Kay van Heeswijk, Daniëlle Spek, Jesse Muijsenberg, Loes Janssen, Michiel Winkes, Adwin R Hoogeveen, Marc Scheltinga
{"title":"健康志愿者小腿胫骨前肌室超声压缩性的可靠性。","authors":"Kay van Heeswijk, Daniëlle Spek, Jesse Muijsenberg, Loes Janssen, Michiel Winkes, Adwin R Hoogeveen, Marc Scheltinga","doi":"10.26603/001c.128284","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Some individuals have exercise-induced lower leg pain (ELP) caused by a chronic exertional compartment syndrome (CECS). As intracompartmental muscle pressure measurements are invasive with suboptimal test characteristics, other diagnostic tools are needed. Recently, ultrasound-based muscle compartment thickness analysis at 10mmHg (d10) and 80mmHg (d80) external pressure was introduced for this purpose. The difference in compartment thickness at these two external pressures induced by the study device is used to calculate muscle compressibility, a possible marker for CECS.</p><p><strong>Purpose: </strong>The purpose of this study was to investigate the reliability of a novel ultrasound compressibility technique using two distinct internal landmarks at the lower leg in a diverse group of asymptomatic adults.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Healthy volunteers (n=35; 21 female; median age 40 years, range 19-72; BMI 24.1 kg/m2, range 18.3-31.6) not having ELP underwent serial compressibility measurements (n=1678) of both legs by three observers at the tibialis anterior (TA) using the interosseous membrane (IM) and transition zone IM to tibial bone (TZIT) as internal landmarks. Inter- and intra-observer reliability was calculated for values of d10, d80 and compressibility using intraclass correlations (ICC).</p><p><strong>Results: </strong>TA compartments are less compressible using the IM landmark compared to the TZIT landmark (10.5% vs 12.5%; p<0.001). Inter-observer ICC for IM was always higher (d10 0.85; d80 0.82; compressibility 0.51) than for TZIT (d10 0.65; d80 0.53; compressibility 0.20). The intra-observer reliability for d10 and d80 was excellent (ICC>0.90) for all three observers. ICC of compressibility varied among observers and ranged from 0.76 to 0.48, with higher ICCs demonstrated for IM compared to TZIT.</p><p><strong>Conclusion: </strong>Ultrasound based anterior tibial muscle compressibility measurements have moderate inter-observer reliability and excellent intra-observer reliability if the interosseous membrane is used as internal landmark. Future studies are aimed to test muscle compressibility after exercise and in CECS.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 2","pages":"265-274"},"PeriodicalIF":1.6000,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788095/pdf/","citationCount":"0","resultStr":"{\"title\":\"Reliability of Ultrasound Based Compressibility of the Lower Leg Anterior Tibial Muscle Compartment in Healthy Volunteers.\",\"authors\":\"Kay van Heeswijk, Daniëlle Spek, Jesse Muijsenberg, Loes Janssen, Michiel Winkes, Adwin R Hoogeveen, Marc Scheltinga\",\"doi\":\"10.26603/001c.128284\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Some individuals have exercise-induced lower leg pain (ELP) caused by a chronic exertional compartment syndrome (CECS). As intracompartmental muscle pressure measurements are invasive with suboptimal test characteristics, other diagnostic tools are needed. Recently, ultrasound-based muscle compartment thickness analysis at 10mmHg (d10) and 80mmHg (d80) external pressure was introduced for this purpose. The difference in compartment thickness at these two external pressures induced by the study device is used to calculate muscle compressibility, a possible marker for CECS.</p><p><strong>Purpose: </strong>The purpose of this study was to investigate the reliability of a novel ultrasound compressibility technique using two distinct internal landmarks at the lower leg in a diverse group of asymptomatic adults.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Healthy volunteers (n=35; 21 female; median age 40 years, range 19-72; BMI 24.1 kg/m2, range 18.3-31.6) not having ELP underwent serial compressibility measurements (n=1678) of both legs by three observers at the tibialis anterior (TA) using the interosseous membrane (IM) and transition zone IM to tibial bone (TZIT) as internal landmarks. Inter- and intra-observer reliability was calculated for values of d10, d80 and compressibility using intraclass correlations (ICC).</p><p><strong>Results: </strong>TA compartments are less compressible using the IM landmark compared to the TZIT landmark (10.5% vs 12.5%; p<0.001). Inter-observer ICC for IM was always higher (d10 0.85; d80 0.82; compressibility 0.51) than for TZIT (d10 0.65; d80 0.53; compressibility 0.20). The intra-observer reliability for d10 and d80 was excellent (ICC>0.90) for all three observers. ICC of compressibility varied among observers and ranged from 0.76 to 0.48, with higher ICCs demonstrated for IM compared to TZIT.</p><p><strong>Conclusion: </strong>Ultrasound based anterior tibial muscle compressibility measurements have moderate inter-observer reliability and excellent intra-observer reliability if the interosseous membrane is used as internal landmark. 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引用次数: 0
摘要
背景：一些个体有由慢性运动室综合征（CECS）引起的运动性下肢疼痛（ELP）。由于室内肌压力测量是侵入性的，测试特征不理想，需要其他诊断工具。最近，在10mmHg （d10）和80mmHg （d80）外压下引入了基于超声的肌室厚度分析。研究装置在这两种外部压力下引起的隔室厚度差异用于计算肌肉压缩性，这可能是CECS的标志。目的：本研究的目的是研究一种新型超声压缩性技术的可靠性，该技术在不同组的无症状成年人中使用两个不同的小腿内部标志。研究设计：横断面研究。方法：健康志愿者(n=35；21岁女;年龄中位数40岁，范围19-72岁；BMI 24.1 kg/m2，范围18.3-31.6)，无ELP，由三名观察员在胫骨前肌（TA）处连续测量双腿压缩性（n=1678），使用骨间膜（IM）和IM到胫骨的过渡区（TZIT）作为内部标志。使用类内相关性（ICC）计算d10、d80和可压缩性值的观察者间和观察者内信度。结果：与TZIT标记相比，使用IM标记TA隔室的可压缩性较低(10.5% vs 12.5%；P0.90)。可压缩性的ICC在观察者之间变化，范围从0.76到0.48，与TZIT相比，IM显示出更高的ICC。结论：以骨间膜作为内标时，超声测量胫骨前肌压缩性具有中等的观察者间可靠性和极好的观察者内可靠性。未来的研究旨在测试运动后和CECS的肌肉压缩性。证据等级：三级。
Reliability of Ultrasound Based Compressibility of the Lower Leg Anterior Tibial Muscle Compartment in Healthy Volunteers.
Background: Some individuals have exercise-induced lower leg pain (ELP) caused by a chronic exertional compartment syndrome (CECS). As intracompartmental muscle pressure measurements are invasive with suboptimal test characteristics, other diagnostic tools are needed. Recently, ultrasound-based muscle compartment thickness analysis at 10mmHg (d10) and 80mmHg (d80) external pressure was introduced for this purpose. The difference in compartment thickness at these two external pressures induced by the study device is used to calculate muscle compressibility, a possible marker for CECS.
Purpose: The purpose of this study was to investigate the reliability of a novel ultrasound compressibility technique using two distinct internal landmarks at the lower leg in a diverse group of asymptomatic adults.
Study design: Cross-sectional study.
Methods: Healthy volunteers (n=35; 21 female; median age 40 years, range 19-72; BMI 24.1 kg/m2, range 18.3-31.6) not having ELP underwent serial compressibility measurements (n=1678) of both legs by three observers at the tibialis anterior (TA) using the interosseous membrane (IM) and transition zone IM to tibial bone (TZIT) as internal landmarks. Inter- and intra-observer reliability was calculated for values of d10, d80 and compressibility using intraclass correlations (ICC).
Results: TA compartments are less compressible using the IM landmark compared to the TZIT landmark (10.5% vs 12.5%; p<0.001). Inter-observer ICC for IM was always higher (d10 0.85; d80 0.82; compressibility 0.51) than for TZIT (d10 0.65; d80 0.53; compressibility 0.20). The intra-observer reliability for d10 and d80 was excellent (ICC>0.90) for all three observers. ICC of compressibility varied among observers and ranged from 0.76 to 0.48, with higher ICCs demonstrated for IM compared to TZIT.
Conclusion: Ultrasound based anterior tibial muscle compressibility measurements have moderate inter-observer reliability and excellent intra-observer reliability if the interosseous membrane is used as internal landmark. Future studies are aimed to test muscle compressibility after exercise and in CECS.
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