Seidl Laura, Tosovic Danijel, Brown J Mark
1 The University of Queensland.
J Appl Biomech. 2017 Apr;33(2):130-136. doi: 10.1123/jab.2016-0085. Epub 2016 Nov 11.
Whole muscle mechanomyography (MMG) has gained considerable interest in recent years for its ability to noninvasively determine muscle contractile properties (ie, contraction time [Tc], half-relaxation time [1/2Tr], and maximal displacement [Dmax)]). The aim of this study was to evaluate the test-retest reliability of two fairly novel MMG transducers: a laser-displacement sensor (LDS) and contact-displacement sensor (CDS). MMG was conducted on the rectus femoris muscle of 30 healthy individuals on 4 separate occasions. Test-retest reliability was quantified using intraclass correlation coefficients (ICCs). Both sensors were reliable for time-derived parameters Tc (ICCs, 0.85-0.88) and 1/2Tr (0.77-0.89), with Dmax identified as the most reproducible parameter (0.89-0.94). The 2 sensors produced similar Tc and Dmax measures, although significant (P < .05) systematic bias was identified with the CDS recording higher mean values, on average. However, these differences may not be considered clinically significant. The wide limits of agreement identified between 1/2Tr measures (-19.0 ms and 25.2 ms) are considered unreliable from a clinical perspective. Overall, MMG demonstrated good-to-excellent reliability for the assessment of muscle contractile properties with no significant differences identified between sessions, thus further validating its applicability as a noninvasive measure of muscle contractile properties.
近年来,全肌肉肌动图(MMG)因其能够无创地测定肌肉收缩特性(即收缩时间[Tc]、半松弛时间[1/2Tr]和最大位移[Dmax])而备受关注。本研究的目的是评估两种相当新颖的MMG换能器的重测可靠性:激光位移传感器(LDS)和接触位移传感器(CDS)。对30名健康个体的股直肌进行了4次独立的MMG检测。使用组内相关系数(ICC)对重测可靠性进行量化。两种传感器对于时间衍生参数Tc(ICC,0.85 - 0.88)和1/2Tr(0.77 - 0.89)都是可靠的,其中Dmax被确定为最可重复的参数(0.89 - 0.94)。尽管平均而言,CDS记录的平均值较高且存在显著(P <.05)的系统偏差,但这两种传感器产生的Tc和Dmax测量值相似。然而,这些差异可能不被认为具有临床意义。从临床角度来看,1/2Tr测量值之间确定的较宽一致性界限(-19.0毫秒和25.2毫秒)被认为不可靠。总体而言,MMG在评估肌肉收缩特性方面表现出良好至优秀的可靠性,各检测之间未发现显著差异,从而进一步验证了其作为肌肉收缩特性无创测量方法的适用性。