بررسی تکرار پذیری و اعتبارسنجی روش اولتراسونوگرافی دراندازه گیری طول وزاویه ی فاسیکل و ضخامت عضلات اسکلتی حین انقباض: مرور سیستماتیک

نوع مقاله : مقاله مروری

نویسندگان

1 دفتر تحقیقات و فن آوری دانشجویان. دانشجوی کارشناسی ارشد فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 استادیار، گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 استاد، گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه واهداف
در سالهای اخیر، در تحقیقات بیومکانیکی و بیوفیزیولوژیکی از اولتراسونوگرافی به شکل گسترده ای برای اندازه گیری تغییرات مولفه های ساختاری عضله اسکلتی همانند طول و زاویه فاسیکل و ضخامت عضله بمنظور تخمین میزان نیروی عضله استفاده شده است. در این مطالعه مروری سعی گردیده است که بشکل نظام مند به بررسی وجود تکرارپذیری و اعتبارسنجی روش اولتراسونوگرافی در ارزیابی مولفه های ساختاری عضله اسکلتی انسان حین انقباض پرداخته شود.
مواد و روش ها
در این مرور، جستجوی مطالعات انجام شده  در فاصله زمانی سالهای 1995 تا آگوست 2014 در پایگاه های اطلاعاتی اینترنتی Pubmed, Google Scholar, Ovid  Springer, ProQuest و CINAHL انجام شد. کلید واژگان Reliability، Validity ،Muscle structure ، Fascicle Angle ،Contraction ، Ultrasonography برای جستجو مورد استفاده قرار گرفت. 
یافته ها
با استفاده از واژه های کلیدی بالا و پس از حذف مقالات تکراری، 109 مقاله به دست آمد و پس از بررسی عنوان مقالات 40 مقاله انتخاب شد که پس از بررسی چکیده و متن مقالات و نتایج حاصل از آنها،  28  مقاله همه متن که دارای معیارهای ورود بودند در جداول مجزا ارائه شدند.  شاخص های آماری مورد استفاده در مقالات همانند مقادیر ICC ,CV SEM ،r   در کلیه مطالعات بررسی شد. تکرار پذیری روش اولتراسونوگرافی درمورد تخمین تغییرات ساختار عضله، زاویه فاسیکل بترتیب در 14 و 8 مقاله بررسی گردید ونتایج شامل تکرارپذیری بالای اولتراسونوگرافی طی انقباضات ایزومتریک و ایزوتونیک  (ICC=0.75- 0.99)  بود. در یک مورد تکرارپذیری اولتراسونوگرافی میزان0.6= ICC بود که مربوط به فعالیت دینامیکی عضله بود.  بعلاوه، مطالعاتی که روش اولتراسونوگرافی را با MRI  یا EMG مقایسه کرده بودند مورد بررسی قرار گرفتند. اعتبارسنجی روش اولتراسونوگرافی در 7 مقاله بررسی گردیدکه مقادیر، سازگاری خوب تا بالای این روش را در به تصویر کشیدن فعالیت ایزومتریک و یا دینامیکی عضلات نشان داد.
نتیجه گیری
مرور نشان داد که اولتراسونوگرافی ابزاری معتبر با روایی دلخواه برای ارزیابی پارامترهای معماری مانند طول و زاویه فاسیکل و ضخامت عضله اسکلتی در افراد سالم و دچار اختلال عملکرد در انواع انقباضات در وضعیت های متفاوت می باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The investigation of reliability and validity of ultrasonography in measurement of fascicle length, fascicle angle, and thickness of skeletal muscle during contraction: A systematic review

نویسندگان [English]

  • Farzaneh Norouzi Nejad 1
  • Seyad Majid Hosseini 2
  • Asghar Rezasoltani 3
1 Students' Research office, MSc Student in physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Teran, Iran
2 Assistant Professor, Physiotherapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Teran, Iran
3 Professor, Physiotherapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Teran, Iran
چکیده [English]

Background and Aim: In the recent years, ultrasonography has widely been used to measure skeletal muscle architecture parameters such as fascicle length, fascicle angle, and muscle thickness, that provide an opportunity to be able to objectively estimate muscle force production capacity in biomechanical and biophysiological researches. The current review article aimed to systematically reviw the investigations of reliability and validity of ultrasonography in measurement of muscle structure parameters during isometric and isotonic contractions in the existing studies.
Materials and Methods: A literature review was conducted on studies published between 1995-2014 in PubMed, ScienceDirect, Scopus, Google scholar, and Springer Link databases. The following terms were used as key words: Ultrosonography, muscle architecture, reliability, validity, fascicle length, and contraction.
Result: A total of 109 articles were obtained from which 40 were chosen based on their titles. After studying the abstracts and full texts, 28 were considered to be congruent with the inclusion criteria. Several statistics were run to quantify reliability and validity (CMC, ICC, r, CV, SEM, criterion, and contract validity). The majority of studies reported high reliability estimates (0.75-0.99). In one case, ICC of 0.06 was reported for dynamic activity. Evidence of validity of ultrasonography for measuring muscle structure features during contraction was obtained from 7 articles and it was revealed that ultrasonography has high to very high consistency.
Conclusion: Review showes that ultrasonography is a reliable and valid method to measure the changes of skeletal muscle structure during contaction in healthy people and patiants.

کلیدواژه‌ها [English]

  • Ultrosonography
  • Muscle Architecture
  • Reliability
  • Validity
  • Fascicle Length
  • Contraction
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دوره 5، شماره 1
فروردین و اردیبهشت 1395
صفحه 209-223
  • تاریخ دریافت: 20 مرداد 1394
  • تاریخ بازنگری: 22 آبان 1394
  • تاریخ پذیرش: 01 دی 1394
  • تاریخ اولین انتشار: 01 فروردین 1395