Contractile Properties of Erector Spinae in Patients with Chronic Nonspecific Low Back Pain: Based on Tensiomyography / 中国康复理论与实践

Objective:To analyze the contractile properties of the lumbar erector spinae in patients with chronic nonspecific low back pain (CNLBP), and to explore their correlation with pain and dysfunction. Methods:From January to June, 2020, 24 patients with CNLBP in the outpatient and the ward of geriatric rehabilitation medicine department and 26 asymptomatic volunteers were included. Their contractile properties of the lumbar erector spinae were measured with tensiomyography, including maximum radial muscle displacement (Dm), contraction time (Tc), delay time (Td), sustain time (Ts), half-time relaxation (Tr) and lateral symmetry (LS). The contraction velocity (VC) was calculated. Potential associations of tensiomyography parameters to Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were assessed using correlation analysis. Results:No significant differences were found in Td, Ts, Tc, Tr and LS between two groups (P > 0.05). Dm and Vc were significantly lower in both sides of CNLBP group than in the control group (t > 2.058, P < 0.01). Dm or Vc were not correlated with VAS and ODI (P > 0.05). Conclusion:Erector spinae are stiff and fatiguable in patients with CNLBP, however, they are not associated with pain and dysfunction. Tensiomyography could be used for accurate diagnosis and treatment of CNLBP.

Influence of Altitude and Environmental Temperature on Muscle Functional and Mechanical Activation After 30' Time Trial Run / Influencia de la altitud y la temperatura ambiental en la activación muscular mecánica y funcional posterior a una carrera contrarreloj de 30' / Influência da altitude e da temperatura ambiental na ativação muscular mecânica e funcional depois de uma corrida de velocidade de 30'

Abstract: The purpose of this study was to explore the influence of altitude and environmental temperature on muscle mechanical and functional activation after 30' Time Trial run (30' TT). Twenty physical active males (Age= 20.4 ±3.21 years, VO2max= 47.2 ±5.2 ml/kg/min) performed a 30' TT in three different conditions of altitude and temperature: Control Condition [CC] (1137 m.a.s.l. at 26 ±1.5°C), Heat-Low Condition [HLC] (3 m.a.s.l. at 30.5 ±0.6°C), and Cool-High Condition [CHC] (2369 m.a.s.l. at 14.2 ±0.6°C). Tensiomyography (TMG), Countermovement Jump (CMJ), and Delayed Onset Muscle Soreness (DOMS) were measured pre and post running. During the 30' TT, distance, speed, heart rate (HR), rate of perceived exertion (RPE), and thermal index (WBGT) were measured. Results show a significant decrease in body weight and a significant increase in DOMS and jump height in CMJ after running in each condition. TMG responses increased maximum radial muscle displacement (Dm) and decreased muscle contraction time (Tc) both rectus and biceps femoris muscles after running. During the 30' TT, the results did not show a significant difference in RPE, HR, distance, and speed among conditions. In conclusion, altitude and temperature seem not to significantly affect the mechanical and functional responses 30' TT, despite the tendency of HLC to decrease both activation and performance.

Resumen: El objetivo de este estudio fue determinar si la altitud y la temperatura ambiental influyen en la activación funcional y mecánica, en el nivel muscular, después de 30' de carrera contrarreloj. Veinte hombres físicamente activos (edad = 20,4 ± 3,21 años, VO2máx = 47,2 ± 5,2 ml/kg/min) realizaron 30' de carrera contrarreloj (30'TT) en tres diferentes condiciones de altitud y temperatura: condición control [CC] (1137 msnm, 26 ± 1.5 °C), condición caja y calor [HLC] (3 msnm, 30.5 ± 0.6 °C) y condición de altura y frío [CHC] (2369 msnm, 14.2 ± 0.6 °C). Tensiomiografía (TMG), salto contramovimiento (CMJ) y dolor muscular de aparición tardía (DOMS) se midieron antes y después de la carrera. Durante los 30'TT, se calcularon la distancia, la velocidad, la frecuencia cardíaca (FC), el esfuerzo percibido (RPE) y el índice de estrés térmico (WBGT). Los principales resultados muestran una disminución significativa en el peso corporal y un aumento significativo tanto en el DOMS como en la altura de salto en CMJ, después de correr en cada condición. Las respuestas de TMG aumentaron el desplazamiento muscular radial máximo (Dm) y el tiempo de contracción muscular (Tc), en el recto femoral y en el bíceps femoral, luego de correr. Durante el 30'TT, los resultados no mostraron una diferencia significativa en el RPE, la FC, distancia y velocidad entre las condiciones. En conclusión, la altitud y la temperatura parecen no afectar significativamente las respuestas mecánicas y funcionales después de 30' de carrera contrarreloj, a pesar de la tendencia de la condición HLC de disminuir la activación y el desempeño de la prueba.

Resumo: O objetivo deste estudo foi determinar se a temperatura ambiente e a altitude influenciam a ativação funcional e mecânica a nível muscular após 30' de corrida de velocidade. Vinte homens fisicamente ativos (idade = 20,4 ± 3,21 anos, VO2máx = 47,2 ± 5,2 ml / kg / min) realizaram 30' de corrida de velocidade (30´TT) em três condições diferentes de altitude e temperatura: Condição de controle [CC] (1137 msnm, 26 ± 1,5 ° C, Condição do corpo e calor [HLC] (3 msnm, 30,5 ± 0,6 ° C) e condição de altura e frio [CHC] (2369 msnm, 14,2 ± 0,6). Os valores de Tensiomiografia (TMG), salto de contra movimento (CMJ) e dor muscular de início tardio (DOMS) foram medidos antes e depois da corrida. Durante 30' TT, a distância, a velocidade e a frequência foram medidas, como também a frequência cardíaca (FC), o esforço percebido (RPE) e o índice de cansaço térmico (WBGT). Os principais resultados mostram uma diminuição significativa no peso corporal e um aumento significativo no DOMS e na altura do salto na CMJ, após a corrida em cada condição. As respostas da TMG aumentaram o deslocamento muscular radial máximo (Dm) e o tempo do músculo contraído (Tc) no reto femoral e bíceps femoral, após a corrida. Durante o 30'TT, os resultados não mostraram diferença significativa na RPE, na FC, na distância e na velocidade entre as condições. Em conclusão, altitude e temperatura parecem não afetar significativamente as respostas mecânicas e funcionais após 30 minutos de corrida de velocidade, apesar da tendência da condição HLC de diminuir a ativação e o desempenho do teste.

Evaluation of Reliability of Tensiomyography Measurement / 대한스포츠의학회지

PURPOSE: This study is designed to evaluate the reliability for studies of tensiomyography (TMG). TMG can evaluate muscle function noninvasively and selectively. METHODS: We measured 12 male volunteers (age, 26.5±7.6 years; height, 175.3±4.7 cm; weight, 78.8±13.3 kg) in this study and measured TMG during three occasions over 3 consecutive days. None of the participants has had any history of neuromuscular disorders or muscle diseases. Vastus lateralis, vastus medialis (VM), rectus femoris (RF) in quadriceps and biceps femoris, semitendinosus in hamstrings muscles were measured. Coefficient of variation (CV%) and intraclass correlation coefficient (ICC) have been calculated about maximal displacement (Dm, mm) and contraction time (Tc, ms) which are main parameters. RESULTS: Most of the ICC of Dm were over 0.8 and the highest among the muscles except both VM. And, most ICC of Tc was lower than Dm except both BF (right, 18.31; left, 15.03). But, the ICC of Tc was lower than Dm except left RF (0.890) and VM (0.859). CONCLUSION: This study has shown that the Dm is high levels of the ICC and CV(%) in thigh muscle except VM. In the future, we plan to establish the method of measurement more clearly for reducing the errors of measurements. The technique of correct palpation of measurable muscles using TMG devices is also necessary.

Analysis of Lower Extremity Contraction According to Gender Using Tensiomyography / 대한스포츠의학회지

Tensiomyography (TMG) is used to evaluate the contraction characteristics of the thigh muscles according to gender. Our hypothesis is that male's maximal displacement (Dm) will be lower than the control because the Dm increases when the muscle becomes stiff or hypertrophied. TMG evaluated 15 males and 12 females. The biceps femoris, semitendinosus, vastus lateralis, vastus medialis, and rectus femoris were evaluated. The TMG parameters obtained for each muscle were Dm and contraction time (Tc). And we calculated contraction velocity (Vc) as the rate of the radial displacement occurring during the time period of Tc with respect to Tc. Dm and Vc values of biceps femoris muscles were significantly lower in males than in controls, whereas Dm and Vc values of vastus medialis muscles were significantly lower in females than males. The Tc values of males were significantly higher in right and bilateral sum than females. This is the first report on TMG assessment by gender. We found that it is the most effective in finding muscle contraction characteristics according to gender and can induce the difference between the Dm and Vc of each muscle.

Analysis of Bodybuilder's Skeletal Muscle Characteristics Using Tensiomyography / 대한스포츠의학회지

The aim of this study is to evaluate the contractile properties of thigh muscles in bodybuilders through tensiomyography (TMG). Our hypothesis is that maximal displacement (Dm) in bodybuilders would be lower than in controls because Dm is increased when the muscle is stiffed or hypertrophied. Nine bodybuilder athletes and 15 university students were assessed by TMG. The biceps femoris (BF), semitendinosus (ST), vastus lateralis, vastus medialis (VM), and rectus femoris (RF) were evaluated. The TMG parameters obtained for each muscle were Dm, contraction time (Tc). And we calculated contraction velocity (Vc) as the rate of the radial displacement occurring during the time period of Tc with respect to Tc. Dm values of all muscles in bodybuilders were significantly higher compared to the control group. There were no significant differences in Tc values of most muscles except right BF and ST muscles. Vc values of VM, RF, and ST muscles were lower in bodybuilders than in the control group. This is the first report about TMG assessment of muscle hypertrophy. We found that Dm was most effective in detecting muscle hypertrophy and muscle stiffness secondary to muscle hypertrophy could induce decrease in Dm and Vc.

A Novel Method for the Assessment of Muscle Injuries / 대한스포츠의학회지

Muscle injuries are very common in sports fields so diagnosis and prevention of them are as important as treatment in sports medicine. Many other devices for muscle diagnostics are provided, but non-invasiveness, cost, validity and reliability become a good measure of diagnosing and monitoring athletes. Tensiomyography (TMG) has been developed in the late 1980s to evaluate deficient muscle initially, and it was introduced into sports medicine and athletic training. It is a simple to use selective and non-invasive for measuring a skeletal muscle response. The method is based on the measurement of the radial displacement of muscle belly, which is caused by an electrical stimulator. The displacement is measured with an electric sensor which is connected to a computer system. It gives the information of maximal displacement of the belly (Dm) with following time parameters: delay time, contraction time (Tc), sustain time, and relaxation time. TMG studies usually focus on two common parameters: Tc and Dm. An increase in Tc indicates a muscle with a predominance of slow-twitch fibers. A decrease in Dm indicates an increase in muscle stiffness or tone. Other studies have been mainly associated with physiological characteristics of muscles, risk factors for muscle or ligament injuries, muscle fatigue, and muscle diseases such as multiple sclerosis. We think the application of TMG to the sports field can reduce the risk of sports injuries and increase performance of athletes. In medical field, it allows functional diagnosis of muscle strain, monitoring rehabilitation, and modifying treatment strategy effectively.

Evaluation and Application of Muscle Injuries Using Tensiomyography / 대한스포츠의학회지

Tensiomyography (TMG) is known as non-invasive method which assesses the muscular characteristics such as contraction velocity or maximal displacement of the belly. The aim of this study was to evaluate muscular responses by TMG after muscle injury and to introduce using TMG first in Korea. This study was performed with a subject who was diagnosed with muscular injury and consent measuring and following up TMG analyses. A female patient, who was diagnosed left hip adductor muscle strain, underwent magnetic resonance imaging (MRI) and TMG at intervals of two weeks. We obtained decreased in displace maximum (Dm, 4.14 vs. 5.69) and altered curve shape in the injured muscle at the initial TMG assessment in comparison to the non-injured side. After two weeks, MRI findings and symptom were improved and Dm in the injured side increased as in the non-injured muscle. These findings suggest that a decrease in Dm indicate increased in muscle stiffness after muscle injury, and an increase in Dm as in the non-injured side after two weeks indicate recovered status. TMG may be useful as a simple and non-invasive device for monitoring muscle function after muscle injury and during the recovery.

Tensiomiografia utilizada para a avaliação de jogadores de vôlei de praia de alto nível / The tensiomyography used for evaluating high level beach volleyball players

OBJETIVO: Esta investigação tem por objetivo coletar dados sobre rigidez muscular, as propriedades mecânicas e contráteis dos músculos utilizando a TMG em jogadores de vôlei de praia de alto nível, assim como demonstrar a utilidade deste método para a avaliação dos músculos responsáveis pela flexão e extensão do joelho. MÉTODOS: A investigação foi conduzida com um grupo de 24 jogadores de vôlei de praia os quais participaram do Torneio Europeu Nestea - Master Espanhol realizado nas Ilhas Grâ-Canárias em maio de 2009. O método de estudo utilizado foi comparação de casos individuais de vários atletas com a finalidade de verificar a utilidade deste método em esportes. Os músculos analisados foram: vasto lateral (VL), vasto medial (ML), reto femoral (RF) e bíceps femoral (BF). RESULTADOS: As informações coletadas nos certificam sobre o alto grau de utilidade deste método para avaliação da rigidez muscular e equilíbrio entre estruturas musculares de atletas. Contudo, a validade e reconstrução dos resultados estão condicionadas a um severo protocolo de avaliação. Além disso, os seguintes critérios devem ser considerados: individualidade (o perfil do atleta) e especificações (características do esporte). CONCLUSÕES: A aplicação da TMG em jogadores de alto nível revela a existência de importantes diferenças dependendo de suas funções em jogo (defesa, bloqueio ou alternância entre ambas as posições), as ações técnicas, a posição em quadra (direita-esquerda) e o histórico de lesões médicas.

OBJECTIVE: The aim of this investigation is to obtain information about muscle stiffness, the mechanic and contractile properties of the muscles using the TMG with high level beach volleyball players as well as to demonstrate the usefulness of this method to evaluate the muscles in charge of the knee flexion and extension. METHODS: The investigation was carried out with a group of 24 beach volleyball players who took part in the Nestea European Championship Tour - Spanish Master held in the Gran Canaria, May 2009. The method of study used was a comparison of the individual cases of various athletes to ascertain the usefulness of this method in sports. The muscles which were analyzed are: vastus lateralis (VL), vastus medialis (ML), rectus femoris (RF) and biceps femoris (BF). RESULTS: Thus, with the information collected we can state the high level of usefulness of this method for the evaluation of muscle stiffness and balance between muscle structures of athletes. However, the validity and reconstruction of the results are conditioned to a strict protocol of evaluation. Moreover, the following criteria should be considered: individuality (the athlete's profile) and specifications (sport characteristics). CONCLUSIONS: The application of the TMG to high level players reveals the existence of important differences depending on their different roles in the game (defence, blocker or alternating both roles), the technical actions, the position on court (right-left) and the medical history of injuries.