Taghipour Morteza, Mohseni-Bandpei Mohammad Ali, Behtash Hamid, Abdollahi Iraj, Rajabzadeh Fatemeh, Pourahmadi Mohammad Reza, Emami Mahnaz
Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
J Ultrasound Med. 2019 Jan;38(1):15-26. doi: 10.1002/jum.14661. Epub 2018 Apr 24.
Rehabilitative ultrasound (US) imaging is one of the popular methods for investigating muscle morphologic characteristics and dimensions in recent years. The reliability of this method has been investigated in different studies. As studies have been performed with different designs and quality, reported values of rehabilitative US have a wide range. The objective of this study was to systematically review the literature conducted on the reliability of rehabilitative US imaging for the assessment of deep abdominal and lumbar trunk muscle dimensions. The PubMed/MEDLINE, Scopus, Google Scholar, Science Direct, Embase, Physiotherapy Evidence, Ovid, and CINAHL databases were searched to identify original research articles conducted on the reliability of rehabilitative US imaging published from June 2007 to August 2017. The articles were qualitatively assessed; reliability data were extracted; and the methodological quality was evaluated by 2 independent reviewers. Of the 26 included studies, 16 were considered of high methodological quality. Except for 2 studies, all high-quality studies reported intraclass correlation coefficients (ICCs) for intra-rater reliability of 0.70 or greater. Also, ICCs reported for inter-rater reliability in high-quality studies were generally greater than 0.70. Among low-quality studies, reported ICCs ranged from 0.26 to 0.99 and 0.68 to 0.97 for intra- and inter-rater reliability, respectively. Also, the reported standard error of measurement and minimal detectable change for rehabilitative US were generally in an acceptable range. Generally, the results of the reviewed studies indicate that rehabilitative US imaging has good levels of both inter- and intra-rater reliability.
康复超声（US）成像技术是近年来用于研究肌肉形态特征和尺寸的常用方法之一。不同研究对该方法的可靠性进行了探究。由于各项研究的设计和质量各异，康复超声报告的值范围较广。本研究的目的是系统回顾关于康复超声成像评估腹部深层和腰背部肌肉尺寸可靠性的文献。检索了PubMed/MEDLINE、Scopus、谷歌学术、科学Direct、Embase、物理治疗证据、Ovid和CINAHL数据库，以确定2007年6月至2017年8月发表的关于康复超声成像可靠性的原始研究文章。对文章进行定性评估；提取可靠性数据；并由两名独立评审员评估方法学质量。在纳入的26项研究中，16项被认为方法学质量较高。除2项研究外，所有高质量研究报告的组内相关系数（ICC）显示，评估者内部可靠性为0.70或更高。此外，高质量研究报告的评估者间可靠性的ICC通常大于0.70。在低质量研究中，报告的评估者内部和评估者间可靠性的ICC分别为0.26至0.99和0.68至0.97。此外，康复超声报告的测量标准误差和最小可检测变化通常在可接受范围内。总体而言，综述研究结果表明，康复超声成像在评估者间和评估者内部的可靠性水平都较好。
