Influence of limb position on assessment of nerve mechanical properties by using shear wave ultrasound elastography.

Abstract:

INTRODUCTION:Evaluation of nerve mechanical properties has the potential to improve assessment of nerve impairment. Shear wave velocity, as measured by using shear wave (SW) ultrasound elastography, is a promising indicator of nerve mechanical properties such as stiffness. However, elucidation of external factors that influence SW velocity, particularly nerve tension, is required for accurate interpretations. METHODS:Median and ulnar nerve SW velocities were measured at proximal and distal locations with limb positions that indirectly altered nerve tension. RESULTS:Shear wave velocity was greater at proximal and distal locations for limb positions that induced greater tension in the median (mean increase proximal 89.3%, distal 64%) and ulnar (mean increase proximal 91.1%, distal 37.4%) nerves. DISCUSSION:Due to the influence of nerve tension when SW ultrasound elastography is used, careful consideration must be given to limb positioning.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Rugel CL,Franz CK,Lee SSM

doi

10.1002/mus.26842

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

616-622

issue

5

eissn

0148-639X

issn

1097-4598

journal_volume

61

pub_type

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