Pilot study quantifying muscle glycosaminoglycan using bi-exponential T mapping in patients with muscle stiffness after stroke

Sci Rep. 2021 Jul 6;11(1):13951. doi: 10.1038/s41598-021-93304-7.

Abstract

Post stroke muscle stiffness is a common problem, which left untreated can lead to disabling muscle contractures. The purpose of this pilot study was to evaluate the feasibility of bi-exponential T mapping in patients with arm muscle stiffness after stroke and its ability to measure treatment related changes in muscle glycosaminoglycans (GAGs). Five patients with muscle stiffness after stroke and 5 healthy controls were recruited for imaging of the upper arm with 3D-T mapping. Patients were scanned before and after treatment with hyaluronidase injections, whereas the controls were scanned once. Wilcoxon Mann-Whitney tests compared patients vs. controls and patients pre-treatment vs. post-treatment. With bi-exponential modeling, the long component, T1ρl was significantly longer in the patients (biceps P = 0.01; triceps P = 0.004) compared to controls. There was also a significant difference in the signal fractions of the long and short components (biceps P = 0.03, triceps P = 0.04). The results suggest that muscle stiffness is characterized by increased muscle free water and GAG content. Post-treatment, the T parameters shifted toward control values. This pilot study demonstrates the application of bi-exponential T mapping as a marker for GAG content in muscle and as a potential treatment monitoring tool for patients with muscle stiffness after stroke.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Case-Control Studies
  • Female
  • Glycosaminoglycans / metabolism*
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Models, Biological
  • Muscle, Skeletal / metabolism*
  • Muscle, Skeletal / physiopathology*
  • Pilot Projects
  • Stroke / diagnostic imaging*
  • Stroke / physiopathology*
  • Stroke / therapy

Substances

  • Glycosaminoglycans