Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation

Introduction: Ultrasonography (USG) is a widely recognised, non-invasive imaging technique extensively applied in musculoskeletal diagnostics. Its capacity to provide real-time visualisation of muscle structure and function underpins its utility in clinical practice and scientific research. Neverthe...

Full description

Saved in:
Bibliographic Details
Main Authors: Arkadiusz Żurawski, Natalia Barańska, Aleksandra Tomala, Edyta Majorczyk, Joanna Macierzyńska
Format: Article
Language:English
Published: Univeristy of Physical Education in Krakow 2025-05-01
Series:Rehabilitacja Medyczna
Subjects:
Online Access:http://rehmed.pl/gicid/01.3001.0055.1354
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849339894906748928
author Arkadiusz Żurawski
Natalia Barańska
Aleksandra Tomala
Edyta Majorczyk
Joanna Macierzyńska
author_facet Arkadiusz Żurawski
Natalia Barańska
Aleksandra Tomala
Edyta Majorczyk
Joanna Macierzyńska
author_sort Arkadiusz Żurawski
collection DOAJ
description Introduction: Ultrasonography (USG) is a widely recognised, non-invasive imaging technique extensively applied in musculoskeletal diagnostics. Its capacity to provide real-time visualisation of muscle structure and function underpins its utility in clinical practice and scientific research. Nevertheless, the reliability and accuracy of USG measurements remain pivotal concerns influencing its efficacy in muscle assessment.Objective: The aim of this study is to evaluate the reliability and accuracy of USG-based muscle thickness measurements for four critical postural stabilisers: longus colli, serratus anterior, transversus abdominis and multifidus. These muscles play essential roles in postural stability due to their tonic characteristics, making them central to rehabilitation interventions.Methods: Twenty healthy participants were recruited for this investigation. Muscle thickness of the four target muscles was assessed in a resting state using standardised USG protocols. Both intra- and inter-rater reliability were analysed using Intraclass Correlation Coefficients (ICC). Measurement precision was quantified through Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC), ensuring a robust evaluation of reliability metrics.Results: The analysis revealed excellent intra-rater reliability for all muscles, with ICC values ranging from 0.97 to 0.99. Inter-rater reliability was highest for the serratus anterior (ICC = 0.89-0.95) and transversus abdominis (ICC = 0.79-0.85), while moderate agreement was observed for the longus colli (ICC = 0.52-0.89). The transversus abdominis demonstrated the highest measurement precision, with the lowest Standard Error of Measurement (SEM = 0.79-1.05 mm) and Minimal Detectable Change (MDC = 2.19-2.91 mm). In contrast, the multifidus exhibited greater variability (SEM > 2.1 mm; MDC > 6.0 mm), reflecting the inherent challenges in ultrasonographic assessment of deep spinal musculature. Despite these differences, all assessed muscles achieved acceptable reliability levels, supporting the clinical utility of ultrasonography in rehabilitation monitoring.Conclusion: Ultrasonography proves to be a reliable and precise modality for assessing muscle thickness in a resting state, particularly for the transversus abdominis and serratus anterior. These findings substantiate the utility of USG in evaluating key postural stabilisers within rehabilitation settings. Standardising measurement protocols and enhancing operator training are recommended to further optimise their application and ensure consistent results.
format Article
id doaj-art-0f111ccc053e45af9d2c599ae0a8e2ad
institution Kabale University
issn 1427-9622
1896-3250
language English
publishDate 2025-05-01
publisher Univeristy of Physical Education in Krakow
record_format Article
series Rehabilitacja Medyczna
spelling doaj-art-0f111ccc053e45af9d2c599ae0a8e2ad2025-08-20T03:44:01ZengUniveristy of Physical Education in KrakowRehabilitacja Medyczna1427-96221896-32502025-05-01291111610.5604/01.3001.0055.135401.3001.0055.1354Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in RehabilitationArkadiusz Żurawski0Natalia Barańska1Aleksandra Tomala2Edyta Majorczyk3Joanna Macierzyńska4Faculty of Health Sciences, Jan Kochanowski University in Kielce, PolandFaculty of Health Sciences, Jan Kochanowski University in Kielce, PolandFaculty of Health Sciences, Jan Kochanowski University in Kielce, PolandFaculty of Physical Education and Physiotherapy, Opole University of Technology, PolandFaculty of Physical Education and Physiotherapy, Opole University of Technology, PolandIntroduction: Ultrasonography (USG) is a widely recognised, non-invasive imaging technique extensively applied in musculoskeletal diagnostics. Its capacity to provide real-time visualisation of muscle structure and function underpins its utility in clinical practice and scientific research. Nevertheless, the reliability and accuracy of USG measurements remain pivotal concerns influencing its efficacy in muscle assessment.Objective: The aim of this study is to evaluate the reliability and accuracy of USG-based muscle thickness measurements for four critical postural stabilisers: longus colli, serratus anterior, transversus abdominis and multifidus. These muscles play essential roles in postural stability due to their tonic characteristics, making them central to rehabilitation interventions.Methods: Twenty healthy participants were recruited for this investigation. Muscle thickness of the four target muscles was assessed in a resting state using standardised USG protocols. Both intra- and inter-rater reliability were analysed using Intraclass Correlation Coefficients (ICC). Measurement precision was quantified through Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC), ensuring a robust evaluation of reliability metrics.Results: The analysis revealed excellent intra-rater reliability for all muscles, with ICC values ranging from 0.97 to 0.99. Inter-rater reliability was highest for the serratus anterior (ICC = 0.89-0.95) and transversus abdominis (ICC = 0.79-0.85), while moderate agreement was observed for the longus colli (ICC = 0.52-0.89). The transversus abdominis demonstrated the highest measurement precision, with the lowest Standard Error of Measurement (SEM = 0.79-1.05 mm) and Minimal Detectable Change (MDC = 2.19-2.91 mm). In contrast, the multifidus exhibited greater variability (SEM > 2.1 mm; MDC > 6.0 mm), reflecting the inherent challenges in ultrasonographic assessment of deep spinal musculature. Despite these differences, all assessed muscles achieved acceptable reliability levels, supporting the clinical utility of ultrasonography in rehabilitation monitoring.Conclusion: Ultrasonography proves to be a reliable and precise modality for assessing muscle thickness in a resting state, particularly for the transversus abdominis and serratus anterior. These findings substantiate the utility of USG in evaluating key postural stabilisers within rehabilitation settings. Standardising measurement protocols and enhancing operator training are recommended to further optimise their application and ensure consistent results.http://rehmed.pl/gicid/01.3001.0055.1354ultrasonography-high-resolution imagingpostural muscle functionmeasurement reproducibilitymusculoskeletal assessmentrehabilitation diagnostics
spellingShingle Arkadiusz Żurawski
Natalia Barańska
Aleksandra Tomala
Edyta Majorczyk
Joanna Macierzyńska
Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation
Rehabilitacja Medyczna
ultrasonography-high-resolution imaging
postural muscle function
measurement reproducibility
musculoskeletal assessment
rehabilitation diagnostics
title Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation
title_full Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation
title_fullStr Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation
title_full_unstemmed Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation
title_short Reliability and Accuracy of Ultrasonographic Muscle Thickness Measurements: Evaluating Key Postural Stabilisers in Rehabilitation
title_sort reliability and accuracy of ultrasonographic muscle thickness measurements evaluating key postural stabilisers in rehabilitation
topic ultrasonography-high-resolution imaging
postural muscle function
measurement reproducibility
musculoskeletal assessment
rehabilitation diagnostics
url http://rehmed.pl/gicid/01.3001.0055.1354
work_keys_str_mv AT arkadiuszzurawski reliabilityandaccuracyofultrasonographicmusclethicknessmeasurementsevaluatingkeyposturalstabilisersinrehabilitation
AT nataliabaranska reliabilityandaccuracyofultrasonographicmusclethicknessmeasurementsevaluatingkeyposturalstabilisersinrehabilitation
AT aleksandratomala reliabilityandaccuracyofultrasonographicmusclethicknessmeasurementsevaluatingkeyposturalstabilisersinrehabilitation
AT edytamajorczyk reliabilityandaccuracyofultrasonographicmusclethicknessmeasurementsevaluatingkeyposturalstabilisersinrehabilitation
AT joannamacierzynska reliabilityandaccuracyofultrasonographicmusclethicknessmeasurementsevaluatingkeyposturalstabilisersinrehabilitation