Inter- and intra-rater reliability of ultrasound tissue characterization (UTC) in patellar tendons
| Autor: | Johannes Zwerver, Lucas Maciel Rabello, Joost Meijerink, Dirk Hoevenaars, Niels van Gelderen, Mathijs van Ark, Inge van den Akker-Scheek |
|---|---|
| Přispěvatelé: | SMART Movements (SMART), Public Health Research (PHR) |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Adult tendinosis Intraclass correlation Tendinosis Physical Therapy Sports Therapy and Rehabilitation RESPOND 030204 cardiovascular system & hematology 03 medical and health sciences Young Adult 0302 clinical medicine Patellar Ligament medicine Humans Orthopedics and Sports Medicine JUMPERS KNEE PLAYERS Ultrasonography Observer Variation business.industry Patellar ligament grayscale Ultrasound hypoechoic imaging Reproducibility of Results 030229 sport sciences Intra-rater reliability Middle Aged musculoskeletal system medicine.disease Tendon DIFFERENT SPORTS PREVALENCE medicine.anatomical_structure patella Tendinopathy Patella business Nuclear medicine ACHILLES UTC |
| Zdroj: | Scandinavian Journal of Medicine & Science in Sports, 29(8), 1205-1211. Wiley |
| ISSN: | 1600-0838 0905-7188 |
| Popis: | Purpose Ultrasound tissue characterization (UTC) is used in research and clinical practice to quantify tendon structure of the patellar tendon. This is the first study to investigate the inter- and intra-rater reliability for UTC of the patellar tendon on a large scale. Method Fifty participants (25 patellar tendinopathy, 25 asymptomatic) were recruited. The affected patellar tendons in symptomatic and right tendons in asymptomatic participants were scanned with UTC twice by one researcher and once by another. The same was done for contour marking (needed to analyze a UTC scan) of the tendon. Intraclass correlation coefficient (ICC (2,1)) for echo-types I, II, III, IV, aligned fibrillar structure (echo-types I + II), and disorganized structure (echo-types III + IV) were calculated. This was done for UTC scans as well as solely marking contours. Results Inter-rater reliability showed fair to good ICC values for echo-types I (0.65) and II (0.46) and excellent ICC values for echo-type III (0.81), echo-type IV (0.83), aligned fibrillar structure (0.82), and disorganized structure (0.82). Intra-rater reliability showed excellent ICC values for echo-types I (0.76), III (0.88), IV (0.85), aligned fibrillar structure (0.88), and disorganized fibrillar structure (0.88) and a fair to good value for echo-type II (0.61). Contour marking showed excellent ICC values for all echo-types. Conclusion This study showed that UTC scans for patellar tendons have overall good intra-rater and inter-rater reliability. To optimize reliability of UTC scans of the patellar tendon, using the same rater and using aligned fibrillar structure (echo-types I + II combined) and disorganized structure (echo-types III + IV combined) as outcome measures can be considered. |
| Databáze: | OpenAIRE |
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