超声回声强度评价膝骨关节炎患者股四头肌质量的信度

doi:10.3969/j.issn.1006-9771.2023.06.017

Abstract

Abstract:

Objective To evaluate the inter-rater and test-retest reliability of echo intensity of ultrasound image for quality of quadriceps femoris in patients with knee osteoarthritis (KOA).
Methods From March to December, 2021, 33 patients with unilateral KOA in Guangdong Provincial Second Hospital of Traditional Chinese Medicine were included. Ultrasound was used to observe the cross sections of rectus femoris (RF), vastus medialis (VM) and vastus lateralis (VL), and the images were saved. Two independent raters analyzed the average gray value of the picture with the Image J. One of the raters repeated the measurement. The intra-class correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change (MDC) and coefficient of variation (CV) were calculated and the Bland-Altman charts were drawn.
Results The gray value was higher in the RF, VM and VL in the affected side than in the healthy side (t > 2.262, P < 0.05). The inter-rater reliability was excellent, with ICC 0.982 to 0.995, SEM 1.60 to 3.82, CV 1.49% to 5.90%, and MDC value 4.43 to 10.59. The test-retest reliability of the rater was excellent, with ICC 0.969 to 0.990, SEM 2.37 to 5.41, CV 2.22% to 4.84%, and MDC value 6.57 to 15.00. Bland-Altman charts analysis showed that the consistency was good.
Conclusion The quadriceps femoris muscle quality is different between the affected and the healthy sides in patients with unilateral KOA. It is reliable to evaluate muscle echo intensity by Image J.

Key words: knee osteoarthritis, quadriceps femoris, musculoskeletal ultrasound, reliability

CLC Number:

R684.3

LI Junyi, CHEN Zehua, WU Zugui, WANG Yi, LI Congcong, WANG Shuai, CHEN Weijian, YE Zixuan, SHEN Xingxing, XIANG Ruian, LIU Wengang, XU Xuemeng. Reliability on evaluation of quadriceps femoris muscle quality by ultrasonic echo intensity in patients with knee osteoarthritis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 738-744.

Figures/Tables 5

References 42

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肌肉	评定者1	评定者2第1次测量	评定者2第2次测量	平均值
患侧
股直肌	117.05±21.33	116.16±21.52	116.04±21.31	116.42±21.20
股内侧肌	104.13±27.12	111.10±27.54	118.15±29.86	111.13±27.97
股外侧肌	113.79±27.24	121.69±28.08	126.52±29.26	120.67±28.03
健侧
股直肌	107.48±22.48	106.75±23.09	106.99±24.54	107.07±23.28^a
股内侧肌	91.72±27.35	98.34±28.37	106.01±28.97	98.69±28.07^b
股外侧肌	102.58±27.46	109.70±29.49	113.75±32.25	108.68±29.27^c

肌肉	评定者间信度				重测信度
肌肉	ICC	SEM	CV	MDC	ICC	SEM	CV	MDC
患侧
股直肌	0.989(0.978,0.995)	2.23	1.91%	6.18	0.983(0.966,0.992)	3.42	2.95%	9.48
股内侧肌	0.993(0.986,0.997)	2.29	5.90%	6.35	0.984(0.968,0.992)	3.63	3.17%	10.06
股外侧肌	0.992(0.984,0.996)	2.48	2.11%	6.87	0.988(0.977,0.994)	3.13	2.52%	8.68
健侧
股直肌	0.995(0.990,0.998)	1.60	1.49%	4.43	0.990(0.980,0.995)	2.37	2.22%	6.57
股内侧肌	0.995(0.990,0.998)	1.97	2.07%	5.46	0.984(0.969,0.992)	3.63	3.55%	10.06
股外侧肌	0.982(0.963,0.991)	3.82	3.60%	10.59	0.969(0.937,0.984)	5.41	4.84%	15.00

Reliability on evaluation of quadriceps femoris muscle quality by ultrasonic echo intensity in patients with knee osteoarthritis

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