Evaluation of limb compartments with increased interstitial pressure. An improved noninvasive method for determining quantitative hardness

Steinberg, Bruce

doi:10.1016/j.jbiomech.2004.07.030

Cited by 37 publications

(40 citation statements)

References 14 publications

(13 reference statements)

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“…Steinberg and Gelberman observed a strong positive correlation between stiffness and interstitial intra-compartmental pressure in patients suspected of developing limb compartment syndrome [18]. Steinberg also demonstrated in a model of increased interstitial pressure by inflating a tourniquet cuff in healthy volunteers that muscle stiffness depends on the degree of interstitial pressure within the muscle compartment [19]. Therefore, a safe and reliable determination of the elastic properties of muscle compartment may improve the accuracy of the clinical finding and may help to objectify the physician's palpation.…”

Section: Discussionmentioning

confidence: 91%

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Assessment of elevated compartment pressures by pressure-related ultrasound: a cadaveric model

Sellei

Hingmann²,

Weber³

et al. 2014

Eur J Trauma Emerg Surg

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We introduce a new method of ultrasound imaging enhanced with probe pressure measurement to determine changes of the visco-elastic behavior of isolated muscle compartments. Pressure-related ultrasound could be a reliable tool to determine the correlation between the measured compartmental displacement and the increasing intra-compartmental pressure. Its accuracy revealed promising results. This technique may help the physician to objectify the clinical assessment of compartment elasticity, mainly indicated in cases of unconscious patients and imminent pathology. Further clinical studies and improvements of this technique are required to prove its accuracy and reliability in cases of compartment syndrome.

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Section: Discussionmentioning

confidence: 91%

“…Probably the most competitive technique was published by Steinberg et al [18,19]. They introduced a novel and non-invasive measurement of muscle compartment elasticity.…”

Section: Discussionmentioning

confidence: 99%

Assessment of elevated compartment pressures by pressure-related ultrasound: a cadaveric model

Sellei

Hingmann²,

Weber³

et al. 2014

Eur J Trauma Emerg Surg

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“…Besides this context, a certain variability is even to be expected owing to the fact that muscle hardness in maximum isometric contractions is variable as well (Murayama et al, 2012). Muscle hardness in turn is strongly affected by IaMP (Steinberg and Gelbermann, 1994;Steinberg, 2005), which is more variable as compared with muscle force throughout the entire isometric lengthtension relationship (Ward et al, 2007;Winters et al, 2009). …”

Section: Methodological Considerationsmentioning

confidence: 99%

Intermuscular pressure between synergistic muscles correlates with muscle force

Reinhardt

Siebert

Leichsenring

et al. 2016

Journal of Experimental Biology

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The purpose of the study was to examine the relationship between muscle force generated during isometric contractions (i.e. at a constant muscle-tendon unit length) and the intermuscular (between adjacent muscles) pressure in synergistic muscles. Therefore, the pressure at the contact area of the gastrocnemius and plantaris muscle was measured synchronously to the force of the whole calf musculature in the rabbit species Oryctolagus cuniculus. Similar results were obtained when using a conductive pressure sensor, or a fibre-optic pressure transducer connected to a waterfilled balloon. Both methods revealed a strong linear relationship between force and pressure in the ascending limb of the force-length relationship. The shape of the measured force-time and pressuretime traces was almost identical for each contraction (r=0.97). Intermuscular pressure ranged between 100 and 700 mbar (70,000 Pa) for forces up to 287 N. These pressures are similar to previous (intramuscular) recordings within skeletal muscles of different vertebrate species. Furthermore, our results suggest that the rise in intermuscular pressure during contraction may reduce the force production in muscle packages (compartments).

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“…It has also been reported that the most significant factor affecting treatment efficacy is not the severity of the muscle tension, rather the duration of the illness [31][32][33]. Moreover, the ceiling effect; i.e., an increasing dose of a given medication or treatment having progressively smaller effect, may affect the efficacy of treatment [34][35][36][37].…”

Section: Muscle Hardnessmentioning

confidence: 99%

Evaluation of Muscle Tension in Hemiplegia Patients with a Real-time Monitoring System during High Intensity Laser Therapy

Lee¹,

Lee²,

Youn³

2015

Journal of the Optical Society of Korea

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In this study, we evaluated the muscle tension in hemiplegia patients using a real-time monitoring system combined with high-intensity laser treatment (HILT) device. Five hemiplegia patients were treated with HILT in the left forearm muscle for 8 minutes, and the muscle was relaxed for 8 minutes following the treatment. Both the gradient of the force-displacement curves and the muscle hardness decreased during the therapy, and the effects were maintained following the treatment. The results show that muscle tension decreased rapidly during laser irradiation, and the efficacy of the treatment depended on the duration of the illness. Consequently, we conclude that this combined HILT and real-time muscle tension monitoring system is useful for evaluating the therapeutic procedure and for treatment of muscle pain.

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Evaluation of limb compartments with increased interstitial pressure. An improved noninvasive method for determining quantitative hardness

Cited by 37 publications

References 14 publications

Assessment of elevated compartment pressures by pressure-related ultrasound: a cadaveric model

Assessment of elevated compartment pressures by pressure-related ultrasound: a cadaveric model

Intermuscular pressure between synergistic muscles correlates with muscle force

Evaluation of Muscle Tension in Hemiplegia Patients with a Real-time Monitoring System during High Intensity Laser Therapy

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