Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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RELIABILITY and VALIDITY of DUAL PROBE-FIXING FRAME for REHABILITATIVE ULTRASOUND IMAGING for EXERCISES with VISUAL FEEDBACK

  • Na-eun Byeon (Department of Physical Therapy, Graduate School, Sahmyook University) ;
  • Jang-hoon Shin (Department of Physical Therapy, Sahmyook University College of Health Sciences) ;
  • Wan-hee Lee (Department of Physical Therapy, Sahmyook University College of Health Sciences)
  • Received : 2023.08.28
  • Accepted : 2023.09.18
  • Published : 2023.09.30
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Abstract

Objective: Rehabilitative ultrasound imaging is a safe and noninvasive technique for evaluating muscle thickness. A dual probe-fixing frame (DPF) can provide visual feedback during exercises targeting specific muscles. The purpose of this research was to verify the reliability and validity of the DPF for dual-probe ultrasound (DPU)-based visual feedback exercises, allowing users to use both hands freely. Design: This cross-sectional study used repeated measures to compare muscle thickness measurements obtained using the handheld device and DPF with DPU. Methods: Twenty healthy adults participated in the study. Measurements were taken over two sessions, with a two-day interval between the sessions. The thicknesses of the rectus abdominis (RA) and transverse abdominis (TrA) muscles were measured using DPU. The DPF with DPU developed by the research team, was used along with a laptop-based muscle viewer. Bland-Altman analysis and intraclass correlation coefficients (ICCs) calculations were used in statistical analyses to evaluate agreement and reliability, respectively. Results: The results of the Bland-Altman analysis showed small average differences between the handheld and DPF methods for both RA and TrA muscle thicknesses. Inter-rater reliability analysis showed high ICC values for DPF measurements of both RA (0.908-0.912) and TrA (0.892-741) muscle thicknesses. Intra-rater reliability analysis also showed good ICC values for measurements taken by a single examiner over two days. Conclusion: The findings of this study demonstrate that the DPF provides reliable and valid measurements of muscle thickness during visual feedback exercises using the DPU.

Keywords

Acknowledgement

This study was supported by a National Research Foundation grant funded by the Korean Government (No. NRF-2022R1A2C1092131).

References

  1. Whittaker JL, Teyhen DS, Elliott JM, Cook K, Langevin HM, Dahl HH, et al. Rehabilitative ultrasound imaging: understanding the technology and its applications. journal of orthopaedic & sports physical therapy. 2007;37(8):434-49.  https://doi.org/10.2519/jospt.2007.2350
  2. Esformes JI, Narici MV, Maganaris CN. Measurement of human muscle volume using ultrasonography. European journal of applied physiology. 2002;87:90-2.  https://doi.org/10.1007/s00421-002-0592-6
  3. Scott JM, Martin DS, Ploutz-Snyder R, Caine T, Matz T, Arzeno NM, et al. Reliability and validity of panoramic ultrasound for muscle quantification. Ultrasound in medicine & biology. 2012;38(9):1656-61.  https://doi.org/10.1016/j.ultrasmedbio.2012.04.018
  4. Lee H-J, Ha H-G, Hahn J, Lim S, Lee W-h. Intra-and inter-rater reliabilities for novel muscle thickness assessment during Co-contraction with dual-rehabilitative ultrasound imaging. Physical Therapy in Sport. 2018;32:109-14.  https://doi.org/10.1016/j.ptsp.2018.05.010
  5. Shin J-H, Lee W-H. The effects of two different visual feedback exercise tools based on rehabilitative ultrasound imaging in the elderly. Physical Therapy Rehabilitation Science. 2020;9(4):287-94.  https://doi.org/10.14474/ptrs.2020.9.4.287
  6. Calvo-Lobo C, Useros-Olmo AI, Almazan-Polo J, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Palomo-Lopez P, et al. Rehabilitative ultrasound imaging of the bilateral intrinsic plantar muscles and fascia in post-stroke survivors with hemiparesis: A case-control study. International Journal of Medical Sciences. 2018;15(9):907. 
  7. LaCross J, Proulx L, Brizzolara K, Humphrey J. Effect of rehabilitative ultrasound imaging (RUSI) biofeedback on improving pelvic floor muscle function in individuals with stress urinary incontinence: a systematic review. Journal of Women's Health Physical Therapy. 2021;45(4):174-89.  https://doi.org/10.1097/JWH.0000000000000217
  8. Dulger E, Bilgin S, Karakaya J, Soylu AR. Comparison of two different feedback techniques for activating the transversus abdominis: An observational study. Journal of Back and Musculoskeletal Rehabilitation. 2022;35(2):357-61.  https://doi.org/10.3233/BMR-200299
  9. Van K, Hides JA, Richardson CA. The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(12):920-5.  https://doi.org/10.2519/jospt.2006.2304
  10. Teyhen DS, Miltenberger CE, Deiters HM, Del Toro YM, Pulliam JN, Childs JD, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. Journal of Orthopaedic & Sports Physical Therapy. 2005;35(6):346-55.  https://doi.org/10.2519/jospt.2005.35.6.346
  11. Park D, Lee H. The use of rehabilitative ultrasound imaging for feedback from the abdominal muscles during abdominal hollowing in different positions. Journal of Physical Therapy Science. 2011;23(6):895-8.  https://doi.org/10.1589/jpts.23.895
  12. Lin S, Zhu B, Zheng Y, Huang G, Zeng Q, Wang C. Effect of real-time ultrasound imaging for biofeedback on trunk muscle contraction in healthy subjects: a preliminary study. BMC musculoskeletal disorders. 2021;22(1):1-8.  https://doi.org/10.1186/s12891-020-03840-y
  13. Lee DH, Hong SK, Lee Y-S, Kim C-H, Hwang JM, Lee Z, et al. Is abdominal hollowing exercise using real-time ultrasound imaging feedback helpful for selective strengthening of the transversus abdominis muscle?: a prospective, randomized, parallel-group, comparative study. Medicine. 2018;97(27). 
  14. De la Fuente C, Silvestre R, Baechler P, Gemigniani A, Grunewaldt K, Vassiliu M, et al. Intrasession real-time ultrasonography feedback improves the quality of transverse abdominis contraction. Journal of Manipulative and Physiological Therapeutics. 2020;43(8):816-23.  https://doi.org/10.1016/j.jmpt.2019.10.017
  15. McKenna LJ, Bonnett L, Panzich K, Lim J, Hansen SK, Graves A, et al. The addition of real-time ultrasound visual feedback to manual facilitation increases serratus anterior activation in adults with painful shoulders: A randomized crossover trial. Physical Therapy. 2021;101(3):pzaa208. 
  16. Walter S, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Statistics in medicine. 1998;17(1):101-10.  https://doi.org/10.1002/(SICI)1097-0258(19980115)17:1<101::AID-SIM727>3.0.CO;2-E
  17. Giavarina D. Understanding bland altman analysis. Biochemia medica. 2015;25(2):141-51.  https://doi.org/10.11613/BM.2015.015
  18. Myles PS, Cui J. I. Using the Bland-Altman method to measure agreement with repeated measures. Oxford University Press; 2007. p. 309-11. 
  19. Wilson A, Hides JA, Blizzard L, Callisaya M, Cooper A, Srikanth VK, et al. Measuring ultrasound images of abdominal and lumbar multifidus muscles in older adults: A reliability study. Manual therapy. 2016;23:114-9.  https://doi.org/10.1016/j.math.2016.01.004
  20. ShahAli S, Arab AM, Talebian S, Ebrahimi E, Bahmani A, Karimi N, et al. Reliability of ultrasound thickness measurement of the abdominal muscles during clinical isometric endurance tests. Journal of Bodywork and Movement Therapies. 2015;19(3):396-403. https://doi.org/10.1016/j.jbmt.2014.05.009