Inter-rater reliability and variability of ultrasound measurements of abdominal muscles and fasciae thickness
Inter-rater reliability and variability of ultrasound measurements of abdominal muscles and fasciae thickness
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DOI：
10.1002/ca.23435
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发表时间：
2019-07-25
期刊：
影响因子：
2.4
通讯作者：
Pavan, Piero
中科院分区：
文献类型：
--
作者：
Pirri, Carmelo;Todros, Silvia;Pavan, Piero
物理和康复医学 (PRM) 专家越来越多地使用超声（美国）成像来测量腹部肌肉的厚度。当前的研究旨在评估美国测量腹部肌肉/筋膜厚度的评估者间的可靠性。三名接受过不同级别美国培训的评估者（1 = 骨科专家、筋膜专家；2 = PRM 住院医师；3 = PRM 专家）按照标准美国方案，在仰卧休息和动态条件下检查了健康志愿者的腹部肌肉和筋膜。探头沿右侧腹壁第 12 肋骨高度定位：(1) 脐上方白线处，(2) 脐侧面，距脐约 2 厘米，(3) 沿乳头线，(4) 沿腋前线。每位评估者在两次会议期间对 17 个解剖结构进行了六次测量。筋膜的测量相对误差（评估者内部变异性）略高于肌肉，动态条件下的相对误差略高于静息条件下的相对误差。在两种情况下，筋膜（组内相关系数 = ICC = 0.83）和肌肉（ICC = 0.99）的评估者间可靠性均良好。了解腹壁筋膜解剖结构对于准确的超声检查和提高可靠性至关重要。这些发现证实，超声成像是评估腹部肌肉/筋膜的可靠、非侵入性、经济高效的工具。临床。分析，2019。(c) 2019 Wiley periodicals, Inc.
Ultrasound (US) imaging is being increasingly used by Physical and Rehabilitation Medicine (PRM) specialists to measure the thickness of abdominal muscles. The current study set out to assess the inter-rater reliability of US measurements of the thickness of the abdominal muscles/fasciae. Three raters (1 = orthopedic specialist, expert on fasciae; 2 = PRM resident; 3 = PRM specialist) with different levels of US training examined the abdominal muscles and fasciae of a healthy volunteer under supine resting and dynamic conditions following a standard US protocol. The probe was positioned along the right lateral abdominal wall at the height of the 12th rib: (1) above the umbilicus at the linea alba, (2) to the side of and approximately 2 cm from the umbilicus, (3) along the mammillary line, and (4) along the anterior axillary line. Each rater measured 17 anatomical structures six times during two sessions. The relative error of the measurements (intra-rater variability) was slightly higher for the fasciae than for the muscles, and during the dynamic condition than the resting condition. Inter-rater reliability was good under both conditions for the fasciae (Intraclass Correlation Coefficient = ICC = 0.83) and excellent for the muscles (ICC = 0.99). Knowledge of the fascial anatomy of the abdominal wall is essential for accurate ultrasound examinations and for improving reliability. These findings confirm that US imaging is a reliable, non-invasive, cost-effective instrument for evaluating the abdominal muscles/fasciae. Clin. Anat., 2019. (c) 2019 Wiley Periodicals, Inc.