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

Ji Young Lim (임지영); Se-Yeong Lee (이세영); Jung， Seung-Hwa (정승화); Park Dae-Sung (박대성)

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

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2021, 16(2), pp.45-52
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : April 4, 2021
Accepted : May 6, 2021
Published : May 31, 2021

Ji Young Lim ¹, Se-Yeong Lee ², Jung， Seung-Hwa ³, Park Dae-Sung ¹

¹건양대학교
²대전유성선병원
³건양대학교 물리치료학과

Accredited

ABSTRACT

PURPOSE: 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 same day. The reliability was analyzed using the intra-class correlation coefficient (ICC), the standard error of the measurement (SEM), and Bland and Altman plots. RESULTS: The reliability at all points was excellent for the same rater (ICC 3,1 = .973 - .978, SEM = .042 - .046), and between raters (ICC 2,1 = .939 - .959, SEM = .059 - .097). CONCLUSION: These findings show that the RUSI could be reliable for examining the pectoralis minor muscle thickness in healthy individuals at all measurement sites.

KEYWORDS

Pectoralis muscles, Rehabilitative ultrasound imaging, Reproducibility of the results

Citation status

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[journal] Taylor DC / 1990 / Viscoelastic properties of muscle-tendon units : the biomechanical effects of stretching / Am J Sports Med 18(3) : 300~309

[journal] Ludewig PM / 2000 / Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement / Phys Ther 80(3) : 276~291

[journal] Borstad JD / 2005 / The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals / J Orthop Sports Phys Ther 35(4) : 227~238

[journal] Phadke V / 2009 / Scapular and rotator cuff muscle activity during arm elevation : a review of normal function and alterations with shoulder impingement / Braz J Phys Ther 13(1) : 1~9

[book] Kendall FP / 1993 / Muscles, testing and function: with posture and pain / Williams & Wilkins

[book] Sahrmann S / 2002 / Diagnosis and treatment of movement impairment syndromes / Elsevier Health Sciences

[journal] Fernández Carnero S / 2019 / Rehabilitative ultrasound imaging evaluation in physiotherapy : piloting a systematic review / Appl Sci 9(1) : 181~

[journal] Dupont AC / 2001 / Real-time sonography to estimate muscle thickness : Comparison with MRI and CT / J Clin Ultrasound 29(4) : 230~236

[journal] Hides J / 1995 / Ultrasound imaging in rehabilitation / Aust J Physiother 41(3) : 187~193

[journal] Fernández-Carnero S / 2016 / 2nd Rehabilitative Ultrasound Imaging Symposium in Physical Therapy, Madrid, Spain, 3-5 June 2016 / Br J Sports Med 52 : A1~A4

[journal] Teyhen D. / 2006 / Rehabilitative Ultrasound Imaging Symposium, May 8-10, 2006, San Antonio, Texas / J Orthop Sports Phys Ther 36(8) : A-1~A-17

[journal] Talbott NR / 2013 / Ultrasound imaging of the serratus anterior muscle at rest and during contraction / Clin Physiol Funct Imaging 33(3) : 192~200

[journal] Talbott NR / 2014 / Ultrasound examination of the serratus anterior during scapular protraction in asymptomatic individuals : reliability and changes with contraction / PM R 6(3) : 227~234

[journal] Jeong JR / 2016 / Reliability of rehabilitative ultrasonographic imaging for muscle thickness measurement of the rhomboid major / Clin Physiol Funct Imaging 36(2) : 134~138

[journal] Bentman S / 2010 / Thickness of the middle trapezius muscle measured by rehabilitative ultrasound imaging : description of the technique and reliability study / Clin Physiol Funct Imaging 30(6) : 426~431

[journal] O'sullivan C / 2007 / Rehabilitative ultrasound imaging of the lower trapezius muscle : technical description and reliability / J Orthop Sports Phys Ther 37(10) : 620~626

[journal] Temes W / 2014 / Reliability and validity of thickness measurements of the supraspinatus muscle of the shoulder : an ultrasonography study / J Sport Rehabil 23(2) : 2013~2023

[journal] Schneebeli A / 2014 / Rehabilitative ultrasound imaging of the supraspinatus muscle : Intra-and interrater reliability of thickness and cross-sectional area / J Bodyw Mov Ther 18(2) : 266~272

[journal] Koppenhaver S / 2015 / The reliability of rehabilitative ultrasound imaging in the measurement of infraspinatus muscle function in the symptomatic and asymptomatic shoulders of patients with unilateral shoulder impingement syndrome / Int J Sports Phys Ther 10(2) : 128~

[journal] Borstad JD / 2008 / Measurement of pectoralis minor muscle length : validation and clinical application / J Orthop Sports Phys Ther 38(4) : 169~174

[journal] Borstad JD / 2006 / Resting position variables at the shoulder : evidence to support a posture-impairment association / Phys Ther 86(4) : 549~557

[journal] Koo TK / 2016 / A guideline of selecting and reporting intraclass correlation coefficients for reliability research / J Chiropr Med 15(2) : 155~163

[journal] Bland JM / 1986 / Statistical methods for assessing agreement between two methods of clinical measurement / Lancet 327(8476) : 307~310

[journal] Beckerman H / 2001 / Smallest real difference, a link between reproducibility and responsiveness / Qual Life Res 10(7) : 571~578

[journal] Koo TK / 2010 / Reliability of sonomyography for pectoralis major thickness measurement / J Manipulative Physiol Ther 33(5) : 386~394

[journal] Seong-Joo Lee / 2019 / Intra- and inter-rater reliability of muscle thickness measurement of the tibialis anterior using different inward pressures / Physical Therapy Rehabilitation Science / 물리치료재활과학회 8(4) : 218~224

[journal] Kristjansson E / 2004 / Reliability of ultrasonography for the cervical multifidus muscle in asymptomatic and symptomatic subjects / Man Ther 9(2) : 83~88

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