原名「台灣學術線上」
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題名:實時性超音波造影量化腹直肌間距之信度研究     (12點)
The Reliability of Measuring of Inter-recti Distance Using Real-time Ultrasonography
著者:廖麗君(Lih-Jiun Liaw) ;劉欣玫(Sin-Mei Liu) ;蕭世芬(Shih-Fen Hsiao)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:超音波造影 ; 腹直肌間距 ; 信度 ; Ultrasonography ; Inter-recti distance ; Reliability
刊名:物理治療
卷期:31卷3期(2006.6)
頁碼:213-218
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

背景與目的:懷孕或產後婦女之腹直肌間距(inter-recti distance, IRD)多以指幅寬度與游標卡尺來量測,但這些測量方法容易受到脂肪與皮膚厚度的影響,且需在腹肌略微收縮下才能夠施測。本研究之目的在於探討以超音波造影來測量腹直肌間距同一測試者之再測信度以及不同測試者問之信度。方法:本研究在獲得人體試驗審查委員會通過後,共徵得42位年輕、健康之自願者接受測試(26位女性)。兩腹直肌間之距離由兩名有兩年以上臨床經驗之物理治療師利用超音波造影設備(7.5MHz直線性探頭)來測量。所有受試者皆接受一位治療師不同日再測試;其中31位再由另一位治療師於同日再測試。受試者於仰臥的姿勢下,接受測試者以手握探頭隨機觀察肚臍上、下緣以及距肚臍上、下緣上下方各1時共四個位置之腹直肌與白線影像。在影像定格後,以超音波設備之游標測試系統直接在螢幕上讀取腹直肌間距。結果:四個不同位置之腹直肌間距的比較發現:同一測試者再測信度之級內相關係數值(intraclass correlation coefficient, ICC)≧0.85(0.85-0.95);而不同測試者間之ICC值≧0.78(0.78-0.89),皆呈現高信度;不同位置之腹直肌間距之同一測試者兩次測量之測量標準誤值(standard error of measurement , SEM)皆≦0.1公分(範圍:0.07-0.1公分);而個案真實改善程度值(smallest real difference, SRD)在0.20-0.29公分之範圍。結論:本研究的結果與經驗顯示,以超音波重複測量腹直肌間距之一致性高且誤差值小,是一個值得嘗試的非侵入性、並具有良好信度之臨床評估工具,可用以量化腹直肌分離現象,並可作為物理治療師指導產婦或孕婦運動時監測腹肌收縮狀況之利器。
Background and Purposes: Diastasis rectus abdominis (DRA) is common in postpartum women and is thought to affect the mechanics and function of abdominal muscles. The increased interrecti distance (IRD) is traditionally measured by finger width or caliper, with poor reliability and technical difficulties. The purpose of this study is to establish the inter-rater and intra-rater reliability of the ultrasonography assessment of the IRD. Methods: Fourty-two college students (26 women and 16 men) were included in the study. For the purpose of intra-rater reliability, the IRD was measured by two raters on each subject within a 2-day period. Inter-rater reliability of IRD measurement was repeated during two assessments 15 minutes apart. The IRD was measured with a 7.5 MHz linear array ultrasound probe at four locations above and below the umbilicus (upper and lower margins, and 1 inch above and below the margins of the umbilicus) at a relaxed, supine lying position. The measurement of IRD was taken from the medial borders of bilateral rectus abdominis when the probe was positioned vertically across the linea abla. Results: The ICC(subscript 2,1) values of the inter-rater reliability of the IRD at 4 different locations were ranged between 0.78 to 0.89 (all ICC≥0.78). The ICC(subscript 3,1) values of the intra-rater reliability of the IRD at the 4 locations were ranged between 0.85 to 0.95 (all ICC≥0.85). The SEM for the intra-session testing ranged from 0.07 to 0.10 cm. The smallest real differences (SRDs) were determined to be 0.20 to 0.29 cm. Conclusion: Excellent reliability could be obtained when inter-reci distance was measured by ultrasonography. The ultrasonography could be a useful and convenient tool in quantifying IRD.


    

本卷期目次
物理治療 31卷3期 (2006.6)
Initial Effects of the Ankle Dorsiflexion Mobilization with Movement on Ankle Range of Motion and Limb Coordination in Young Healthy Subjects/ Lan-Yuen GuoChich-Haung YangHenry TsaoChing-Yi WangChung-Chao Liang
學校身體活動訓練課程對智能障礙兒童之心肺耐力與病假天數成效探討/ 林素華蔡美文李淑貞林青松
跑步機對發展障礙兒童的治療效果-初步研究/ 甘蜀美廖華芳
健康年輕人執行多方向自主性跨步動作之動作表現與足底壓力中心研究/ 朱育秀湯佩芳
不完全脊髓損傷患者之步態表現/ 林佳貞蔡美文李淑貞曾明基嚴璐璐
實時性超音波造影量化腹直肌間距之信度研究/ 廖麗君劉欣玫蕭世芬
動作技巧學習:變異練習優於固定練習嗎?/ 嶺榮娟湯佩芳胡名霞
 
   
 
   

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