European Geriatric Medicine

, Volume 10, Issue 1, pp 155–156 | Cite as

Application of ultrasound for muscle assessment in sarcopenia: the challenge of implementing protocols for clinical practice

  • Andrea TicinesiEmail author
  • Tiziana Meschi
  • Marcello Maggio
  • Marco V. Narici
Letter to the editor

Dear Editor,

We read with great interest the extensive review on the application of muscle ultrasound in the clinical evaluation of sarcopenia by Perkisas et al. [1]. We agree that the standardization of procedures is of paramount importance for implementing this technique on both outpatient and inpatient settings. Inadequate standardization of procedures was among the reasons why previous studies reported puzzling results on inter-rater, intra-rater, and test–retest reliability for measures other than muscle thickness [2].

However, to introduce muscle ultrasound into clinical practice, procedural precision should not escape from practical considerations [3]. There is no doubt that the best condition for performing muscle ultrasound is at rest, but recommending a 30-min complete rest before the assessment is hardly feasible in a busy clinical practice, outside research protocols. Moreover, the position of both the patient and the examiner during muscle ultrasound assessment should be...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest associated with the content of this manuscript.

Ethical approval

This manuscript does not contain any studies with human participants performed by any of the authors.

Informed consent

For this type of study, informed consent is not required.


  1. 1.
    Perkisas S, Baudry S, Bauer J, Beckwée D, De Cock AM, Hobbelen H, Jager-Wittenaar H, Kasiukiewicz A, Landi F, Marco E, Merello A, Piotrowicz K, Sanchez E, Sanchez-Rodriguez D, Scafoglieri A, Cruz-Jentoft A, Vandewoude M (2018) Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements. Eur Geriatr Med. (ahead of print) Google Scholar
  2. 2.
    Ticinesi A, Meschi T, Narici MV, Lauretani F, Maggio M (2017) Muscle ultrasound and sarcopenia in older individuals: a clinical perspective. J Am Med Dir Assoc 18(4):290–300. CrossRefGoogle Scholar
  3. 3.
    Ticinesi A, Narici MV, Lauretani F, Nouvenne A, Colizzi E, Mantovani M, Corsonello A, Landi F, Meschi T, Maggio M (2018) Assessing sarcopenia with vastus lateralis muscle ultrasound: an operative protocol. Aging Clin Exp Res. (ahead of print) Google Scholar
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    Noorkoiv M, Stavsnbo A, Aagaard P, Blazevich AJ (2010) In vivo assessment of muscle fascicle length by extended field-of-view ultrasonography. J Appl Physiol 109(6):1974–1979. CrossRefGoogle Scholar
  5. 5.
    Franchi MV, Atherton PJ, Reeves ND, Flück M, Williams J, Mitchell WK, Selby A, Beltran Valls RN, Narici MV (2014) Architectural, functional and molecular responses to concentric and eccentric loading in human skeletal muscle. Acta Physiol 210(3):642–654. CrossRefGoogle Scholar

Copyright information

© European Geriatric Medicine Society 2018

Authors and Affiliations

  1. 1.Department of Medicine and SurgeryUniversity of ParmaParmaItaly
  2. 2.Geriatric-Rehabilitation DepartmentAzienda Ospedaliero-Universitaria di ParmaParmaItaly
  3. 3.Department of Biomedical SciencesUniversity of PadovaPaduaItaly

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