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使用肌张力计量化前臂肌肉的力学特性:检查者内和检查者间的可靠性及其与握力的关系。

Quantification of the forearm muscles mechanical properties using Myotonometer: Intra- and Inter-Examiner reliability and its relation with hand grip strength.

作者信息

Çevik Saldıran Tülay, Kara İlke, Kutlutürk Yıkılmaz Seval

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bitlis Eren University, Bitlis, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bitlis Eren University, Bitlis, Turkey; Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey.

出版信息

J Electromyogr Kinesiol. 2022 Dec;67:102718. doi: 10.1016/j.jelekin.2022.102718. Epub 2022 Oct 23.

Abstract

The primary objective of this study was to investigate the reliability of the myotonometer in the mechanical properties of the forearm muscles [m. extensor carpi radialis brevis (ECRB), and m. flexor carpi ulnaris (FCU)] in healthy individuals. The secondary objective was to investigate the relationship between the handgrip strength and mechanical properties of these forearm muscles. The mechanical properties (muscle tone, stiffness, and elasticity) of the ECRB and FCU were measured using the MyotonPRO device. Examiner 1 performed two sets of measurements with a time interval of 30 min to determine intra-examiner reliability. Examiner 2 performed measurements during the interval between the two sets of examiner 1. The intra- and inter-examiner reliabilities were excellent (ICC˃0.82) for muscle tone, stiffness, and elasticity of the FCU. Both intra- and inter-examiner reliability in the evaluation of ECRB muscle tone, elasticity, and stiffness was moderate to excellent (ICCs = 0.56-0.98). The muscle tone and stiffness properties of the FCU were positively correlated with the handgrip strength (p <.05). The study findings indicate that the MyotonPRO device is a reliable tool to quantify ECRB, and FCU muscles mechanical properties in healthy individuals.

摘要

本研究的主要目的是调查肌张力计在健康个体中测量前臂肌肉[桡侧腕短伸肌(ECRB)和尺侧腕屈肌(FCU)]力学特性时的可靠性。次要目的是研究这些前臂肌肉的握力与力学特性之间的关系。使用MyotonPRO设备测量ECRB和FCU的力学特性(肌张力、刚度和弹性)。检查者1进行两组测量,时间间隔为30分钟,以确定检查者内部的可靠性。检查者2在检查者1的两组测量之间的间隔期进行测量。FCU肌张力、刚度和弹性的检查者内部和检查者间可靠性均极佳(组内相关系数ICC˃0.82)。在评估ECRB肌张力、弹性和刚度时,检查者内部和检查者间的可靠性均为中等至极佳(ICC=0.56-0.98)。FCU的肌张力和刚度特性与握力呈正相关(p<.05)。研究结果表明,MyotonPRO设备是量化健康个体中ECRB和FCU肌肉力学特性的可靠工具。

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