Evidence map›Paper›PMID 39546816›Full record

ArticleJournal of biomechanics2024

Effect of joint angle positioning on shearwave speed and variability with ultrasound shearwave elastography in asymptomatic Achilles and patellar tendons.

Rachana Vaidya, Stephane Cui, Bryson Houston, Andrew North, Menghan Chen, Josh Baxter, Jennifer A Zellers

Abstract read
In one paragraph

Article in Journal of biomechanics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Reliability and Repeatability of Diffusion Tensor Imaging in Healthy and Pathological Patellar Tendons.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rachana VaidyaDepartment of Physical Therapy, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: vaidya@wustl.edu.
Stephane CuiDepartment of Physical Therapy, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: c.stephane@wustl.edu.
Bryson HoustonDepartment of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: bryson.houston@pennmedicine.upenn.edu.
Andrew NorthDepartment of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: andrew.north@pennmedicine.upenn.edu.
Menghan ChenDepartment of Physical Therapy, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: c.menghan@wustl.edu.
Josh BaxterDepartment of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: josh.baxter@pennmedicine.upenn.edu.
Jennifer A ZellersDepartment of Physical Therapy, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: jzellers@wustl.edu.

Funding

Research Project 2P50AR080581 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2023 to 2026
$7.9M
Tendon loading profiles that promote healing in Achilles tendinopathyR01AR078898 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Josh Baxter · 2021 to 2026
$2.5M
NIAMS NIH HHS P50 AR080581NIAMS NIH HHS R01 AR078898
6 · The paper itself

Abstract

This study investigated the impact of joint positioning on ultrasound shear wave elastography measurements in the Achilles and patellar tendons. Twenty-eight healthy adults underwent SWE assessment of shear wave speed (SWS) and coefficient of variation in SWS (CV-SWS) at three ankle positions (neutral, 10° plantar flexion, and 20° dorsiflexion) and two knee positions (90° flexion and full extension), at two academic sites. Participant positioning for ankle testing differed between sites (prone vs long-sitting)-while knee testing used consistent positioning. At the ankle, both joint and participant positioning significantly affected SWS. In the prone position, SWS was lower in neutral compared to dorsiflexed position (3.07 ± 1.13  m/s vs. 3.95 ± 1.03  m/s, p = 0.013). In long-sitting, SWS was lower in neutral compared to plantarflexed position (2.85 ± 0.53  m/s vs. 4.86 ± 1.92  m/s, p = 0.016); and SWS was higher in the plantarflexed position when participants were in long-sitting compared to prone (4.86 ± 1.92  m/s vs. 3.25 ± 1.13  m/s, p = 0.016). Participant positioning affected CV-SWS, with higher variability observed in prone compared to long-sitting in plantarflexed (29.3 ± 15.5 % vs 12.4 ± 9.12 %, p = 0.005) and neutral ankle angles (p = 0.03). At the knee, joint position significantly influenced SWS, with higher values in flexed versus extended positions (6.48 ± 3.1  m/s vs. 4.60 ± 2.3  m/s, p = 0.007). Extending the knee reduced CV-SWS compared to flexed position (14.5 ± 11.2 vs 19.2 ± 13.4, p = 0.044). In conclusion, joint position significantly affected SWS measurements in both the Achilles and patellar tendons, while participant positioning influenced measurement variability. Thus, standardizing joint and participant positioning is important to enhance the reliability of SWE assessments of tendon elasticity.

Indexed as

Achilles TendonAnkle JointElasticity Imaging TechniquesPatellar LigamentAdultFemaleHumansKnee JointMaleYoung Adult

Identifiers

PMID39546816
PMCPMC11784490

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.