Heel pad stiffness in plantar heel pain by shear wave elastography
Journal
Ultrasound in Medicine and Biology
Journal Volume
41
Journal Issue
11
Pages
2890-2898
Date Issued
2015
Author(s)
Abstract
The goal of the study was to evaluate the reliability of supersonic shear wave elastography in measuring heel pad stiffness and the change in heel pad stiffness in patients with plantar heel pain. In the reliability test involving 12 normal participants, each heel pad was tested six times in succession, and adequate reliability was reflected in the intraclass correlation coefficients (0.95, 0.93 and 0.96 for the microchambers, macrochambers and bulk heel pad, respectively). In the clinical assessment involving 20 normal participants and 16 unilateral plantar heel pain patients, diseased heel pads (86.8 ± 22.9, 36.8 ± 7.7 and 46.6 ± 10.9 kPa for the microchambers, macrochambers and bulk heel pad, respectively) were significantly stiffer than unaffected heel pads (66.8 ± 14.1, 25.2 ± 5.7, 34.2 ± 6.6 kPa) and those of normal participants (60.9 ± 11.4, 26.3 ± 6.1, 31.8 ± 6.3 kPa), suggesting that the heel pad with plantar heel pain was associated with loss of elasticity. ? 2015 World Federation for Ultrasound in Medicine and Biology.
SDGs
Other Subjects
Health; Medical imaging; Reliability; Shear waves; Stiffness; Heel pads; Macrochamber; Micro-chambers; Plantar heel pain; Shear wave elastography; Shear flow; adult; Article; B scan; body mass; clinical article; clinical assessment; correlation coefficient; disease association; echograph; elasticity; elastography; female; heel pad stiffness; heel pain; human; intrarater reliability; male; musculoskeletal stiffness; pain assessment; priority journal; shear wave elastography; validation process; echography; foot disease; heel; pain; pathophysiology; physiology; reproducibility; Young modulus; Adult; Elastic Modulus; Elasticity; Elasticity Imaging Techniques; Female; Foot Diseases; Heel; Humans; Male; Pain; Reproducibility of Results
Publisher
Elsevier USA
Type
journal article