Ultrasonographic quantification of intrinsic hand muscle cross-sectional area; Reliability and validity for predicting muscle strength

Behnam Mohseny; Tim H. Nijhuis; Caroline A. Hundepool; Wim G. Janssen; Ruud W. Selles; J. Henk Coert

doi:10.1016/j.apmr.2014.11.014

Ultrasonographic quantification of intrinsic hand muscle cross-sectional area; Reliability and validity for predicting muscle strength

Behnam Mohseny, Tim H. Nijhuis^*, Caroline A. Hundepool, Wim G. Janssen, Ruud W. Selles, J. Henk Coert

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

Abstract

Objective To investigate whether ultrasonographic measurement of the cross-sectional area (CSA) of the intrinsic hand muscles can be used to predict muscle strength in a valid and reliable manner, and to determine if this method can be used for follow-up of patients with peripheral nerve injury between the wrist and elbow.

Design Repeated-measures cross-sectional study.

Setting Clinical and academic hospital.

Participants Healthy adults (n=31) and patients with ulnar and median nerve injuries (n=16) between the wrist and elbow who were visiting the Erasmus Medical Center or Maasstad Hospital were included in the study (N=47). Interventions Not applicable.

Main Outcome Measures Correlation between measured muscle CSA and strength and assessment of inter- and intrarater reliability. Ultrasound and strength measurements of the intrinsic hand muscles were conducted bilaterally. To establish validity, the CSA of 4 muscles (abductor digiti minimi, first dorsal interosseus, abductor pollicis brevis, opponens pollicis) was compared with strength measurements of the same muscles conducted with the Rotterdam Intrinsic Hand Myometer. Repeated measures were conducted to assess inter- and intrarater reliability.

Results The assessed CSA strongly correlated with strength measurements, with correlations ranging from 0.82 to 0.93 in healthy volunteers and from 0.63 to 0.94 in patients. Test-retest reliability showed excellent intrarater reliability (intraclass correlation coefficient range, 0.99-1.00) in patients and volunteers and good interrater reliability (intraclass correlation coefficient range, 0.88-0.95) in healthy volunteers.

Conclusions We found that ultrasound is a valid and reliable method to assess the CSA of specific muscles in the hand. Therefore, this technique could be useful to monitor muscle reinnervation in patients suffering from peripheral nerve injury as a valuable addition to strength dynamometers.

Original language	English
Pages (from-to)	845-853
Number of pages	9
Journal	Archives of Physical Medicine and Rehabilitation
Volume	96
Issue number	5
DOIs	https://doi.org/10.1016/j.apmr.2014.11.014
Publication status	Published - 1 May 2015

Keywords

Muscle strength dynamometer
Muscular atrophy
Peripheral nerve injuries
Rehabilitation
Ultrasonography

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10.1016/j.apmr.2014.11.014

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@article{6dae4271b46d49559eb720e1e419baee,

title = "Ultrasonographic quantification of intrinsic hand muscle cross-sectional area; Reliability and validity for predicting muscle strength",

abstract = "Objective To investigate whether ultrasonographic measurement of the cross-sectional area (CSA) of the intrinsic hand muscles can be used to predict muscle strength in a valid and reliable manner, and to determine if this method can be used for follow-up of patients with peripheral nerve injury between the wrist and elbow. Design Repeated-measures cross-sectional study. Setting Clinical and academic hospital. Participants Healthy adults (n=31) and patients with ulnar and median nerve injuries (n=16) between the wrist and elbow who were visiting the Erasmus Medical Center or Maasstad Hospital were included in the study (N=47). Interventions Not applicable. Main Outcome Measures Correlation between measured muscle CSA and strength and assessment of inter- and intrarater reliability. Ultrasound and strength measurements of the intrinsic hand muscles were conducted bilaterally. To establish validity, the CSA of 4 muscles (abductor digiti minimi, first dorsal interosseus, abductor pollicis brevis, opponens pollicis) was compared with strength measurements of the same muscles conducted with the Rotterdam Intrinsic Hand Myometer. Repeated measures were conducted to assess inter- and intrarater reliability. Results The assessed CSA strongly correlated with strength measurements, with correlations ranging from 0.82 to 0.93 in healthy volunteers and from 0.63 to 0.94 in patients. Test-retest reliability showed excellent intrarater reliability (intraclass correlation coefficient range, 0.99-1.00) in patients and volunteers and good interrater reliability (intraclass correlation coefficient range, 0.88-0.95) in healthy volunteers. Conclusions We found that ultrasound is a valid and reliable method to assess the CSA of specific muscles in the hand. Therefore, this technique could be useful to monitor muscle reinnervation in patients suffering from peripheral nerve injury as a valuable addition to strength dynamometers.",

keywords = "Muscle strength dynamometer, Muscular atrophy, Peripheral nerve injuries, Rehabilitation, Ultrasonography",

author = "Behnam Mohseny and Nijhuis, {Tim H.} and Hundepool, {Caroline A.} and Janssen, {Wim G.} and Selles, {Ruud W.} and Coert, {J. Henk}",

year = "2015",

month = may,

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doi = "10.1016/j.apmr.2014.11.014",

language = "English",

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pages = "845--853",

journal = "Archives of Physical Medicine and Rehabilitation",

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Ultrasonographic quantification of intrinsic hand muscle cross-sectional area; Reliability and validity for predicting muscle strength. / Mohseny, Behnam; Nijhuis, Tim H.; Hundepool, Caroline A. et al.
In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 5, 01.05.2015, p. 845-853.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Ultrasonographic quantification of intrinsic hand muscle cross-sectional area; Reliability and validity for predicting muscle strength

AU - Mohseny, Behnam

AU - Nijhuis, Tim H.

AU - Hundepool, Caroline A.

AU - Janssen, Wim G.

AU - Selles, Ruud W.

AU - Coert, J. Henk

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Objective To investigate whether ultrasonographic measurement of the cross-sectional area (CSA) of the intrinsic hand muscles can be used to predict muscle strength in a valid and reliable manner, and to determine if this method can be used for follow-up of patients with peripheral nerve injury between the wrist and elbow. Design Repeated-measures cross-sectional study. Setting Clinical and academic hospital. Participants Healthy adults (n=31) and patients with ulnar and median nerve injuries (n=16) between the wrist and elbow who were visiting the Erasmus Medical Center or Maasstad Hospital were included in the study (N=47). Interventions Not applicable. Main Outcome Measures Correlation between measured muscle CSA and strength and assessment of inter- and intrarater reliability. Ultrasound and strength measurements of the intrinsic hand muscles were conducted bilaterally. To establish validity, the CSA of 4 muscles (abductor digiti minimi, first dorsal interosseus, abductor pollicis brevis, opponens pollicis) was compared with strength measurements of the same muscles conducted with the Rotterdam Intrinsic Hand Myometer. Repeated measures were conducted to assess inter- and intrarater reliability. Results The assessed CSA strongly correlated with strength measurements, with correlations ranging from 0.82 to 0.93 in healthy volunteers and from 0.63 to 0.94 in patients. Test-retest reliability showed excellent intrarater reliability (intraclass correlation coefficient range, 0.99-1.00) in patients and volunteers and good interrater reliability (intraclass correlation coefficient range, 0.88-0.95) in healthy volunteers. Conclusions We found that ultrasound is a valid and reliable method to assess the CSA of specific muscles in the hand. Therefore, this technique could be useful to monitor muscle reinnervation in patients suffering from peripheral nerve injury as a valuable addition to strength dynamometers.

AB - Objective To investigate whether ultrasonographic measurement of the cross-sectional area (CSA) of the intrinsic hand muscles can be used to predict muscle strength in a valid and reliable manner, and to determine if this method can be used for follow-up of patients with peripheral nerve injury between the wrist and elbow. Design Repeated-measures cross-sectional study. Setting Clinical and academic hospital. Participants Healthy adults (n=31) and patients with ulnar and median nerve injuries (n=16) between the wrist and elbow who were visiting the Erasmus Medical Center or Maasstad Hospital were included in the study (N=47). Interventions Not applicable. Main Outcome Measures Correlation between measured muscle CSA and strength and assessment of inter- and intrarater reliability. Ultrasound and strength measurements of the intrinsic hand muscles were conducted bilaterally. To establish validity, the CSA of 4 muscles (abductor digiti minimi, first dorsal interosseus, abductor pollicis brevis, opponens pollicis) was compared with strength measurements of the same muscles conducted with the Rotterdam Intrinsic Hand Myometer. Repeated measures were conducted to assess inter- and intrarater reliability. Results The assessed CSA strongly correlated with strength measurements, with correlations ranging from 0.82 to 0.93 in healthy volunteers and from 0.63 to 0.94 in patients. Test-retest reliability showed excellent intrarater reliability (intraclass correlation coefficient range, 0.99-1.00) in patients and volunteers and good interrater reliability (intraclass correlation coefficient range, 0.88-0.95) in healthy volunteers. Conclusions We found that ultrasound is a valid and reliable method to assess the CSA of specific muscles in the hand. Therefore, this technique could be useful to monitor muscle reinnervation in patients suffering from peripheral nerve injury as a valuable addition to strength dynamometers.

KW - Muscle strength dynamometer

KW - Muscular atrophy

KW - Peripheral nerve injuries

KW - Rehabilitation

KW - Ultrasonography

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SN - 0003-9993

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JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

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ER -

Ultrasonographic quantification of intrinsic hand muscle cross-sectional area; Reliability and validity for predicting muscle strength

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Keywords

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