Reliability of rehabilitative ultrasonographic imaging for muscle thickness measurement of the rhomboid major

Jeong, Ju-Ri; Ko, Young Jun; Ha, Hyun Geun; Lee, Wan Hee

doi:10.1111/cpf.12206

Cited by 14 publications

(12 citation statements)

References 16 publications

(24 reference statements)

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“…Intra-rater reliability was not evaluated in our study for a few reasons. First, because high intra-rater and test–retest reliability of US muscle thickness measurement have already been demonstrated in the trunk muscles [ 20 , 23 , 30 , 32 ] as well as in other body regions [ 33 , 34 , 35 , 36 ]. Secondly, during semi-controlled experiments prior to the study, a high consistency was observed for the repeated US measurements among the different examiners.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound imaging could be an easy-to-use, low-cost, and radiation-free method to determine muscle thickness [ 20 ] and to avoid or decrease the occurrence of complication during therapeutic [ 21 ] or diagnostic [ 22 ] needle procedures. In fact, several studies have proposed different ultrasound (US) imaging protocols for assessing thickness or depth evaluation of several trunk muscles, e.g., rhomboids [ 23 ], pectoralis major [ 24 ], or lower trapezius [ 25 ], and have reported moderate to excellent relative inter- and intra-rater reliability associated with appropriate measurement errors, as well as agreement with other methods as MRI [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Enhancing Trigger Point Dry Needling Safety by Ultrasound Skin-to-Rib Measurement: An inter-Rater Reliability Study

Folli

Schneebeli

Ballerini

et al. 2020

JCM

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Dry needling (DN) is a minimally invasive treatment technique widely used by physical therapists to treat myofascial trigger points (MTrP). Even if its safety has been commonly declared and the majority of adverse events are considered mild, serious adverse events cannot be excluded and DN treatments of several trunk muscles can potentially result in pneumothorax. Ultrasound imaging (US) skin-to-rib measurement could ensure the safety of this treatment procedure. Therefore, the aim of this study was to determine the inter-rater reliability of depth measurement of different trunk muscles (i.e., rhomboid, lower trapezius, iliocostalis, and pectoralis major) between an expert and two novice physiotherapists. Skin-to-rib distance of 26 asymptomatic and normal weights subjects was consecutively, independently, and randomly measured for each muscle by the three examiners (1 expert and 2 novice physical therapists) with a handheld US wireless probe. Intraclass correlation coefficient (ICC3,k) and standard error of measurement (SEM) were used to assess inter-rater reliability. Inter-rater reliability of skin-to-rib measurements between the three examiners was good to excellent or excellent for every muscle, with an ICC3,k ranging from 0.92 and 0.98 (95% CI 0.86–0.99). The SEM never exceeded 10% of the skin-to-rib distance. In conclusion, skin-to-rib US measurements of the trunk muscles can be reliably performed by novice physical therapists using a handheld US device. These measures could be used as an innovative and reliable technique to improve the safety of some potential dangerous DN treatments.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Enhancing Trigger Point Dry Needling Safety by Ultrasound Skin-to-Rib Measurement: An inter-Rater Reliability Study

Folli

Schneebeli

Ballerini

et al. 2020

JCM

View full text Add to dashboard Cite

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“…First, the intra‐ and interrater reliability of the ultrasonographers who performed the measurements was not evaluated. However, Jeong et al [18] have reported that ultrasonographic measurements of RM thickness have demonstrated good intra‐ and interrater reliability. Second, some examiner training is required to correctly identify the feeling of needles passing through the fascia covering the muscle.…”

Section: Discussionmentioning

confidence: 99%

A More Precise Electromyographic Needle Approach for Examination of the Rhomboid Major

Kim

Lim

et al. 2018

PM&R

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“…rhomboid major [14], middle [15], and lower trapezius [16]; supraspinatus [17,18]; and infraspinatus [19]. Although the reliability of RUSI measurements for several shoulder muscle thicknesses has been demonstrated, the reliability of small pectoral muscle thickness measurements by RUSI…”

Section: ⅰ Introductionmentioning

confidence: 99%

Reliability study of the Pectoralis Minor Muscle Thickness Measurement using Rehabilitative Ultrasound Imaging

Lim

Lee

Jung

et al. 2021

KSPM

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This study examined the imaging procedure of pectoralis minor muscle thickness and assessed the intra-and inter-rater reliability of the muscle thickness measured by two raters using rehabilitative ultrasound imaging (RUSI) in healthy individuals. METHODS:Fifteen participants (aged 21 -28, seven females, and eight males) were involved in the study. The primary rater palpated the coracoid process and the fourth rib, defined as the width of the index finger lateral to the sternum to avoid breast tissues, and lined the two landmarks. The second examiner checked 1 / 3 (1st point) and 1 / 2 (2nd point) of the line length as measurement points. The two raters obtained right side muscle images of the participants at a standardized sitting position using RUSI with a 7.5 MHz linear transducer at 40mm depth. For intra-rater reliability, the principal rater took three images per point and tried to take one more with an interval. For the inter-rater reliability, the other rater performed the same tasks as the principal rater on the

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Reliability of rehabilitative ultrasonographic imaging for muscle thickness measurement of the rhomboid major

Abstract: In this study, the intra- and interexaminer reliability of muscle thickness measurements of the rhomboid major were good. Therefore, we suggest that muscle thickness measurements of the rhomboid major obtained with the RUSI technique would be useful for clinical rehabilitative assessment.

Cited by 14 publications

References 16 publications

Enhancing Trigger Point Dry Needling Safety by Ultrasound Skin-to-Rib Measurement: An inter-Rater Reliability Study

Enhancing Trigger Point Dry Needling Safety by Ultrasound Skin-to-Rib Measurement: An inter-Rater Reliability Study

A More Precise Electromyographic Needle Approach for Examination of the Rhomboid Major

Reliability study of the Pectoralis Minor Muscle Thickness Measurement using Rehabilitative Ultrasound Imaging

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