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Updated: Feb 28, 2026

A Novel Application of Musculoskeletal Ultrasound Imaging
Published on: September 17, 2013
Vastus lateralis and rectus femoris echo intensity fail to reflect knee extensor specific tension in middle-school
Jacob A Mota1, Matt S Stock2,3, Brennan J Thompson4
1Department of Exercise and Sport Science, Neuromuscular Research Laboratory, University of North Carolina-Chapel Hill, CB#8700, 209 Fetzer Hall, Chapel Hill, NC 27599-8700, United States of America.
Abstract:
The potential dissociation between muscle strength and size has led to interest in the ability to assess muscle quality across the lifespan.
Objectives:
We examined the association between echo intensity and specific tension in middle-school boys.
Approach:
Twenty-five boys participated in this study. Sixteen (mean ± SD age = 12 ± 1 years) engaged in a 16-week after-school strength and conditioning program. Nine boys (12 ± 1 years) served as controls. The program involved two 90 min sessions per week of lower-body speed, power, and resistance training. Before and after the intervention, ultrasound imaging was used to quantify vastus lateralis and rectus femoris echo intensity.
Main Results:
Specific tension was calculated as voluntary isometric peak torque divided by dual energy x-ray absorptiometry-derived thigh lean mass (Nm kg-1). The pretest echo intensity and specific tension data were not significantly correlated (r = 0.040, p = 0.850). Training resulted in a small mean increase in specific tension (change = 1.93 Nm kg-1; d = 0.42). The echo intensity values were not affected by training or maturation (training change = -1.13 arbitrary units (A.U.); control = 0.00 A.U.). Both variables showed no interaction and no group or time main effects. The echo intensity and specific tension change scores were not correlated for all subjects (r = -0.080, p = 0.705) or groups (training r = -0.095, p = 0.727; control r = -0.004, p = 0.992).
Significance:
In middle-school boys, a relationship between echo intensity and the ratio of muscle strength relative to lean mass does not exist.
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