Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review
Abstract
This review explores the use of shear wave elastography (SWE) to assess muscle shear modulus during neuromuscular fatigue. Fatigue generally leads to a decrease in muscle stiffness, as measured by SWE, though responses vary across different muscles and fatigue protocols. Quadriceps muscles consistently show decreased stiffness post-fatigue, while hamstrings, plantar flexors, and trunk muscles exhibit more variable responses. These findings suggest that SWE could be a valuable non-invasive tool for monitoring muscle condition and recovery, with potential applications in optimizing training programs and preventing overuse injuries. However, the variability in findings indicates a need for further research to standardize SWE protocols and clarify the mechanisms underlying changes in muscle stiffness during fatigue. Understanding these mechanisms could enhance the application of SWE in both clinical and sports settings. This review also underscores the importance of accounting for fatigue as a confounding factor in studies of muscle stiffness measurements and highlights future research directions to expand the utility of SWE in assessing neuromuscular function.
Keywords
Supporting Institution
Slovenian Research and Innovation Agency
Project Number
P5-0443
Ethical Statement
N/A (Review paper)
Thanks
None.
References
- Abd-Elfattah, H. M., Abdelazeim, F. H., & Elshennawy, S. (2015). Physical and cognitive consequences of fatigue: A review. Journal of Advanced Research, 6(3), 351–358. https://doi.org/10.1016/j.jare.2015.01.011
- Akagi, R., Fukui, T., Kubota, M., Nakamura, M., & Ema, R. (2017). Muscle Shear Moduli Changes and Frequency of Alternate Muscle Activity of Plantar Flexor Synergists Induced by Prolonged Low-Level Contraction. Frontiers in Physiology, 8, 708. https://doi.org/10.3389/fphys.2017.00708
- Akagi, R., Sato, S., Yoshihara, K., Ishimatsu, H., & Ema, R. (2019). Sex difference in fatigability of knee extensor muscles during sustained low-level contractions. Scientific Reports, 9(1), 16718. https://doi.org/10.1038/s41598-019-53375-z
- Andonian, P., Viallon, M., Le Goff, C., de Bourguignon, C., Tourel, C., Morel, J., Giardini, G., Gergelé, L., Millet, G. P., & Croisille, P. (2016). Shear-Wave Elastography Assessments of Quadriceps Stiffness Changes prior to, during and after Prolonged Exercise: A Longitudinal Study during an Extreme Mountain Ultra-Marathon. PloS One, 11(8), e0161855. https://doi.org/10.1371/journal.pone.0161855
- Bercoff, J., Tanter, M., & Fink, M. (2004). Supersonic shear imaging: a new technique for soft tissue elasticity mapping. IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, 51(4), 396–409. https://doi.org/10.1109/tuffc.2004.1295425
- Bernabei, M., Lee, S. S. M., Perreault, E. J., & Sandercock, T. G. (2020). Shear wave velocity is sensitive to changes in muscle stiffness that occur independently from changes in force. Journal of Applied Physiology (Bethesda, Md. : 1985), 128(1), 8–16. https://doi.org/10.1152/japplphysiol.00112.2019
- Bigland-Ritchie, B., Furbush, F., & Woods, J. J. (1986). Fatigue of intermittent submaximal voluntary contractions: central and peripheral factors. Journal of Applied Physiology, 61(2), 421–429. https://doi.org/10.1152/jappl.1986.61.2.421
- Bigland‐Ritchie, B., & Woods, J. J. (1984). Changes in muscle contractile properties and neural control during human muscular fatigue. Muscle & Nerve, 7(9), 691–699. https://doi.org/10.1002/mus.880070902
Details
Primary Language
English
Subjects
Sports Medicine, Kinantropometri, Sports Science and Exercise (Other)
Journal Section
Review
Early Pub Date
March 18, 2026
Publication Date
March 18, 2026
Submission Date
May 21, 2025
Acceptance Date
January 29, 2026
Published in Issue
Year 2026 Volume: 17 Number: 1
APA
Maučec, S., & Kozinc, žiga. (2026). Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review. Pamukkale Journal of Sport Sciences, 17(1), 293-315. https://doi.org/10.54141/psbd.1702932
AMA
1.Maučec S, Kozinc žiga. Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review. Pamukkale J Sport Sci. 2026;17(1):293-315. doi:10.54141/psbd.1702932
Chicago
Maučec, Saša, and žiga Kozinc. 2026. “Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review”. Pamukkale Journal of Sport Sciences 17 (1): 293-315. https://doi.org/10.54141/psbd.1702932.
EndNote
Maučec S, Kozinc žiga (April 1, 2026) Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review. Pamukkale Journal of Sport Sciences 17 1 293–315.
IEEE
[1]S. Maučec and žiga Kozinc, “Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review”, Pamukkale J Sport Sci, vol. 17, no. 1, pp. 293–315, Apr. 2026, doi: 10.54141/psbd.1702932.
ISNAD
Maučec, Saša - Kozinc, žiga. “Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review”. Pamukkale Journal of Sport Sciences 17/1 (April 1, 2026): 293-315. https://doi.org/10.54141/psbd.1702932.
JAMA
1.Maučec S, Kozinc žiga. Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review. Pamukkale J Sport Sci. 2026;17:293–315.
MLA
Maučec, Saša, and žiga Kozinc. “Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review”. Pamukkale Journal of Sport Sciences, vol. 17, no. 1, Apr. 2026, pp. 293-15, doi:10.54141/psbd.1702932.
Vancouver
1.Saša Maučec, žiga Kozinc. Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review. Pamukkale J Sport Sci. 2026 Apr. 1;17(1):293-315. doi:10.54141/psbd.1702932