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肌张力评估机械肌肉功能的可靠性和测量误差:系统评价。

Reliability and Measurement Error of Tensiomyography to Assess Mechanical Muscle Function: A Systematic Review.

机构信息

Official College of Graduates in Physical Education of the Canary Islands (COLEF), Las Palmas de Gran Canaria, Gran Canaria, Spain.

NAR-Nucleus of High Performance in Sport, São Paulo, Brazil.

出版信息

J Strength Cond Res. 2017 Dec;31(12):3524-3536. doi: 10.1519/JSC.0000000000002250.

DOI:10.1519/JSC.0000000000002250
PMID:28930871
Abstract

Martín-Rodríguez, S, Loturco, I, Hunter, AM, Rodríguez-Ruiz, D, and Munguia-Izquierdo, D. Reliability and measurement error of tensiomyography to assess mechanical muscle function: A systematic review. J Strength Cond Res 31(12): 3524-3536, 2017-Interest in studying mechanical skeletal muscle function through tensiomyography (TMG) has increased in recent years. This systematic review aimed to (a) report the reliability and measurement error of all TMG parameters (i.e., maximum radial displacement of the muscle belly [Dm], contraction time [Tc], delay time [Td], half-relaxation time [½ Tr], and sustained contraction time [Ts]) and (b) to provide critical reflection on how to perform accurate and appropriate measurements for informing clinicians, exercise professionals, and researchers. A comprehensive literature search was performed of the Pubmed, Scopus, Science Direct, and Cochrane databases up to July 2017. Eight studies were included in this systematic review. Meta-analysis could not be performed because of the low quality of the evidence of some studies evaluated. Overall, the review of the 9 studies involving 158 participants revealed high relative reliability (intraclass correlation coefficient [ICC]) for Dm (0.91-0.99); moderate-to-high ICC for Ts (0.80-0.96), Tc (0.70-0.98), and ½ Tr (0.77-0.93); and low-to-high ICC for Td (0.60-0.98), independently of the evaluated muscles. In addition, absolute reliability (coefficient of variation [CV]) was low for all TMG parameters except for ½ Tr (CV = >20%), whereas measurement error indexes were high for this parameter. In conclusion, this study indicates that 3 of the TMG parameters (Dm, Td, and Tc) are highly reliable, whereas ½ Tr demonstrate insufficient reliability, and thus should not be used in future studies.

摘要

马丁-罗德里格斯,S,洛图尔科,I,亨特,AM,罗德里格斯-鲁伊斯,D,和蒙吉亚-伊萨基尔多,D。肌张描记术评估机械肌肉功能的可靠性和测量误差:系统评价。J 力量与调节研究 31(12):3524-3536,2017 年-近年来,人们对通过肌张描记术(TMG)研究机械骨骼肌肉功能的兴趣有所增加。本系统评价旨在:(a)报告所有 TMG 参数(即肌肉腹部的最大径向位移[Dm],收缩时间[Tc],延迟时间[Td],半松弛时间[½ Tr]和持续收缩时间[Ts])的可靠性和测量误差;(b)提供关于如何进行准确和适当测量的批判性反思,为临床医生、运动专业人员和研究人员提供信息。对 Pubmed、Scopus、Science Direct 和 Cochrane 数据库进行了全面的文献检索,截至 2017 年 7 月。本系统评价纳入了 8 项研究。由于评估的一些研究的证据质量较低,因此无法进行荟萃分析。总的来说,对涉及 158 名参与者的 9 项研究的综述显示,Dm(0.91-0.99)的相对可靠性(组内相关系数[ICC])较高;Ts(0.80-0.96)、Tc(0.70-0.98)和 ½ Tr(0.77-0.93)的 ICC 为中度至高度;而 Td(0.60-0.98)的 ICC 为低至高,独立于评估的肌肉。此外,除了 ½ Tr(CV>20%)之外,所有 TMG 参数的绝对可靠性(变异系数[CV])均较低,而该参数的测量误差指数较高。总之,本研究表明,TMG 参数中的 3 个参数(Dm、Td 和 Tc)具有高度可靠性,而 ½ Tr 显示出可靠性不足,因此不应在未来的研究中使用。

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