腰痛患者的超声成像、压力生物反馈和手动触诊测量之间腹部绘图的相关性：一项观察性横断面研究

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

摘要

物理治疗师在临床测量侧腹肌（LAM）活动有几种选择，包括超声成像（USI），压力生物反馈单元（PBU）和手动触诊量表。然而，这些工具的同时有效性还有待检验。了解这些工具是如何相互关联的，将有助于物理治疗师在选择工具时做出明智的选择。目的探讨俯卧位PBU试验、手触诊与USI测量（优先激活、优先激活修正、横腹肌比和横腹滑动）检查ADIM的相关性。设计：观察性横断面研究。方法采用三种测量工具对58名LBP患者的LAM激活情况进行测量，时间间隔为7-14天。结果用相关系数进行分析，检验有无统计学显著性。结果/发现激活措施的可靠性范围从中等到良好。手动触诊、PBU和USI之间的相关性在Holm-Bonferroni校正后无显著性。结论：研究结果质疑了这些工具的同时有效性，表明一个工具不能代替另一个工具用于测量ADIM期间的LAM激活。

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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

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.