Assessment of peroneal muscles based on quantitative and qualitative sonographic descriptors: a literature review

Abstract Background and Aims The use of ultrasound in physiotherapy helps to increase the precision and effectiveness of different techniques and provide a more objective assessment. Standardized clinical practice guidelines are needed to enable an appropriate reproducibility. The aims of this study were to perform a literature review to identify studies using ultrasound for the assessment of peroneal muscles. Also, to establish whether reliable and reproducible assessment protocols exist, and analyze these protocols to determine both reliability as well as methodology. Material and Methods A literature search was performed in PubMed, Cochrane Library, PEDro and ScienceDirect databases over the last 10 years (2009-2018). The descriptors "Ultrasonography" and "Peroneus Muscle" were used, restricting the search to publications in English and Spanish for studies performed in humans.The two main researchers revised the results and selected those that were most relevant. The data were then extracted individually and blindly. The third researcher shared the data obtained, verifying the exactness of the same and commenting the differences. There were no disagreements. Results Initially, 92 studies were retrieved. After the analysis of the title, abstract and full-text (when necessary), 12 studies were selected for the analysis. Seven studies used ultrasound in B mode. In total, 10 morphometric descriptors were identified. Eight descriptors presented a very good reliability (CCI >90) and two descriptors had good reliability (CCI 0.71-0.90). Of the measurements performed in the cross-sectional plane, the cross-sectional area (CSA) and circular perimeter (CP) demonstrated a CCI >90 both in the analysis of the peroneus longus as well as the peroneus brevis, jointly or individually. The measurements of the CSA and CP demonstrated a CCI between 0.71-0.90 when these were performed upon the connective tissue of these muscles. The measurement of the anterior-posterior thickness presented a CCI >90. In the longitudinal plane, the measurement of muscle thickness presented a CCI >90. Five studies employed elastography to analyze muscle stiffness using Shear Wave Elastography and providing very good CCI results (>0.90) or good results (0.71-0.90) in peroneus muscles. Only one study reported a moderate CCI (0.51-0.70) for the measurement of the peroneus brevis. Sufficient data were obtained to perform a standardized measurement protocol based on good or very good reliability criteria. Conclusions It is possible to perform a sonographic exploration with reliability and reproducibility in the peroneal muscles for descriptors in B mode. Although some studies analyzed echogenicity, the authors recognized that this technique depends on the echographer and the operator and values of reliability are not reported. Although shear wave elastography has demonstrated to be reproducible, with moderate to good reliability, further studies are required to enable an objective interpretation of these results in clinical practice.

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Liver ultrasound elastography for the evaluation of periportal fibrosis in schistosomiasis mansoni: A cross-sectional study

10.1101/450494 ◽

2018 ◽

Author(s):

Joelma Carvalho Santos ◽

Andrea Dória Batista ◽

Carla Maria Mola Vasconcelos ◽

Roberto Souza Lemos ◽

Valter Romão de Souza ◽

...

Keyword(s):

Shear Wave ◽

Shear Wave Elastography ◽

Cross Sectional Study ◽

Cutoff Point ◽

Sectional Study ◽

Cross Sectional ◽

Predictive Values ◽

Cutoff Value ◽

Periportal Fibrosis ◽

Schistosomiasis Mansoni

AbstractBackgroundARFI elastrography has been used as a noninvasive method to assess the severity of liver fibrosis in viral hepatitis, although with few studies in schistosomiasis mansoni. We aimed to evaluate the performance of point shear wave elastography (pSWE) for predicting significant periportal fibrosis (PPF) in schistosomotic patients and to determine its best cutoff point.Methodology/Principal findingsThis cross-sectional study included 358 adult schistosomotic patients subjected to US and pSWE on the right lobe. Two hundred two patients (62.0%) were women, with a median age of 54 (ranging 18-92) years. The pSWE measurements were compared to the US patterns of PPF, as gold standard, according to the Niamey classification. The performance of pSWE was calculated as the area under the ROC curve (AUC). Patients were further classified into two groups: 86 patients with mild PPF and 272 patients with significant PPF. The median pSWE of the significant fibrosis group was higher (1.40 m/s) than that of mild fibrosis group (1.14 m/s, p<0.001). AUC was 0.719 with ≤1.11 m/s as the best cutoff value for excluding significant PPF. Sensitivity and negative predictive values were 80.5% and 40.5%, respectively. Whereas, for confirming significant PPF, the best cutoff value was >1.39 m/s, with specificity of 86.1% and positive predictive value of 92.0%.Conclusions/SignificancepSWE was able to differentiate significant from mild PPF, with better performance to predict significant PPF.Author summaryIn the developing world, over 207 million people are infected with parasitic Schistosoma worms. Among the species of Schistosoma that infect humans Schistosoma mansoni is one of the most common causes of illness. Here, we investigated the performance of point shear wave elastography (pSWE) for predicting significant periportal fibrosis (PPF) in schistosomotic patients and to determine its best cutoff point. We examined 358 people from northeast of Brazil for Schistosoma infections. The present study showed that pSWE was able to differentiate significant from mild PPF, with better performance to predict significant PPF.

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The metabolic syndrome in pediatrics: Do we have a reliable definition? A systemic review.

Acta Endocrinologica ◽

10.1530/eje-21-0238 ◽

2021 ◽

Author(s):

Angelo Tropeano ◽

Domenico Corica ◽

Alessandra Li Pomi ◽

Giorgia Pepe ◽

Letteria Anna Morabito ◽

...

Keyword(s):

Metabolic Syndrome ◽

Clinical Practice ◽

Pediatric Population ◽

High Sensitivity ◽

Systemic Review ◽

Cochrane Library ◽

Sample Population ◽

Cross Sectional ◽

The Metabolic Syndrome ◽

Increased Risk

Objective: Metabolic syndrome is a cluster of cardio-metabolic risk factors associated with an increased risk of cardiovascular disease and type 2 diabetes. In the last two decades, several definitions of metabolic syndrome have been proposed for the pediatric population; all of them agree on the defining components but differ in the suggested criteria for diagnosis. This review aims to analyze the current diagnostic criteria of metabolic syndrome in pediatrics with a reference to their feasibility and reliability in clinical practice. Methods: The systemic research was conducted from January 2003 to June 2020 through MEDLINE via PubMed, Cochrane Library and EMBASE databases. Results: After the selection phase, a total of 15 studies (182 screened) met the inclusion and exclusion criteria and hence they were reported in the present review. Twelve studies were cross-sectional, 2 were longitudinal and 1 was a consensus report. The sample population consisted of multiethnic group or single ethnic group including Turkish, European, Asian and Hispanic subjects. Conclusions: To date, there is not a univocal, internationally accepted pediatric definition of metabolic syndrome, which guarantees a high sensitivity and stability of the diagnosis. The definition proposed by IDF results the most straightforward and easy to use in clinical practice, having the unquestionable advantage of requiring measurements quickly accessible in clinical practice, without the adoption of multiple reference tables. Further research is needed to validate a new version of such definition which includes the diagnostic cut-off points recently suggested by published guidelines.

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Renal shear wave elastography for the assessment of nephron hypertrophy: a cross-sectional study in chronic kidney disease

Journal of Medical Ultrasonics ◽

10.1007/s10396-018-0866-1 ◽

2018 ◽

Vol 45 (4) ◽

pp. 571-576 ◽

Cited By ~ 4

Author(s):

Takuji Iyama ◽

Tomoaki Takata ◽

Masahiko Koda ◽

Satoko Fukuda ◽

Shotaro Hoi ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Shear Wave ◽

Shear Wave Elastography ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Shear wave elastography potential to characterize spastic muscles in stroke survivors: Literature review

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2019.11.025 ◽

2020 ◽

Vol 72 ◽

pp. 84-93 ◽

Cited By ~ 1

Author(s):

Marie-Claude Lehoux ◽

Stéphane Sobczak ◽

Frank Cloutier ◽

Stéphane Charest ◽

Antony Bertrand-Grenier

Keyword(s):

Literature Review ◽

Shear Wave ◽

Shear Wave Elastography ◽

Stroke Survivors

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Methotrexate therapy is not associated with increased liver stiffness and significant liver fibrosis in rheumatoid arthritis patients: A cross-sectional controlled study with real-time two-dimensional shear wave elastography

European Journal of Internal Medicine ◽

10.1016/j.ejim.2019.08.022 ◽

2019 ◽

Vol 69 ◽

pp. 57-63 ◽

Cited By ~ 1

Author(s):

Gian Luca Erre ◽

Maria Luisa Cadoni ◽

Pierluigi Meloni ◽

Floriana Castagna ◽

Arduino Aleksander Mangoni ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Liver Fibrosis ◽

Shear Wave ◽

Liver Stiffness ◽

Shear Wave Elastography ◽

Methotrexate Therapy ◽

Controlled Study ◽

Two Dimensional ◽

Cross Sectional ◽

Significant Liver Fibrosis

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Interruptions of nurses' activities and patient safety: an integrative literature review

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.0251.2539 ◽

2015 ◽

Vol 23 (1) ◽

pp. 169-179 ◽

Cited By ~ 20

Author(s):

Cintia Monteiro ◽

Ariane Ferreira Machado Avelar ◽

Mavilde da Luz Gonçalves Pedreira

Keyword(s):

Patient Safety ◽

Clinical Practice ◽

Data Analysis ◽

Literature Review ◽

Professional Practice ◽

Safety Data ◽

Cochrane Library ◽

Health Field

OBJECTIVES: to identify characteristics related to the interruption of nurses in professional practice, as well as to assess the implications of interruptions for patient safety.METHOD: integrative literature review. The following databases were searched: Pubmed/Medline, LILACS, SciELO and Cochrane Library, using the descriptors interruptions and patient safety. An initial date was not established, but the final date was December 31, 2013. A total of 29 papers met the inclusion criteria.RESULTS: all the papers included describe interruptions as a harmful factor for patient safety. Data analysis revealed three relevant categories: characteristics of interruptions, implications for patient safety, and interventions to minimize interruptions.CONCLUSION: interruptions favor the occurrence of errors in the health field. Therefore, there is a need for further studies to understand such a phenomenon and its effects on clinical practice.

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Comparison of Two-Dimensional Shear Wave Elastography and Point Shear Wave Elastography for Assessing Liver Fibrosis

10.21203/rs.2.17352/v1 ◽

2019 ◽

Author(s):

Xiaozhuan Zhou ◽

Jiawei Rao ◽

Xukun Wu ◽

Ronghai Deng ◽

Yi Ma

Keyword(s):

Liver Fibrosis ◽

Shear Wave ◽

Large Scale ◽

Characteristic Curve ◽

Shear Wave Elastography ◽

Cochrane Library ◽

Two Dimensional ◽

Advanced Fibrosis ◽

Likelihood Ratios ◽

Significant Fibrosis

Abstract Background: Progressive liver fibrosis may result in cirrhosis, portal hypertension, and hepatocellular carcinoma (HCC). We performed a meta-analysis to compare liver fibrosis staging in chronic liver disease patients using two-dimensional shear wave elastography (2D-SWE) and point shear wave elastography (pSWE). Methods: PubMed, Web of Science, and Cochrane Library databases were searched until September 30th 2019 for studies evaluating the diagnostic performance of 2D-SWE and pSWE for assessing liver fibrosis. Pooled sensitivity, specificity, positive and negative likelihood ratios, diagnostic odds ratios, and area under receiver operating characteristic curve (AUC) were estimated using the bivariate random effects model. Results: Eighteen studies with 3,082 patients were included in the analysis. The pooled sensitivities of 2D-SWE and pSWE were significantly different for the detection of significant fibrosis (0.83 vs. 0.70, P < 0.001) and advanced fibrosis (0.89 vs. 0.78, P < 0.05), but not for detection of cirrhosis (0.87 vs. 0.83, P > 0.05). The pooled specificities of 2D-SWE and pSWE were not significantly different for detection of significant fibrosis (0.83 vs. 0.83, P > 0.05), advanced fibrosis (0.80 vs. 0.85, P > 0.05), or cirrhosis (0.84 vs. 0.88, P > 0.05). Conclusions: Both 2D-SWE and pSWE have high sensitivity and specificity for detecting each stage of liver fibrosis. 2D-SWE has higher sensitivity than pSWE for detection of significant fibrosis and advanced fibrosis. Large-scale and multi-center studies are needed to directly compare 2D-SWE and pSWE.

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INSTRUMENTS FOR MEASURING THE PROFESSIONAL IDENTITY OF PSYCHOLOGICAL HELP PROVIDERS: RAPID LITERATURE REVIEW

Education. Innovation. Diversity. ◽

10.17770/eid2020.1.5335 ◽

2020 ◽

Vol 1 (1) ◽

pp. 6

Author(s):

Elīna Akmane ◽

Kristīne Mārtinsone ◽

Zane Krieķe

Keyword(s):

Literature Review ◽

Professional Identity ◽

Derived Categories ◽

Library Science ◽

Psychological Help ◽

Cochrane Library ◽

Cross Sectional ◽

Cross Sectional Design ◽

Online Library ◽

Ebsco Host

The concept of professional identity is widely described, indicating that it is dynamic and variable, as it simultaneously includes the development and formation of professional identity in the dimensions of time and content. Professional identity manifests in various forms and it is measured by a variety of measurement tools.Objective: to define what measurement tools are used to determine the professional identity of psychological help providers and to investigate the content of professional identity. Method: a rapid literature review. A comprehensive search of scientific databases Access Medicine, Clinical Key, EBSCO e-books, Proquest Ebook Central, BMJ Journals, EBSCO host, ProQuest, SAGE journals, Wiley Online Library, Science Direct, DynaMed Plus and Cochrane Library was conducted in March, 2020 by two independent researchers therefore assuring data triangulation. Database research included the keywords “professional identity”, “scale”, “measure”, with the Boolean operator “AND” adding professions: “art therapist”, “dance and movement therapist”, “drama therapist”, “music therapist”, “psychologist”, “psychiatrist”, “psychotherapist”, “nurse”, “social worker”, and additional selection criteria - cross-sectional design studies about the measure of professional identity of different groups of psychological help providers and students, between 2009 and 2019, with full English text available. Data analysis method was narrative synthesis, which consists of three sequential steps: description of studies in logical categories, analysis of data from each of the derived categories, and synthesized conclusions for all included studies. 366 studies were identified of which 21 were included in the study.Results: as a result, 15 categories including 50 content items were identified as the measurement aspects of professional identity.

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