The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Reliability of Ultrasonography for The Longus Colli in Asymptomatic Subjects

건강한 성인의 경장근 두께 측정에 대한 초음파영상법의 신뢰도

  • Lee, Jin-Ah (Department of Physical Therapy, Chungnam National University Hospital) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 이진아 (충남대학교병원 물리치료실) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과)
  • Received : 2011.05.27
  • Accepted : 2011.08.15
  • Published : 2011.08.25
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Abstract

Purpose: The objective of this study was to evaluate the inter- and intra-examiner reliability of ultrasonography (US) for measuring the thicknesses and cross-sectional area of the longus colli muscle (LCM) in healthy subjects. Methods: Twenty-five healthy adults participated in this study as subjects and two examiners attended to the study. LCM size was measured at the level of the thyroid cartilage. All subjects were randomly allocated to one of the three different methods. Method 1 was that the examiner A conducts the first measurement and one hour later conducts the second measurement and twenty four hours later conducts the third measurement, respectively. Method 2 was that the examiner B conducts the measurements in the same way as the examiner A. Method 3 was that the examiners A and B randomly conduct the measurements twice at an interval of one hour. Results: The intra-class correlation coefficient (ICC) for the intra-examiner reliability ranged from 0.78 to 0.98 at rest and 0.57 to 0.98 during contraction for the examiner A. The $ICC_{3,3}$ for the intra-examiner reliability ranged from 0.60 to 0.96 at rest and 0.57 to 0.92 during contraction for the examiner B. The $ICC_{2,3}$ for the inter-examiner reliability ranged from 0.80 to 0.91 at rest and 0.84 to 0.93 during contraction. Conclusion: The findings of this study indicate that US is a reliable method for measuring the LCM size.

Keywords

References

  1. Cote P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998;23(15):1689-98. https://doi.org/10.1097/00007632-199808010-00015
  2. Bae SS, Kim BJ, Lee KH. A study of muscle imbalance of head, cervical and shoulder region. J Kor Soc Phys Ther. 2001;13(3):769-76.
  3. Falla D, Jull G, Rainoldi A et al. Neck flexor muscle fatigue is side specific in patients with unilateral neck pain. Eur J Pain. 2004;8(1):71-7. https://doi.org/10.1016/S1090-3801(03)00075-2
  4. O'Leary S, Jull G, Kim M et al. Cranio-cervical flexor muscle impairment at maximal, moderate, and low loads is a feature of neck pain. Man Ther. 2007;12(1):34-9. https://doi.org/10.1016/j.math.2006.02.010
  5. Jull G, Barrett C, Magee R et al. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia. 1999;19(3):179-85. https://doi.org/10.1046/j.1468-2982.1999.1903179.x
  6. Lee MH, Song JM, Kim JS. The effect of neck exercises on neck and shoulder posture and pain in high school students. J Kor Soc Phys Ther. 2011;23(1):29-35. https://doi.org/10.1589/jpts.23.29
  7. Chae YW, Lee HM. The effect of craniocervical exercise on tension-type headache. J Kor Soc Phys Ther. 2009; 21(4):9-16
  8. Sin SH, Choi JD. Effects of specific exercise on chronic neck pain in elderly women. J Kor Soc Phys Ther. 2010;22(3): 1-8.
  9. Falla DL, Campbell CD, Fagan AE et al. Relationship between cranio-cervical flexion range of motion and pressure change during the cranio-cervical flexion test. Man Ther. 2003; 8(2):92-6. https://doi.org/10.1016/S1356-689X(03)00008-0
  10. Mayoux-Benhamou MA, Revel M, Vallée C et al. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16(4):367-71. https://doi.org/10.1007/BF01627655
  11. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002;27(7):694-701. https://doi.org/10.1097/00007632-200204010-00005
  12. Conley MS, Meyer RA, Bloomberg JJ et al. Noninvasive analysis of human neck muscle function. Spine (Phila Pa 1976). 1995;20(23):2505-12. https://doi.org/10.1097/00007632-199512000-00009
  13. Falla D, Jull G, Dall'Alba P, Rainoldi A, Merletti R. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther. 2003; 83(10):899-906.
  14. Koppenhaver SL, Hebert JJ, Fritz JM et al. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Arch Phys Med Rehabil. 2009;90(1):87-94. https://doi.org/10.1016/j.apmr.2008.06.022
  15. Kristjansson E. Reliability of ultrasonography for the cervical multifidus muscle in asymptomatic and symptomatic subjects. Man Ther. 2004;9(2):83-8. https://doi.org/10.1016/S1356-689X(03)00059-6
  16. Lee JP, Tseng WY, Shau YW et al. Measurement of segmental cervical multifidus contraction by ultrasonography in asymptomatic adults. Man Ther. 2007;12(3):286-94. https://doi.org/10.1016/j.math.2006.07.008
  17. Rezasoltani A. The applicability of muscle ultrasonography in physiotherapy researches. J Phys Ther Sci. 2003;15(1):33-7. https://doi.org/10.1589/jpts.15.33
  18. Han SY, Nam JM, Myoung SM, Song KJ. A comparison of sample size requirements for intraclass correlation coefficient. The Korean Journal of Applied Statistics. 2010; 23(3):497-510. https://doi.org/10.5351/KJAS.2010.23.3.497
  19. Norasteh A. Ebrahimi E.Salavati M. Reliability of B-mode ultrasonography for abdominal muscles in asymptomatic and patients with acute low back pain. J Bodyw Mov Ther. 2007;11(1):17-20. https://doi.org/10.1016/j.jbmt.2005.11.002
  20. Lin YJ, Chai HM, Wang SF. Reliability of thickness measurements of the dorsal muscles of the upper cervical spine: An ultrasonographic study. J Orthop Sports Phys Ther. 2009;39(12):850-7.
  21. Cagnie B, Derese E, Vandamme L et al. Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. Man Ther. 2009;14(4):421-6. https://doi.org/10.1016/j.math.2008.07.007
  22. Javanshir K, Mohseni-Bandpei MA, Rezasoltani A et al. Ultrasonography of longus colli muscle: A reliability study on healthy subjects and patients with chronic neck pain. J Bodyw Mov Ther. 2011;15(1):50-6. https://doi.org/10.1016/j.jbmt.2009.07.005
  23. Jang WS. Change of lumbar multifidus muscle recorded simultaneously by ultrasound imaging during upper extremity lifting movement in chronic low back pain patients. The Korean Society of Physical Medicine. 2009;4(1):9-14.
  24. Seo SS. The analysis of ultrasonography on gastrocnemius medialis of patient with stroke. J Kor Soc Phys Ther. 2007;19(2):11-19.
  25. Andresen EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil. 2000;81(12 Suppl 2):S15-20.
  26. Ansari NN, Naghdi S, Hasson S et al. The modified tardieu scale for the measurement of elbow flexor spasticity in adult patients with hemiplegia. Brain Inj. 2008;22(13-14): 1007- 12. https://doi.org/10.1080/02699050802530557