Tendinopathy alters ultrasound transmission in the patellar tendon during squatting.
Identifieur interne : 001604 ( PubMed/Checkpoint ); précédent : 001603; suivant : 001605Tendinopathy alters ultrasound transmission in the patellar tendon during squatting.
Auteurs : S C Wearing [Australie] ; S L Hooper [Australie] ; J E Smeathers [Australie] ; P. Pourcelot [France] ; N. Crevier-Denoix [France] ; T. Brauner [Allemagne]Source :
- Scandinavian journal of medicine & science in sports [ 1600-0838 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Ligament patellaire, Tendinopathie.
- physiologie : Mise en charge, Module d'élasticité.
- physiopathologie : Ligament patellaire, Tendinopathie.
- Adolescent, Humains, Échographie, Études cas-témoins.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Patellar Ligament, Tendinopathy.
- physiology : Elastic Modulus, Weight-Bearing.
- physiopathology : Patellar Ligament, Tendinopathy.
- Adolescent, Case-Control Studies, Humans, Ultrasonography.
Abstract
Measurement of loading patterns of the patellar tendon during activity is important in understanding tendon injury. We used transmission-mode ultrasonography to investigate patellar tendon loading during squatting in adults with and without tendinopathy. It was hypothesized that axial ultrasonic velocity, a surrogate measure of the elastic modulus of tendon, would be lower in tendinopathy. Ultrasound velocity was measured in both patellar tendons of adults with unilateral patellar tendinopathy (n = 9) and in healthy controls (n = 16) during a bilateral squat maneuver. Sagittal knee movement was measured simultaneously with an electrogoniometer. Statistical comparisons between healthy and injured tendons were made using two-way mixed-design ANOVAs. Axial ultrasound velocity in both symptomatic and asymptomatic patellar tendons in tendinopathy was approximately 15% higher than in healthy tendons at the commencement (F1,23 = 5.2, P < 0.05) and completion (F1,23 = 4.5, P < 0.05) of the squat. While peak velocity was ≈5% higher during both flexion (F1,23 = 5.4, P < 0.05) and extension (F1,23 = 5.3, P < 0.05) phases, there was no significant between-group difference at the midpoint of the movement. There were no significant differences in the rate and magnitude of knee movement between groups. Although further research is required, these findings suggest enhanced baseline muscle activity in patellar tendinopathy and highlight fresh avenues for its clinical management.
DOI: 10.1111/sms.12602
PubMed: 26660902
Affiliations:
- Allemagne, Australie, France
- Bavière, District de Haute-Bavière
- Munich
- Université technique de Munich
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Crevier-Denoix</name><affiliation wicri:level="1"><nlm:affiliation>Ecole Nationale Vétérinaire d'Alfort, Université Paris Est, Maisons-Alfort, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Ecole Nationale Vétérinaire d'Alfort, Université Paris Est, Maisons-Alfort</wicri:regionArea><wicri:noRegion>Maisons-Alfort</wicri:noRegion><wicri:noRegion>Maisons-Alfort</wicri:noRegion></affiliation></author><author><name sortKey="Brauner, T" sort="Brauner, T" uniqKey="Brauner T" first="T" last="Brauner">T. Brauner</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Sports & Health Sciences, Technische Universität München, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Faculty of Sports & Health Sciences, Technische Universität München, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement><settlement type="city">Munich</settlement></placeName><orgName type="university">Université technique de Munich</orgName></affiliation></author></analytic><series><title level="j">Scandinavian journal of medicine & science in sports</title><idno type="eISSN">1600-0838</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Case-Control Studies</term><term>Elastic Modulus (physiology)</term><term>Humans</term><term>Patellar Ligament (diagnostic imaging)</term><term>Patellar Ligament (physiopathology)</term><term>Tendinopathy (diagnostic imaging)</term><term>Tendinopathy (physiopathology)</term><term>Ultrasonography</term><term>Weight-Bearing (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Humains</term><term>Ligament patellaire (imagerie diagnostique)</term><term>Ligament patellaire (physiopathologie)</term><term>Mise en charge (physiologie)</term><term>Module d'élasticité (physiologie)</term><term>Tendinopathie (imagerie diagnostique)</term><term>Tendinopathie (physiopathologie)</term><term>Échographie</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Patellar Ligament</term><term>Tendinopathy</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Ligament patellaire</term><term>Tendinopathie</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mise en charge</term><term>Module d'élasticité</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Elastic Modulus</term><term>Weight-Bearing</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Ligament patellaire</term><term>Tendinopathie</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Patellar Ligament</term><term>Tendinopathy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Case-Control Studies</term><term>Humans</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Humains</term><term>Échographie</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Measurement of loading patterns of the patellar tendon during activity is important in understanding tendon injury. We used transmission-mode ultrasonography to investigate patellar tendon loading during squatting in adults with and without tendinopathy. It was hypothesized that axial ultrasonic velocity, a surrogate measure of the elastic modulus of tendon, would be lower in tendinopathy. Ultrasound velocity was measured in both patellar tendons of adults with unilateral patellar tendinopathy (n = 9) and in healthy controls (n = 16) during a bilateral squat maneuver. Sagittal knee movement was measured simultaneously with an electrogoniometer. Statistical comparisons between healthy and injured tendons were made using two-way mixed-design ANOVAs. Axial ultrasound velocity in both symptomatic and asymptomatic patellar tendons in tendinopathy was approximately 15% higher than in healthy tendons at the commencement (F1,23 = 5.2, P < 0.05) and completion (F1,23 = 4.5, P < 0.05) of the squat. While peak velocity was ≈5% higher during both flexion (F1,23 = 5.4, P < 0.05) and extension (F1,23 = 5.3, P < 0.05) phases, there was no significant between-group difference at the midpoint of the movement. There were no significant differences in the rate and magnitude of knee movement between groups. Although further research is required, these findings suggest enhanced baseline muscle activity in patellar tendinopathy and highlight fresh avenues for its clinical management.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26660902</PMID><DateCreated><Year>2015</Year><Month>12</Month><Day>14</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>06</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-0838</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>12</Issue><PubDate><Year>2016</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Scandinavian journal of medicine & science in sports</Title><ISOAbbreviation>Scand J Med Sci Sports</ISOAbbreviation></Journal><ArticleTitle>Tendinopathy alters ultrasound transmission in the patellar tendon during squatting.</ArticleTitle><Pagination><MedlinePgn>1415-1422</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/sms.12602</ELocationID><Abstract><AbstractText>Measurement of loading patterns of the patellar tendon during activity is important in understanding tendon injury. We used transmission-mode ultrasonography to investigate patellar tendon loading during squatting in adults with and without tendinopathy. It was hypothesized that axial ultrasonic velocity, a surrogate measure of the elastic modulus of tendon, would be lower in tendinopathy. Ultrasound velocity was measured in both patellar tendons of adults with unilateral patellar tendinopathy (n = 9) and in healthy controls (n = 16) during a bilateral squat maneuver. Sagittal knee movement was measured simultaneously with an electrogoniometer. Statistical comparisons between healthy and injured tendons were made using two-way mixed-design ANOVAs. Axial ultrasound velocity in both symptomatic and asymptomatic patellar tendons in tendinopathy was approximately 15% higher than in healthy tendons at the commencement (F1,23 = 5.2, P < 0.05) and completion (F1,23 = 4.5, P < 0.05) of the squat. While peak velocity was ≈5% higher during both flexion (F1,23 = 5.4, P < 0.05) and extension (F1,23 = 5.3, P < 0.05) phases, there was no significant between-group difference at the midpoint of the movement. There were no significant differences in the rate and magnitude of knee movement between groups. Although further research is required, these findings suggest enhanced baseline muscle activity in patellar tendinopathy and highlight fresh avenues for its clinical management.</AbstractText><CopyrightInformation>© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wearing</LastName><ForeName>S C</ForeName><Initials>SC</Initials><AffiliationInfo><Affiliation>Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Neurophysiology in the Center of Rare Diseases, Ulm University, Ulm, Baden-Württemberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hooper</LastName><ForeName>S L</ForeName><Initials>SL</Initials><AffiliationInfo><Affiliation>Office of Health & Medical Research, Queensland Health, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smeathers</LastName><ForeName>J E</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pourcelot</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Ecole Nationale Vétérinaire d'Alfort, Université Paris Est, Maisons-Alfort, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INRA, Maisons-Alfort, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crevier-Denoix</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Ecole Nationale Vétérinaire d'Alfort, Université Paris Est, Maisons-Alfort, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INRA, Maisons-Alfort, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brauner</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Faculty of Sports & Health Sciences, Technische Universität München, Munich, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Scand J Med Sci Sports</MedlineTA><NlmUniqueID>9111504</NlmUniqueID><ISSNLinking>0905-7188</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055119" MajorTopicYN="N">Elastic Modulus</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017847" MajorTopicYN="N">Patellar Ligament</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D052256" MajorTopicYN="N">Tendinopathy</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016474" MajorTopicYN="N">Weight-Bearing</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Soft tissue</Keyword><Keyword MajorTopicYN="Y">acoustic propagation</Keyword><Keyword MajorTopicYN="Y">injury</Keyword><Keyword MajorTopicYN="Y">quantitative ultrasound</Keyword><Keyword MajorTopicYN="Y">speed of sound</Keyword><Keyword MajorTopicYN="Y">tendon</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>10</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26660902</ArticleId><ArticleId IdType="doi">10.1111/sms.12602</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>France</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université technique de Munich</li></orgName></list><tree><country name="Australie"><noRegion><name sortKey="Wearing, S C" sort="Wearing, S C" uniqKey="Wearing S" first="S C" last="Wearing">S C Wearing</name></noRegion><name sortKey="Hooper, S L" sort="Hooper, S L" uniqKey="Hooper S" first="S L" last="Hooper">S L Hooper</name><name sortKey="Smeathers, J E" sort="Smeathers, J E" uniqKey="Smeathers J" first="J E" last="Smeathers">J E Smeathers</name></country><country name="France"><noRegion><name sortKey="Pourcelot, P" sort="Pourcelot, P" uniqKey="Pourcelot P" first="P" last="Pourcelot">P. Pourcelot</name></noRegion><name sortKey="Crevier Denoix, N" sort="Crevier Denoix, N" uniqKey="Crevier Denoix N" first="N" last="Crevier-Denoix">N. Crevier-Denoix</name></country><country name="Allemagne"><region name="Bavière"><name sortKey="Brauner, T" sort="Brauner, T" uniqKey="Brauner T" first="T" last="Brauner">T. Brauner</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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