Ultrasound transducer shape has no effect on measurements of lumbar multifidus muscle size

Worsley, Peter, Smith, Nick, Warner, Martin and Stokes, Maria (2011) Ultrasound transducer shape has no effect on measurements of lumbar multifidus muscle size Manual Therapy (doi:10.1016/j.math.2011.07.001). (PMID:21813312).


[img] PDF Worsley_UltrasoundComp.PDF - Version of Record
Restricted to Repository staff only

Download (381kB)
[img] PDF Worsley et al 2012_Manual Therapy.pdf - Other
Download (337kB)


Objective: Evidence is currently lacking for guidance on ultrasound transducer configuration (shape) when imaging muscle to measure its size. This study compared measurements made of lumbar multifidus on images obtained using curvilinear and linear transducers.

Method: Fifteen asymptomatic males (aged 21–32 years) had their right lumbar multifidus imaged at L3. Two transverse images were taken with two transducers (5 MHz curvilinear and 6 MHz linear), and linear and cross-sectional area (CSA) measurements were made off-line. Reliability of image interpretation was shown using intra-class correlation coefficients (0.78–0.99). Muscle measurements were compared between transducers using Bland and Altman plots and paired t-tests. Relationships between CSA and linear measurements were examined using Pearson's Correlation Coefficients.

Results: There were no significant differences (p > 0.05) in the measurements of the two transducers. Thickness and CSA measurements had small differences between transducers, with mean differences of 0.01 cm (SDdiff = 0.21 cm) and 0.03 cm2 (SDdiff = 0.58 cm2) respectively. Width measures had a mean difference of 0.14 cm, with the linear transducer giving larger measures. Significant correlations (p < 0.001) were found between all linear measures and CSA, with both transducers (r = 0.78–0.89).

Conclusion: Measurements of multifidus at L3 were not influenced by the configuration of transducers of similar frequency. For the purposes of image interpretation, the curvilinear transducer produced better definition of the lateral muscle border, suggesting it as the preferable transducer for imaging lumbar multifidus.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1016/j.math.2011.07.001
ISSNs: 1356-689X (print)
Keywords: rehabilitative ultrasound imaging, lumbar multifidus, transducer shape, reliability
Organisations: Faculty of Health Sciences
ePrint ID: 195915
Date :
Date Event
3 August 2011Published
Date Deposited: 31 Aug 2011 08:56
Last Modified: 18 Apr 2017 01:37
Further Information:Google Scholar
URI: http://eprints.soton.ac.uk/id/eprint/195915

Actions (login required)

View Item View Item