Measurement of Cervical Multifidus and Longus Colli Muscle Dimensions in Patients With Cervical Radiculopathy and Healthy Controls Using Ultrasonography: A Reliability Study

• Published in: PM & R 2019-03, Vol.11 (3), p.236-242
• Main Authors: Amiri‐Arimi, S., Mohseni Bandpei, M.A., Rezasoltani, A., Javanshir, K., Biglarian, A.
• Format: Article
• Language: English
• Subjects: Adult; Back Muscles - diagnostic imaging; Case-Control Studies; Chronic Pain - diagnostic imaging; Female; Humans; Male; Middle Aged; Neck Muscles - diagnostic imaging; Radiculopathy - diagnostic imaging; Reproducibility of Results; Ultrasonography - methods
• ISSN: 1934-1482; 1934-1563
• DOI: 10.1016/j.pmrj.2018.07.014

Background Cervical radiculopathy is a musculoskeletal disorder with an increasing prevalence in office workers. In recent years, ultrasonography (US) has been reported to be a valid, inexpensive, and noninvasive technique for the objective evaluation of muscle morphology. However, measuring deep cervical paraspinal muscle dimensions using US in patients with cervical radiculopathy has not been described. Objective To evaluate intrasession and intersession reliabilities of US to measure dimensions of deep cervical muscles at rest in patients with chronic cervical radiculopathy and healthy controls. Design Reliability study. Setting Outpatients who presented for treatment at an outpatient university physiotherapy clinic. Participants Fifteen patients with cervical radiculopathy and 15 healthy controls. Interventions US measurements. Outcome Cervical multifidus and longus colli muscle dimensions at separate occasions. Methods Two measurements separated by a 1‐hour interval were taken on the same day and the third measurement was taken 5 days later. The intraclass correlation coefficient (ICC), SE of measurement, and minimal detectable change were used to evaluate relative and absolute reliabilities. Results US was a highly reliable method for measuring the multifidus and longus colli muscle dimensions in patients and healthy subjects. The highest reliability scores were found for the anteroposterior dimension measurement of the multifidus muscle (ICC = 0.92) and the lateral dimension measurement of the longus colli muscle (ICC = 0.97) in healthy subjects. Conclusions The results indicated that US is a highly reliable method of measuring deep cervical muscle dimensions in patients with cervical radiculopathy and healthy controls when measured by the same investigator. Level of Evidence III