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Type: Journal article
Title: Intra- and inter-rater reliability for analysis of hyoid displacement measured with sonography
Author: Macrae, P.
Doeltgen, S.
Jones, R.
Huckabee, M.
Citation: Journal of Clinical Ultrasound, 2012; 40(2):74-78
Publisher: John Wiley & Sons Inc
Issue Date: 2012
ISSN: 0091-2751
Statement of
Phoebe R. Macrae, Sebastian H. Doeltgen, Richard D. Jones and Maggie-Lee Huckabee
Abstract: <h4>Purpose</h4>Anterior hyoid displacement is essential for efficient swallowing and is usually investigated with videofluoroscopy. Ultrasound offers a less expensive and noninvasive method of investigation. The present study investigated the viability of a novel method of quantifying hyoid displacement from sonograms using an anatomic reference point, through an evaluation of inter- and intra-rater reliability.<h4>Methods</h4>Three raters reviewed the sonographic video sweeps of five discrete swallows from each of five participants for inter-rater reliability. The primary investigator measured each swallow on two occasions for intra-rater reliability. Electronic calipers were used to measure distances from a "rest" frame prior to the swallow of interest and a "maximal displacement" frame, at which the hyoid bone was at maximal anterior displacement during each swallow.<h4>Results</h4>Single-measure intraclass correlation coefficient was high for inter-rater agreement at 0.86 for rest measures and 0.86 for maximal displacement. Intra-rater reliability was even higher at 0.95 for rest and 0.98 for maximal displacement.<h4>Conclusions</h4>These preliminary results suggest that by using a novel analysis approach involving an anatomic reference point, raters can achieve high agreement on measurement of position of hyoid at maximal displacement relative to rest.
Keywords: ultrasound; hyoid displacement; reliability; neck; musculoskeletal; swallowing
Rights: Copyright 2011 Wiley Periodicals, Inc.
RMID: 0020116088
DOI: 10.1002/jcu.20874
Appears in Collections:Obstetrics and Gynaecology publications

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