Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study

Introduction: Shear wave elastography (SWE) has been widely used to assess the mechanical properties of peripheral nerves, including the sciatic nerve. However, the relationship between sciatic nerve stiffness and posterior chain flexibility remains unclear. Therefore, we aimed to examine difference...

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Main Authors: Charles Cotteret, Jaime Almazán-Polo, Ángel González-de-la-Flor
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/25/9/2885
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author Charles Cotteret
Jaime Almazán-Polo
Ángel González-de-la-Flor
author_facet Charles Cotteret
Jaime Almazán-Polo
Ángel González-de-la-Flor
author_sort Charles Cotteret
collection DOAJ
description Introduction: Shear wave elastography (SWE) has been widely used to assess the mechanical properties of peripheral nerves, including the sciatic nerve. However, the relationship between sciatic nerve stiffness and posterior chain flexibility remains unclear. Therefore, we aimed to examine differences in sciatic nerve stiffness and shear wave speed (SWS) based on limb dominance and hamstring flexibility, and to explore their association with posterior chain mobility assessed through AKE and ASLR tests in healthy individuals. Methods: An observational study was conducted on 25 healthy, physically active participants (49 lower limbs). Sciatic nerve stiffness was measured using SWE at a standardized location in the posterior thigh. Posterior chain flexibility was assessed using the Active Knee Extension (AKE) and Active Straight Leg Raise (ASLR) tests. Participants were categorized based on hamstring flexibility, and comparisons were made between dominant and non-dominant limbs. Results: Participants with limited hamstring flexibility exhibited significantly higher AKE and ASLR values (<i>p</i> < 0.001) and showed an increased stiffness and SWS towards greater sciatic nerve (<i>p</i> = 0.05), although correlations between SWE values and flexibility tests were not significant. No significant differences were found between dominant and non-dominant limbs in AKE (<i>p</i> = 0.28), ASLR (<i>p</i> = 0.47), SWE (<i>p</i> = 0.38), or SWS (<i>p</i> = 0.34) values. Conclusions: Although no significant correlations were found between SWE parameters and flexibility tests, individuals with limited posterior chain mobility exhibited higher sciatic nerve stiffness in healthy participants.
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spelling doaj-art-e9dd329d707a4f7980b5f568abf7a41a2025-08-20T01:49:18ZengMDPI AGSensors1424-82202025-05-01259288510.3390/s25092885Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational StudyCharles Cotteret0Jaime Almazán-Polo1Ángel González-de-la-Flor2Department of Physiotherapy, Faculty of Medicine, Health and Sports, European University of Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, European University of Madrid, 28670 Villaviciosa de Odón, SpainDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, European University of Madrid, 28670 Villaviciosa de Odón, SpainIntroduction: Shear wave elastography (SWE) has been widely used to assess the mechanical properties of peripheral nerves, including the sciatic nerve. However, the relationship between sciatic nerve stiffness and posterior chain flexibility remains unclear. Therefore, we aimed to examine differences in sciatic nerve stiffness and shear wave speed (SWS) based on limb dominance and hamstring flexibility, and to explore their association with posterior chain mobility assessed through AKE and ASLR tests in healthy individuals. Methods: An observational study was conducted on 25 healthy, physically active participants (49 lower limbs). Sciatic nerve stiffness was measured using SWE at a standardized location in the posterior thigh. Posterior chain flexibility was assessed using the Active Knee Extension (AKE) and Active Straight Leg Raise (ASLR) tests. Participants were categorized based on hamstring flexibility, and comparisons were made between dominant and non-dominant limbs. Results: Participants with limited hamstring flexibility exhibited significantly higher AKE and ASLR values (<i>p</i> < 0.001) and showed an increased stiffness and SWS towards greater sciatic nerve (<i>p</i> = 0.05), although correlations between SWE values and flexibility tests were not significant. No significant differences were found between dominant and non-dominant limbs in AKE (<i>p</i> = 0.28), ASLR (<i>p</i> = 0.47), SWE (<i>p</i> = 0.38), or SWS (<i>p</i> = 0.34) values. Conclusions: Although no significant correlations were found between SWE parameters and flexibility tests, individuals with limited posterior chain mobility exhibited higher sciatic nerve stiffness in healthy participants.https://www.mdpi.com/1424-8220/25/9/2885ultrasoundshear wave elastographyposterior chainflexibilitysciatic nerve
spellingShingle Charles Cotteret
Jaime Almazán-Polo
Ángel González-de-la-Flor
Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study
Sensors
ultrasound
shear wave elastography
posterior chain
flexibility
sciatic nerve
title Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study
title_full Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study
title_fullStr Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study
title_full_unstemmed Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study
title_short Shear Wave Elastography of the Sciatic Nerve and Its Relationship with Posterior Chain Flexibility in Healthy Participants: An Observational Study
title_sort shear wave elastography of the sciatic nerve and its relationship with posterior chain flexibility in healthy participants an observational study
topic ultrasound
shear wave elastography
posterior chain
flexibility
sciatic nerve
url https://www.mdpi.com/1424-8220/25/9/2885
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AT jaimealmazanpolo shearwaveelastographyofthesciaticnerveanditsrelationshipwithposteriorchainflexibilityinhealthyparticipantsanobservationalstudy
AT angelgonzalezdelaflor shearwaveelastographyofthesciaticnerveanditsrelationshipwithposteriorchainflexibilityinhealthyparticipantsanobservationalstudy