肌电 PRO 及超声成像测量肌肉和皮下组织的最小可检测变化的方案和参考值。
Protocol and reference values for minimal detectable change of MyotonPRO and ultrasound imaging measurements of muscle and subcutaneous tissue.
机构信息
School of Health Sciences, University of Southampton, Southampton, UK.
Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, Southampton, UK.
出版信息
Sci Rep. 2022 Aug 11;12(1):13654. doi: 10.1038/s41598-022-17507-2.
The assessment of muscle health is of paramount importance, as the loss of muscle mass and strength can affect performance. Two non-invasive tools that have been found to be useful in this are the MyotonPRO and rehabilitative ultrasound imaging, both have shown to be reliable in previous studies many of which conducted by the research team. This study aims to determine the reliability of previously unassessed local body structures and to determine their minimal detectable changes (MDC) to support both researchers and clinicians. Twenty healthy participants were recruited to determine the reliability of seven skin positions out of a previously established protocol. Reliability was determined between three independent raters, and day to day reliability was assessed with one rater a week apart. Intraclass Correlation Coefficients (ICC) between raters and between days for tissue stiffness, tone and elasticity range from moderate to excellent (ICC 0.52-0.97), with most good or excellent. ICCs for subcutaneous thickness between days was good or excellent (ICC 0.86-0.91) and moderate to excellent between raters (ICC 0.72-0.96), in muscles it was moderate to excellent between raters and days (ICC 0.71-0.95). The protocol in this study is repeatable with overall good reliability, it also provides established MDC values for several measurement points.
肌肉健康的评估至关重要,因为肌肉质量和力量的丧失会影响表现。两种已被证明有用的非侵入性工具是 MyotonPRO 和康复超声成像,它们在之前的许多研究中都表现出了可靠性,其中许多研究是由该研究团队进行的。本研究旨在确定以前未评估的局部身体结构的可靠性,并确定其最小可检测变化(MDC),以支持研究人员和临床医生。本研究招募了 20 名健康参与者,以确定之前建立的协议中 7 个皮肤位置的可靠性。可靠性由 3 位独立的评估者确定,每周由一位评估者评估一天的可靠性。组织硬度、张力和弹性的评估者之间和之间的日内 ICC 介于中等至优秀(ICC 0.52-0.97),大多数为良好或优秀。皮下厚度的 ICC 介于良好至优秀(ICC 0.86-0.91)和评估者之间的中等至优秀(ICC 0.72-0.96),在肌肉中,评估者和日内之间的 ICC 为中等至优秀(ICC 0.71-0.95)。本研究中的方案具有良好的可靠性和可重复性,还为几个测量点提供了既定的 MDC 值。