1
|
Cooley JR, Hebert JJ, de Zoete A, Jensen TS, Algra PR, Kjaer P, Walker BF. Assessing lumbar paraspinal muscle cross-sectional area and fat composition with T1 versus T2-weighted magnetic resonance imaging: Reliability and concurrent validity. PLoS One 2021; 16:e0244633. [PMID: 33544707 PMCID: PMC7864460 DOI: 10.1371/journal.pone.0244633] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 12/14/2020] [Indexed: 11/30/2022] Open
Abstract
Purpose Studies using magnetic resonance imaging to assess lumbar multifidus cross-sectional area frequently utilize T1 or T2-weighted sequences, but seldom provide the rationale for their sequence choice. However, technical considerations between their acquisition protocols could impact on the ability to assess lumbar multifidus anatomy or its fat/muscle distinction. Our objectives were to examine the concurrent validity of lumbar multifidus morphology measures of T2 compared to T1-weighted sequences, and to assess the reliability of repeated lumbar multifidus measures. Methods The lumbar multifidus total cross-sectional area of 45 patients was measured bilaterally at L4 and L5, with histogram analysis determining the muscle/fat threshold values per muscle. Images were later re-randomized and re-assessed for intra-rater reliability. Matched images were visually rated for consistency of outlining between both image sequences. Bland-Altman bias, limits of agreement, and plots were calculated for differences in total cross-sectional area and percentage fat between and within sequences, and intra-rater reliability analysed. Results T1-weighted total cross-sectional area measures were systematically larger than T2 (0.2 cm2), with limits of agreement <±10% at both spinal levels. For percentage fat, no systematic bias occurred, but limits of agreement approached ±15%. Visually, muscle outlining was consistent between sequences, with substantial mismatches occurring in <5% of cases. Intra-rater reliability was excellent (ICC: 0.981–0.998); with bias and limits of agreement less than 1% and ±5%, respectively. Conclusion Total cross-sectional area measures and outlining of muscle boundaries were consistent between sequences, and intra-rater reliability for total cross-sectional area and percentage fat was high indicating that either MRI sequence could be used interchangeably for this purpose. However, further studies comparing the accuracy of various methods for distinguishing fat from muscle are recommended.
Collapse
Affiliation(s)
- J. R. Cooley
- College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, Australia
- * E-mail:
| | - J. J. Hebert
- College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, Australia
- Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - A. de Zoete
- Department of Health Sciences, Faculty of Science and Amsterdam Movement Science Research Institute, Vrije Universiteit, Amsterdam, The Netherlands
| | - T. S. Jensen
- Department of Diagnostic Imaging, Regional Hospital Silkeborg, Silkeborg, Denmark
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
- Nordic Institute of Chiropractic and Clinical Biomechanics, Odense M, Denmark
| | - P. R. Algra
- Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands
| | - P. Kjaer
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
- Health Sciences Research Centre, UCL University College, Odense M, Denmark
| | - B. F. Walker
- College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, Australia
| |
Collapse
|
2
|
Møller M, Attermann J, Myklebust G, Lind M, Sørensen H, Hebert JJ, Nielsen RO, Bertelsen SL, Wedderkopp N. The inter- and intrarater reliability and agreement for field-based assessment of scapular control, shoulder range of motion, and shoulder isometric strength in elite adolescent athletes. Phys Ther Sport 2018; 32:212-220. [PMID: 29807278 DOI: 10.1016/j.ptsp.2018.04.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 03/02/2018] [Accepted: 04/04/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVES To investigate the intra- and interrater reliability and agreement for field-based assessment of scapular control, shoulder range of motion (ROM), and shoulder isometric strength in elite youth athletes. DESIGN Test-retest reliability and agreement study. SETTING Eight blinded raters (two for each assessment) assessed players on field during two testing sessions separated by one week. PARTICIPANTS 162 elite youth handball players with or without a history of previous shoulder pain within the preceding six months. MAIN OUTCOME MEASURES Kappa (κ) and prevalence-adjusted bias-adjusted kappa (PABAK) coefficients for scapular control reliability, and 95% limits of agreement (LOA) for ROM and strength agreement. RESULTS Scapular control demonstrated substantial to almost perfect reliability (κ 0.67 to 0.84, PABAK from 0.68 to 0.88). Mean strength values ranged from 0.9 N/kg to 1.6 N/kg, and LOAs ranged from -0.7 N/kg to 0.8 N/kg. Rotational strength revealed additionally systematic bias between and within rater. No or acceptable systematic bias were evident for ROM and abduction strength measures. Mean values and LOAs for ROM ranged between 39.9° to 52.3°, and from -12.6° to 9.9°, respectively. CONCLUSIONS Scapular control and ROM can be assessed on the field with acceptable reliability. The threshold for reliable measurements of isometric strength using handheld-dynamometers is high.
Collapse
Affiliation(s)
- M Møller
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark.
| | - J Attermann
- Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark
| | - G Myklebust
- Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway
| | - M Lind
- Div. of Sportstraumatology, Aarhus University Hospital, Aarhus, Denmark
| | - H Sørensen
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark
| | - J J Hebert
- School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia; Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - R O Nielsen
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark
| | | | - N Wedderkopp
- Sport Medicine Clinic, Orthopaedic Dep. Hospital of Lillebaelt, Institute of Regional Health Service Research and Centre for Research in Childhood Health, IOB, University of Southern Denmark, Odense, Denmark
| |
Collapse
|
3
|
Møller M, Wedderkopp N, Myklebust G, Lind M, Sørensen H, Hebert JJ, Attermann J. The SMS, Phone, and medical Examination sports injury surveillance system is a feasible and valid approach to measuring handball exposure, injury occurrence, and consequences in elite youth sport. Scand J Med Sci Sports 2018; 28:1424-1434. [PMID: 29286552 DOI: 10.1111/sms.13049] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2017] [Indexed: 12/23/2022]
Abstract
Current methods of sports injury surveillance are limited by lack of medical validation of self-reported injuries and/or incomplete information about injury consequences beyond time loss from sport. The aims of this study were to (a) evaluate the feasibility of the SMS, Phone, and medical Examination injury surveillance (SPEx) system (b) to evaluate the proportion of injuries and injury consequences reported by SPEx when compared to outcomes from a modified version of the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire. We followed 679 elite adolescent handball players over 31 weeks using the SPEx system. During the last 7 weeks, we also implemented a modified OSTRC questionnaire in a subgroup of 271 players via telephone interviews. The weekly response proportions to the primary SPEx questions ranged from 85% to 96% (mean 92%). SMS responses were received from 79% of the participants within 1 day. 95% of reported injuries were classified through the telephone interview within a week, and 67% were diagnosed by medical personnel. Comparisons between reported injuries from SPEx and OSTRC demonstrated fair (κ = 39.5% [25.1%-54.0%]) to substantial prevalence-adjusted bias-adjusted kappa (PABAK = 66.8% [95% CI 58.0%-75.6%]) agreement. The average injury severity score difference between SPEx and the OSTRC approach was -0.2 (95% CI -3.69-3.29) of possible 100 with 95% limits of agreement from(-14.81-14.41). These results support the feasibility and validity of the SPEx injury surveillance system in elite youth sport. Future studies should evaluate the external validity of SPEx system in different cohorts of athletes.
Collapse
Affiliation(s)
- M Møller
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus C, Denmark
| | - N Wedderkopp
- Department Of Orthopedics, Hospital of South-western Denmark, Esbjerg and Centre for Research in Childhood Health, IOB, University of Southern Denmark, Odense, Denmark
| | - G Myklebust
- Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway
| | - M Lind
- Division of Sportstraumatology, Aarhus University Hospital, Aarhus C, Denmark
| | - H Sørensen
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus C, Denmark
| | - J J Hebert
- School of Psychology and Exercise Science, Murdoch University, Murdoch, WA, Australia.,Faculty of Kinesiology, University of New Brunswick, Fredericton, NB, Canada
| | - J Attermann
- Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus C, Denmark
| |
Collapse
|
4
|
Møller M, Wedderkopp N, Myklebust G, Lind M, Sørensen H, Hebert JJ, Emery CA, Attermann J. Validity of the SMS, Phone, and medical staff Examination sports injury surveillance system for time-loss and medical attention injuries in sports. Scand J Med Sci Sports 2017; 28:252-259. [PMID: 28267868 DOI: 10.1111/sms.12869] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2017] [Indexed: 12/18/2022]
Abstract
The accurate measurement of sport exposure time and injury occurrence is key to effective injury prevention and management. Current measures are limited by their inability to identify all types of sport-related injury, narrow scope of injury information, or lack the perspective of the injured athlete. The aims of the study were to evaluate the proportion of injuries and the agreement between sport exposures reported by the SMS messaging and follow-up telephone part of the SMS, Phone, and medical staff Examination (SPEx) sports injury surveillance system when compared to measures obtained by trained on-field observers and medical staff (comparison method). We followed 24 elite adolescent handball players over 12 consecutive weeks. Eighty-six injury registrations were obtained by the SPEx and comparison methods. Of them, 35 injury registrations (41%) were captured by SPEx only, 10 injury registrations (12%) by the comparison method only, and 41 injury registrations (48%) by both methods. Weekly exposure time differences (95% limits of agreement) between SPEx and the comparison method ranged from -4.2 to 6.3 hours (training) and -1.5 to 1.0 hours (match) with systematic differences being 1.1 hours (95% CI 0.7 to 1.4) and -0.2 (95% CI -0.3 to -0.2), respectively. These results support the ability of the SPEx system to measure training and match exposures and injury occurrence among young athletes. High weekly response proportions (mean 83%) indicate that SMS messaging can be used for player measures of injury consequences beyond time-loss from sport. However, this needs to be further evaluated in large-scale studies.
Collapse
Affiliation(s)
- M Møller
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark
| | - N Wedderkopp
- Sport Medicine Clinic, Orthopaedic Department Hospital of Lillebaelt, Institute of Regional Health Service Research and Centre for Research in Childhood Health, IOB, University of Southern Denmark, Odense, Denmark
| | - G Myklebust
- Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway
| | - M Lind
- Division of Sportstraumatology, Aarhus University Hospital, Aarhus, Denmark
| | - H Sørensen
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark
| | - J J Hebert
- School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia.,Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - C A Emery
- Faculty of Kinesiology, Sport Injury Prevention Research Centre, Calgary, Canada.,Sport Injury Prevention Research Centre, University of Calgary, Edmonton, Canada
| | - J Attermann
- Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark
| |
Collapse
|
5
|
Hebert JJ, Taylor AJ, Winter TC, Reichelderfer M, Weichert JP. Low-attenuation oral GI contrast agents in abdominal-pelvic computed tomography. ACTA ACUST UNITED AC 2006; 31:48-53. [PMID: 16252139 DOI: 10.1007/s00261-005-0350-4] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
BACKGROUND We designed and evaluated a low-attenuation oral contrast agent for abdominal-pelvic computed tomography (CT). METHODS In vitro studies, were performed initially to evaluate the imaging characteristics of multiple solutions. These studies resulted in two solutions being compared with the presently accepted oral CT agents of dilute iodinated contrast and water. Ninety-eight consecutive subjects already scheduled for routine outpatient abdominal-pelvic CT were enrolled. Subjects were randomized to water (n = 30), fiber solution (n = 32), polyethylene glycol (PEG; n = 11), or dilute iodinated solution (DI; n = 25). Examinations were then evaluated for gastric distention, small bowel distention, small bowel wall visualization, and colonic transit. A questionnaire was given to the study subjects for feedback concerning taste and potential side effects from these agents. RESULTS PEG tended to provide better bowel distention, wall visualization, and colonic transit compared with water, fiber solution, and DI. Areas of statistical significance included: (1) average bowel diameter in the left upper quadrant for water was 17.50 mm, whereas that for PEG was 21.88 mm (p < 0.05); (2) average bowel diameter in the pelvis for water was 14.79 mm, that for fiber was 15.67 mm, and that for PEG was 18.48 mm (p < 0.05); (3) wall visualization was better with PEG than with fiber (p < 0.05); (4) successful transit of contrast to the colon occurred in every subject who received PEG compared with only 20% of those received water and 39% of those who received fiber (p < 0.05). Similar trends for the superiority of PEG over DI were noted, although many of these did not reach statistical significance. CONCLUSION PEG solution has imaging characteristics related to bowel wall visualization, luminal distention, and colonic transit that make it an effective oral agent for abdominal pelvic CT examination.
Collapse
Affiliation(s)
- J J Hebert
- Department of Radiology, University of Wisconsin Hospital and Clinics, 600 Highland Avenue, Madison, WI, 53792-3252, USA
| | | | | | | | | |
Collapse
|
6
|
Canan Koch SS, Dardashti LJ, Hebert JJ, White SK, Croston GE, Flatten KS, Heyman RA, Nadzan AM. Identification of the first retinoid X, receptor homodimer antagonist. J Med Chem 1996; 39:3229-34. [PMID: 8765503 DOI: 10.1021/jm960311d] [Citation(s) in RCA: 54] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- S S Canan Koch
- Department of Retinoid Chemistry Research, Ligand Pharmaceuticals, Inc., San Diego, California 92121, USA
| | | | | | | | | | | | | | | |
Collapse
|
7
|
Abstract
A quick embedding method employing UV polymerization reactions has been devised for embedding fibers in acrylic and methacrylate media. The resultant thin, flat embeddings are suitable for both light and electron microscopy.
Collapse
Affiliation(s)
- E K Boylston
- Southern Regional Research Center, U. S. Department of Agriculture, New Orleans, Louisiana 70179
| | | | | |
Collapse
|
8
|
|
9
|
|
10
|
Hebert JJ, Hensarling TP, Jacks TJ, Berni RJ. Use of sorbyl chloride–osmium staining for fibrillar measurements in cotton fibers. J Appl Polym Sci 1979. [DOI: 10.1002/app.1979.070231010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
11
|
Rowland SP, Nelson ML, Welch CM, Hebert JJ. Morphologie der Baumwollfaser und textiles Verhalten. Colloid Polym Sci 1977. [DOI: 10.1007/bf01664517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|