用剪波弹性学测量前面硬度测量的可复制性:一项跨审查员可靠性研究
Umut Varol1, Elena Sánchez-Jiménez2, Juan Antonio Valera-Calero3,4
1Escuela Internacional de Doctorado, Rey Juan Carlos University - Alcorcón Campus, Alcorcon, Spain.
概括
剪波弹性图 (SWE) 可靠地测量健康个体前肌 (AS) 的度. 这种技术在评估肌肉硬性质方面表现出良好的检验者间可靠性.
科学领域:
- 肌肉骨超声波 肌肉骨超声波
- 生物力学 生物力学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 前肌 (AS) 在部疼痛和神经压缩综合征中起作用.
- 对于AS硬度的剪波弹性学 (SWE) 的诊断准确性存在有限的证据.
- 评估AS的刚性特性对于理解其临床相关性至关重要.
研究的目的:
- 分析SWE的检查者间可靠性,以测量AS肌肉的模和剪波速度.
- 评估SWE在评估无症状受试者AS性的准确性.
主要方法:
- 35名健康志愿者接受了AS的C7级超声波成像.
- 两个检查员 (经验丰富和新手) 获得了图像.
- 扬模和剪波速度由独立评定者测量;使用ICC,SEM,MDC和CV%来评估可靠性.
主要成果:
- 在AS指标中没有发现显著的侧对侧差异.
- 在肌肉大小方面观察到性别差异,但不是亮度或度.
- 对于AS肌肉度,获得了良好的检查者间可靠性 (Young的模量为ICC = 0.881,剪波速度为0.850).
结论:
- 在无症状个体中,使用SWE评估前骨肌硬度是一种可靠的方法.
- 需要进一步的研究来验证SWE在健康和临床人群之间区分的能力.
- 对于未来的研究,建议确定影响测量变量的因素.
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