Quantifying spasticity in individual muscles using shear wave elastography

Sarah F. Eby, Heng Zhao, Pengfei Song, Barbara J. Vareberg, Randall R. Kinnick, James F. Greenleaf, Kai Nan An, Allen W. Brown, Shigao Chen

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Spasticity is common following stroke; however, high subject variability and unreliable measurement techniques limit research and treatment advances. Our objective was to investigate the use of shear wave elastography (SWE) to characterize the spastic reflex in the biceps brachii during passive elbow extension in an individual with spasticity. The patient was a 42-year-old right-hand-dominant male with history of right middle cerebral artery-distribution ischemic infarction causing spastic left hemiparesis. We compared Fugl-Meyer scores (numerical evaluation of motor function, sensation, motion, and pain), Modified Ashworth scores (most commonly used clinical assessment of spasticity), and SWE measures of bilateral biceps brachii during passive elbow extension. We detected a catch that featured markedly increased stiffness of the brachialis muscle during several trials of the contralateral limb, especially at higher extension velocities. SWE was able to detect velocity-related increases in stiffness with extension of the contralateral limb, likely indicative of the spastic reflex. This study offers optimism that SWE can provide a rapid, real-time, quantitative technique that is readily accessible to clinicians for evaluating spasticity.

Original languageEnglish (US)
Pages (from-to)348-352
Number of pages5
JournalRadiology Case Reports
Volume12
Issue number2
DOIs
StatePublished - Jun 2017

Keywords

  • Muscle spasticity
  • Skeletal muscle
  • Stroke
  • Ultrasound
  • Upper extremity

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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