Five-Compressions Protocol as a Valid Myotonometric Method to Assess the Stiffness of the Lower Limbs: A Brief Report

Int J Environ Res Public Health. 2022 Nov 3;19(21):14425. doi: 10.3390/ijerph192114425.

Abstract

The objective of this study was to evaluate the validity of a short assessment MyotonPRO protocol to measure the stiffness of the superficial muscles and tendons of the lower limbs. The stiffness of the dominant lower limb vastus lateralis (VL), rectus femoris (RF) and patellar tendon (PT) was evaluated in 52 healthy participants (26.9 ± 3.4 years) with two MyotonPRO protocols: the standard protocol (10 mechanical taps) and the short protocol (five mechanical taps). The myotonometry was performed at the midpoint of the length from the upper pole of the patella to the greater trochanter for the VL, and to the anterior superior iliac spine for the RF. The PT was evaluated 1 cm caudal from the inferior pole of the patella. Pearson's correlation coefficients were calculated to determine the relationships between protocols. The validity of the short protocol was evaluated with Student's t-test. High positive correlations were observed between the short and standard protocols in the stiffness of the VL (r = 0.959; p < 0.001), the RF (r = 0.967; p < 0.001) and the PT (r = 0.953; p < 0.001) and no differences were found between both protocols in the stiffness assessment of the VL, RF and PT (p > 0.05). Therefore, the five-compressions protocol is a valid protocol for the assessment of lower limb mechanical properties.

Keywords: MyotonPRO; lower limbs; mechanical properties; muscle; tendon.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Lower Extremity
  • Patellar Ligament*
  • Quadriceps Muscle / physiology

Grants and funding

This research was funded by group grants from the University of Castilla-La Mancha and co-financed by the European Union through the European Regional Development Fund and by the Education, Audiovisual and Culture Executive Agency of the European Commission, grant number 2018-3795/001-001. Alfredo Bravo-Sánchez and Maria Ramírez-delaCruz were supported by pre-doctoral grants from the University of Castilla-La Mancha, Plan Propio de I+D+I (grant numbers: 2018-PREDUCLM-7632 and 2020-PREDUCLM-16702).