Relative and absolute reliability of ultrasound measurements for the thickness of the soft tissue around the shoulder joint of young normal subjects

[Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated...

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Published inJournal of Physical Therapy Science Vol. 29; no. 4; pp. 754 - 759
Main Authors Satoh, Yoshinao, Yamada, Takumi, Ohya, Nobuhisa, Kawamura, Hirobumi
Format Journal Article
LanguageEnglish
Published Japan The Society of Physical Therapy Science 2017
Subjects
Online AccessGet full text
ISSN0915-5287
2187-5626
DOI10.1589/jpts.29.754

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Abstract [Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures. The absolute reliability of the ultrasound measurement was evaluated using the standard error of measurement, minimum detectable change, and Bland-Altman analysis. [Results] Ultrasound measurements exhibited high relative reliability: intraclass correlation coefficients for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness were demonstrated to be 0.91, 0.82, and 0.90, respectively. Bland-Altman analyses revealed no significant systematic bias between the repeated measurements for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness. [Conclusion] These findings suggest that ultrasound measurement for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness exhibited good relative reliability and no systematic errors were detected regarding their absolute reliability.
AbstractList [Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures. The absolute reliability of the ultrasound measurement was evaluated using the standard error of measurement, minimum detectable change, and Bland-Altman analysis. [Results] Ultrasound measurements exhibited high relative reliability: intraclass correlation coefficients for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness were demonstrated to be 0.91, 0.82, and 0.90, respectively. Bland-Altman analyses revealed no significant systematic bias between the repeated measurements for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness. [Conclusion] These findings suggest that ultrasound measurement for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness exhibited good relative reliability and no systematic errors were detected regarding their absolute reliability.
[Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures. The absolute reliability of the ultrasound measurement was evaluated using the standard error of measurement, minimum detectable change, and Bland-Altman analysis. [Results] Ultrasound measurements exhibited high relative reliability: intraclass correlation coefficients for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness were demonstrated to be 0.91, 0.82, and 0.90, respectively. Bland-Altman analyses revealed no significant systematic bias between the repeated measurements for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness. [Conclusion] These findings suggest that ultrasound measurement for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness exhibited good relative reliability and no systematic errors were detected regarding their absolute reliability.[Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures. The absolute reliability of the ultrasound measurement was evaluated using the standard error of measurement, minimum detectable change, and Bland-Altman analysis. [Results] Ultrasound measurements exhibited high relative reliability: intraclass correlation coefficients for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness were demonstrated to be 0.91, 0.82, and 0.90, respectively. Bland-Altman analyses revealed no significant systematic bias between the repeated measurements for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness. [Conclusion] These findings suggest that ultrasound measurement for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness exhibited good relative reliability and no systematic errors were detected regarding their absolute reliability.
[Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures. The absolute reliability of the ultrasound measurement was evaluated using the standard error of measurement, minimum detectable change, and Bland-Altman analysis. [Results] Ultrasound measurements exhibited high relative reliability: intraclass correlation coefficients for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness were demonstrated to be 0.91, 0.82, and 0.90, respectively. Bland-Altman analyses revealed no significant systematic bias between the repeated measurements for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness. [Conclusion] These findings suggest that ultrasound measurement for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness exhibited good relative reliability and no systematic errors were detected regarding their absolute reliability.
[Abstract.] [Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability when measuring soft tissue thickness around the shoulder joint. [Subjects and Methods] Eleven healthy young adults (22 shoulders) participated in this study. Thickness of the supraspinatus tendon, subacromial bursa, and biceps tendon was measured on both shoulders. This protocol was performed twice in the same day. The relative reliability of ultrasound measurement was evaluated using the intraclass correlation coefficient for determining the degree of consistency and agreement between two measures. The absolute reliability of the ultrasound measurement was evaluated using the standard error of measurement, minimum detectable change, and Bland-Altman analysis. [Results] Ultrasound measurements exhibited high relative reliability : intraclass correlation coefficients for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness were demonstrated to be 0.91, 0.82, and 0.90, respectively. Bland-Altman analyses revealed no significant systematic bias between the repeated measurements for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness. [Conclusion] These findings suggest that ultrasound measurement for the supraspinatus tendon, subacromial bursa, and biceps tendon thickness exhibited good relative reliability and no systematic errors were detected regarding their absolute reliability.
Author Ohya, Nobuhisa
Kawamura, Hirobumi
Yamada, Takumi
Satoh, Yoshinao
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Keywords Biceps tendon thickness
Subacromial bursa thickness
Supraspinatus tendon thickness
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References 1) Hand C, Clipsham K, Rees JL, et al.: Long-term outcome of frozen shoulder. J Shoulder Elbow Surg, 2008, 17: 231–236.
10) Fujiwara K, Nakayama S, Kotake T: Change in supraspinatus tendon thickness at rest and active movement. Phys Ther Jpn, 2012, 39: Ca0930.
27) Takacs J, Garland SJ, Carpenter MG, et al.: Validity and reliability of the community balance and mobility scale in individuals with knee osteoarthritis. Phys Ther, 2014, 94: 866–874.
2) Adachi N: Frozen shoulder. In: Plactical manual shoulder disease conservative therapy, Katuya Nobuhara Edition. Tokyo: Kinbarashuppan, 1997, pp 61–70.
7) Ottenheijm RP, Joore MA, Walenkamp GH, et al.: The Maastricht Ultrasound Shoulder pain trial (MUST): ultrasound imaging as a diagnostic triage tool to improve management of patients with non-chronic shoulder pain in primary care. BMC Musculoskelet Disord, 2011, 12: 154.
21) Shimoi T, Tani H: The intra-rater and inter-rater reliability of tandem gait test with the Bland-Altman analysis. Rigakuryouho Kagaku, 2008, 23: 625–631.
3) Binder AI, Bulgen DY, Hazleman BL, et al.: Frozen shoulder: a long-term prospective study. Ann Rheum Dis, 1984, 43: 361–364.
14) Schmidt WA, Schmidt H, Schicke B, et al.: Standard reference values for musculoskeletal ultrasonography. Ann Rheum Dis, 2004, 63: 988–994.
28) Wagner JM, Rhodes JA, Patten C: Reproducibility and minimal detectable change of three-dimensional kinematic analysis of reaching tasks in people with hemiparesis after stroke. Phys Ther, 2008, 88: 652–663.
19) Ogawa D, Takei H, Ichikawa K, et al.: Reliabilty of measurement of the interval between the tibia and femur on ultrasonic images. The Journal of Japan Academy of Health Sciences, 2011, 14: 99–106.
12) Leong HT, Tsui S, Ying M, et al.: Ultrasound measurements on acromio-humeral distance and supraspinatus tendon thickness: test-retest reliability and correlations with shoulder rotational strengths. J Sci Med Sport, 2012, 15: 284–291.
18) Abiko T, Takei H, Shimamura R, et al.: Reliability of rehabilitative ultrasound imaging of the lunmbar multifidus. Rigakuryouho Kagaku, 2011, 26: 693–697.
24) Bland JM, Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet, 1986, 1: 307–310.
11) Sakuragi K: [Morphological and clinical study of shoulder joint diseases by ultrasonography]. Nippon Seikeigeka Gakkai Zasshi, 1989, 63: 1330–1342.
6) Ottenheijm RP, van’t Klooster IG, Starmans LM, et al.: Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study. BMC Fam Pract, 2014, 15: 115.
13) Collinger JL, Gagnon D, Jacobson J, et al.: Reliability of quantitative ultrasound measures of the biceps and supraspinatus tendons. Acad Radiol, 2009, 16: 1424–1432.
16) Yi TI, Han IS, Kim JS, et al.: Reliability of the supraspinatus muscle thickness measurement by ultrasonography. Ann Rehabil Med, 2012, 36: 488–495.
22) Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psychol Bull, 1979, 86: 420–428.
23) Kuwabara Y, Saito T, Inagaki Y: [Evaluation of intra- and inter-observer reliability]. Kokyu To Junkan, 1993, 41: 945–952.
31) Adachi K: Tokeigakuchounyuumon. Tokyo: Shinoharashuppansha, 2003, pp 137–144.
26) Chuang LL, Wu CY, Lin KC, et al.: Relative and absolute reliability of a vertical numerical pain rating scale supplemented with a faces pain scale after stroke. Phys Ther, 2014, 94: 129–138.
15) Abate M, Schiavone C, Salini V: Sonographic evaluation of the shoulder in asymptomatic elderly subjects with diabetes. BMC Musculoskelet Disord, 2010, 11: 278.
4) Adachi N: So-called frozenshoulder. Orthop Surg, 1971, 22: 410–422.
8) Lewis JS, Raza SA, Pilcher J, et al.: The prevalence of neovascularity in patients clinically diagnosed with rotator cuff tendinopathy. BMC Musculoskelet Disord, 2009, 10: 163.
9) Ohya N, Tomita T, Ohta H, et al.: Non-thermal effect of pulsed ultrasound therapy for shoulder pain due to acute adhesive capsulitis—an ultrasonographic study—. Phys Ther Jpn, 2013, 40: 176–183.
30) Faber MJ, Bosscher RJ, van Wieringen PC: Clinimetric properties of the performance-oriented mobility assessment. Phys Ther, 2006, 86: 944–954.
17) Tsai YH, Huang TJ, Hsu WH, et al.: Detection of subacromial bursa thickening by sonography in shoulder impingement syndrome. Chang Gung Med J, 2007, 30: 135–141.
20) Ludbrook J: Statistical techniques for comparing measurers and methods of measurement: a critical review. Clin Exp Pharmacol Physiol, 2002, 29: 527–536.
29) Shimoi T, Tani H: The absolute reliability of two different tandem gait tests with minimal detectable change. Rigakuryouho Kagaku, 2010, 25: 49–53.
5) Mizuseki K: Sonographic diagnosis of the shoulder joint diseases. Hakodate Medical Journal, 2006, 30: 3–16.
25) Bland JM, Altman DG: Measuring agreement in method comparison studies. Stat Methods Med Res, 1999, 8: 135–160.
22
23
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References_xml – reference: 16) Yi TI, Han IS, Kim JS, et al.: Reliability of the supraspinatus muscle thickness measurement by ultrasonography. Ann Rehabil Med, 2012, 36: 488–495.
– reference: 23) Kuwabara Y, Saito T, Inagaki Y: [Evaluation of intra- and inter-observer reliability]. Kokyu To Junkan, 1993, 41: 945–952.
– reference: 4) Adachi N: So-called frozenshoulder. Orthop Surg, 1971, 22: 410–422.
– reference: 7) Ottenheijm RP, Joore MA, Walenkamp GH, et al.: The Maastricht Ultrasound Shoulder pain trial (MUST): ultrasound imaging as a diagnostic triage tool to improve management of patients with non-chronic shoulder pain in primary care. BMC Musculoskelet Disord, 2011, 12: 154.
– reference: 30) Faber MJ, Bosscher RJ, van Wieringen PC: Clinimetric properties of the performance-oriented mobility assessment. Phys Ther, 2006, 86: 944–954.
– reference: 13) Collinger JL, Gagnon D, Jacobson J, et al.: Reliability of quantitative ultrasound measures of the biceps and supraspinatus tendons. Acad Radiol, 2009, 16: 1424–1432.
– reference: 21) Shimoi T, Tani H: The intra-rater and inter-rater reliability of tandem gait test with the Bland-Altman analysis. Rigakuryouho Kagaku, 2008, 23: 625–631.
– reference: 29) Shimoi T, Tani H: The absolute reliability of two different tandem gait tests with minimal detectable change. Rigakuryouho Kagaku, 2010, 25: 49–53.
– reference: 28) Wagner JM, Rhodes JA, Patten C: Reproducibility and minimal detectable change of three-dimensional kinematic analysis of reaching tasks in people with hemiparesis after stroke. Phys Ther, 2008, 88: 652–663.
– reference: 6) Ottenheijm RP, van’t Klooster IG, Starmans LM, et al.: Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study. BMC Fam Pract, 2014, 15: 115.
– reference: 9) Ohya N, Tomita T, Ohta H, et al.: Non-thermal effect of pulsed ultrasound therapy for shoulder pain due to acute adhesive capsulitis—an ultrasonographic study—. Phys Ther Jpn, 2013, 40: 176–183.
– reference: 11) Sakuragi K: [Morphological and clinical study of shoulder joint diseases by ultrasonography]. Nippon Seikeigeka Gakkai Zasshi, 1989, 63: 1330–1342.
– reference: 20) Ludbrook J: Statistical techniques for comparing measurers and methods of measurement: a critical review. Clin Exp Pharmacol Physiol, 2002, 29: 527–536.
– reference: 8) Lewis JS, Raza SA, Pilcher J, et al.: The prevalence of neovascularity in patients clinically diagnosed with rotator cuff tendinopathy. BMC Musculoskelet Disord, 2009, 10: 163.
– reference: 24) Bland JM, Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet, 1986, 1: 307–310.
– reference: 10) Fujiwara K, Nakayama S, Kotake T: Change in supraspinatus tendon thickness at rest and active movement. Phys Ther Jpn, 2012, 39: Ca0930.
– reference: 18) Abiko T, Takei H, Shimamura R, et al.: Reliability of rehabilitative ultrasound imaging of the lunmbar multifidus. Rigakuryouho Kagaku, 2011, 26: 693–697.
– reference: 19) Ogawa D, Takei H, Ichikawa K, et al.: Reliabilty of measurement of the interval between the tibia and femur on ultrasonic images. The Journal of Japan Academy of Health Sciences, 2011, 14: 99–106.
– reference: 14) Schmidt WA, Schmidt H, Schicke B, et al.: Standard reference values for musculoskeletal ultrasonography. Ann Rheum Dis, 2004, 63: 988–994.
– reference: 1) Hand C, Clipsham K, Rees JL, et al.: Long-term outcome of frozen shoulder. J Shoulder Elbow Surg, 2008, 17: 231–236.
– reference: 25) Bland JM, Altman DG: Measuring agreement in method comparison studies. Stat Methods Med Res, 1999, 8: 135–160.
– reference: 5) Mizuseki K: Sonographic diagnosis of the shoulder joint diseases. Hakodate Medical Journal, 2006, 30: 3–16.
– reference: 2) Adachi N: Frozen shoulder. In: Plactical manual shoulder disease conservative therapy, Katuya Nobuhara Edition. Tokyo: Kinbarashuppan, 1997, pp 61–70.
– reference: 27) Takacs J, Garland SJ, Carpenter MG, et al.: Validity and reliability of the community balance and mobility scale in individuals with knee osteoarthritis. Phys Ther, 2014, 94: 866–874.
– reference: 31) Adachi K: Tokeigakuchounyuumon. Tokyo: Shinoharashuppansha, 2003, pp 137–144.
– reference: 17) Tsai YH, Huang TJ, Hsu WH, et al.: Detection of subacromial bursa thickening by sonography in shoulder impingement syndrome. Chang Gung Med J, 2007, 30: 135–141.
– reference: 22) Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psychol Bull, 1979, 86: 420–428.
– reference: 12) Leong HT, Tsui S, Ying M, et al.: Ultrasound measurements on acromio-humeral distance and supraspinatus tendon thickness: test-retest reliability and correlations with shoulder rotational strengths. J Sci Med Sport, 2012, 15: 284–291.
– reference: 3) Binder AI, Bulgen DY, Hazleman BL, et al.: Frozen shoulder: a long-term prospective study. Ann Rheum Dis, 1984, 43: 361–364.
– reference: 15) Abate M, Schiavone C, Salini V: Sonographic evaluation of the shoulder in asymptomatic elderly subjects with diabetes. BMC Musculoskelet Disord, 2010, 11: 278.
– reference: 26) Chuang LL, Wu CY, Lin KC, et al.: Relative and absolute reliability of a vertical numerical pain rating scale supplemented with a faces pain scale after stroke. Phys Ther, 2014, 94: 129–138.
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Snippet [Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability...
[Abstract.] [Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute...
[Purpose] The purpose of this study was to examine the reliability of ultrasound measurements by analyzing the relative reliability and absolute reliability...
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SubjectTerms Biceps tendon thickness
Original
Subacromial bursa thickness
Supraspinatus tendon thickness
Title Relative and absolute reliability of ultrasound measurements for the thickness of the soft tissue around the shoulder joint of young normal subjects
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