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The Test-Retest Reliability of Musculoskeletal Ultrasound on the Flexor Hallucis Longus Tendon

The test-retest reliability of musculoskeletal ultrasound on the cross-sectional area and thickness of the flexor hallucis longus tendon when measuring healthy adults performed by one health professional

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The Test-Retest Reliability of Musculoskeletal Ultrasound on the Flexor Hallucis Longus Tendon

The test-retest reliability of musculoskeletal ultrasound on the cross-sectional area and thickness of the flexor hallucis longus tendon when measuring healthy adults performed by one health professional

Open access

Rechten:Alle rechten voorbehouden

Samenvatting

Background: The flexor hallucis longus (FHL) is one of three muscles that can cause tarsal tunnel syndrome (TTS). TTS is a less common pathology whereby a space-occupying process compresses the tibial nerve. Before it can be determined if musculoskeletal ultrasound (MSU) can be used to diagnose TTS further research needs to be performed. It has to be determined whether MSU is a reliable diagnostic tool in regards to measuring the FHL tendon. Therefore the goal of this study was to determine the test-retest reliability of the FHL tendon for the cross sectional area (CSA) and thickness using MSU.

Method: Experimental quantitative cross-sectional research was utilized. Both ankles were measured in 59 participants (30 males, 29 females) for both the CSA as well as for the thickness of the FHL tendon using MSU. For the CSA measurements a transversal image was taken and for the thickness measurements a longitudinal image. To analyze the images the measuring software ImageJ was used. The intraclass correlation coefficient (ICC) with the two-way random model and absolute agreement was used to calculate the test-retest reliability.

Results: The median and interquartile range (IQR) of age (22 ± 3) and BMI (22.9 ± 4.2) of the sample population is shown, since this data was abnormally distributed. The data of the weight (70.6 ± 13.3) and height (1.74 ± 0.10) were normally distributed, therefore the mean value and standard deviation (SD) is shown. The test-retest reliability for the CSA was excellent (ICC values were 0.81 and 0.85). For the measurements of the thickness the test-retest reliability was fair (ICC=0.57) to excellent (ICC=0.95).

Conclusion: The use of MSU on the FHL tendon has excellent test-retest reliability for the CSA and fair to excellent test-retest reliability for the thickness.

Toon meer
OrganisatieFontys
OpleidingFysiotherapie
AfdelingFontys Paramedisch
Jaar2016
TypeBachelor
TaalEngels

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