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Detecting age-related changes in skeletal muscle mechanics using ultrasound shear wave elastography

, , and . Scientific Reports, 13 (1): 20062 (Nov 16, 2023)
DOI: 10.1038/s41598-023-47468-z

Abstract

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.

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