Reliability and Responsiveness of Musculoskeletal Ultrasound in Subjects with and without Spinal Cord Injury

Shauna Dudley-Javoroski; Tara McMullen; Michelle R Borgwardt; Lauren M Peranich; Richard K Shields

doi:10.1016/j.ultrasmedbio.2010.07.019

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Reliability and Responsiveness of Musculoskeletal Ultrasound in Subjects with and without Spinal Cord Injury

Journal article

Open access

Peer reviewed

Reliability and Responsiveness of Musculoskeletal Ultrasound in Subjects with and without Spinal Cord Injury

Shauna Dudley-Javoroski, Tara McMullen, Michelle R Borgwardt, Lauren M Peranich and Richard K Shields

Ultrasound in medicine & biology, Vol.36(10), pp.1594-1607

2010

DOI: 10.1016/j.ultrasmedbio.2010.07.019

PMCID: PMC2948870

PMID: 20800961

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Abstract

Rehabilitation after spinal cord injury (SCI) aims to preserve the integrity of the paralyzed musculoskeletal system. The suitability of ultrasound (US) for delineating training-related muscle/tendon adaptations after SCI is unknown. The purpose of this study was to quantify within- and between-operator reliability for US and to determine its responsiveness to post-training muscle/tendon adaptations in SCI subjects. Two novice operators and one experienced operator obtained sonographic images of the vastus lateralis, patellar tendon, soleus, and Achilles tendon from seven SCI subjects and 16 controls. For control subjects, within-operator concordance (ICC [3,1]) ranged from 0.58 to 0.95 for novice operators and exceeded 0.86 for the experienced operator. Between-operator concordance (ICC [2,1]) ranged from 0.62 to 0.74. Ultrasound detected muscle hypertrophy ( p < 0.05) following electrical stimulation training in subjects with SCI (responsiveness) but did not detect differences in tendon thickness. These error estimates support the utility of US in future post-SCI training studies. (E-mail: richard-shields@uiowa.edu)

Responsiveness

Training

Ultrasonography

Electrical muscle stimulation

Reliability

Spinal cord injury

Hypertrophy

Details

Title: Subtitle: Reliability and Responsiveness of Musculoskeletal Ultrasound in Subjects with and without Spinal Cord Injury
Creators: Shauna Dudley-Javoroski - Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, IA, USA
Tara McMullen - Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, IA, USA
Michelle R Borgwardt - Rehabilitation Therapies, University of Iowa Health Care, Iowa City, IA, USA
Lauren M Peranich - Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, IA, USA
Richard K Shields - Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Ultrasound in medicine & biology, Vol.36(10), pp.1594-1607
DOI: 10.1016/j.ultrasmedbio.2010.07.019
PMID: 20800961
PMCID: PMC2948870
NLM abbreviation: Ultrasound Med Biol
ISSN: 0301-5629
eISSN: 1879-291X
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100000002, name: National Institutes of Health, award: R01 NR-010285-08, R01-HD 39445; DOI: 10.13039/100009713, name: Foundation for Physical Therapy
Language: English
Date published: 2010
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984047752902771

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