Table 1.
SMT | Depth/Pressure | Layer | SMT reliability | Interrater reliability | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Cor | Linear regression formula | R2 | p value | ICC | 95% CI | SEM | MDC | |||
Shore Durometer | NA | 1 | 0.92*** | (− 0.0525 + 0.349 * RV) | 0.85 | < 0.001 | 0.69 | (− 0.42 to 0.93) | 0.16 | 0.45 |
STCM | 5 mm | 1 | 0.55 + | (0.1211 + 0.176 * RV) | 0.35 | 0.096 | 0.12 + | (− 0.18 to 0.59) | 0.42 | 1.15 |
10 mm | 1 | 0.70* + | (0.0228 + 0.0758 * RV) | 0.48 | 0.037 | 0.18 + | (− 0.31 to 0.7) | 0.10 | 0.28 | |
MyotonPRO Stiffness | NA | 1 | 0.94*** | (0.0061 + 0.0757 * RV) | 0.88 | < 0.001 | 0.98*** | (0.86 to 1) | 0.01 | 0.02 |
IndentoPRO | 2 mm | 1 | 0.88** | (− 0.063 + 0.1934 * RV) | 0.78 | 0.002 | 0.78* | (0.05 to 0.95) | 0.09 | 0.24 |
5 mm | 1 | 0.71* | (− 0.039 + 0.1867 * RV) | 0.50 | 0.032 | 0.51 | (− 0.61 to 0.88) | 0.20 | 0.56 | |
8 mm | 1 | 0.87** | (0.0176 + 0.0942 * RV) | 0.75 | 0.0025 | 0.76* | (− 0.11 to 0.95) | 0.04 | 0.10 | |
10 mm | 1 | 0.90** | (− 0.0222 + 0.0956 * RV) | 0.81 | < 0.001 | 0.82* | (0.24 to 0.96) | 0.03 | 0.09 | |
Ultrasound | 5 kPasc | 1 | NA | NA | NA | NA | NA | NA | NA | NA |
10 kPasc | 1 | 0.20 + | (− 0.0158 + 0.0715 * RV) | 0.01 | 0.803 | 0.08 | (− 0.36 to 0.57) | 0.22 | 0.61 | |
15 kPasc | 1 | 0.10 + | (0.093 + 0.0753 * RV) | 0.01 | 0.809 | 0.14 + | (− 0.17 to 0.61) | 0.23 | 0.63 | |
Shore durometer | NA | 2 | 0.77* | (0.1559 + 0.0399 * RV) | 0.59 | 0.016 | 0.71 | (− 0.3 to 0.93) | 0.06 | 0.17 |
STCM | 5 mm | 2 | 0.65 + | (− 0.0054 + 0.1872 * RV) | 0.46 | 0.043 | 0.31 + | (− 0.99 to 0.82) | 0.27 | 0.76 |
10 mm | 2 | 0.93*** | (0.2128 + 0.0453 * RV) | 0.86 | < 0.001 | 0.8* | (0.05 to 0.96) | 0.05 | 0.13 | |
MyotonPRO Stiffness | NA | 2 | 0.98*** | (0.0193 + 0.0208 * RV) | 0.95 | < 0.001 | 0.99*** | (0.94 to 1) | 0.00 | 0.01 |
IndentoPRO | 2 mm | 2 | 0.97*** | (0.0791 + 0.1756 * RV) | 0.94 | < 0.001 | 0.82* | (− 0.03 to 0.96) | 0.10 | 0.28 |
5 mm | 2 | 0.97*** | (0.0785 + 0.16 * RV) | 0.94 | < 0.001 | 0.81* | (0.16 to 0.96) | 0.09 | 0.25 | |
8 mm | 2 | 0.98*** | (0.0887 + 0.1321 * RV) | 0.96 | < 0.001 | 0.75* | (0.01 to 0.94) | 0.07 | 0.20 | |
10 mm | 2 | 0.98*** | (0.0714 + 0.121 * RV) | 0.96 | < 0.001 | 0.71 | (− 0.24 to 0.93) | 0.08 | 0.22 | |
Ultrasound | 5 kPasc | 2 | 0.80** | (0.7334 + 0.8173 * RV) | 0.64 | 0.009 | 0.44 | (− 1.63 to 0.87) | 2.31 | 6.40 |
10 kPasc | 2 | 0.89** | (0.6956 + 0.6704 * RV) | 0.79 | 0.001 | 0.74* | (− 0.17 to 0.94) | 0.65 | 1.80 | |
15 kPasc | 2 | 0.95*** | (0.7275 + 0.7006 * RV) | 0.90 | < 0.001 | 0.82* | (0.1 to 0.96) | 0.55 | 1.54 | |
Shore Durometer | NA | 4 | 0.53 | (0.026 + 0.0237 * RV) | 0.28 | 0.144 | 0.51 | (− 0.4 to 0.88) | 0.04 | 0.10 |
STCM | 5 mm | 4 | 0.05 + | (0.0899 + 0.0554 * RV) | 0.05 | 0.562 | 0.07 + | (− 0.7 to 0.69) | 0.38 | 1.04 |
10 mm | 4 | 0.92*** | (− 0.0502 + 0.0971 * RV) | 0.85 | < 0.001 | 0.93*** | (0.71 to 0.98) | 0.03 | 0.09 | |
MyotonPRO Stiffness | NA | 4 | 0.91*** | (0.0076 + 0.0181 * RV) | 0.84 | < 0.001 | 0.94** | (0.61 to 0.99) | 0.01 | 0.01 |
IndentoPRO | 2 mm | 4 | 0.96*** | (− 0.0242 + 0.1158 * RV) | 0.92 | < 0.001 | 0.96*** | (0.82 to 0.99) | 0.02 | 0.06 |
5 mm | 4 | 0.96*** | (− 0.0361 + 0.0996 * RV) | 0.92 | < 0.001 | 0.97** | (0.38 to 0.99) | 0.02 | 0.06 | |
8 mm | 4 | 0.92*** | (0.0087 + 0.1037 * RV) | 0.85 | < 0.001 | 0.96** | (0.67 to 0.99) | 0.02 | 0.06 | |
10 mm | 4 | 0.97*** | (− 0.0052 + 0.1471 * RV) | 0.93 | < 0.001 | 0.96*** | (0.71 to 0.99) | 0.04 | 0.10 | |
Ultrasound | 5 kPasc | 4 | 0.92*** | (− 0.2829 + 0.471 * RV) | 0.84 | < 0.001 | 0.82* | (0.01 to 0.96) | 0.27 | 0.75 |
10 kPasc | 4 | 0.87** | (− 0.198 + 0.5139 * RV) | 0.76 | 0.0022 | 0.87** | (0.45 to 0.97) | 0.26 | 0.71 | |
15 kPasc | 4 | 0.96*** | (− 0.0585 + 0.5778 * RV) | 0.91 | < 0.001 | 0.94*** | (0.74 to 0.99) | 0.16 | 0.45 |
ICC estimates and their 95% CI were calculated using the R package “irr” version 0.84.1 based on a 2-way random-effects model with absolute agreement. + Not normally distributed data were log 10 transformed for ICC calculations; correlations were accordingly calculated with the Spearman’s rank correlation coefficient instead of the Pearson product-moment correlation. Values that show at least a high correlation (r > 0.8) are printed in bold type. NA. Data could not be measured. Layer 1: Cutis. Layer 2: Subcutaneous connective tissue. Layer 3: Fascia profunda (data not shown, since none of our assessment methods was able to yield significant stiffness differences between the different layer variants in this 1 mm thin layer). Layer 4: Erector spinae muscle.
Significant at the level *< 0.05; **< 0.01; ***< 0.001.