Physical Therapy Rehabilitation Science

  • 제8권4호
  • /
  • Pages.218-224
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  • 2019
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Intra- and inter-rater reliability of muscle thickness measurement of the tibialis anterior using different inward pressures

  • Lee, Seong-Joo (Department of Physical Therapy, General Graduate School of Medical Sciences, Konyang University) ;
  • Lim, Ji Young (Department of Physical Therapy, General Graduate School of Medical Sciences, Konyang University) ;
  • Lee, Chang-Hyung (Rehabilitation Medicine, Pusan National University School of Medicine, Research Institute for the Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital) ;
  • Park, Dae-Sung (Department of Physical Therapy, College of Medical Science, Konyang University)
  • 투고 : 2019.10.04
  • 심사 : 2019.10.29
  • 발행 : 2019.12.31
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초록

Objective: This reliability study examined the effects of applying varying induced inward pressures using a transducer placed at 0° neutral ankle position (NEU) and 15° ankle dorsiflexion (DF) on tibialis anterior (TA) muscle thickness using a custom-made device with a force indicator during rehabilitative ultrasound imaging. Design: Cross-sectional study. Methods: Twenty-four healthy subjects were recruited in this study. Two examiners measured the muscle thickness of the TA at 0° NEU and 15° DF in 3 conditions of inward pressures (1.0 N, 2.0 N, and 4.0 N) using a custom-made holder. The muscle thickness was measured three times for each of the conditions arranged in random order. For intra- and inter-rater reliability, the intraclass correlation coefficients (ICCs) with 95% confidence intervals, standard error of measurement, minimal detectable change, and coefficient of variation were analyzed. One-way repeated measures analysis of variance was conducted for investigating changes of TA muscle thickness according to the inward pressures of the transducers. Results: The intra-rater reliability of TA muscle thickness measurement was excellent (ICC3,1: 0.92-0.96) for all conditions (at both ankle joint angles per varying inward pressure). Likewise, the inter-rater reliability of TA muscle thickness measurement was excellent (ICC2,1: 0.89-0.97) under same conditions. The mean of TA thickness showed the trend of decreasing significantly with increased inward pressures at all ankle joint angles (p<0.05). Conclusions: Use of this custom-made device with a force indicator is useful to accomplish the high intra- and inter-rater reliability of TA muscle thickness measurement at both ankle joint angles in reducing the measurement error.

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참고문헌

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