Schneebeli Alessandro, Egloff Michele, Giampietro Amelia, Clijsen Ron, Barbero Marco
Department of Health Sciences, University of Applied Sciences and Arts of Southern Switzerland, SUPSI, Switzerland.
Department of Health Sciences, University of Applied Sciences and Arts of Southern Switzerland, SUPSI, Switzerland.
J Bodyw Mov Ther. 2014 Apr;18(2):266-72. doi: 10.1016/j.jbmt.2013.09.009. Epub 2013 Sep 26.
To examine intra- and interrater reliability of thickness and cross-sectional area (CSA) measurements of the supraspinatus muscle using rehabilitative ultrasound imaging (RUSI).
Two physical therapists acquired b-mode images of the supraspinatus muscles in twenty-five healthy subjects. Thickness and CSA were measured. Intra- and interrater reliability were examined.
Intrarater reliability for thickness was high, (ICC1.1 0.91) for rater 1 and (ICC1.1 0.92) for rater 2. Intrarater reliability for CSA was also high, (ICC1.1 0.90) for rater 1 and (ICC1.1 0.85) for rater 2. Interrater reliability for the thickness was high, (ICC3.1 0.86). For CSA, interrater reliability was moderate, (ICC3.1 0.70).
Supraspinatus muscle thickness and CSA can be reliably measured by physical therapists in healthy subjects. These findings confirm that RUSI has an interesting potential for physiotherapy clinical practice, especially to assess morphometric changes in skeletal muscles. Further research is needed in subjects with shoulder disorders.
使用康复超声成像（RUSI）检查冈上肌厚度和横截面积（CSA）测量的观察者内和观察者间可靠性。
两名物理治疗师获取了25名健康受试者冈上肌的B超图像。测量了厚度和CSA。检查了观察者内和观察者间可靠性。
观察者1的厚度观察者内可靠性高，（ICC1.1为0.91），观察者2的（ICC1.1为0.92）。CSA的观察者内可靠性也高，观察者1的（ICC1.1为0.90），观察者2的（ICC1.1为0.85）。厚度的观察者间可靠性高，（ICC3.1为0.86）。对于CSA，观察者间可靠性中等，（ICC3.1为0.70）。
物理治疗师可在健康受试者中可靠地测量冈上肌厚度和CSA。这些发现证实，RUSI在物理治疗临床实践中具有有趣的潜力，特别是用于评估骨骼肌的形态测量变化。在肩部疾病患者中还需要进一步研究。
