Evidence map›Paper›PMID 41820720›Full record

ArticleSports medicine - open2026

Assessing the Recovery of Muscle Fatigue Using Shear Wave Elastography.

Ruihong Cheng, Qiushi Wang, Libin Xu, Weiqiang Xu, Yang Zheng, Yixiong Cui, Yanping Cao

Abstract read
In one paragraph

Article in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ruihong Cheng *Institute of Biomechanics and Medical Engineering, Department of Engineering Mechanics, Tsinghua University, Beijing, 100084, PR China.ORCID http://orcid.org/0009-0001-4548-8906
Qiushi Wang *Sports Coaching College, Beijing Sport University, Beijing, 100084, PR China.ORCID http://orcid.org/0009-0009-3891-9876
Libin XuNanjing Foreign Language School, Nanjing, 210000, PR China.
Weiqiang XuInstitute of Biomechanics and Medical Engineering, Department of Engineering Mechanics, Tsinghua University, Beijing, 100084, PR China.
Yang ZhengInstitute of Biomechanics and Medical Engineering, Department of Engineering Mechanics, Tsinghua University, Beijing, 100084, PR China.
Yixiong CuiSchool of Sports Engineering (China Sports Big Data Center), Beijing Sport University, Beijing, 100084, PR China. cuiyixiong@bsu.edu.cn.ORCID http://orcid.org/0000-0002-1755-9631
Yanping CaoInstitute of Biomechanics and Medical Engineering, Department of Engineering Mechanics, Tsinghua University, Beijing, 100084, PR China. caoyanping@tsinghua.edu.cn.

Funding

National Natural Science Foundation of China 11972206 and 11921002
6 · The paper itself

Abstract

backgroundVariation in muscle stiffness, reflected by changes in shear modulus (G) measured via shear wave elastography (SWE), is linked to muscle fatigue and athletic performance. Although fatigue recovery varies across populations due to sex and training background, quantitative evidence remains limited. This study aimed to assess changes in passive muscle G during fatigue and recovery and to evaluate the applicability of SWE for monitoring muscle fatigue.

methodsThirty-five athletes and 16 non-athletes participated. Muscle fatigue was induced using unilateral eccentric dumbbell elbow flexion at 90% one-repetition maximum (three sets of 10 repetitions plus a final set to exhaustion). G was measured using SWE at baseline, immediately post-exercise, and at 24 and 48 h. Linear mixed-effects models examined the effects of group and time on G, with arm dominance included as a controlled factor.

resultsA significant main effect of time on G was observed (P < 0.001), with no main effects of group or arm dominance and no significant interactions (all P > 0.05). At baseline, non-athlete females showed lower G than athletes in the dominant arm and lower G than male athletes in the non-dominant arm (P < 0.05, effect size [ES] = 1.05-1.39). Immediately, G increased in male athletes, non-athlete males, and non-athlete females (P < 0.05, ES = 0.43-1.34), with non-athlete males showing higher G in the dominant arm than non-athlete females (P < 0.05, ES = 0.95). At 24-hour follow-up, non-athlete females exhibited higher dominant-arm G and lower non-dominant-arm G than non-athlete males and male athletes (P < 0.05, ES = 1.16-1.57). By 48 h, G returned to baseline in male athletes and non-athlete males, while non-athlete females showed a significant decrease in dominant-arm G compared to 24 h measurement (P < 0.05, ES = 1.06). An inter-limb difference occurred only in non-athlete females at 24 h (P < 0.05, ES = 1.14).

conclusionsPassive muscle modulus G reflects muscle stiffness and can be non-invasively monitored using a portable SWE device. Our findings suggest that passive G is a valid indicator for tracking muscle fatigue and recovery across populations.

Indexed as

Exercise-induced muscle damageIn vivo measurementMuscle fatigueMuscle shear modulusShear wave elastography

Identifiers

PMID41820720
PMCPMC12982808

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.