Intra-rater and inter-rater reliability of a handheld myotonometer measuring myofascial stiffness of lower lumbar myofascial tissue in healthy adults

Valenti, Fabio (author), Meden, Sara (author), Frangež, Maja (author), Vauhnik, Renata (author)

Background: Biomechanical muscle properties, such as stiffness, can be valuable indicators of tissue health and show promise as a diagnostic and treatment measure for chronic low back pain (CLBP). The development of accessible assessment technologies, such as the MyotonPRO portable device, allows for the convenient quantification of muscle tone and stiffness changes. The aim of this study is to assess the reliability of lumbar erector spinae muscle stiffness with the MyotonPRO in healthy adults and to compare stiffness changes between prone and sitting position. Methods: Thirty asymptomatic participants (N = 15 women and N = 15 men) aged between 18 and 65 years were recruited to participate in this study. Two examiners tested muscle stiffness at the palpable muscle belly, one finger away from the spinous process at the level of the L4 vertebra, first from the left and then from the right side, both in prone position and after in sitting position. For inter-rater reliability, all participants were tested by two examiners on the same day, and intra-rater reliability was calculated using the same examiner’s assessment results with an exact 24-h interval. Intraclass correlation coefficients (ICC), standard error measures (SEM) and minimum detectable change (MDC) with a 95% confidence interval were calculated to assess intra-rater and inter-rater reliability. Results: Statistical analysis revealed good intra-rater reliability with an ICC of 0.88 (95% CI [0.76–0.94]) for the stiffness of the left erector spinae and excellent intra-rater reliability with an ICC of 0.91 (95% CI [0.82–0.95]) for the right erector spinae, both in the prone position. Intra-rater reliability in the sitting position was excellent to very good with an ICC of 0.91 (95% CI [0.82–0.96]) for the left side and an ICC of 0.89 (95% CI [0.78–0.95]) for the right side. The results for the left-sided prone position showed good inter-rater reliability with an ICC of 0.87 (95% CI [0.73–0.94]). The prone position on the right side also showed good inter-rater reliability with an ICC of 0.84 (95% CI [0.68–0.92]). The inter-rater reliability for the left and right side in the sitting position was excellent with an ICC of 0.96 (95% CI [0.92–0.98]) for the left side and an ICC of 0.95 (95% CI [0.90–0.97]) for the right side.

• Language: English
• Keywords: reliability, hand held dynamometry, myotonPRO, spine, fascia
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: ZF - Faculty of Health Sciences; BF - Biotechnical Faculty
• Publication status: Published
• Publication version: Version of Record
• Publication date: 01.01.2024
• Year: 2024
• Number of pages: Str. 1-21
• Numbering: Vol. 12, [article no.] e18524
• PID: 20.500.12556/RUL-164998
• UDC: 615.82/.84
• ISSN on article: 2167-8359
• DOI: 10.7717/peerj.18524
• COBISS.SI-ID: 215700483
• Publication date in RUL: 20.11.2024

Record is a part of a journal

• Title: PeerJ
• Shortened title: PeerJ
• Publisher: PeerJ Inc.
• ISSN: 2167-8359
• COBISS.SI-ID: 31891929

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Projects

• Funder: ARIS - Slovenian Research and Innovation Agency
• Project number: P3-0388-2022
• Name: Mehanizmi varovanja zdravja