Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study

Background: It is important to highlight the advantages of ultrasound in assessing muscular and tendinous behavior due to its non-invasive nature and capacity for dynamic studies. However, evaluating tendons via ultrasound can be challenging given the complexity of anisotropic phenomena related to c...

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Autores: Alabau-Dasi, Raquel, Domínguez-Maldonado, Gabriel, Ortega-Ávila, Ana Belén, Gordillo Fernández, Luis María, Ortiz Romero, Mercedes, Gijón Noguerón, Gabriel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:dnet:idus________::d5b0e4542c3409c91a6a9090cb1209b1
Acceso en línea:https://hdl.handle.net/11441/186534
https://doi.org/10.3390/diagnostics14192221
Access Level:acceso abierto
Palabra clave:Achilles
Reliability
Tendon
Ultrasonography
Validation
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spelling Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability StudyAlabau-Dasi, RaquelDomínguez-Maldonado, GabrielOrtega-Ávila, Ana BelénGordillo Fernández, Luis MaríaOrtiz Romero, MercedesGordillo Fernández, Luis MaríaGijón Noguerón, GabrielAchillesReliabilityTendonUltrasonographyValidationBackground: It is important to highlight the advantages of ultrasound in assessing muscular and tendinous behavior due to its non-invasive nature and capacity for dynamic studies. However, evaluating tendons via ultrasound can be challenging given the complexity of anisotropic phenomena related to collagen fiber arrangement. This study aims to validate the reliability of fixed ultrasound compared to manual acquisition in measuring Achilles tendon thickness. Method: Twenty participants, six men and fourteen women, were recruited. Ultrasound was used to measure the Achilles tendon’s thickness at two specific points (4 and 6 cm from the calcaneal insertion of the Achilles tendon). The measurements were conducted by two examiners, one with previous experience and another without. Results: The measurements at 6 cm from the calcaneal insertion showed α = 0.996, α = 0.998 for measurements at 4 cm using manual acquisition, and α = 0.997 for measurements with fixed ultrasound at rest. For the weight-bearing and ankle dorsiflexion measurements, the reliability was excellent (α = 0.999 and α = 1.000). Conclusions: The findings demonstrated excellent reliability in the ultrasound measurements of the Achilles tendon’s thickness, even when performed by different evaluators and under load-bearing conditions. This study suggests the clinical utility of assessing anatomical structures under load, enhancing ultrasound’s applicability beyond the examination table. It is concluded that fixed ultrasound acquisition exhibits excellent reliability in measuring the Achilles tendon’s thickness, offering potential benefits for precise diagnosis of pathologies, planning surgical interventions, and reducing possible errors related to operator variability.MDPIPodologíaInstituto de Biomedicina de Sevilla (IBIS)CTS1136: Patología y Función del PieCTS42: Investigación y Desarrollo en Biomecánica Deportiva y Cirugía Podológica2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/186534https://doi.org/10.3390/diagnostics14192221reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésDiagnostics, 14 (19), 2221. https://www.mdpi.com/2075-4418/14/19/2221info:eu-repo/semantics/openAccessoai:dnet:idus________::d5b0e4542c3409c91a6a9090cb1209b12026-06-17T12:51:07Z
dc.title.none.fl_str_mv Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
title Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
spellingShingle Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
Alabau-Dasi, Raquel
Achilles
Reliability
Tendon
Ultrasonography
Validation
title_short Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
title_full Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
title_fullStr Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
title_full_unstemmed Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
title_sort Validation of Fixed Ultrasonography for Achilles Tendon Assessment: A Reliability Study
dc.creator.none.fl_str_mv Alabau-Dasi, Raquel
Domínguez-Maldonado, Gabriel
Ortega-Ávila, Ana Belén
Gordillo Fernández, Luis María
Ortiz Romero, Mercedes
Gordillo Fernández, Luis María
Gijón Noguerón, Gabriel
author Alabau-Dasi, Raquel
author_facet Alabau-Dasi, Raquel
Domínguez-Maldonado, Gabriel
Ortega-Ávila, Ana Belén
Gordillo Fernández, Luis María
Ortiz Romero, Mercedes
Gijón Noguerón, Gabriel
author_role author
author2 Domínguez-Maldonado, Gabriel
Ortega-Ávila, Ana Belén
Gordillo Fernández, Luis María
Ortiz Romero, Mercedes
Gijón Noguerón, Gabriel
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Podología
Instituto de Biomedicina de Sevilla (IBIS)
CTS1136: Patología y Función del Pie
CTS42: Investigación y Desarrollo en Biomecánica Deportiva y Cirugía Podológica
dc.subject.none.fl_str_mv Achilles
Reliability
Tendon
Ultrasonography
Validation
topic Achilles
Reliability
Tendon
Ultrasonography
Validation
description Background: It is important to highlight the advantages of ultrasound in assessing muscular and tendinous behavior due to its non-invasive nature and capacity for dynamic studies. However, evaluating tendons via ultrasound can be challenging given the complexity of anisotropic phenomena related to collagen fiber arrangement. This study aims to validate the reliability of fixed ultrasound compared to manual acquisition in measuring Achilles tendon thickness. Method: Twenty participants, six men and fourteen women, were recruited. Ultrasound was used to measure the Achilles tendon’s thickness at two specific points (4 and 6 cm from the calcaneal insertion of the Achilles tendon). The measurements were conducted by two examiners, one with previous experience and another without. Results: The measurements at 6 cm from the calcaneal insertion showed α = 0.996, α = 0.998 for measurements at 4 cm using manual acquisition, and α = 0.997 for measurements with fixed ultrasound at rest. For the weight-bearing and ankle dorsiflexion measurements, the reliability was excellent (α = 0.999 and α = 1.000). Conclusions: The findings demonstrated excellent reliability in the ultrasound measurements of the Achilles tendon’s thickness, even when performed by different evaluators and under load-bearing conditions. This study suggests the clinical utility of assessing anatomical structures under load, enhancing ultrasound’s applicability beyond the examination table. It is concluded that fixed ultrasound acquisition exhibits excellent reliability in measuring the Achilles tendon’s thickness, offering potential benefits for precise diagnosis of pathologies, planning surgical interventions, and reducing possible errors related to operator variability.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/186534
https://doi.org/10.3390/diagnostics14192221
url https://hdl.handle.net/11441/186534
https://doi.org/10.3390/diagnostics14192221
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Diagnostics, 14 (19), 2221.
https://www.mdpi.com/2075-4418/14/19/2221
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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