REPRODUCIBILITY OF ULTRASONOGRAPHIC MEASUREMENTS OF THE ULNAR NERVE AT THE CUBITAL TUNNEL

被引:9
作者
Fink, Alexandra [1 ,2 ]
Teggeler, Ymarlijn [1 ,3 ]
Schmitz, Zmarc [4 ]
Janssen, Jaap [5 ]
Pisters, Martijn [1 ,6 ,7 ]
机构
[1] Univ Med Ctr Utrecht, Program Clin Hlth Sci & Dept Rehabil, Brain Ctr Rudolf Magnus, Phys Therapy Sci,Nursing Sci & Sport, Utrecht, Netherlands
[2] Hand Therapy Ctr Enschede Handtherapie Nederland, Enschede, Netherlands
[3] Phys Therapy Practice Emmastraat, Enschede, Netherlands
[4] Stichting Ondernemingen Medische Technol SOMT, Amersfoort, Netherlands
[5] Univ Appl Sci Utrecht, Inst Movement Studies, Utrecht, Netherlands
[6] Fontys Univ Appl Sci, Dept Hlth Innovat & Technol, Eindhoven, Netherlands
[7] Ctr Phys Therapy Res & Innovat Primary Care, Leidsche Rijn Julius Hlth Care Centers, Utrecht, Netherlands
关键词
Ultrasonography; Reproducibility; Elbow; Ulnar nerve; CROSS-SECTIONAL AREA; HEALTHY-SUBJECTS; SWELLING RATIO; NEUROPATHY; ELBOW; RELIABILITY; ULTRASOUND; AGREEMENT; DIAGNOSIS; ADULTS;
D O I
10.1016/j.ultrasmedbio.2016.09.022
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
The cross-sectional area (CSA) of the ulnar nerve is thought to be indicative of ulnar nerve entrapment. The purpose of the study was to determine reproducibility of ultrasonographic measurements of CSA of the ulnar nerve at the cubital tunnel in healthy adults. Two sonographers tested 69 participants using a standardized protocol. The inter-rater reliability intra-class correlation coefficient was 0.63, and the intra-rater reliability intraclass correlation coefficient was 0.85 for sonographer 1 and 0.88 for sonographer 2. The smallest detectable changes were 2.47 and 2.63 mm 2 (25% and 26% of the mean CSA). The mean difference and 95% limits of agreement for sonographers 1 and 2 were 20.13 (22.56 to 2.29) and 20.38 (22.93 to 2.18). Based on the fair to good inter-rater reliability, the excellent intra-rater reliability and the clinical applicable intra-rater agreement, ultrasonography seems to be a valuable tool with which to assess the CSA of the ulnar nerve for diagnostic and evaluative purposes.(E-mail:a.fink@xpertclinic.nl) (C) 2016 World Federation for Ultrasound in Medicine&Biology.
引用
收藏
页码:439 / 444
页数:6
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