Department of Kinesitherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
Head of the Rehabilitation Department, 'Stokrotka' Health Resort, Goczałkowice-Zdrój, Poland.
Musculoskelet Sci Pract. 2018 Dec;38:151-154. doi: 10.1016/j.msksp.2018.05.001. Epub 2018 May 3.
To date, the reliability of ultrasound imaging (US) measures of the abdominal muscle thickness in idiopathic scoliosis (IS) patients during early stages of adolescence has not been confirmed.
To assess the intra-rater reliability of US measures of the thickness of the external oblique (EO), internal oblique (IO), and transversus abdominis (TrA) on convex and concave body sides in adolescents with IS.
One-way repeated-measures analysis of variance (ANOVA) and reliability study.
Fifteen patients diagnosed IS were included between the ages of 9 and 14 years. Three repeated US measurements were recorded in the supine resting position over 2 sessions, 24 h apart.
By assessing the mean value from the first two measurements (ICC), the reliability was between .76 and .95 for all examined muscles on the convex and concave sides. The reliability for the mean values from three measurements (ICC) was between .81 and .96. The smallest detectable difference values for single measurements were twice as high on the convex side than on the concave side for all examined abdominal muscles.
US measurements of the thickness of the EO, IO, and TrA muscles in supine rest position in adolescent IS patients are reliable. In order to increase measurement reliability, and due to variability in reliability between concave and convex body side, we recommend using the mean of three consecutive measurements of the EO, IO, and TrA muscles for adolescents with IS.
迄今为止，尚未证实超声成像（US）测量特发性脊柱侧凸（IS）青少年早期腹部肌肉厚度的可靠性。
评估 IS 青少年凸侧和凹侧体部仰卧位时，US 测量腹外斜肌（EO）、腹内斜肌（IO）和腹横肌（TrA）厚度的内部观察者可靠性。
单向重复测量方差分析（ANOVA）和可靠性研究。
15 名年龄在 9 至 14 岁之间的 IS 患者纳入研究。在 24 小时的间隔内，患者分两次在仰卧休息位进行了 3 次重复 US 测量。
通过评估前两次测量的平均值（ICC），凸侧和凹侧所有检查肌肉的可靠性在.76 到.95 之间。三次测量平均值（ICC）的可靠性在.81 到.96 之间。对于所有检查的腹部肌肉，单次测量的最小可检测差异值在凸侧是凹侧的两倍。
仰卧位休息时，IS 青少年患者腹外斜肌、腹内斜肌和腹横肌厚度的 US 测量是可靠的。为了提高测量的可靠性，并且由于凸侧和凹侧之间的可靠性存在差异，我们建议 IS 青少年使用连续三次 EO、IO 和 TrA 肌肉测量的平均值。
