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Alfredo Bravo-Sánchez, Pablo Abián, Filipa Sousa, Fernando Jimenez, and Javier Abián-Vicén

is performed on the skin using a probe, and parameters such as tone, elasticity, and stiffness can be obtained ( Ditroilo, Watsford, Murphy, & De Vito., 2011 ). The stiffness values measured with the myotonometer, which have been defined as the tissue capacity to maintain its initial shape against a

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Liana M. Tennant, Erika Nelson-Wong, Joshua Kuest, Gabriel Lawrence, Kristen Levesque, David Owens, Jeremy Prisby, Sarah Spivey, Stephanie R. Albin, Kristen Jagger, Jeff M. Barrett, James D. Wong, and Jack P. Callaghan

, 39 A myotonometer measures the resistance of a tissue to an impulse force applied to the overlying skin and quantifies stiffness based on the damped natural oscillation response of the tissue. 40 , 41 This technique is reliable in measuring stiffness of the lumbar erector spinae in back