論文の公開元へ

書き出し

Refer/BibIX

RIS

BibTeX

TSV

Reliability and Validity of Quadriceps Muscle Thickness Measurements in Ultrasonography: A Comparison with Muscle Mass and Strength

Ogawa, Masato Matsumoto, Tsuyoshi Harada, Risa Yoshikawa, Ryo Ueda, Yuya Takamiya, Daiki Sakai, Yoshitada 神戸大学

2023

概要

Objectives: Measurement of skeletal muscle using ultrasonography (US) has received considerable attention as an alternative method of muscle assessment. However, intra- and inter-rater reliability remains controversial. Furthermore, there is no consensus regarding the relationship between muscle assessment using US and muscle mass or physical assessment. We aimed to verify the validity and reliability of muscle measurements using US and its relationships with muscle strength and physical assessment. Methods: The 22 participants were all healthy men. Quadriceps muscle thickness was measured by US by three different raters. Intraclass correlation coefficient (ICC) was used to assess inter- and intra-rater reliability. The maximum isokinetic strength of the quadriceps and handgrip strength were used as measures of lower and upper muscle strength, respectively. Leg muscle mass was assessed using the leg skeletal muscle index (SMI), measured by body impedance analysis, and calf circumference. Results: The intra-rater reliability was excellent which the ICC(1,1) ranges 0.957-0.993, and ICC(1,3) ranges 0.985-0.998. For inter-rater reliability, the values of 0.904 for ICC(2,1) and 0.966 for ICC(2,3) indicated excellent reliability. Leg SMI was significantly correlated with quadriceps thickness (r=0.36). Maximum isokinetic strength and handgrip strength showed weak but statistically significant correlations with quadriceps thickness (r=0.20, r=0.30, respectively). The correlation between quadriceps thickness and calf circumference was not statistically significant. Conclusions: Quadriceps muscle assessment using US is a valid and reliable technique for healthy individuals. Quadriceps muscle thickness was significantly positively correlated with upper and lower muscle strength and leg SMI. Muscle thickness assessment could replace full body muscle assessment in clinical settings.

論文の公開元へ

この論文で使われている画像

参考文献

1. Toledo DO, Freitas BJ, Dib R, Pfeilsticker FJ, Santos

DM, Gomes BC, Silva-Jr JM: Peripheral muscular

ultrasound as outcome assessment tool in critically ill

patients on mechanical ventilation: an observational cohort study. Clin Nutr ESPEN 2021;43:408–414. https://

doi.org/10.1016/j.clnesp.2021.03.015, PMID:34024548

2. Rier HN, Jager A, Sleijfer S, Maier AB, Levin MD:

The prevalence and prognostic value of low muscle

mass in cancer patients: a review of the literature.

Oncologist 2016;21:1396–1409. https://doi.org/10.1634/

theoncologist.2016-0066, PMID:27412391

3. Haehling S, Garfias Macedo T, Valentova M, Anker

MS, Ebner N, Bekfani T, Haarmann H, Schefold JC,

Lainscak M, Cleland JG, Doehner W, Hasenfuss G,

Anker SD: Muscle wasting as an independent predictor

of survival in patients with chronic heart failure. J Cachexia Sarcopenia Muscle 2020;11:1242–1249. https://

doi.org/10.1002/jcsm.12603, PMID:32767518

4. Chen LK, Woo J, Assantachai P, Auyeung TW, Chou

MY, Iijima K, Jang HC, Kang L, Kim M, Kim S,

Kojima T, Kuzuya M, Lee JS, Lee SY, Lee WJ, Lee

Y, Liang CK, Lim JY, Lim WS, Peng LN, Sugimoto

K, Tanaka T, Won CW, Yamada M, Zhang T, Akishita

M, Arai H: Asian Working Group for Sarcopenia: 2019

consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc 2020;21:300–307. https://

doi.org/10.1016/j.jamda.2019.12.012, PMID:32033882

5. Mitsiopoulos N, Baumgartner RN, Heymsfield SB,

Lyons W, Gallagher D, Ross R: Cadaver validation of skeletal muscle measurement by magnetic

resonance imaging and computerized tomography. J

Appl Physiol 1998;85:115–122. https://doi.org/10.1152/

jappl.1998.85.1.115, PMID:9655763

6. Nijholt W, Scafoglieri A, Jager-Wittenaar H, Hobbelen

JS, van der Schans CP: The reliability and validity

of ultrasound to quantify muscles in older adults: a

systematic review. J Cachexia Sarcopenia Muscle

2017;8:702–712.

https://doi.org/10.1002/jcsm.12210,

PMID:28703496

7. Harris-Love MO, Monfaredi R, Ismail C, Blackman

MR, Cleary K: Quantitative ultrasound: measurement considerations for the assessment of muscular

dystrophy and sarcopenia. Front Aging Neurosci

2014;6:172. https://doi.org/10.3389/fnagi.2014.00172,

PMID:25071570

8. Ceniccola GD, Castro MG, Piovacari SM, Horie LM,

Corrêa FG, Barrere AP, Toledo DO: Current technologies in body composition assessment: advantages and

disadvantages. Nutrition 2019;62:25–31. https://doi.

org/10.1016/j.nut.2018.11.028, PMID:30826596

9. Young HJ, Jenkins NT, Zhao Q, Mccully KK: Measurement of intramuscular fat by muscle echo intensity.

Muscle Nerve 2015;52:963–971. https://doi.org/10.1002/

mus.24656, PMID:25787260

Prog. Rehabil. Med. 2023; Vol.8, 20230008

10. Schaubert KL, Bohannon RW: Reliability and validity

of three strength measures obtained from communitydwelling elderly persons. J Strength Cond Res

2005;19:717–720. PMID:16095431

11. Shimono Y, Enomoto H, Kishino K, Moriwaki

EI, Nishikawa H, Nishimura T, Iwata Y, Iijima H,

Nishiguchi S: Arm skeletal muscle mass is associated with the prognosis of patients with cirrhosis. In

Vivo 2020;34:1165–1171. https://doi.org/10.21873/

invivo.11889, PMID:32354906

12. Shrout PE, Fleiss JL: Intraclass correlations: uses in

assessing rater reliability. Psychol Bull 1979;86:420–

428.

https://doi.org/10.1037/0033-2909.86.2.420,

PMID:18839484

13. Koo TK, Li MY: A guideline of selecting and reporting intraclass correlation coefficients for reliability

research. J Chiropr Med 2016;15:155–163. https://doi.

org/10.1016/j.jcm.2016.02.012, PMID:27330520

14. Pardo E, El Behi H, Boizeau P, Verdonk F, Alberti C,

Lescot T: Reliability of ultrasound measurements of

quadriceps muscle thickness in critically ill patients.

BMC Anesthesiol 2018;18:205. https://doi.org/10.1186/

s12871-018-0647-9, PMID:30591032

15. Silva CR, Costa AS, Rocha T, Lima DA, Nascimento

T, Moraes SR: Quadriceps muscle architecture ultrasonography of individuals with type 2 diabetes: reliability

and applicability. PLoS One 2018;13:e0205724. https://

doi.org/10.1371/journal.pone.0205724, PMID:30335818

16. Takahashi Y, Fujino Y, Miura K, Toida A, Matsuda T,

Makita S: Intra- and inter-rater reliability of rectus femoris muscle thickness measured using ultrasonography

in healthy individuals. Ultrasound J 2021;13:21. https://

doi.org/10.1186/s13089-021-00224-8, PMID:33856566

17. Strasser EM, Draskovits T, Praschak M, Quittan M,

Graf A: Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly. Age

2013;35:2377–2388. https://doi.org/10.1007/s11357-0139517-z, PMID:23456136

18. Chi-Fishman G, Hicks JE, Cintas HM, Sonies BC,

Gerber LH: Ultrasound imaging distinguishes between normal and weak muscle. Arch Phys Med

Rehabil 2004;85:980–986. https://doi.org/10.1016/j.

apmr.2003.07.008, PMID:15179654

19. Freilich RJ, Kirsner RL, Byrne E: Isometric strength

and thickness relationships in human quadriceps muscle. Neuromuscul Disord 1995;5:415–422. https://doi.

org/10.1016/0960-8966(94)00078-N, PMID:7496175

20. Seymour JM, Ward K, Sidhu PS, Puthucheary Z,

Steier J, Jolley CJ, Rafferty G, Polkey MI, Moxham

J: Ultrasound measurement of rectus femoris crosssectional area and the relationship with quadriceps

strength in COPD. Thorax 2009;64:418–423. https://

doi.org/10.1136/thx.2008.103986, PMID:19158125

21. Bohannon RW: Grip strength: an indispensable

biomarker for older adults. Clin Interv Aging

2019;14:1681–1691.

https://doi.org/10.2147/CIA.

S194543, PMID:31631989

22. Fukumoto Y, Ikezoe T, Yamada Y, Tsukagoshi R, Nakamura M, Mori N, Kimura M, Ichihashi N: Skeletal

muscle quality assessed from echo intensity is associated with muscle strength of middle-aged and elderly

persons. Eur J Appl Physiol 2012;112:1519–1525. https://

doi.org/10.1007/s00421-011-2099-5, PMID:21847576

23. Nindl BC, Scoville CR, Sheehan KM, Leone CD,

Mello RP: Gender differences in regional body composition and somatotrophic influences of IGF-I and

leptin. J Appl Physiol 2002;92:1611–1618. https://doi.

org/10.1152/japplphysiol.00892.2001, PMID:11896028

24. Gruther W, Benesch T, Zorn C, Paternostro-Sluga

T, Quittan M, Fialka-Moser V, Spiss C, Kainberger

F, Crevenna R: Muscle wasting in intensive care

patients: ultrasound observation of the M. quadriceps femoris muscle layer. Acta Derm Venereol

2008;40:185–189.

https://doi.org/10.2340/165019770139, PMID:18292919

25. English CK, Thoirs KA, Fisher L, McLennan H, Bernhardt J: Ultrasound is a reliable measure of muscle

thickness in acute stroke patients, for some, but not

all anatomical sites: a study of the intra-rater reliability of muscle thickness measures in acute stroke

patients. Ultrasound Med Biol 2012;38:368–376.

https://doi.org/10.1016/j.ultrasmedbio.2011.12.012,

PMID:22266233

26. Akazawa N, Kishi M, Hino T, Tsuji R, Tamura K,

Hioka A, Moriyama H: Longitudinal relationship between intramuscular adipose tissue of the quadriceps

and activities of daily living in older inpatients. J Cachexia Sarcopenia Muscle 2021;12:2231–2237. https://

doi.org/10.1002/jcsm.12842, PMID:34704384

...

参考文献をもっと見る

分野

大学

学位論文種類・取得年

言語

Reliability and Validity of Quadriceps Muscle Thickness Measurements in Ultrasonography: A Comparison with Muscle Mass and Strength

概要

この論文で使われている画像

関連論文

Ultrasound assessment of muscle mass has potential to identify patients with low muscularity at intensive care unit admission: A retrospective study

Intra- and inter-examination reproducibility of T2 mapping for temporomandibular joint assessment at 3.0 T

Combining age, sex, body mass index, sport level, and preoperative quadriceps strength improves the predictive ability of quadriceps strength recovery after anterior cruciate ligament reconstruction

Assessment of the upper limb muscles in patients with Fukuyama muscular dystrophy: Noninvasive assessment using visual ultrasound muscle analysis and shear wave elastography

Dynapenia and physical performance in community-dwelling elderly people in Japan

参考文献

分野

大学

学位論文種類・取得年

言語

コピーが完了しました

URLをコピーしました

Reliability and Validity of Quadriceps Muscle Thickness Measurements in Ultrasonography: A Comparison with Muscle Mass and Strength

概要

この論文で使われている画像

関連論文

Ultrasound assessment of muscle mass has potential to identify patients with low muscularity at intensive care unit admission: A retrospective study

Intra- and inter-examination reproducibility of T2 mapping for temporomandibular joint assessment at 3.0 T

Combining age, sex, body mass index, sport level, and preoperative quadriceps strength improves the predictive ability of quadriceps strength recovery after anterior cruciate ligament reconstruction

Assessment of the upper limb muscles in patients with Fukuyama muscular dystrophy: Noninvasive assessment using visual ultrasound muscle analysis and shear wave elastography

Dynapenia and physical performance in community-dwelling elderly people in Japan

参考文献