Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators

Purpose. This study was aimed at verifying both the intraobserver and interobserver reliability of measuring plantar fascia stiffness for a given image in healthy active adults. Methodology. This study is reported following the Guidelines of Reporting Reliability and Agreement Studies. A total of 20...

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Main Authors: Daniel Aguilar-Nuñez, Pablo Cervera-Garvi, Maria Aguilar-Garcia, Maria Cuevas-Cervera, Ana Gonzalez-Muñoz, Santiago Navarro-Ledesma
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/7/2040
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author Daniel Aguilar-Nuñez
Pablo Cervera-Garvi
Maria Aguilar-Garcia
Maria Cuevas-Cervera
Ana Gonzalez-Muñoz
Santiago Navarro-Ledesma
author_facet Daniel Aguilar-Nuñez
Pablo Cervera-Garvi
Maria Aguilar-Garcia
Maria Cuevas-Cervera
Ana Gonzalez-Muñoz
Santiago Navarro-Ledesma
author_sort Daniel Aguilar-Nuñez
collection DOAJ
description Purpose. This study was aimed at verifying both the intraobserver and interobserver reliability of measuring plantar fascia stiffness for a given image in healthy active adults. Methodology. This study is reported following the Guidelines of Reporting Reliability and Agreement Studies. A total of 20 plantar fascia from healthy volunteers were analyzed. The thickness of the plantar fascia was measured vertically from the anterior edge of the inferior calcaneal border to the inferior border of the plantar fascia and the ultrasound elastography measurement was taken at the calcaneal insertion of the plantar fascia with the region of interest one centimeter away from the insertion. Results. The ultrasound strain elastography measurements: the right intraobserver 1 showed an ICC value of 0.9 and the left intraobserver 1 showed an ICC value of 0.78, while the right intraobserver 2 showed an ICC value of 0.91 and the left intraobserver 2 showed an ICC value of 0.83. Interobserver measurements showed excellent reliability with a right ICC value of 0.8 and a left ICC value of 0.9 for the plantar fascia thickness measurements. Discussion. The results of this study showed a strong correlation between left and right plantar fascia thickness. The intraobserver reliability was excellent for both plantar fascia ultrasound strain elastography and thickness measurements, with interobserver measurements showing excellent reliability.
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spelling doaj.art-61adc21d9ee549e98b12ada7e685b70c2023-11-18T18:28:35ZengMDPI AGBiomedicines2227-90592023-07-01117204010.3390/biomedicines11072040Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice EvaluatorsDaniel Aguilar-Nuñez0Pablo Cervera-Garvi1Maria Aguilar-Garcia2Maria Cuevas-Cervera3Ana Gonzalez-Muñoz4Santiago Navarro-Ledesma5Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Penalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, SpainDepartment of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Penalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, SpainDepartment of Physiotherapy, Faculty of Health Sciences, Campus of Melilla, University of Granada, Querol Street, 5, 52004 Melilla, SpainClinica Ana Gonzalez, Avenida Hernan Nuñez de Toledo 6, 29018 Malaga, SpainClinica Ana Gonzalez, Avenida Hernan Nuñez de Toledo 6, 29018 Malaga, SpainDepartment of Physiotherapy, Faculty of Health Sciences, Campus of Melilla, University of Granada, Querol Street, 5, 52004 Melilla, SpainPurpose. This study was aimed at verifying both the intraobserver and interobserver reliability of measuring plantar fascia stiffness for a given image in healthy active adults. Methodology. This study is reported following the Guidelines of Reporting Reliability and Agreement Studies. A total of 20 plantar fascia from healthy volunteers were analyzed. The thickness of the plantar fascia was measured vertically from the anterior edge of the inferior calcaneal border to the inferior border of the plantar fascia and the ultrasound elastography measurement was taken at the calcaneal insertion of the plantar fascia with the region of interest one centimeter away from the insertion. Results. The ultrasound strain elastography measurements: the right intraobserver 1 showed an ICC value of 0.9 and the left intraobserver 1 showed an ICC value of 0.78, while the right intraobserver 2 showed an ICC value of 0.91 and the left intraobserver 2 showed an ICC value of 0.83. Interobserver measurements showed excellent reliability with a right ICC value of 0.8 and a left ICC value of 0.9 for the plantar fascia thickness measurements. Discussion. The results of this study showed a strong correlation between left and right plantar fascia thickness. The intraobserver reliability was excellent for both plantar fascia ultrasound strain elastography and thickness measurements, with interobserver measurements showing excellent reliability.https://www.mdpi.com/2227-9059/11/7/2040plantar fasciaultrasoundsonoelastographyintraobserverinterobserverreliability
spellingShingle Daniel Aguilar-Nuñez
Pablo Cervera-Garvi
Maria Aguilar-Garcia
Maria Cuevas-Cervera
Ana Gonzalez-Muñoz
Santiago Navarro-Ledesma
Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators
Biomedicines
plantar fascia
ultrasound
sonoelastography
intraobserver
interobserver
reliability
title Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators
title_full Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators
title_fullStr Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators
title_full_unstemmed Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators
title_short Ultrasound Strain Elastography Reliability in the Assessment of the Plantar Fascia and Its Relationship with the Plantar Thickness in Healthy Adults: An Intra and Interobserver Reliability Study in Novice Evaluators
title_sort ultrasound strain elastography reliability in the assessment of the plantar fascia and its relationship with the plantar thickness in healthy adults an intra and interobserver reliability study in novice evaluators
topic plantar fascia
ultrasound
sonoelastography
intraobserver
interobserver
reliability
url https://www.mdpi.com/2227-9059/11/7/2040
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