Reliability of shear wave elastography for cervical and lumbar fascia stiffness and thickness in healthy and chronic neck and low back pain subjects.

This study had two primary aims: first, to assess the reliability of shear wave elastography (SWE) in measuring the stiffness of the posterior cervical fascia, the posterior layer of the lumbar fascia, and fascia thickness; and second, to compare these fascial properties between healthy individuals...

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Publicado en:Journal of Bodywork & Movement Therapies Vol. 42; pp. 558 - 567
Autores principales: Zandi, Soodeh, Mokhtarinia, Hamid Reza, Mosallanezhad, Zahra, Mobin, Hadi Karimi, Arab, Amir Massoud, Azadi, Farhad, Noroozi, Mehdi
Formato: research Journal Article
Publicado: Churchill Livingstone, Inc. Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
      vid: 42
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      pub: Churchill Livingstone, Inc.
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        184913314
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        10.1016/j.jbmt.2025.01.021
        184913314
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        atl: Reliability of shear wave elastography for cervical and lumbar fascia stiffness and thickness in healthy and chronic neck and low back pain subjects.
      aug:
        au:
          Zandi, Soodeh
          Mokhtarinia, Hamid Reza
          Mosallanezhad, Zahra
          Mobin, Hadi Karimi
          Arab, Amir Massoud
          Azadi, Farhad
          Noroozi, Mehdi
        affil: Neuromusculoskeletal Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
      sug:
        subj:
          Chronic Pain Rehabilitation
          Neck Pain Rehabilitation
          Low Back Pain Rehabilitation
          Lumbar Vertebrae Ultrasonography
          Cervical Vertebrae Ultrasonography
          Spinal Diseases
          Elasticity Evaluation
          Human
          Intraclass Correlation Coefficient
          Descriptive Statistics
          T-Tests
          Test-Retest Reliability
          Measurement Error
      ab: This study had two primary aims: first, to assess the reliability of shear wave elastography (SWE) in measuring the stiffness of the posterior cervical fascia, the posterior layer of the lumbar fascia, and fascia thickness; and second, to compare these fascial properties between healthy individuals and patients with chronic neck and low back pain (LBP). Thirty participants, including 15 with concurrent neck and LBP and 15 healthy controls, were enrolled. The stiffness and thickness of the fascia, as well as the ratio of fascia stiffness to subcutaneous fat stiffness, were measured in the lumbar and cervical regions. Measurements were performed twice by a single examiner over 1–3 days. Reliability was assessed using the Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC), and Bland-Altman plots. Independent t-tests were conducted to compare group differences. Test-retest reliability for the stiffness of the fascia in the cervical and lumbar regions was excellent, with ICC (3,1) values ≥ 0.90. Fascia thickness and the ratio showed good to excellent reliability (ICC (3,1) ≥ 0.80). The SEM, MDC, and limits of agreement supported these findings. Patients with neck and LBP had significantly thicker lumbar fascia than healthy controls (p = 0.002), while no significant differences were found in stiffness between the groups. This study confirms the reliability of SWE in assessing fascia properties. While the lumbar fascia was thicker in patients with neck and low back pain, no significant differences in stiffness were observed between the groups.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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