新型数字化弹性触诊仪测量跟腱硬度的信度研究

doi:10.3969/j.issn.1006-9771.2018.06.016

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (6): 709-712.doi: 10.3969/j.issn.1006-9771.2018.06.016

新型数字化弹性触诊仪测量跟腱硬度的信度研究

冯亚男¹,李亚鹏¹,张志杰¹,朱毅²,杨金初¹,刘春龙³

1.河南省洛阳正骨医院,河南省骨科医院,河南洛阳市 471002;
2.海南省农垦总医院康复治疗中心,海南海口市 570311;
3. 广州中医药大学针灸康复临床医学院,广东广州市 510006

收稿日期:2018-02-27 修回日期:2018-04-15 出版日期:2018-06-25 发布日期:2018-06-28
通讯作者: 张志杰。E-mail: Sportspt@163.com
基金资助:
1.河南省中医药科学研究专项重点课题(No. 2017ZY1004); 2.广州中医药大学“青年英才培养工程”(No. QNYC20170107)

Intra- and Inter-rater Reliability of A Novel Hand-held MyotonPRO Device for Achilles Tendon Properties in Healthy Subjects

FENG Ya-nan¹, LI Ya-peng¹, ZHANG Zhi-jie¹, ZHU Yi², YANG Jin-chu¹, LIU Chun-long³

1. Rehabilitation Therapy Center, Luoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province, Luoyang, Henan 471002, China;
2. Rehabilitation Therapy Center, Hainan Province Nongken Genernal Hospital, Haikou, Hainan 570311, China;
3. Clinical Medical College of Acupuncture, Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, China

Received:2018-02-27 Revised:2018-04-15 Published:2018-06-25 Online:2018-06-28
Contact: ZHANG Zhi-jie. E-mail: Sportspt@163.com

摘要/Abstract

摘要： 目的用新型MyotonPRO数字化弹性触诊仪量化评估健康青年的跟腱硬度,并进行信度研究。方法经过培训的测试人员A、B分别用新型MyotonPRO对20例健康志愿者双侧跟腱硬度进行测量,A在5 d之后重复测量1次。计算组内相关系数(ICC)和最小检测变化值(MDC),并对右侧腿跟腱进行Bland-Altman分析。比较右侧腿与左侧腿跟腱硬度的差异性,分析跟腱硬度与体质量的相关性。结果重测ICC_左=0.884,ICC_右=0.904,测试者间ICC_左=0.883,ICC_右=0.945。最小检测变化值为36.64 N/m。Bland-Altman分析显示,同一测试者与不同测试者间均有较好的一致性。右侧腿与左侧腿跟腱硬度无显著性差异(t<1.236, P>0.05)。双侧跟腱硬度与体质量呈正相关(r>0.477, P<0.05)。结论新型MyotonPRO数字化弹性触诊仪量化评估健康青年跟腱硬度信度较高,双侧跟腱硬度无差异,且与体质量呈正相关。

关键词: 康复评定, 跟腱硬度, 信度, 数字化弹性触诊仪

Abstract: Objective To evaluate the intra- and inter-rater reliability of MyotonPRO for Achilles tendon properties measured.Methods Twenty healthy subjects were recruited to measure Achilles tendon properties using a novel hand-held MyotonPRO device by two testers, one of the testers re-tested five days later. The reliability was assessed using intra-class correlation coefficient (ICC) and Bland-Altman analysis, and minimum detectable changes (MDC) was calculated. The Achilles tendon properties of the dominant or non-dominant leg was compared. The correlation between body mass and Achilles tendon properties was examined.Results The intra-rater reliabilities of Achilles tendon properties were ICC_left=0.884 and ICC_right=0.904; the inter-rater reliabilities were ICC_left=0.883 and ICC_right=0.945. The MDC was 36.64 N/m. Bland-Altman plots showed good agreement. There was no significant difference in Achilles tendon properties between dominant and non-dominant legs (t<1.236, P>0.05). The body mass positively correlated with Achilles tendon properties (r>0.477, P<0.05).Conclusion The intra- and inter-rater reliabilities of MyotonPRO were good in measuring Achilles tendon properties in healthy subjects. No significant difference was found between dominant and non-dominant legs. The body mass positively correlated with Achilles tendon properties in healthy subjects.

Key words: rehabilitation evaluation, Achilles tendon properties, reliability, MyotonPRO

中图分类号:

R322.7

冯亚男,李亚鹏,张志杰,朱毅,杨金初,刘春龙. 新型数字化弹性触诊仪测量跟腱硬度的信度研究[J]. 《中国康复理论与实践》, 2018, 24(6): 709-712.

FENG Ya-nan, LI Ya-peng, ZHANG Zhi-jie, ZHU Yi, YANG Jin-chu, LIU Chun-long. Intra- and Inter-rater Reliability of A Novel Hand-held MyotonPRO Device for Achilles Tendon Properties in Healthy Subjects[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(6): 709-712.

参考文献

[1] Zhang LN, Wan WB, Wang YX, et al.Evaluation of elastic stiffness in healing Achilles tendon after surgical repair of a tendon rupture using in vivo ultrasound shear wave elastography[J]. Med Sci Monit, 2016, 22: 1186-1191.
[2] Syha R, Grau S, Nieß AM, et al.Computer-based quantification of the Achilles tendon thickness in sequential B-mode ultrasound images: a study of feasibility and reliability[J]. Arch Orthop Trauma Surg, 2014, 134(10): 1443-1449.
[3] Paavola M, Kannus P, Järvinen TA, et al.Achilles tendinopathy[J]. Man Ther, 2002, 7(3): 121-130.
[4] Schepsis AA, Jones H, Haas AL.Achilles tendon disorders in athletes[J]. Am J Sports Med, 2002, 30(2): 287-305.
[5] Mahieu NN, Witvrouw E, Stevens V, et al.Intrinsic risk factors for the development of achilles tendon overuse injury: a prospective study[J]. Am J Sports Med, 2006, 34(2): 226-235.
[6] Guette M, Gondin J, Martin A.Time-of-day effect on the torque and neuromuscular properties of dominant and non-dominant quadriceps femoris[J]. Chronobiol Int, 2005, 22(3): 541-558.
[7] Stenroth L, Peltonen J, Cronin NJ, et al.Age-related differences in Achilles tendon properties and triceps surae muscle architecture in vivo[J]. J Appl Physiol, 2012, 113(10): 1537-1544.
[8] 刘春龙,张志杰,余瑾,等. 康复超声成像技术测量健康青年腹部肌肉厚度及其信度研究[J]. 中国康复医学杂志, 2014, 29(2): 124-126+132.
[9] 冯亚男,张志杰,豆勇刚,等. 肌肉骨骼超声成像测量健康青年股骨外侧髁髂胫束的信度[J]. 中国康复理论与实践, 2014, 20(12): 1156-1157.
[10] Schneider S, Peipsi A, Stokes M, et al.Feasibility of monitoring muscle health in microgravity environments using Myoton technology[J]. Med Biol Eng Comput, 2015, 53(1): 57-66.
[11] Pożarowszczyk B, Pawlaczyk W, Smoter M, et al.Effects of karate fights on Achilles tendon stiffness measured by Myotonometry[J]. J Hum Kinet, 2017, 56: 93-97.
[12] Sohirad S, Wilson D, Waugh C, et al.Feasibility of using a hand-held device to characterize tendon tissue biomechanics[J]. PLoS One, 2017, 12(9): e0184463.
[13] 陈卉. Bland-Altman分析在临床测量方法一致性评价中的应用[J]. 中国卫生统计, 2007, 24(3): 308-309.
[14] 胡国清,黄琼峰,黄镇南,等. 临床研究中最小临床意义变化值确定方法[J]. 中南大学学报(医学版), 2009, 34(11): 1058-1062.
[15] Chiu TC, Ngo HC, Lau LW, et al.An investigation of the immediate effect of static stretching on the morphology and stiffness of Achilles tendon in dominant and non-dominant legs[J]. PLoS One, 2016, 11(4): e0154443.
[16] Siu WL, Chan CH, Lam CH, et al.Sonographic evaluation of the effect of long-term exercise on Achilles tendon stiffness using shear wave elastography[J]. J Sci Med Sport, 2016, 19(11): 883-887.
[17] Ruan Z, Zhao B, Qi H, et al.Elasticity of healthy Achilles tendon decreases with the increase of age as determined by acoustic radiation force impulse imaging[J]. Int J Clin Exp Med, 2015, 8(1): 1043-1050.
[18] Turan A, Teber MA, Yakut ZI, et al.Sonoelastographıc assessment of the age-related changes of the Achilles tendon[J]. Med Ultrason, 2015, 17(1): 58-61.

新型数字化弹性触诊仪测量跟腱硬度的信度研究

Intra- and Inter-rater Reliability of A Novel Hand-held MyotonPRO Device for Achilles Tendon Properties in Healthy Subjects

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