Ultrasound elastography: the new frontier in direct measurement of muscle stiffness.

Abstract:

:The use of brightness-mode ultrasound and Doppler ultrasound in physical medicine and rehabilitation has increased dramatically. The continuing evolution of ultrasound technology has also produced ultrasound elastography, a cutting-edge technology that can directly measure the mechanical properties of tissue, including muscle stiffness. Its real-time and direct measurements of muscle stiffness can aid the diagnosis and rehabilitation of acute musculoskeletal injuries and chronic myofascial pain. It can also help monitor outcomes of interventions affecting muscle in neuromuscular and musculoskeletal diseases, and it can better inform the functional prognosis. This technology has implications for even broader use of ultrasound in physical medicine and rehabilitation practice, but more knowledge about its uses and limitations is essential to its appropriate clinical implementation. In this review, we describe different ultrasound elastography techniques for studying muscle stiffness, including strain elastography, acoustic radiation force impulse imaging, and shear-wave elastography. We discuss the basic principles of these techniques, including the strengths and limitations of their measurement capabilities. We review the current muscle research, discuss physiatric clinical applications of these techniques, and note directions for future research.

journal_name

Arch Phys Med Rehabil

authors

Brandenburg JE,Eby SF,Song P,Zhao H,Brault JS,Chen S,An KN

doi

10.1016/j.apmr.2014.07.007

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

2207-19

issue

11

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)00501-2

journal_volume

95

pub_type

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