Table 3. Intra-session and inter-examiner reliability and repeatability for the RUSI bilateral and simultaneous diaphragm thickness analysis using the designed orthosis during relaxed breathing.
| RUSI thickness | RUSI diaphragm thickness (cm), mean ± SD (95% CI) | ICC (95% CI) | SEM | MDC | P value | |
|---|---|---|---|---|---|---|
| Examiner 1 | Examiner 2 | |||||
| Right diaphragm | ||||||
| Tins | 0.172±0.050 (0.157–0.187) | 0.195±0.059 (0.177–0.212) | 0.676 (0.400–0.823) | 0.027 | 0.075 | <0.001*† |
| Texp | 0.148±0.045 (0.134–0.161) | 0.177±0.061 (0.159–0.195) | 0.614 (0.260–0.793) | 0.028 | 0.079 | 0.001*# |
| Tins − Texp | 0.024±0.035 (0.013–0.034) | 0.017±0.034 (0.007–0.028) | 0.811 (0.659–0.895) | 0.013 | 0.038 | 0.117† |
| Left diaphragm | ||||||
| Tins | 0.187±0.053 (0.171–0.203) | 0.200±0.059 (0.183–0.218) | 0.804 (0.644–0.892) | 0.023 | 0.063 | 0.006*† |
| Texp | 0.160±0.042 (0.148–0.173) | 0.182±0.057 (0.165–0.199) | 0.678 (0.392–0.826) | 0.024 | 0.069 | <0.001*† |
| Tins − Texp | 0.026±0.027 (0.018–0.034) | 0.018±0.030 (0.009–0.027) | 0.800 (0.628–0.891) | 0.011 | 0.032 | 0.022*† |
*, P<0.05 was considered as statistically significant (95% CI); #, Student’s t-test for paired samples was used; †, Wilcoxon test for paired sample was used. RUSI, rehabilitative ultrasound imaging; SD, standard deviation; CI, confidence interval; ICC, intraclass correlation coefficient; SEM, standard error of measurement; MDC, minimum detectable change; Tins, maximum inspiration time; Texp, maximum expiration time.