剪切波弹性仪用于测量Psoas 大肌肉的弹性特性:一个内部和内部检查员可靠性研究
Gabriel Rabanal-Rodríguez1,2, César Fernández-de-Las-Peñas3,4, Javier Álvarez-González5,6
1Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain.
PloS one
|October 9, 2025
概括
剪切波弹性图 (SWE) 可靠地测量腰部主要 (PM) 肌肉硬度在腰部疼痛 (LBP) 患者. 虽然内部检查员的可靠性很好,但内部检查员的可靠性显示出变化,这表明准确度的平均测量.
科学领域:
- 肌肉骨成像技术 肌肉骨成像技术
- 诊断超声波技术的使用.
- 肌肉的生物力学特性 肌肉的生物力学特性
背景情况:
- 大 (PM) 肌肉功能障碍与腰部疼痛 (LBP) 有关.
- 目前的PM评估方法 (临床病史,体检,成像) 在准确性和可靠性方面存在局限性.
- 对于改善LBP诊断和管理,需要对PM弹性特性进行可靠的评估.
研究的目的:
- 评估剪切波弹性图 (SWE) 的内部和内部检查员可靠性,以评估LBP患者的PM肌肉性.
主要方法:
- 这是一项涉及52名LBP患者的观察性研究.
- 使用SWE获得的双边PM肌肉纵向视图.
- 经验丰富和新手检查员两次测量了剪切波速度和扬模量.
主要成果:
- 对于 PM 刚度指标,无论检查员的经验如何,测试重复测试的可靠性都很好 (ICC > 0.9).
- 考官之间的可靠性较低 (ICC 0.8540.925),考官之间的平均值差异很大.
- 经验丰富的检查员报告了较小的最小可检测的变化.
结论:
- 在LBP患者中,SWE在测量PM硬度方面表现出卓越的内部检查员可靠性.
- 审查者之间的可靠性较低,表明不同评估者之间的测量可能存在变化.
- 建议在涉及多名检查员时进行平均测量,以提高一致性和准确性.
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