06 Fakultät Luft- und Raumfahrttechnik und Geodäsie

Permanent URI for this collectionhttps://elib.uni-stuttgart.de/handle/11682/7

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Publication Type: search.filters.UBSTyp.ZeitschriftenartikelInstitute: search.filters.UBSInstitut.Institut für Statik und Dynamik der Luft- und RaumfahrtkonstruktionenAuthor: search.filters.author.Zimmer, Manuela

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Now showing 1 - 3 of 3
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    Characterization of muscle weakness due to myasthenia gravis using shear wave elastography
    (2023) Zimmer, Manuela; Kleiser, Benedict; Marquetand, Justus; Ates, Filiz
    Myasthenia gravis (MG) is often accompanied with muscle weakness; however, little is known about mechanical adaptions of the affected muscles. As the latter can be assessed using ultrasound shear wave elastography (SWE), this study characterizes the biceps brachii muscle of 11 patients with MG and compares them with that of 14 healthy volunteers. Simultaneous SWE, elbow torque and surface electromyography measurements were performed during rest, maximal voluntary contraction (MVC) and submaximal isometric contractions (up to 25%, 50% and 75% MVC) at different elbow angles from flexion to extension. We found that, with increasing elbow angle, maximum elbow torque decreased (p < 0.001), whereas muscle stiffness increased during rest (p = 0.001), MVC (p = 0.004) and submaximal contractions (p < 0.001). Muscle stiffness increased with increasing contraction intensities during submaximal contractions (p < 0.001). In comparison to the healthy cohort, muscle stiffness of MG patients was 2.1 times higher at rest (p < 0.001) but 8.93% lower in active state (75% MVC, p = 0.044). We conclude that (i) increased muscle stiffness shown by SWE during rest might be an indicator of MG, (ii) SWE reflects muscle weakness and (iii) SWE can be used to characterize MG muscle.
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    In vivo assessment of shear wave propagation in pennate muscles using an automatic ultrasound probe alignment system
    (2023) Zimmer, Manuela; Bunz, Elsa K.; Ehring, Tobias; Kaiser, Benedikt; Kienzlen, Annika; Schlüter, Henning; Zürn, Manuel
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    Detecting age-related changes in skeletal muscle mechanics using ultrasound shear wave elastography
    (2023) Ateş, Filiz; Marquetand, Justus; Zimmer, Manuela
    Aging leads to a decline in muscle mass and force-generating capacity. Ultrasound shear wave elastography (SWE) is a non-invasive method to capture age-related muscular adaptation. This study assessed biceps brachii muscle (BB) mechanics, hypothesizing that shear elastic modulus reflects (i) passive muscle force increase imposed by length change, (ii) activation-dependent mechanical changes, and (iii) differences between older and younger individuals. Fourteen healthy volunteers aged 60-80 participated. Shear elastic modulus, surface electromyography, and elbow torque were measured at five elbow positions in passive and active states. Data collected from young adults aged 20-40 were compared. The BB passive shear elastic modulus increased from flexion to extension, with the older group exhibiting up to 52.58% higher values. Maximum elbow flexion torque decreased in extended positions, with the older group 23.67% weaker. Significant effects of elbow angle, activity level, and age on total and active shear elastic modulus were found during submaximal contractions. The older group had 20.25% lower active shear elastic modulus at 25% maximum voluntary contraction. SWE effectively quantified passive and activation-dependent BB mechanics, detecting age-related alterations at rest and during low-level activities. These findings suggest shear elastic modulus as a promising biomarker for identifying altered muscle mechanics in aging.