Reproducibility and Repeatability of Equine Muscle Thickness Measurements with Ultrasound

This study examined the reproducibility and repeatability of muscle thickness (MT) measurements with ultrasound for the following muscles: extensor carpi radialis, extensor digitorum longus (both flexed and extended), gluteus medius, longissimus lumborum, semitendinosus, and supraspinatus. Three examiners measured thickness of these muscles in five Thoroughbreds on 3 consecutive days. The day of measurement did not have any effect on the mean MT value of the muscles examined (P > .05). The left longissimus lumborum muscle was the only muscle for which the second measurement varied from the first and third (P < .05). The examiners had an effect on the mean coefficient of variation (CV) of the thickness of the flexed left extensor carpi radialis and flexed left extensor digitorum longus. The daily measurements varied more in the case of one of the examiners. Mean CVs higher or close to 10% were reported for both sides of the flexed extensor digitorum longus and for the supraspinatus muscles. The lowest CV was calculated for the longissimus lumborum and the extended semitendinosus (<5%). The largest disagreements between the examiners were observed for both sides of the flexed extensor digitorum longus and the supraspinatus (>10%–<20%). The best agreement was measured for the extended extensor carpi radialis and the longissimus lumborum (>3%–<7%). The results showed that for some muscles, it was difficult to locate the exact anatomical site for taking the MT measurements. To reduce CV, it was suggested that only one examiner should take all the measurements and the whole procedure must be such that it is as comfortable as possible for this particular examiner.