Concurrent Validity and Reliability of Manual Versus Specific Device Transcostal Measurements for Breathing Diaphragm Thickness by Ultrasonography in Lumbopelvic Pain Athletes
Autor: | Gabriel J. Dávila-Sánchez, José L. Chicharro, David Rodríguez-Sanz, Ricardo Becerro-de-Bengoa-Vallejo, César Calvo-Lobo, Marta Elena Losa-Iglesias, Davinia Vicente-Campos, Daniel Marugán-Rubio |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
validity
medicine.medical_treatment Diaphragm Diaphragmatic breathing Pain TP1-1185 Biofeedback Biochemistry Article Analytical Chemistry Validity 03 medical and health sciences 0302 clinical medicine medicine Humans Low back pain Repeatability Electrical and Electronic Engineering repeatability Instrumentation Fisioterapia low back pain Fixation (histology) Ultrasonography business.industry Chemical technology Respiration Reproducibility of Results 030229 sport sciences ultrasonography Atomic and Molecular Physics and Optics Orthotic device Diaphragm (structural system) Athletes Breathing medicine.symptom business Nuclear medicine 030217 neurology & neurosurgery respiration |
Zdroj: | Sensors (Basel, Switzerland) DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria instname Sensors Volume 21 Issue 13 Sensors, Vol 21, Iss 4329, p 4329 (2021) E-Prints Complutense. Archivo Institucional de la UCM |
ISSN: | 1424-8220 |
Popis: | The use of rehabilitative ultrasound imaging (RUSI) to evaluate diaphragm thickness during breathing in athletes who suffer from non-specific lumbopelvic pain presents some measurement errors. The purpose of this study was to evaluate intra- and inter-sessions, intra- and inter-rater reliabilities, and concurrent validity of diaphragm thickness measurements during breathing using transcostal RUSI with a novel thoracic orthotic device that was used to fix the US probe versus those measurements obtained using manual fixation. A total of 37 athletes with non-specific lumbopelvic pain were recruited. Intra- (same examiner) and inter-rater (two examiners) and intra- (same day) and inter-session (alternate days) reliabilities were analyzed. All measurements were obtained after manual probe fixation and after positioning the thoracic orthotic device to fix the US probe in order to correctly correlate both measurement methods. Both left and right hemi-diaphragm thickness measurements were performed by transcostal RUSI at maximum inspiration, expiration, and the difference between the two parameters during relaxed breathing. Intra-class correlation coefficients (ICC), standard errors of measurement (SEM), minimum detectable changes (MCD), systematic errors, and correlations (r) were assessed. Orthotic device probe fixation showed excellent reliability (ICC = 0.852–0.996, SEM = 0.0002–0.054, and MDC = 0.002–0.072), and most measurements did not show significant systematic errors (p > 0.05). Despite manual probe fixation with a reliability ranging from good to excellent (ICC = 0.714–0.997, SEM = 0.003–0.023, and MDC = 0.008–0.064 cm), several significant systematic measurement errors (p < 0.05) were found. Most significant correlations between both orthotic device and manual probe fixation methods were moderate (r = 0.486–0.718 p < 0.05). Bland–Altman plots indicated adequate agreement between both measurement methods according to the agreement limits. The proposed novel thoracic orthotic device may allow ultrasound probe fixation to provide valid and reliable transcostal RUSI measurements of diaphragmatic thickness during relaxed breathing thus reducing some measurement errors and avoiding systematic measurement errors. It may be advisable to measure diaphragm thickness and facilitate visual biofeedback with respect to diaphragm re-education during normal breathing in athletes with non-specific lumbopelvic pain. |
Databáze: | OpenAIRE |
Externí odkaz: |