Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Intra- and Inter-Rater Reliability of Thickness Measurement of the Psoas Major Muscle Using the Spring Gauge Technique for the Consistent Inward Pressures on Healthy Subjects: An Ultrasonographic Study

  • Jeon, In-Cheol (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kim, Yong-Wook (Dept. of Physical Therapy, College of Medial Sciences, Jeonju University) ;
  • Choung, Sung-Dae (Dept. of Physical Therapy, The Graduate School, Yonsei University)
  • Received : 2013.09.24
  • Accepted : 2013.10.30
  • Published : 2013.11.19
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Abstract

The purpose of the current study was to determine the intra- and inter-rater reliability of muscle thickness (MT) measurement of the psoas major (PM) using ultrasonography (US) conducted at different inward pressures of approximately .5 kg, 1.0 kg, 1.5 kg, and 2.0 kg. Twelve healthy male subjects were recruited for the study. The thicknesses of both PMs of each subject were measured by two different examiners in a random manner to assess the intra- and inter-rater reliability. The measurement values were analyzed using the intra-class correlation coefficient (ICC) with a 95% confidence interval (CI). ICC (2,1) was used to determine the inter-rater reliability and ICC (3,1) was used to assess the intra-rater reliability of the MT measurement of the PM. The results indicated higher ICC values for intra-rater reliability compared to inter-rater reliability. In addition, the value for intra-rater reliability with .5 kg inward pressure [ICC=.99 (95%CI=.98~.99)] was higher compared to 1.0 kg, 1.5 kg, and 2.0 kg. Other inward pressures for intra- and inter-rater reliability in current study were also demonstrated to have excellent values (ICC=.94~.99). These findings showed that maintaining consistent inward pressure is essential for maintaining reliability of the results when the MT of the PM is measured by different examiners in a clinical setting.

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References

  1. Abe T, Kawakami Y, Suzuki Y, et al. Effects of 20 days bed rest on muscle morphology. J Gravit Physiol. 1997;4(1):S10-S14.
  2. Abe T, Kondo M, Kawakami Y, et al. Prediction equations for body composition of Japanese adults by b-mode ultrasound. Am J Hum Biol. 1994;6(2):161-170. https://doi.org/10.1002/ajhb.1310060204
  3. Akagi R, Takai Y, Ohta M, et al. Muscle volume compared to cross-sectional area is more appropriate for evaluating muscle strength in young and elderly individuals. Age Ageing. 2009;38(5): 564-569. https://doi.org/10.1093/ageing/afp122
  4. Akbari A, Khorashadizadeh S, Abdi G. The effect of motor control exercise versus general exercise on lumbar local stabilizing muscles thickness: Randomized controlled trial of patients with chronic low back pain. J Back Musculoskelet Rehabil. 2008;21(2):105-112. https://doi.org/10.3233/BMR-2008-21206
  5. Ando K, Saito S, Aoki Y, et al. Development of probe scan mechanism for echography using pneumatic actuators and its estimation control in contact force on body surface. J Robot Soc Jpn. 2010;28(7):792-801. https://doi.org/10.7210/jrsj.28.792
  6. Barker KL, Shamley DR, Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: The relationship to pain and disability. Spine (Phila Pa 1976). 2004;15;29(22):E515-E519. https://doi.org/10.1097/01.brs.0000144405.11661.eb
  7. Bohannon RW, Andrews AW. Accuracy of spring and strain gauge hand-held dynamometers. J Orthop Sports Phys Ther. 1989;10(8):323-325. https://doi.org/10.2519/jospt.1989.10.8.323
  8. Bunce SM, Moore AP, Hough AD. M-mode ultrasound: A reliable measure of transversus abdominis thickness? Clin Biomech (Bristol, Avon). 2002;17(4):315-317. https://doi.org/10.1016/S0268-0033(02)00011-6
  9. Cagnie B, Derese E, Vandamme L, et al. Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. Man Ther. 2009;14(4):421-426. https://doi.org/10.1016/j.math.2008.07.007
  10. Cooper RG, St Clair Forbes W, Jayson MI. Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain. Br J Rheumatol. 1992;31(6):389-394. https://doi.org/10.1093/rheumatology/31.6.389
  11. Crossley KM, Bennell KL, Cowan SM, et al. Analysis of outcome measures for persons with patellofemoral pain: Which are reliable and valid? Arch Phys Med Rehabil. 2004;85(5):815-822. https://doi.org/10.1016/S0003-9993(03)00613-0
  12. Hayes K, Walton JR, Szomor ZL, et al. Reliability of 3 methods for assessing shoulder strength. J Shoulder Elbow Surg. 2002;11(1):33-39. https://doi.org/10.1067/mse.2002.119852
  13. Ishida H, Watanabe S. Influence of inward pressure of the transducer on lateral abdominal muscle thickness during ultrasound imaging. J Orthop Sports Phys Ther. 2012;42(9):815-818. https://doi.org/10.2519/jospt.2012.4064
  14. Jhu JL, Chai HM, Jan MH, et al. Reliability and relationship between 2 measurements of transversus abdominis dimension taken during an abdominal drawing-in maneuver using a novel approach of ultrasound imaging. J Orthop Sports Phys Ther. 2010;40(12):826-832. https://doi.org/10.2519/jospt.2010.3000
  15. Keagy RD, Brumlik J, Bergan JL. Direct electromyography of the psoas major muscle in man. J Bone Joint Surg. 1966;48(7):1377-1382. https://doi.org/10.2106/00004623-196648070-00011
  16. Nachemson A. Electromyographic studies on the vertebral portion of the psoas muscle; with special reference to its stabilizing function of the lumbar spine. Acta Ortho Scand. 1966;37(2): 177-190. https://doi.org/10.3109/17453676608993277
  17. Nachemson A. The possible importance of the psoas muscle for stabilization of the lumbar spine. Acta Ortho Scand. 1968;39(1):47-57. https://doi.org/10.3109/17453676808989438
  18. McGill SM, Santaguida L, Stevens J. Measurement of the trunk musculature from T5 to L5 using MRI scans of 15 young males corrected for muscle fibre orientation. Clin Biomech (Bristol, Avon). 1993;8(4):171-178. https://doi.org/10.1016/0268-0033(93)90011-6
  19. Sajko S, Stuber K. Psoas major: A case report and review of its anatomy, biomechanics, and clinical implications. J Can Chiropr Assoc. 2009;53(4): 311-318.
  20. Santaguida PL, McGill SM. The psoas major muscle: A three-dimensional geometric study. J Biomech. 1995;28(3):339-345. https://doi.org/10.1016/0021-9290(94)00064-B
  21. Sipila S, Suominen H. Ultrasound imaging of the quadriceps muscle in elderly athletes and untrained men. Muscle Nerve. 1991;14(6):527-533. https://doi.org/10.1002/mus.880140607
  22. Snijder MB, Visser M, Dekker JM, et al. The prediction of visceral fat by dual-energy x-ray absorptiometry in the elderly: A comparison with computed tomography and anthropometry. Int J Obes Relat Metab Disord. 2002;26(7):984-993. https://doi.org/10.1038/sj.ijo.0801968
  23. Takai Y, Katsumata Y, Kawakami Y, et al. Ultrasound method for estimating the cross-sectional area of the psoas major muscle. Med Sci Sports Exerc. 2011;43(10):2000-2004. https://doi.org/10.1249/MSS.0b013e31821994cb
  24. Tatu L, Parratte B, Vuillier F, et al. Descriptive anatomy of the femoral portion of the iliopsoas muscle. Anatomical basis of anterior snapping of the hip. Surg Radiol Anat. 2001;23(6):371-374.
  25. Teyhen DS, Gill NW, Whittaker JL, et al. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 2007;37 (8):450-466. https://doi.org/10.2519/jospt.2007.2558
  26. Wallwork TL, Hides JA, Stanton WR. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007;37(10):608-612. https://doi.org/10.2519/jospt.2007.2418

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