Correlating the abdominal drawing in manoeuvre between ultrasound imaging, pressure biofeedback and manual palpation measurements in participants with low back pain: An observational cross-sectional study

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-03-04 DOI:10.1016/j.msksp.2025.103303

Caitlin Lauren Siobhan Prentice , Carol Ann Flavell , Nicola Massy-Westropp , Steve Milanese

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引用次数: 0

Abstract

Background

Physiotherapists have several options to measure lateral abdominal muscle (LAM) activity clinically, including ultrasound imaging (USI), pressure biofeedback units (PBU) and manual palpation scales. However, the concurrent validity of these tools is yet to be examined. Understanding how these tools correlate will help physiotherapists make informed choices about tool selection.

Objectives

To determine the correlation between the prone PBU test, manual palpation and USI measures (preferential activation, preferential activation modified and transversus abdominis muscle ratios and transversus abdominis slide) for examining the ADIM.

Design

Observational cross-sectional study.

Method

58 participants with LBP underwent measurement of LAM activation using the three measurement tools across two sessions (7–14 days apart). Results were analysed using correlation coefficients and tested for statistical significance.

Results/findings

Reliability of activation measures ranged from moderate to good. Correlations were found between manual palpation, PBU and USI, however, were non-significant after a Holm-Bonferroni correction.

Conclusions

The findings question the concurrent validity of these tools, suggesting one cannot be used in place of another for measuring LAM activation during the ADIM.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.