Validity and reliability of nerve and muscle ultrasound

被引:90
作者
Cartwright, Michael S. [1 ]
Demar, Samantha [1 ]
Griffin, Leah P. [2 ]
Balakrishnan, Nikhil [1 ]
Harris, Jessica M. [1 ]
Walker, Francis O. [1 ]
机构
[1] Wake Forest Univ, Bowman Gray Sch Med, Dept Neurol, Winston Salem, NC 27157 USA
[2] Wake Forest Univ, Bowman Gray Sch Med, Dept Biostat, Div Publ Hlth Sci, Winston Salem, NC 27157 USA
基金
美国国家卫生研究院;
关键词
muscle; nerve; reliability; ultrasound; validity; CARPAL-TUNNEL-SYNDROME; CROSS-SECTIONAL AREA; ULTRASONOGRAPHY; SONOGRAPHY; SIZE;
D O I
10.1002/mus.23621
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Nerve and muscle ultrasound has been studied in several conditions, but validity and reliability have not been assessed systematically. Methods: Nerve cross-sectional area and muscle thickness were measured ultrasonographically at several sites in 4 cadavers, which were then dissected, and actual measurements were obtained. To assess intrarater and interrater reliability, between 3 and 5 ultrasonographers, with varying experience levels, made repeated measurements on healthy volunteers. Results: Correlation coefficients for nerve and muscle validity were >0.968 (P < 0.001), and for intrarater reliability were >0.901 (P < 0.001) for still and real-time images. Correlation coefficients for interrater reliability were more varied, but for still images they were all significant at the P < 0.001 (0.5420.998) level, and for real-time images they were significant at the P < 0.05 level for half the sites (0.2430.981). Conclusion: Overall, nerve and muscle ultrasound is a valid and reliable diagnostic imaging technique. Muscle Nerve, 2013
引用
收藏
页码:515 / 521
页数:7
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