Reliability of rehabilitative ultrasound imaging for the medial gastrocnemius muscle in poststroke patients

Cho, Ki Hun; Lee, Hwang Jae; Lee, Wan Hee

doi:10.1111/cpf.12060

Cited by 48 publications

(43 citation statements)

References 37 publications

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“…Reliability of ultrasonographic measurements of this muscle in post-stroke patients was shown in previous study [20]. In this study, intra-rater reliability of the examiner was also evaluated.…”

Section: Ultrasonographic Evaluation Of Muscle Architecturementioning

confidence: 68%

“…At each time, 3 images were taken from the medial head of the gastrocnemius muscle of the affected side by the same examiner. The average value was considered for statistical analysis [20]. During these tests the leg position and the measurements were the same as the ultrasonographic measurements of the study which was described before.…”

Section: Intra-rater Reliability For the Ultrasonographic Measurementsmentioning

confidence: 99%

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Effects of Extracorporeal Shock Wave Therapy on Muscle Spasticity in Post-Stroke Patients: An Ultrasonography and Clinical-Base Study

Rastgoo

Sarafraz

Najari

et al. 2016

PTJ

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Purpose:To investigate the effect of single session Extracorporeal Shock Wave Therapy (ESWT) over the ankle plantar flexor muscles on the spasticity, muscle architecture, and gait in chronic stroke patients. Methods:This quasi-experimental, single group study had a repeated measures design. A total of 17 post-stroke patients were selected by convenience sampling method, and received 2000 shots of ESWT on the ankle plantar flexor muscles of the affected side in one session. Outcome measures consisted of Modified Modified Ashworth Scale (MMAS), bilateral leg circumference, and muscle architecture parameters (pennation angle, fascicle length, and muscle thickness) of the medial head of the gastrocnemius muscle, timed up and go (TUG) test, self-reported visual analog scale (VAS) of spasticity, and ankle passive Range of Motion (pROM). All outcomes were measured at 2 times: before the intervention and 30 minutes after the intervention. The muscle architecture parameters and leg circumference were also measured immediately after the intervention. Statistical analysis was done using SPSS 18.0. Repeated measures analysis of variance (ANOVA) was performed to evaluate the effects of intervention in time.Results: Wilcoxon test revealed significant improvement in MMAS. Significant improvement in VAS, pROM, and TUG test results is also noted by means of the paired t test. ANOVA showed significant time×side interaction for the pennation angle and leg circumference. Significant effect of time was also shown by ANOVA for leg circumference. Post hoc analyses showed a significant difference for the leg circumference before the intervention and 30 minutes after it. ANOVA showed no significant change in fascicle length and muscle thickness. Spearman's rho revealed significant positive correlation between the changes of the ankle pROM and improvement of the fascicle length. Conclusion:According to the results single session of ESWT over the spastic plantar flexors muscle can improve clinical measures of muscle spasticity and motor function. More studies are needed to clarify the underlying mechanisms for the antispastic effect of ESWT.

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Section: Ultrasonographic Evaluation Of Muscle Architecturementioning

confidence: 68%

Section: Intra-rater Reliability For the Ultrasonographic Measurementsmentioning

confidence: 99%

Effects of Extracorporeal Shock Wave Therapy on Muscle Spasticity in Post-Stroke Patients: An Ultrasonography and Clinical-Base Study

Rastgoo

Sarafraz

Najari

et al. 2016

PTJ

View full text Add to dashboard Cite

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“…Recently, Cho et al . demonstrated good intraobserver reliability for architectural measurements (thickness and PA) of GM at the ankle joint position at 90°, but with wide variation in the data (ICC = 0.69–0.99 [0.51–0.99]).…”

Section: Discussionmentioning

confidence: 99%

“…In our study, positioning for the examination differed. Measurements were made at 30% of the “tibial length,” defined as the distance from the popliteal crease to the midpoint of the lateral malleolus. The thickest part of the muscle was found “at the center of the muscle between its medial and posterior borders.” We believe that tracking a paretic and spastic GM muscle sometimes must take the disturbed organization of the muscle into account.…”

Section: Discussionmentioning

confidence: 99%

Two‐dimensional and shear wave elastography ultrasound: A reliable method to analyse spastic muscles?

et al. 2017

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“…ICCs of the type (3, 1) were used to assess the reliability of each parameter. ICC values were categorized as follows: poor, ≤0.20; fair, 0.21-0.40; moderate, 0.41-0.60; good, 0.61-0.80; and very good, ≥0.81 [14]. In order to evaluate the accuracy of the measurement, the standard error of the measurement (SEM) was calculated as the standard deviation×√ .…”

Section: Discussionmentioning

confidence: 99%

The reliability of dual rehabilitative ultrasound imaging measurements for muscle co-activation

Hahn

Lee

et al. 2017

PTRS

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Objective: The aim of this study was to determine the intra-rater and inter-rater reliability of the dual rehabilitative ultrasound imaging (D-RUSI) when simultaneously measuring muscle thickness changes at rest and during co-contraction of the biceps brachii (BB) and triceps brachii (TB). Design: Cross-sectional study. Methods: This study included 36 healthy participants (23 men, 13 women). The participants sat on a chair in a comfortable position with a cushion placed under their elbow to maintain a 90-degree elbow flexion angle. The muscle thickness of the biceps brachii and triceps brachii was measured twice using the D-RUSI by two examiners during resting and co-contraction states. One week later, the same procedure was performed once again. Conclusions:The use of the D-RUSI of the BB muscle had a very good intra-rater reliability and very good inter-rater reliability at the resting state, and a, good inter-rater reliability at the co-activation state. ICC values showed very good intra-reliability and inter-reliability for the TB muscle. the D-RUSI is a useful tool for simultaneously measuring the thickness of two muscles when the BB is an agonist and the TB is an antagonist during co-activation of the upper arm.

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Reliability of rehabilitative ultrasound imaging for the medial gastrocnemius muscle in poststroke patients

Cited by 48 publications

References 37 publications

Effects of Extracorporeal Shock Wave Therapy on Muscle Spasticity in Post-Stroke Patients: An Ultrasonography and Clinical-Base Study

Effects of Extracorporeal Shock Wave Therapy on Muscle Spasticity in Post-Stroke Patients: An Ultrasonography and Clinical-Base Study

Two‐dimensional and shear wave elastography ultrasound: A reliable method to analyse spastic muscles?

The reliability of dual rehabilitative ultrasound imaging measurements for muscle co-activation

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