Why the study?
The study was conducted to examine the intra- and inter-rater reliabilities of iliopsoas muscle thickness measurements in hip flexion and changes in thickness with hip flexion.
Ultrasound measurement of iliopsoas muscle thickness is highly reliable at hip flexion angles of 45° or less.
Supports standardized iliopsoas ultrasound at ≤45° hip flexion; leaves open prospective validation for clinical decision-making.
[Purpose] To investigate the intraand inter-rater reliabilities of measurements of the iliopsoas thickness, and the change in iliopsoas thickness due to hip flexion. [Participants and Methods] The participants were 13 healthy young males. Iliopsoas thickness was measured in hip flexion of 0, 15, 30, 45 and 60 degrees at the center of the groin area using sonography. The intraand inter-rater reliabilities of measurements of iliopsoas thickness were calculated, and the iliopsoas thickness was compared among the hip flexion positions. [Results] When hip joint flexion was 45 ̊ or less, both the intraand inter-rater reliabilities of measurements of the iliopsoas thickness were high. Systematic bias was not found at any of the hip flexion angles. The iliopsoas thickness increased with hip flexion. [Conclusion] Highly reproducible data can be obtained by measuring iliopsoas thickness at hip flexion of 45 ̊ or less. However, as the thickness of the iliopsoas thickness changes with hip flexion, making it necessary to consider the hip flexion angle when measuring it.
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Miyachi et al. (2019) studied this question.
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