.43±0.51) m/s], at the ankle joints of DF10°, NE0°, PF30°, and PF50°respectively.There was no statistically significant difference in the change of LG stiffness between the PF30° and PF50°groups (P>0.05).(2) Sol stiffness in ankle DF10°group was greater than that in PF30°and NE0°groups, with statistically significant differences (P < 0.05); Sol stiffness in PF50°group was greater than that in PF30°and NE0°groups, with statistically significant differences (P < 0.01).(3) There was no statistically significant difference in SWV values for the dominant versus non-dominant leg sides under similar ankle joint angles. (4) Both male and female groups exhibited similar trends in calf muscle stiffness changes with varying ankle joint angles; however, passive joint stiffness of MG in males was significantly higher than that in females during NE0°and DF10°ankle positions; similarly, LG showed significantly higher passive joint stiffness in males compared to females during DF10°ankle positions.Conclusions SWE can objectively evaluate the triceps muscle stiffness. The changes of triceps muscle stiffness are related to the ankle joint Angle. Therefore, attention should be paid to the effect of ankle joint Angle on triceps muscle stiffness.

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刘一霖,李玉娟.剪切波弹性成像定量评估正常青年人踝关节不同角度时小腿三头肌硬度变化[J].临床超声医学杂志,2025,27(2):155-160

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  • 收稿日期:2024-05-19
  • 最后修改日期:2024-06-13
  • 录用日期:2024-09-20
  • 在线发布日期: 2025-03-04
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