下背痛患者在进行收腹动作时腹横肌、腹内斜肌和腹外斜肌超声成像的可靠性
Reliability of Ultrasound Imaging of the Transversus Deep Abdominial, Internal Oblique and External Oblique Muscles of Patients with Low Back Pain Performing the Drawing-in Maneuver.
作者信息
Park Sung Doo
机构信息
Graduate School of Physical Therapy, Daejeon University.
出版信息
J Phys Ther Sci. 2013 Jul;25(7):845-7. doi: 10.1589/jpts.25.845. Epub 2013 Aug 20.
Abstract
[Purpose] The purpose of this study was to investigate the reliability of ultrasound imaging (USI) measurements of muscle thicknesses of patients with low back pain (LBP) performing the abdominal drawing-in maneuver (ADIM) [Subjects] Twenty patients with LBP were the subjects. [Methods] Muscle thickness measurements of transversus abdominis (Tra), internal obliques (IO), and external obliques (EO) muscles were measured using ultrasound imaging at rest and during performance of the ADIM. [Results] The intra-examiner reliability estimates ranged from 0.55 to 0.97 in the rest position, and from 0.82 to 0.95 during ADIM. The inter-examiner reliability estimates ranged from 0.77 to 0.98 in the rest position, and from 0.86 to 0.98 during ADIM. [Conclusion] ADIM thickness measurements of the TrA, IO, and EO muscles in patients with LBP based on the mean of 2 measures are highly reliable when taken by a single examiner and adequately reliable when taken by different examiners.
摘要
[目的]本研究旨在调查超声成像（USI）测量下腰痛（LBP）患者在进行收腹动作（ADIM）时肌肉厚度的可靠性。[对象]20名LBP患者作为研究对象。[方法]使用超声成像测量腹横肌（Tra）、腹内斜肌（IO）和腹外斜肌（EO）在静息状态及ADIM动作过程中的肌肉厚度。[结果]检查者内可靠性估计值在静息状态下为0.55至0.97，在ADIM动作过程中为0.82至0.95。检查者间可靠性估计值在静息状态下为0.77至0.98，在ADIM动作过程中为0.86至0.98。[结论]基于两次测量的平均值，由单一检查者测量LBP患者TrA、IO和EO肌肉的ADIM厚度具有高度可靠性，由不同检查者测量时也具有足够的可靠性。
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