Intra and Inter-Rater Measurement Reliability of Tibialis Anterior Muscle (TA) Thickness using the Ultrasonography Spring Gauge Technique
	    		
		   		
		   			
		   		
	    	
    	 
    	10.18857/jkpt.2021.33.4.187
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Byeong-Hun HWANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Tae-Jin JANG
			        		
			        		;
		        		
		        		
		        		
			        		In-Cheol JEON
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Physical Therapy, College of Life and Health Science, Hoseo University, Smart Healthcare Convergence Research Center, Hoseo University, Asan, Republic of Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:
	            		
	            			Journal of Korean Physical Therapy
	            		
	            		 2021;33(4):187-192
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Purpose:The purpose of the current study was to determine the intra- and inter-rater reliability of muscle thickness measurement of the TA using ultrasonography (US) conducted at different inward pressures of approximately 0.5 kg, 1.0 kg, and no pressure control. 
				        	
				        
				        	Methods:Twenty healthy subjects were recruited for this study. Two different examiners measured the thicknesses of the dominant TA of each subject randomly to assess the intra- and inter-rater reliability. The measurement values were analyzed using the intra-class correlation coefficient (ICC) with a 95% confidence interval, standard error of measurement, minimal detectable change, and coefficient of variance. 
				        	
				        
				        	Results:All intra-rater reliability ICC values showed high reliability above 0.9. Inter-rater reliability ICC values showed high reliability above 0.9 with 0.5 and 1.0 kg of inward pressure. In contrast, Inter-rater reliability ICC values showed poor reliability (0.23) with no pressure control of inward pressure. 
				        	
				        
				        	Conclusion:The findings showed that maintaining consistent inward pressure is essential for reliable results when the muscle thickness of the TA is measured by different examiners in a clinical setting.