Evidence map›Paper›PMID 24766356›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2014

Ultrasound imaging: intraexaminer and interexaminer reliability for multifidus muscle thickness assessment in adults aged 60 to 85 years versus younger adults.

J Megan Sions, Teonette O Velasco, Deydre S Teyhen, Gregory E Hicks

Abstract readComparative Study
In one paragraph

Article in The Journal of orthopaedic and sports physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Clinical Characterization of Hip Subgroups in Geriatric Chronic Low Back Pain.Archives of physical medicine and rehabilitation · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

J Megan SionsDepartment of Physical Therapy, University of Delaware, Newark, DE.
Teonette O Velasco
Deydre S Teyhen
Gregory E Hicks

Funding

Chronic Low Back Pain in Older Adults: The Role of Co-Existing Hip ImpairmentsR01AG041202 · NIA · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2012 to 2026
$8.4M
Trunk Muscle Training+NMES: Improving Function in Elders With Chronic Back PainR21HD057274 · NICHD · UNIVERSITY OF DELAWARE · PI HICKS, GREGORY E · 2008 to 2009
$421k
NIA NIH HHS R01 AG041202NICHD NIH HHS R21 HD057274
6 · The paper itself

Abstract

STUDY

designIntraexaminer and interexaminer, within- and between-day reliability study.

objectivesTo compare the intraexaminer and interexaminer procedural reliability of ultrasound imaging (USI) thickness measurements of the lumbar multifidus muscle at rest and during a contralateral lower-limb lift (CLL) between older (60-85 years of age) and younger (18-40 years of age) adults.

backgroundAmong younger adults, USI has been shown to be reliable and valid for assessing multifidus thickness. Older adults present with age-related changes that may impact assessment. To our knowledge, no USI studies have focused on establishing reliability for multifidus thickness assessments in older adults.

methodsTwo examiners performed assessments of lumbar multifidus thickness at rest and during a CLL in 30 older and 31 younger adults. Intraclass correlation coefficient (ICC) with 95% confidence interval, standard error of measurement, 95% minimal detectable change for resting and during the CLL, and percent thickness change were calculated.

resultsWithin-day interexaminer procedural reliability for multifidus thickness measurements was similar among younger (ICC = 0.90-0.92) and older adults (ICC = 0.86-0.90), as was between-day intraexaminer and interexaminer reliability (younger adults, ICC = 0.84-0.94; older adults, ICC = 0.86-0.93). Throughout, estimates of percent thickness change were inconsistent (ICC = 0.31-0.86), and standard errors of measurement and minimal detectable changes were larger for older adults.

conclusionUltrasound imaging reliability for measurements of multifidus thickness at rest and during a CLL among older adults is consistent with previously published findings for younger adults. Among older adults, it may be preferable to have a single examiner conduct USI assessments.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansLegMaleMiddle AgedMovementObserver VariationParaspinal MusclesReproducibility of ResultsUltrasonographyYoung Adult

Identifiers

PMID24766356
PMCPMC4806552

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.