Endo Yoshiaki, Ito Akihiro, Hotta Syota, Yakabi Akihiro, Onoda Ko, Tani Hiroaki, Kubo Akira
Department of Physical Therapy, International University of Health and Welfare: 2600-1 Kitakanemaru, Otawara, Tochigi 324-8501, Japan.
Department of Rehabilitation, Shioya Hospital, International University of Health and Welfare, Japan.
J Phys Ther Sci. 2021 Mar;33(3):283-287. doi: 10.1589/jpts.33.283. Epub 2021 Mar 17.
[Purpose] This study aimed to clarify the required number of measurements to calculate trunk muscle thickness at each position. [Participants and Methods] The participants were 30 elderly males aged >65 years. The right lumbar multifidus (L2), lumbar multifidus (L5), erector spinae, transversus abdominis, internal oblique, and external oblique muscle thicknesses were measured on longitudinal images obtained using ultrasonography in the lying, sitting, and standing positions. Two measurement values for each muscle thickness was used to calculate the intraclass correlation coefficient (1.1-1.5). [Results] The intraclass correlation coefficients of the abdominal muscle thickness measurements with "great reliabilities" were as follows: 1.3-1.5 for the external oblique muscle and 1.2-1.5 for the internal oblique and transversus abdominis muscles in the lying position; 1.3-1.5 for the external oblique and transversus abdominis muscles and 1.2-1.5 for the internal oblique muscle in the sitting position; the intraclass correlation coefficient in the standing position was 1.5 for the external oblique muscle 1.1-1.5 for the internal oblique muscle and 1.3-1.5 for the transversus abdominis muscle. In all the positions, the intraclass correlation coefficient of the measurements of the back-muscle thicknesses ranged from 1.1 to 1.5 for the right lumbar multifidus (L2), lumbar multifidus (L5), and erector spinae. [Conclusion] Depending on the posture, the abdominal muscles require multiple measurements, whereas the back muscles only require a single measurement.
[目的] 本研究旨在明确计算各部位躯干肌肉厚度所需的测量次数。[参与者与方法] 参与者为30名年龄大于65岁的老年男性。使用超声在仰卧位、坐位和站立位获取的纵向图像上测量右侧腰多裂肌(L2)、腰多裂肌(L5)、竖脊肌、腹横肌、腹内斜肌和腹外斜肌的厚度。每个肌肉厚度使用两个测量值来计算组内相关系数(1.1 - 1.5)。[结果] 腹部肌肉厚度测量具有“高可靠性”的组内相关系数如下:仰卧位时,腹外斜肌为1.3 - 1.5,腹内斜肌和腹横肌为1.2 - 1.5;坐位时,腹外斜肌和腹横肌为1.3 - 1.5,腹内斜肌为1.2 - 1.5;站立位时,腹外斜肌的组内相关系数为1.5,腹内斜肌为1.1 - 1.5,腹横肌为1.3 - 1.5。在所有体位下,右侧腰多裂肌(L2)、腰多裂肌(L5)和竖脊肌的背部肌肉厚度测量组内相关系数范围为1.1至1.5。[结论] 根据姿势不同,腹部肌肉需要多次测量,而背部肌肉仅需单次测量。