Review

Assessing Muscle Shear Modulus With Shear-Wave Elastography During Neuromuscular Fatigue: A Review

Volume: 17 Number: 1 March 18, 2026

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

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  5. 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
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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