{"title":"超声波评估深筋膜厚度:可靠性以及与临床评估变化之间的联系","authors":"Shir Schadmy Levy, Kobi Weiss, Leonid Kalichman","doi":"10.1016/j.jbmt.2024.04.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>There is growing evidence of fascial involvement in musculoskeletal pathologies; thus, measuring the fascia's properties is clinically essential.</p></div><div><h3>Objectives</h3><p>1) to evaluate intra- and inter-tester reliability of sonographic measurements of deep fascia thickness in healthy individuals; 2) to assess whether fascial thickness in areas of fascial movement restriction (fascial densification in Stecco's Fascial Manipulation method), differs from contralateral areas with normal fascia.</p></div><div><h3>Methods</h3><p>Part 1 (reliability study): Fascial thickness was sonographically measured in 10 sites (5 on each side), twice by a single examiner to assess intra-rater reliability and once by a second examiner to evaluate inter-rater reliability.</p><p>Part 2 (cross-sectional study): Unilateral fascial movement restrictions were detected in 5 bilateral sites by palpation. The fascial thickness on the ultrasound image was measured at the restriction site and its normal contralateral side by a blinded assessor.</p></div><div><h3>Results</h3><p>21 healthy individuals were evaluated in part 1, 15 healthy individuals in part 2. Intra-tester reliability (Interclass correlation – ICC) values ranged from 0.677 to 0.975; inter-tester ICC values ranged from 0.473 to 0.966. No significant differences in fascia thickness between the right and left body sides were observed in most sites. Significant differences were found between the fascial thickness of the site of fascial movement restrictions vs. normal counterpart.</p></div><div><h3>Conclusions</h3><p>Intra- and inter-rater reliability of sonographic measuring fascial thickness was high, and fascial thickness of the site of fascial movement restrictions was greater than in the normal counterpart. Ultrasonography may be used as a reliable method to evaluate fascial alterations.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ultrasound evaluation of deep fascia thickness: Reliability and association with clinically evaluated changes\",\"authors\":\"Shir Schadmy Levy, Kobi Weiss, Leonid Kalichman\",\"doi\":\"10.1016/j.jbmt.2024.04.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>There is growing evidence of fascial involvement in musculoskeletal pathologies; thus, measuring the fascia's properties is clinically essential.</p></div><div><h3>Objectives</h3><p>1) to evaluate intra- and inter-tester reliability of sonographic measurements of deep fascia thickness in healthy individuals; 2) to assess whether fascial thickness in areas of fascial movement restriction (fascial densification in Stecco's Fascial Manipulation method), differs from contralateral areas with normal fascia.</p></div><div><h3>Methods</h3><p>Part 1 (reliability study): Fascial thickness was sonographically measured in 10 sites (5 on each side), twice by a single examiner to assess intra-rater reliability and once by a second examiner to evaluate inter-rater reliability.</p><p>Part 2 (cross-sectional study): Unilateral fascial movement restrictions were detected in 5 bilateral sites by palpation. The fascial thickness on the ultrasound image was measured at the restriction site and its normal contralateral side by a blinded assessor.</p></div><div><h3>Results</h3><p>21 healthy individuals were evaluated in part 1, 15 healthy individuals in part 2. Intra-tester reliability (Interclass correlation – ICC) values ranged from 0.677 to 0.975; inter-tester ICC values ranged from 0.473 to 0.966. No significant differences in fascia thickness between the right and left body sides were observed in most sites. Significant differences were found between the fascial thickness of the site of fascial movement restrictions vs. normal counterpart.</p></div><div><h3>Conclusions</h3><p>Intra- and inter-rater reliability of sonographic measuring fascial thickness was high, and fascial thickness of the site of fascial movement restrictions was greater than in the normal counterpart. Ultrasonography may be used as a reliable method to evaluate fascial alterations.</p></div>\",\"PeriodicalId\":51431,\"journal\":{\"name\":\"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-04-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1360859224001992\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1360859224001992","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
Ultrasound evaluation of deep fascia thickness: Reliability and association with clinically evaluated changes
Background
There is growing evidence of fascial involvement in musculoskeletal pathologies; thus, measuring the fascia's properties is clinically essential.
Objectives
1) to evaluate intra- and inter-tester reliability of sonographic measurements of deep fascia thickness in healthy individuals; 2) to assess whether fascial thickness in areas of fascial movement restriction (fascial densification in Stecco's Fascial Manipulation method), differs from contralateral areas with normal fascia.
Methods
Part 1 (reliability study): Fascial thickness was sonographically measured in 10 sites (5 on each side), twice by a single examiner to assess intra-rater reliability and once by a second examiner to evaluate inter-rater reliability.
Part 2 (cross-sectional study): Unilateral fascial movement restrictions were detected in 5 bilateral sites by palpation. The fascial thickness on the ultrasound image was measured at the restriction site and its normal contralateral side by a blinded assessor.
Results
21 healthy individuals were evaluated in part 1, 15 healthy individuals in part 2. Intra-tester reliability (Interclass correlation – ICC) values ranged from 0.677 to 0.975; inter-tester ICC values ranged from 0.473 to 0.966. No significant differences in fascia thickness between the right and left body sides were observed in most sites. Significant differences were found between the fascial thickness of the site of fascial movement restrictions vs. normal counterpart.
Conclusions
Intra- and inter-rater reliability of sonographic measuring fascial thickness was high, and fascial thickness of the site of fascial movement restrictions was greater than in the normal counterpart. Ultrasonography may be used as a reliable method to evaluate fascial alterations.
期刊介绍:
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina