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Friday, June 26th, 2009<br />

Subjects: three males aged 66-68 years No. <strong>of</strong> experiments: 11times (at 2-month intervals)<br />

MRI device: AIRIS II (Hitachi Medicon, Inc.)<br />

Analytical s<strong>of</strong>tware: Aquarius NetStation Version 1.1 (Terarecon Inc.)<br />

Measuring instrument for hip-joint muscle strength: Newly developed exclusively for the study<br />

Results: The study revealed significant correlations between abductor force during outward rotation <strong>of</strong> the hip joint muscles and the left<br />

and right psoas major and erector spinae muscles (r = 0.595, 0.514, 0.611 and 0.726 respectively; p < 0.01).<br />

Observations<br />

the study indicated the possibility that the torque values <strong>of</strong> hip joint muscles can be used effectively as a substitute measure for evaluating<br />

the strengths <strong>of</strong> the psoas major and erector spinae muscles, which are not readily accessible for muscle strength evaluation.<br />

References<br />

1) Yamamoto Tadahiro et al. M.psoas major muscle power evaluation measurment device&#12289;The14th 3)about<br />

the&#12288;masurement <strong>of</strong> the torque-Comparative study <strong>of</strong> student and the middle&#12288;aged&#12289;The10th European College<br />

<strong>of</strong> Sport Science(ECSS)&#12289;Belgrad&#12289;Aug&#12289;2005<br />

2) Yamamoto Tadahiro et al. Study Regarding Torque Measurements, The 13th European College <strong>of</strong> Sport Science (ECSS), Estoril-Portugal,<br />

Jul, 2008<br />

3) Aoyama Hareo et al. Research on Torque Measurement, The 13th European College <strong>of</strong> Sport Science (ECSS), Estoril-Portugal, Jul, 2008<br />

QUANTITATIVE ULTRASOUND OF THE GASTROCNEMIUS MUSCLE ARCHITECTURE IN CHILDREN: VARIABILITY, RELI-<br />

ABILITY, AND COMPARISON BETWEEN PORTABLE AND STATIONARY MACHINES<br />

LEGERLOTZ, K., SMITH, H.K., HING, W.A.<br />

QUEEN MARY, UNIVERSITY OF LONDON<br />

Muscle architecture is believed to be affected by muscular disorders, including the chronic spasticity associated with cerebral palsy.<br />

Although there is clear evidence that muscle thickness is reduced with spastic cerebral palsy in children and adults, the effects <strong>of</strong> spasticity<br />

on other parameters <strong>of</strong> muscle architecture remain unclear. However, a high biological and/or methodological variability might explain<br />

why differences in muscle fiber length or pennation angle between groups <strong>of</strong> individuals might be difficult to detect. This may be<br />

particularly important in children due to their smaller muscles and potential difficulty in remaining still. The first aim <strong>of</strong> this study was<br />

therefore to determine the inter-leg and inter-individual variability in ultrasound measurements <strong>of</strong> gastrocnemius muscle architecture in<br />

young children. Our second aim was to establish within-session and between-session reliability <strong>of</strong> measurements for the same child.<br />

Third, we compared measurements obtained using a stationary ultrasound (Phillips HD11) with those obtained using a less costly and<br />

portable machine (Chison 8300) to evaluate the appropriateness <strong>of</strong> a more widely accessible and practical option for the quantification <strong>of</strong><br />

gastrocnemius muscle architecture in children.<br />

Muscle thickness, pennation angle and fiber length <strong>of</strong> the medial gastrocnemius were determined in healthy children (13 boys, 8 girls)<br />

aged 4-10 years. Ultrasound images were obtained from each leg, twice at each <strong>of</strong> two ankle positions (90º and maximal plantar flexion),<br />

and with each <strong>of</strong> the two machines in succession, within the same session. The same measurements were made on a second<br />

occasion, between 4 and 6 weeks later, in 4 <strong>of</strong> the children.<br />

There was no significant difference between the absolute values, coefficients <strong>of</strong> variation (CV) or intra-class correlation coefficients (ICC) <strong>of</strong><br />

measurements determined by the two ultrasound machines. The CV and ICC <strong>of</strong> duplicate images taken during the same session for the<br />

same leg, ankle position, and machine ranged from 2.1-3.1% and 0.94-0.98 for muscle thickness, 4.1-6.0% and 0.85-0.96 for pennation<br />

angle, and 4.5-6.3% and 0.87-0.96 for fiber length, similar to that reported previously for adult muscle architecture. CV for variables for<br />

the same child measured on two separate sessions were within the same ranges. There was wide inter-individual variability at both<br />

ankle positions for pennation angle (range 11-22°), fiber length (26-68mm) and muscle thickness (26-68mm).<br />

Since the CVs for repeated measurements within a subject (2.3-6.3%) were much less than the group SD relative to the mean for the<br />

same measurement (13-25%), we suggest that the variability attributable to the methods is acceptable given the biological variation seen.<br />

We conclude that the portable ultrasound is suitable to determine muscle architecture and that thickness, pennation angle and fiber<br />

length can be reliably determined in the gastrocnemius muscle <strong>of</strong> young children.<br />

TRI-AXIAL INERTIAL MAGNETIC TRACKING DETECTS CHRONIC ANKLE INSTABILITY.<br />

MARTÍNEZ, A., LECUMBERRI, P., GÓMEZ, M., MORANT, M., MENDIGUCHÍA, J., IZQUIERDO, M.<br />

CENTRO DE ESTUDIOS, INVESTIGACIÓN Y MEDICINA DEL DEPORTE<br />

Introduction: Ankle sprains are one <strong>of</strong> the most common lower extremity injuries. Real time human motion tracking is an accurate, inexpensive<br />

and portable system to obtain kinematic and kinetic measurements (2). The purpose <strong>of</strong> this study was to discriminate between<br />

subjects with chronic ankle instability (CAI) and subjects with stable ankles through inertial/magnetic tracking technology.<br />

Methods: Twelve subjects (23.16 ± 5.32 years, 174.83 ± 8.78 cm, and 73.58 ± 17.10 kg) with stable ankles and thirteen (24.69 ± 5.91 years,<br />

173.31 ± 9.07 cm, and 69.61 ± 15.32 kg) with chronic ankle instability performed the Star Excursion Balance Test (SEBT) (1). The SEBT is a<br />

dynamic postural control task that may hold promise in detecting deficits related to CAI (1). The subjects complete anterior (A), posteromedial<br />

(PM), and posterolateral (PL) reaching directions <strong>of</strong> the SEBT. Static force platform (IBV, Valencia, Spain) and a body-mounted sensor<br />

MTx (Xsens Technologies B.V. Enschede, Netherlands) were used to record simultaneously force, acceleration and orientation data. The<br />

inertial motion tracking was placed close to the centre <strong>of</strong> mass, which is located within the pelvis with the aim <strong>of</strong> study `whole-body´<br />

movements. Wavelet analyse based on time–frequency information was used for analysing all signals (2-3).<br />

Results: CAI group showed greater (81%) values than the stable ankle group both in the peak amplitude <strong>of</strong> the approximation signal <strong>of</strong><br />

the rotation around the z-axis (p=0.053) in the A direction and in the peak amplitude <strong>of</strong> the approximation signal (102%) <strong>of</strong> the rotation<br />

around the x-axis (p=0.086) in the PM direction. No significant differences were observed in the other orientation parameters. The approximation<br />

<strong>of</strong> the z acceleration coordinate signal (p=0.014) showed significant differences between groups. In addition, there were<br />

significant differences in the sum <strong>of</strong> the coefficients <strong>of</strong> the details 1 (p=0.02) and details 2 (p=0.007) <strong>of</strong> the y acceleration coordinate signal.<br />

When the corresponding analyses were performed from the force plate measurements no significant differences were observed between<br />

groups.<br />

Discussion: The rotation around the z-axis and the x-axis acquired from the MTx unit discriminated differences between groups. The<br />

wavelet details <strong>of</strong> the y acceleration coordinate signal were the most accurate parameters discriminating between ankle groups. How-<br />

OSLO/NORWAY, JUNE 24-27, 2009 365

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