Evidence map›Paper›PMID 34889491›Full record

ArticleJournal of occupational health2021

Study on the effects of arm abduction angle and cushion support during sonographic examination on the stiffness of supraspinatus muscle of sonographers using shear wave elastography.

Ka Y Wong, Man W Lau, Man H Lee, Chi H Chan, Siu H Mak, Cheuk F Ng, Michael T C Ying

Open access · goldAbstract read
In one paragraph

Article in Journal of occupational health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Ka Y WongDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Man W LauDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Man H LeeDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Chi H ChanDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Siu H MakDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Cheuk F NgDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Michael T C YingDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0001-5979-6072
Hong Kong Polytechnic University · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe incidence of work-related musculoskeletal disorder remains high in sonography. The aims of this study are to determine the changes in muscle stiffness with different arm abduction angles, and to investigate the effect of cushion support on reducing muscle load in the supraspinatus when sonographers scan with the arm abducted to different angles.

methodsThis is a prospective crossover study. Twenty-three healthy female subjects aged between 20 and 23 years were included. Subjects were instructed to simulate performing standardized abdominal ultrasound scans. The changes in muscle stiffness of supraspinatus, measured as shear modulus, at rest and at 30°, 45°, and 60° arm abduction angles with and without cushion support were evaluated using shear-wave elastography. Styrofoam support was used for the cushion support.

resultsMean shear moduli of supraspinatus were 27.77 ± 5.84 kPa at rest and 41.63 ± 7.09 kPa, 63.88 ± 14.43 kPa, and 89.76 ± 16.55 kPa for 30°, 45°, and 60° arm abduction respectively, which corresponds to 53%, 116% increase in muscle stiffness when scanning arm abducted from 30° to 45° and 60° (p < .001). After applying cushion support, shear moduli dropped to 24.04 ± 5.60 kPa, 31.98 ± 6.06 kPa, 37.47 ± 5.61 kPa for arm abducted to 30°, 45°, and 60° respectively (p < .001). The muscle stiffnesses between 30° abduction without support and 60° abduction with support had no significant difference (p > .05).

conclusionsMuscle stiffness of supraspinatus increased with increasing arm abduction angle during ultrasound scanning. Utilizing cushion support underneath the arm was effective in reducing muscle stiffness in supraspinatus. Our results provide scientific justification on postural modifications for sonographers.

Indexed as

ArmElasticity Imaging TechniquesRotator CuffCross-Over StudiesFemaleHumansProspective StudiesYoung Adultergonomicsmusculoskeletal diseasesoccupational safetyultrasonography

Identifiers

PMID34889491
PMCPMC8662659
OpenAlexW4205303483

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.