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dc.contributorDepartment of Biomedical Engineeringen_US
dc.contributor.advisorZheng, Yongping (BME)en_US
dc.creatorLing, Yan To-
dc.identifier.urihttps://theses.lib.polyu.edu.hk/handle/200/12095-
dc.languageEnglishen_US
dc.publisherHong Kong Polytechnic Universityen_US
dc.rightsAll rights reserveden_US
dc.titleUltrafast ultrasound imaging for muscle onset mapping during its contractionen_US
dcterms.abstractAvailable methods for studying muscle dynamics, including electromyography (EMG), mechanomyography (MMG) and M-mode ultrasound, have limitation in spatial resolution. B-mode ultrasound has the advantage of visualising the heterogeneity within the muscle, such as muscle rupture, calcification, and trigger point. Using ultrafast ultrasound for muscle dynamics assessment gives us information on how these local defects affects muscle contraction. This study first developed a novel method and protocol of two-dimensional mapping of muscle motion onset using ultrafast ultrasound imaging, i.e. sono-mechano-myo-graphy (SMMG). Then this new system was used for the following three investigations.en_US
dcterms.abstractIn the first part of this study, the developed method was compared with the EMG, MMG and force outputs of tibialis anterior (TA) muscle during ankle dorsiflexion at different percentages of maximum voluntary contraction (MVC) force in 14 healthy young adults. Significant differences for all pairwise comparisons of onsets were identified, except between SMMG and MMG. The EMG onset significantly led SMMG, MMG and force onsets by 40.0 ± 1.7 ms (p < 0.001), 43.1 ± 5.2 ms (p < 0.005) and 73.0 ± 4.5 ms (p < 0.001), respectively. The results also demonstrated that voluntary muscle motion started earlier at the middle aponeurosis than those muscles located closed to skin surface and at deeper regions when viewing longitudinally (p < 0.001). No significant difference was found for the onset time measured by SMMG between different MVC levels.en_US
dcterms.abstractIn the second part of the study, the developed method was applied to study the gender difference in electromechanical delay in ankle dorsiflexion of the tibialis anterior (TA) muscle in 20 healthy young adults using electrical stimulation. Shear-wave elastography (SWE) was used to evaluate stiffness of the muscle. In longitudinal view, muscle motion started earlier at the middle aponeurosis than the location close to skin surface (p < 0.01). Significant differences in muscle onset time observed using SMMG was found between genders, with females leading males by 7.39 ms (p < 0.001, 95% CI: 3.80 - 10.98 ms). Female subjects had significantly lower elasticity than males by 43.63 kPa (p < 0.05, 95% CI: 7.71 - 79.55 kPa). Simple linear regression showed a positive correlation between the onset time and the shear-wave elasticity (p < 0.001, R2 = 0.80).en_US
dcterms.abstractIn the third part of the study, six different methods for detecting the onset time in SMMG signal were evaluated for detecting the stimulated muscle onset time using ultrafast ultrasound recording. The six algorithms were first compared with manual detection on a randomly selected set of data, and then applied to a trial of the stimulated muscle contraction case. Results showed that each algorithm had their advantages and limitations. Change point detection looking for the change in mean of a signal performed best overall for the muscle onset from SMMG signals. However, searching for a more optimized onset detection method for SMMG signals remains a topic for future study.en_US
dcterms.abstractThis novel technology can potentially provide new insights in future studies of neuromuscular diseases, such as multiple sclerosis and muscular dystrophy.en_US
dcterms.extent118 pages : color illustrationsen_US
dcterms.isPartOfPolyU Electronic Thesesen_US
dcterms.issued2022en_US
dcterms.educationalLevelPh.D.en_US
dcterms.educationalLevelAll Doctorateen_US
dcterms.LCSHMusclesen_US
dcterms.LCSHUltrasonic imagingen_US
dcterms.LCSHHong Kong Polytechnic University -- Dissertationsen_US
dcterms.accessRightsopen accessen_US

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Please use this identifier to cite or link to this item: https://theses.lib.polyu.edu.hk/handle/200/12095