Measuring Muscle Length: Techniques For Optimal Fitness

how to measure muscle length

Measuring muscle length is an important tool for understanding the mechanics and energetics of locomotion and informing models of motor control. It has been used to gain insight into the underlying physiological, anatomical, and physical principles that govern movement. Muscle length testing involves elongating the muscle in the direction opposite of its action while assessing its resistance to passive lengthening. There are several methods for measuring muscle length, including sonomicrometry, fluoromicrometry, magnetomicrometry, and ultrasound. The most suitable method depends on the specific muscle being tested and the goals of the test.

Characteristics Values
Measurement tools Universal goniometer, Inclinometer, Tape measure, Magnetic resonance imaging (MRI), Sonomicrometry, Fluoromicrometry, Magnetomicrometry, Ultrasound, InBody devices
Muscle to be measured Rectus femoris, Flexor digitorum superficialis, Hip flexors, Iliacus, Psoas major, TFL-ITB
Patient position Supine, Sitting with forearm in pronation on a table, Sitting on the edge of the table with one foot on the floor
Movement Knee flexion, Elbow, wrist and finger joints into extension, Passive lengthening
Other factors Patient should not be in acute pain, Clinician skill in using measurement tools, Patient communication

cyvigor

Using a goniometer

A goniometer is a device that measures angles or permits the rotation of an object to a definite position. In the context of measuring muscle length, goniometers are used to evaluate the range of motion of a joint. The range of motion refers to the movement of a specific joint or body part, and it can be classified as passive, active, or active assistive.

To use a goniometer, start by aligning the centre of the device, also called the fulcrum, with the centre of the joint being measured. The fulcrum of the goniometer should be placed on the fulcrum of the joint. For example, if you are measuring the hip joint, place the centre of the goniometer at the centre of your hip.

Next, hold the goniometer's stationary arm along the limb being measured. The stationary arm is attached to the circle or protractor of the goniometer. This arm should be aligned with the limb that will remain in place while the other limb rotates. For instance, if you are measuring the knee's range of motion, the stationary arm of the goniometer would be aligned with the upper leg, while the moving arm would be aligned with the lower leg.

Once the goniometer and the stationary limb are in place, move the joint through its range of motion. Be careful to only move the limb being measured and keep the rest of the body still. Stretch the joint as far as it can safely go, and then hold it in place.

Finally, move the moving arm of the goniometer to align with the moving limb. The moving arm is the arm of the goniometer that is not attached to the circle and can be adjusted independently. Once the moving arm is aligned with the moving limb, you can read the measurement by looking at the angle degree the moving arm is pointing to. Repeat the measurement a few times and calculate the average to obtain an accurate reading.

Goniometers can be used to measure the range of motion of various joints, including the hip, knee, shoulder, and wrist. They are commonly used in physical therapy to track the progress of a joint's movement and provide quantitative measurements.

cyvigor

Using an inclinometer

An inclinometer is a device used to measure angles and is commonly used in physiotherapy to measure the range of motion (ROM) of joints. It is very similar to a goniometer but does not require the user to estimate the positions of the bones and axis points, which can introduce error into the measurement.

There are two types of inclinometers: manual and digital. The manual inclinometer, sometimes referred to as a "bubble inclinometer", has a fluid-filled face in a circle. The fluid is a combination of coloured fluid and a clear fluid. The fluid interface moves with gravity, and the movement of the interface is used to read the measurement off a rotating 360-degree face dial. The dial faces are set to the 0-degree position, and the inclinometer is placed near the joint to be measured. As the joint gets manipulated, the range of motion displays in degrees directly on the dial.

Digital inclinometers, on the other hand, are two electronic gravity sensors that can standardise a zero-measuring reference with the click of a button. They are approximately the size of a pocket watch and are typically connected by an electronic cord. One end, referred to as the "master", is placed at the top of the spine, while the other, the "slave", is placed at the lower segment of the spine. The advantage of the digital inclinometer is its ease of use and automatic calculation of the true angle. However, it is more expensive than the manual version and may not have an auto-off feature.

When measuring the spine, two inclinometers are employed simultaneously to record the dynamic motion. One inclinometer is placed at the top of the measured spine segment, and the other at the lower spine location. The measurement value of the lower spine is subtracted from the upper spine value to get the "true angle".

In addition to measuring the spine, an inclinometer can be used to measure the angle between two body parts, such as the thigh and the shinbone, to assess the alignment of the knee joint.

cyvigor

Using a tape measure

Preparation

Before you begin, ensure that you have a flexible cloth tape measure. Metal tape measures can also be used to check the accuracy of a cloth tape measure, but they are not suitable for direct skin contact. Get familiar with the tape measure's units, which are typically centimetres (cm) or inches, including eighths, quarters, halves, and tenths of an inch.

Neck

Measure your neck at its smallest part, just above the Adam's apple, with your head erect and muscles relaxed. If you have a double chin, measure below it, ensuring that the tape is not on a slant.

Upper Arm, Flexed (Biceps)

Raise your arm to shoulder level and fully contract your bicep, with the back of your hand facing the ceiling. Place the tape squarely around the bicep at its most prominent point, ensuring that the tape is not slanted.

Upper Arm, Straight (Triceps)

Hold your upper arm horizontally, in line with the shoulder joint, and relaxed. Place the tape around the largest part of the upper arm, usually just below where the deltoid joins the arm.

Forearm

Keep your arm straight, wrist straight, and fist clenched. Measure the forearm at its largest part.

Wrist

Place the tape directly next to the base of your hand, between the bony knobs and the hand, with your palm up, fingers straight, and hand in line with the forearm.

Chest, Normal

Measure your chest at its largest part, immediately under the armpits. The tape should cross the shoulder blades in the back and the nipples in the front. Keep your torso erect, breathing quiet, and muscles relaxed.

Chest, Contracted

With the tape in the same position as above, exhale all the air from your lungs and flatten your chest as much as possible.

Chest, Expanded

Keep the tape in the same position, and inhale the greatest volume of air you can into your lungs, expanding your chest muscles.

Waist

Measure your waist at its smallest part, usually just above the navel. Maintain a natural, erect posture, with your abdomen neither drawn in nor protruded.

Hips

Measure your hips at their broadest point from side to side and deepest point from front to back. Keep your feet together and your muscles relaxed.

Thigh

Spread your feet about six inches apart, and measure the largest part of your thigh, usually in the crease just below the buttocks. Keep your body weight evenly distributed and your thighs relaxed, not tensed.

Knee

Place the tape across the middle of your kneecap.

General Tips

Always keep the tape in gentle contact with the skin surface, ensuring it is not loose or too tight. Measure both the right and left sides of the body to identify over- and underdeveloped muscle areas. Additionally, consider other variables such as muscle bellies, origins, and insertions.

cyvigor

Using MRI

Magnetic Resonance Imaging (MRI) is widely considered the gold standard for measuring muscle volume in human muscles due to its reliability and accuracy. MRI is also commonly used in body composition research to measure whole-body skeletal muscle mass.

MRI is based on the magnetic properties of different body tissues. The magnetic field within an MRI scanner creates a detailed image, with post-processing segmentation of the muscles to allow for the calculation of muscle volume. Manual segmentation involves tracing the outline of the muscle of interest from each MRI slice taken along the entire length of the muscle. This process is time-consuming but has demonstrated good to excellent intra-rater reliability.

The 3D Slicer program allows for visualisation and manual segmentation in axial, sagittal, and coronal views. After marking the muscle boundaries in the axial view, the MRI can be translated into sagittal and coronal planes to allow for correct muscle border selection and maximum voxel inclusion. Once muscle segmentation is completed, the 'Segment Statistics' module calculates muscle volumes for each manually segmented muscle.

MRI images are also used to calculate skeletal muscle mass (SM) by measuring axial cross-sectional muscle areas from a series of images of the torso and limbs taken at regular intervals between the lower neck and ankles. The total cross-sectional volume is then calculated and converted to SM by multiplying the total muscle volume by 0.00104. The most common analysis technique involves using images with 10 mm slice thicknesses and 40 mm slice intervals along the length of the body.

cyvigor

Using a universal goniometer

A universal goniometer is a basic device used to measure the range of motion around a specific joint or body part. It is usually made of clear plastic or sometimes metal, and can cost as little as a few dollars. The device consists of a central "body" with a protractor and fulcrum, which is centred over a patient's joint, and two "arms" to align with the patient's body parts. One arm is stationary and is aligned with the midline of the stationary segment of the joint, while the other is movable and is aligned with the midline of the moving segment of the joint. The fulcrum is then positioned over a point near the joint's axis of rotation.

The universal goniometer comes in two forms: short-arm and long-arm. The short-arm goniometer is used for smaller joints like the wrist, elbow, or ankle, while the long-arm goniometer is more accurate for joints with long levers like the knee and hip joints.

To measure muscle length, the goniometer is aligned with the appropriate landmarks, and the examiner stabilises the proximal joint component. The distal component of the joint is then carefully moved through its entire available range of motion until the end feel is reached. The measurement is then read and recorded. The process is repeated two more times, and the average is calculated to obtain the active range of motion measurement. This can be compared with the contralateral side. The joint is then moved passively through its passive range of motion (PROM), and the above steps are repeated to measure PROM accurately.

The universal goniometer has been shown to have good to excellent reliability, and is more reliable than visual estimation, especially with inexperienced examiners.

Frequently asked questions

The universal goniometer and its variants, the inclinometer and its variants, and linear forms of measurement such as a tape measure are the three primary tools used to assess muscle length.

Position the patient so that all but one of the joints are in a lengthened position. Then, move the remaining joint crossed by the muscle passively until the muscle is fully stretched and unable to move further at the joint. Finally, assess and measure the final position of this joint to determine muscle length.

Measuring muscle length provides critical insights into the energetics, mechanics, and motor control of movement. It helps us understand the source of power for biological movement, which is skeletal muscle in animal locomotion.

Written by
Reviewed by

Explore related products

Share this post
Print
Did this article help you?

Leave a comment