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Repeatability of ultrasonographic median nerve measures
Author(s) -
Impink Bradley G.,
Gag Dany,
Collinger Jennifer L.,
Boninger Michael L.
Publication year - 2010
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.21619
Subject(s) - generalizability theory , median nerve , ultrasound , repeatability , intra rater reliability , reliability (semiconductor) , inter rater reliability , medicine , nuclear medicine , mathematics , radiology , surgery , statistics , confidence interval , rating scale , power (physics) , physics , quantum mechanics
In this study we investigated the reliability of ultrasound in measuring median nerve characteristics including cross‐sectional area (CSA), flattening ratio (FR), swelling ratio (SR), and mean grayscale. Generalizability theory was used to assess inter‐ and intrarater reliability using the dependability coefficient (ϕ), normalized standard error of measurement, and normalized minimum detectable change (MDC NORM ) for multiple study design protocols. Interrater reliability was generally moderate. Intrarater reliability was mostly good (ϕ > 0.876) when using a single image, captured on one occasion, and being read once. Intrarater MDC NORM ranged from 3.8% to 6.2% for all CSA measures and SR. Using multiple images and/or readings at multiple occasions did not appreciably improve reliability measures. Ultrasound is a reliable tool for measuring median nerve characteristics. We recommend that a single evaluator capture all images for protocols aimed at quantifying median nerve ultrasound measures. We believe an appropriately designed protocol can utilize ultrasound to accurately assess changes in median nerve characteristics after activity. Muscle Nerve, 2010