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Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles

Bahar Özgül Orcid Logo, Chelsea Starbuck Orcid Logo, Mine Gülden Polat, Rawan Abdeen, Christopher Nester

Journal of Ultrasound, Volume: 26

Swansea University Author: Chelsea Starbuck Orcid Logo

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DOI (Published version): 10.1007/s40477-022-00699-8

Abstract

Purpose: Although the function of subjects with chronic ankle instability (CAI) has been examined, structural analysis by ultrasound scanning of the structures surrounding the ankle is limited. Before such structural comparisons between injured and uninjured people can be made it is important to inv...

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Published in: Journal of Ultrasound
ISSN: 1876-7931
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60810
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spelling 2023-04-04T10:47:58.7398030 v2 60810 2022-08-15 Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles b12b936789e5be3976b2f2c1c8988d4c 0000-0001-6266-2876 Chelsea Starbuck Chelsea Starbuck true false 2022-08-15 STSC Purpose: Although the function of subjects with chronic ankle instability (CAI) has been examined, structural analysis by ultrasound scanning of the structures surrounding the ankle is limited. Before such structural comparisons between injured and uninjured people can be made it is important to investigate a reliable measurement protocol of structures possibly related to CAI. The aim of this study was to investigate the inter-intra examiner reliability of ultrasonic characteristics of selected structures in healthy subjects. Methods: Eleven healthy participants were assessed by an experienced sonographer and inexperienced certificated examiner. Ultrasound images were collected of the ATFL length and ankle muscles of gastrocnemius medialis (GM), tibialis anterior (TA) and peroneals. Thickness was measured for the muscles, whilst cross-sectional area (CSA) was measured for the peroneals. Inexperienced examiner repeated the measurements a week later. Results: Inter-examiner reliability was excellent for all structures (ICC3,1 = 0.91-0,98). Intra-examiner reliability shows excellent agreement for all structures (ICC3,1=0.92-0.98) except GM (good agreement) (ICC3,1 = 0.82). LoA, relative to structure size, ranged from 1.38% to 6.88% for inter-reliability and from 0.07% to 5.79% for intra-reliability. Conclusion: This study shows a high level of inter-intra examiner reliability in measuring the structures possibly related to CAI. Future research has been planned to investigate the structural analysis in CAI by using applied MSUS protocol. Journal Article Journal of Ultrasound 26 Springer Science and Business Media LLC 1876-7931 Ultrasound Imaging, Ankle, Muscle Tissue, Ligaments, Cross-Sectional Anatomy 1 9 2022 2022-09-01 10.1007/s40477-022-00699-8 http://dx.doi.org/10.1007/s40477-022-00699-8 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University The researcher Bahar Özgül was financially supported by Scientific and Technological Research Council of Turkey, Directorate of Science Fellowships and Grant Programs [Program Code: 2214-A, Reference Number: 53325897-115.02-243381]. 2023-04-04T10:47:58.7398030 2022-08-15T11:04:18.3070403 Faculty of Science and Engineering Bahar Özgül 0000-0001-5821-2725 1 Chelsea Starbuck 0000-0001-6266-2876 2 Mine Gülden Polat 3 Rawan Abdeen 4 Christopher Nester 5 Under embargo Under embargo 2022-08-15T11:08:13.5112973 Output 731804 application/pdf Accepted Manuscript true 2023-09-01T00:00:00.0000000 true eng
title Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
spellingShingle Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
Chelsea Starbuck
title_short Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
title_full Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
title_fullStr Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
title_full_unstemmed Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
title_sort Inter and intra-examiner reliability of musculoskeletal ultrasound scanning of Anterior Talofibular Ligament and ankle muscles
author_id_str_mv b12b936789e5be3976b2f2c1c8988d4c
author_id_fullname_str_mv b12b936789e5be3976b2f2c1c8988d4c_***_Chelsea Starbuck
author Chelsea Starbuck
author2 Bahar Özgül
Chelsea Starbuck
Mine Gülden Polat
Rawan Abdeen
Christopher Nester
format Journal article
container_title Journal of Ultrasound
container_volume 26
publishDate 2022
institution Swansea University
issn 1876-7931
doi_str_mv 10.1007/s40477-022-00699-8
publisher Springer Science and Business Media LLC
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
url http://dx.doi.org/10.1007/s40477-022-00699-8
document_store_str 0
active_str 0
description Purpose: Although the function of subjects with chronic ankle instability (CAI) has been examined, structural analysis by ultrasound scanning of the structures surrounding the ankle is limited. Before such structural comparisons between injured and uninjured people can be made it is important to investigate a reliable measurement protocol of structures possibly related to CAI. The aim of this study was to investigate the inter-intra examiner reliability of ultrasonic characteristics of selected structures in healthy subjects. Methods: Eleven healthy participants were assessed by an experienced sonographer and inexperienced certificated examiner. Ultrasound images were collected of the ATFL length and ankle muscles of gastrocnemius medialis (GM), tibialis anterior (TA) and peroneals. Thickness was measured for the muscles, whilst cross-sectional area (CSA) was measured for the peroneals. Inexperienced examiner repeated the measurements a week later. Results: Inter-examiner reliability was excellent for all structures (ICC3,1 = 0.91-0,98). Intra-examiner reliability shows excellent agreement for all structures (ICC3,1=0.92-0.98) except GM (good agreement) (ICC3,1 = 0.82). LoA, relative to structure size, ranged from 1.38% to 6.88% for inter-reliability and from 0.07% to 5.79% for intra-reliability. Conclusion: This study shows a high level of inter-intra examiner reliability in measuring the structures possibly related to CAI. Future research has been planned to investigate the structural analysis in CAI by using applied MSUS protocol.
published_date 2022-09-01T04:19:14Z
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