Top

Journal of Foot and Ankle Research

Published in:

Open Access 01-12-2008 | Research

Ultrasound evaluation of the abductor hallucis muscle: Reliability study

Authors: Alyse FM Cameron, Keith Rome, Wayne A Hing

Published in: Journal of Foot and Ankle Research | Issue 1/2008

Abstract

Background

The Abductor hallucis muscle (AbdH) plays an integral role during gait and is often affected in pathological foot conditions. The aim of this study was to evaluate the within and between-session intra-tester reliability using diagnostic ultrasound of the dorso-plantar thickness, medio-lateral width and cross-sectional area, of the AbdH in asymptomatic adults.

Methods

The AbdH muscles of thirty asymptomatic subjects were imaged and then measured using a Philips HD11 Ultrasound machine. Interclass correlation coefficients (ICC) with 95% confidence intervals (CI) were used to calculate both within and between session intra-tester reliability.

Results

The within-session reliability results demonstrated for dorso-plantar thickness an ICC of 0.97 (95% CI: 0.99–0.99); medio-lateral width an ICC: of 0.97 (95% CI: 0.92–0.97) and cross-sectional area an ICC of 0.98 (95% CI: 0.98–0.99). Between-session reliability results demonstrated for dorso-plantar thickness an ICC of 0.97 (95% CI: 0.95 to 0.98); medio-lateral width an ICC of 0.94 (95% CI 0.90 to 0.96) and for cross-sectional area an ICC of 0.79 (95% CI 0.65 to 0.88).

Conclusion

Diagnostic ultrasound has the potential to be a reliable tool for evaluating the AbdH muscle in asymptomatic subjects. Subsequent studies may be conducted to provide a better understanding of the AbdH function in foot and ankle pathologies.

Available only for authorised users

Fiolkowski P, Brunt D, Bishop M, Woo R, Horodyski M: Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg. 2003, 42 (6): 327-33. 10.1053/j.jfas.2003.10.003.CrossRefPubMed

Kura H, Luo ZP, Kitaoka HB, An KN: Quantitative analysis of the intrinsic muscles of the foot. Anat Rec. 1997, 249 (1): 143-51. 10.1002/(SICI)1097-0185(199709)249:1<143::AID-AR17>3.0.CO;2-P.CrossRefPubMed

Mann R, Inman VT: Phasic activity of intrinsic muscles of the foot. J Bone Joint Surg Am. 1964, 46: 469-81.PubMed

Drake RL, Vogl W, Mitchell AWM, Gray H: Gray's anatomy for students. 2005, Philadelphia: Elsevier/Churchill Livingstone

Brenner E: Insertion of the abductor hallucis muscle in feet with and without hallux valgus. Anat Rec. 1999, 254 (3): 429-34. 10.1002/(SICI)1097-0185(19990301)254:3<429::AID-AR14>3.0.CO;2-5.CrossRefPubMed

Reeser LA, Susman RL, Stern JT: Electromyographic studies of the human foot: experimental approaches to hominid evolution. Foot Ankle. 1983, 3 (6): 391-407.CrossRefPubMed

Wong YS: Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot Ankle Int. 2007, 28 (5): 617-20. 10.3113/FAI.2007.0617.CrossRefPubMed

Arinci Incel N, Genc H, Erdem HR, Yorgancioglu ZR: Muscle imbalance in hallux valgus: an electromyographic study. American Journal Of Physical Medicine & Rehabilitation/Association Of Academic Physiatrists. 2003, 82 (5): 345-9. 10.1097/00002060-200305000-00003.

Greenman RL, Khaodhiar L, Lima C, Dinh T, Giurini JM, Veves A: Foot small muscle atrophy is present before the detection of clinical neuropathy. Diabetes Care. 2005, 28 (6): 1425-30. 10.2337/diacare.28.6.1425.CrossRefPubMedPubMedCentral

10.

Andersen H, Gjerstad MD, Jakobsen J: Atrophy of foot muscles. Diabetes Care. 2004, 27 (10): 2382-5. 10.2337/diacare.27.10.2382.CrossRefPubMed

11.

Severinsen K, Andersen H: Evaluation of atrophy of foot muscles in diabetic neuropathy – a comparative study of nerve conduction studies and ultrasonography. J Clin Neurophysiol. 2007, 118 (10): 2172-5. 10.1016/j.clinph.2007.06.019.CrossRef

12.

Jahss M: Disorders of the hallux and the first ray. Disorders of the Foot and Ankle. 1992, 2: 943-72.

13.

Incel A, Genc H, Erdem HR, Yorgancioglu ZR: Muscle imbalance in hallux valgus: an electromyographic study. Am J Phys Med Rehabil. 2003, 82 (5): 345-9. 10.1097/00002060-200305000-00003.

14.

Calancie B, Molano MR, Broton JG: Abductor hallucis for monitoring lower-limb recovery after spinal cord injury in man. J Spinal Cord Med. 2004, 42 (10): 573-80. 10.1038/sj.sc.3101640.CrossRef

15.

Reimers CD, Finkenstaedt M: Muscle imaging in inflammatory myopathies. Curr Opin Rheumatol. 1997, 9: 475-85. 10.1097/00002281-199711000-00002.CrossRefPubMed

16.

Bemben MG: Use of diagnostic ultrasound for assessing muscle size. Journal of Strength and Conditioning Research. 2002, 16 (1): 103-8. 10.1519/1533-4287(2002)016<0103:UODUFA>2.0.CO;2.PubMed

17.

Perkin HM, Bond EA, Thompson J, Woods EC, Smith C: Realtime ultrasound: an objective measure of skeletal muscle. Physical Therapy Reviews. 2003, 8: 99-108. 10.1179/108331903225002506.CrossRef

18.

Reeves ND, Maganaris CN, Narici MV: Ultrasonographic assessment of human skeletal muscle size. Eur J Appl Physiol. 2004, 91 (1): 116-8. 10.1007/s00421-003-0961-9.CrossRefPubMed

19.

Wallwork TL, Hides JA, Stanton WR: Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007, 37 (10): 608-12.CrossRefPubMed

20.

Vohra PK, Kincaid BR, Japour CJ, Sobel E: Ultrasonographic evaluation of plantar fascia bands. A retrospective study of 211 symptomatic feet. J Am Podiatr Med Assoc. 2002, 92 (8): 444-9.CrossRefPubMed

21.

Huang Y-C, Wang L-Y, Wang H-C, Chang K-L, Leong C-P: The relationship between the flexible flatfoot and plantar fasciitis: ultrasonographic evaluation. Chang Gung Medical Journal. 2004, 27 (6): 443-8.PubMed

22.

Sarrafian SK, Topouzian LK: Anatomy and physiology of the extensor apparatus of the toes. J Bone Joint Surg Am. 1969, 51 (4): 669-79.PubMed

23.

Garrow AP, Papgeorgiou A, Silman AJ, Thomas E, Jayson MIV, Macfarlane GJ: The grading of the hallux valgus, the Manchester Scale. J Am Podiatr Med Assoc. 2001, 91 (2): 74-8.CrossRefPubMed

24.

Bruton A, Conway JH, Holgate ST: Reliability: what is it, and how is it measured?. Physiotherapy. 2000, 86 (2): 94-5. 10.1016/S0031-9406(05)61211-4.CrossRef

25.

Rankin G, Stokes M: Reliability of assessment tools in rehabilitation: an illustration of appropriate statistical analyses. Clin Rehabil. 1998, 12: 197-9. 10.1191/026921598672178340.CrossRef

26.

Bland J, Altman D: Applying the right statistics: analyses of measurement studies. Ultrasound Obstet Gynecol. 2003, 22 (1): 85-93. 10.1002/uog.122.CrossRefPubMed

27.

Mantha S, Roizen M, Fleisher L, Thisted R, Foss J: Comparing Methods of Clinical Measurement: Reporting Standards for Bland and Altman Analysis. Anesth Analg. 2000, 90: 593-602. 10.1097/00000539-200003000-00018.CrossRefPubMed

28.

Vincent WJ: Statistics in kinesiology. 1999, Leeds: Human Kinetics, Second

29.

Eustace S, Williamson D, Wilson M, O'Byrne J, Bussolari L, Thomas M, Stephens M, Stack J, Weissman B: Tendon shift in hallux valgus: observations at MR imaging. Skeletal Radiol. 1996, 25: 519-24. 10.1007/s002560050128.CrossRefPubMed

30.

Shima H, Okuda R, Kinoshita M, Yasuda T, Abe M: Hallux valgus with rupture of the abductor hallucis tendon: A report of two cases. Japan Journal of Orthopaedic Surgery & Traumatology. 2005, 48: 1089-90.

31.

Sato T, Matsuzaki A, Arinaga M: Tarsal tunnel syndrome due to contracture of abductor hallucis. a case report. Orthopaedics & Traumatology. 2000, 49: 560-3.CrossRef

32.

Saggini R, Bellomo RG, Affaitati G, Lapenna D, Giamberardino MA: Sensory and Biomechanical Characterization of Two Painful Syndromes in the Heel. J Pain. 2006, 8: 215-22. 10.1016/j.jpain.2006.07.002.CrossRefPubMed

33.

Moncayo M, Rudisch A, Kremser C, Moncayo M: 3D-MRI rendering of the anatomical structures related to acupuncture points of the Dai mai, Yin qiao mai and Yang qiao mai meridians within the context of the WOMED concept of lateral tension: implications for musculoskeletal disease. BMC Musculoskeletal Disorders. 2007, 8 (33): 1-7.

34.

Kiesela KB, Uhlb TL, Underwood FB, Rodd DW, Nitza AJ: Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Manual Therapy. 2007, 12: 161-6. 10.1016/j.math.2006.06.011.CrossRef

Title: Ultrasound evaluation of the abductor hallucis muscle: Reliability study
Authors: Alyse FM Cameron
Keith Rome
Wayne A Hing
Publication date: 01-12-2008
Publisher: BioMed Central
Published in: Journal of Foot and Ankle Research / Issue 1/2008
Electronic ISSN: 1757-1146
DOI: https://doi.org/10.1186/1757-1146-1-12

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound evaluation of the abductor hallucis muscle: Reliability study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2008

Foot and ankle surgery in Australia: a descriptive analysis of the Medicare Benefits Schedule database, 1997–2006

Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study

Predictors of podiatry utilisation in Australia: the North West Adelaide Health Study

Acral lentiginous melanoma of the foot and ankle: A case series and review of the literature

Threshold for detection of diabetic peripheral sensory neuropathy using a range of research grade monofilaments in persons with Type 2 diabetes mellitus

Musculoskeletal ultrasound imaging of the plantar forefoot in patients with rheumatoid arthritis: inter-observer agreement between a podiatrist and a radiologist