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Reliability of B-Mode Ultrasound Imaging of the Lateral Abdominal Muscles in Healthy Children During the Active Straight Leg Raise Test 健康儿童主动直腿抬高试验中腹侧肌b超成像的可靠性
Pub Date : 2014-02-01 DOI: 10.1515/pha-2015-0001
P. Linek, E. Saulicz, T. Wolny, A. Myśliwiec
Abstract Background: To date, reliability of ultrasound imaging (USI) measures of the abdominal muscles in children during the active straight leg raise (ASLR) test has not been confirmed. The aim of this study is to assess the intra-rater reliability of USI in measuring of the thickness and percent thickness change of the external oblique (EO), internal oblique (IO) and transversus abdominis (TrA) on both sides of the body during the ASLR test. Material/Methods: Thirty-two healthy children between 10-12 years old participated in the study. Three repeated USI measurements were recorded, in supine and resting positions and during the ASLR test. In supine position, measurements were collected at the end of normal expiration. In the case of ASLR, measurements were collected when the person undergoing examination touched the transverse delimiter with the distal part of the lower leg. A repeat session of the measurements was carried out 6 to 8 days later. Results: The use of mean value of the three repeated measurements showed that ICC3.3 fluctuated from 0.81 to 0.97 for OE, OI and TrA in resting position and during the ASLR test. In terms of percentage change of muscle thickness, the ICC3.3 result obtained for TrA, OE and IO were 0.86, 0.83 and 0.78, respectively. Conclusions: The USI evaluation of the lateral abdominal muscles thickness at rest has high reliability in children between 10-12 years old. The USI of the actual thickness and reflex activity of OE, OI and TrA during the ASLR test, based on three repeated measurements, is also reliable. It is recommended to perform three repeated measurements for children between 10-12 years old. There is still a need to seek solutions that will decrease the SDD value while evaluating the reflex activity of the lateral abdominal muscles during the ASLR test.
背景:迄今为止,超声成像(USI)测量儿童在主动直腿抬高(ASLR)试验中腹部肌肉的可靠性尚未得到证实。本研究的目的是评估USI在ASLR测试中测量身体两侧外斜肌(EO)、内斜肌(IO)和腹横肌(TrA)的厚度和厚度变化百分比的可靠性。材料/方法:32名10-12岁的健康儿童参与研究。在仰卧位和休息位以及ASLR测试期间,记录了三次重复的USI测量。在仰卧位时,在正常呼气结束时采集测量数据。在ASLR的情况下,当接受检查的人用小腿远端接触横向分隔器时收集测量值。6至8天后进行重复测量。结果:使用三次重复测量的平均值显示,静息位和ASLR测试期间OE、OI和TrA的ICC3.3在0.81 - 0.97之间波动。在肌肉厚度变化百分比方面,TrA、OE和IO的ICC3.3结果分别为0.86、0.83和0.78。结论:USI对10-12岁儿童静息时侧腹肌厚度的评价具有较高的可靠性。在ASLR测试中,OE、OI和TrA的实际厚度和反射活动的USI基于三次重复测量,也是可靠的。建议对10-12岁的儿童进行三次重复测量。在ASLR测试中评估侧腹肌反射活动时,仍需要寻求降低SDD值的解决方案。
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引用次数: 4
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Physiotherapy and Health Activity
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