The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Intra and Inter-Rater Measurement Reliability of Tibialis Anterior Muscle (TA) Thickness using the Ultrasonography Spring Gauge Technique

  • Hwang, Byeong-Hun (Department of Physical Therapy, College of Life and Health Science, Hoseo University, Smart Healthcare Convergence Research Center, Hoseo University) ;
  • Jang, Tae-Jin (Department of Physical Therapy, College of Life and Health Science, Hoseo University, Smart Healthcare Convergence Research Center, Hoseo University) ;
  • Jeon, In-Cheol (Department of Physical Therapy, College of Life and Health Science, Hoseo University, Smart Healthcare Convergence Research Center, Hoseo University)
  • Received : 2021.07.16
  • Accepted : 2021.08.18
  • Published : 2021.08.31
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Abstract

Purpose: The purpose of the current study was to determine the intra- and inter-rater reliability of muscle thickness measurement of the TA using ultrasonography (US) conducted at different inward pressures of approximately 0.5 kg, 1.0 kg, and no pressure control. Methods: Twenty healthy subjects were recruited for this study. Two different examiners measured the thicknesses of the dominant TA of each subject randomly 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, standard error of measurement, minimal detectable change, and coefficient of variance. Results: All intra-rater reliability ICC values showed high reliability above 0.9. Inter-rater reliability ICC values showed high reliability above 0.9 with 0.5 and 1.0 kg of inward pressure. In contrast, Inter-rater reliability ICC values showed poor reliability (0.23) with no pressure control of inward pressure. Conclusion: The findings showed that maintaining consistent inward pressure is essential for reliable results when the muscle thickness of the TA is measured by different examiners in a clinical setting.

Keywords

Acknowledgement

This research was funded by the university innovation support project of Hoseo University, grant number 221-01.

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