Rehabilitative ultrasound imaging for the assessment of selected morphometric parameters of the flexor hallucis longus muscle in healthy individuals: An inter- and intra- rater reliability study

  1. Romero, Carlos 1
  2. Abuín Porras, Vanesa 1
  3. Navarro Flores, Emmanuel 3
  4. López, Patricia 2
  5. Mazoteras Pardo, Victoria 4
  6. Jiménez Cebrián, Ana María 5
  7. López López, Daniel 7
  8. de la cruz torres, BLANCA 6
  1. 1 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

  2. 2 Universidad de Extremadura
    info

    Universidad de Extremadura

    Badajoz, España

    ROR https://ror.org/0174shg90

  3. 3 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  4. 4 Universidad de Castilla-La Mancha
    info

    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

  5. 5 Universidad de Málaga
    info

    Universidad de Málaga

    Málaga, España

    ROR https://ror.org/036b2ww28

  6. 6 Universidad de Sevilla
    info

    Universidad de Sevilla

    Sevilla, España

    ROR https://ror.org/03yxnpp24

  7. 7 Universidade da Coruña
    info

    Universidade da Coruña

    La Coruña, España

    ROR https://ror.org/01qckj285

Revista:
Archives of Medical Science

ISSN: 1734-1922 1896-9151

Año de publicación: 2021

Tipo: Artículo

DOI: 10.5114/AOMS/140294 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Archives of Medical Science

Resumen

Introduction:Ultrasound imaging (USI) is useful to evaluate structures of the foot to guide treatment, but the reliability of USI technique needs to be clarified. The goal of the study was to evaluate the intra- and inter-examiner reliability of USI image capture, and measurement of the cross-sectional area (CSA) and thickness of the flexor hallucis longus (FHL) for experienced and novice examinersMaterial and methods:FHL images were captured for 20 healthy adults. Reliability of image capture was evaluated between images repeated at 10-min interval for an experienced and a novice examiner. Reliability of image-based measurements was evaluated for one experienced and one novice rater, using all images. The intra-class correlation coefficient (ICC) and the standard error of measurement (SEM) were calculatedResults:Intra-examiner reliability of image capture for the FHL muscle examined by USI was excellent for both thickness (ICC3,1, 0.944–0.976; SEM, 6.8%–10.0%) and CSA (ICC3,1, 0.954–0.979; SEM, 10.8%–16.5%), with no effect of examiner experience. Reliability was also excellent for measurement of thickness (ICC3,1, 0.954–0.972; SEM, 1.2%–9.6%) and CSA (ICC3,1, 0.961–0.986; SEM, 9.2%–14.1%), with no effects of experience.Conclusions:Reliability of image capture and image-based measurements developed by USI of CSA and thickness for the FHL muscle in healthy individuals was excellent, independent of the examiner experience.

Referencias bibliográficas

  • 1. Michelson J, Dunn L. Tenosynovitis of the flexor hallucis longus: A clinical study of the spectrum of presentation and treatment. Foot Ankle Int 2005;26(4):291–303.
  • 2. Khan K, Brown J, Way S, Vass N, Crichton K, Alexander R, et al. Overuse Injuries in Classical Ballet. Vol. 19, Sports Medicine 1995. p. 341–57.
  • 3. Latey PJ, Burns J, Nightingale EJ, Clarke JL, Hiller CE. Reliability and correlates of cross-sectional area of abductor hallucis and the medial belly of the flexor hallucis brevis measured by ultrasound. J Foot Ankle Res 2018;11(1).
  • 4. Angin S, Crofts G, Mickle KJ, Nester CJ. Ultrasound evaluation of foot muscles and plantar fascia in pes planus. Gait Posture. 2014;40(1):48–52. 5. Angin S, Mickle KJ, Nester CJ. Contributions of foot muscles and plantar fascia morphology to foot posture. Gait Posture 2018;61:238–42. 6. De-la-Cruz-Torres B, Barrera-García-Martín I, De la Cueva-Reguera M, Bravo188 Aguilar M, Blanco-Morales M, Navarro-Flores E, et al. Does Function Determine the Structure? Changes in Flexor Hallucis Longus Muscle and the Associated Performance Related to Dance Modality: A Cross-Sectional Study. Medicina (Kaunas) 2020;56(4).
  • 7. Mickle KJ, Nester CJ, Crofts G, Steele JR. Reliability of ultrasound to measure morphology of the toe flexor muscles J Foot Ankle Res. 2013;6(1).
  • 8. Crofts G, Angin S, Mickle KJ, Hill S, Nester CJ. Reliability of ultrasound for measurement of selected foot structures Gait Posture. 2014;39(1):35–9.
  • 9. Valera-Calero JA, Sánchez-Jorge S, Álvarez-González J, Ortega-Santiago R, Cleland JA, Fernández-de-Las-Peñas C, et al. Intra-rater and inter-rater reliability of rehabilitative ultrasound imaging of cervical multifidus muscle in healthy people: Imaging capturing and imaging calculation. Musculoskelet Sci Pract 2020;48:102158.
  • 10. de-la-Cruz-Torres B, Barrera-García-Martín I, Romero-Morales C. Comparative Effects of One-Shot Electrical Stimulation on Performance of the Flexor Hallucis Longus Muscle in Professional Dancers: Percutaneous Versus Transcutaneous? Neuromodulation. 2019;
  • 11. de la Cruz-Torres B, Barrera-García-Martín I, Albornoz-Cabello M. Immediate effects of ultrasound-guided percutaneous neuromodulation versus physical exercise on performance of the flexor hallucis longus muscle in professional dancers: a randomised clinical trial Acupunct Med. 2019;37(2):91–7.
  • 12. Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med 2016;15(2):155–63.
  • 13. Vosseller JT, Dennis ER, Bronner S. Ankle Injuries in Dancers. J Am Acad Orthop Surg 2019;27(16):582–9.
  • 14. Hamilton WG. Foot and ankle injuries in dancers. Clin Sports Med 1988;7(1):143– 73.
  • 15. De-la-Cruz-Torres B, Barrera-García-Martín I, Valera-Garrido F, Minaya-Muñoz F, Romero-Morales C. Ultrasound-Guided Percutaneous Needle Electrolysis in Dancers with Chronic Soleus Injury: A Randomized Clinical Trial. Evid Based Complement Alternat Med 2020;2020:4156258.
  • 16. Bronner S, Novella T, Becica L. Management of a delayed-union sesamoid fracture in a dancer. J Orthop Sports Phys Ther 2007;37(9):529–40.
  • 17. Bronner S, Ojofeitimi S, Rose D. Repair and rehabilitation of extensor hallucis longus and brevis tendon lacerations in a professional dancer. J Orthop Sports Phys Ther 2008;38(6):362–70.
  • 18. Filipa A, Barton K. Physical Therapy Rehabilitation of an Adolescent Preprofessional Dancer Following Os Trigonum Excision: A Case Report. J Orthop Sport Phys Ther 2017;48(3):194–203.
  • 19. Ojofeitimi S, Bronner S, Becica L. Conservative Management of Second Metatarsophalangeal Joint Instability in a Professional Dancer: A Case Report. J Orthop Sport Phys Ther 2016;46(2):114–23.
  • 20. Hamilton WG. Posterior ankle pain in dancers. Clin Sports Med 2008;27(2):263–77.
  • 21. Luk P, Thordarson D, Charlton T. Evaluation and management of posterior ankle pain in dancers. J Danc Med Sci Off Publ Int Assoc Danc Med Sci 2013;17(2):79–83.
  • 22. de-la-Cruz-Torres B, Barrera-García-Martín I, Cueva-Reguera M de la, Bravo-Aguilar M, Abuin-Porras V, Romero-Morales C. Ultrasound imaging features of the Achilles tendon in dancers. Is there a correlation between the imaging and clinical findings? A cross-sectional study. Phys Ther Sport Off J Assoc Chart Physiother Sport Med 2020;43:181–7.