The validity and reliability of the motor point detection system: a preliminary investigation of motor points of the triceps surae muscles.
OBJECTIVE
To investigate the validity and reliability of the motor point detection system in cadavers and healthy young adults.


METHODS
Correlation statistics.


METHODS
University research laboratory.


METHODS
Sixty-two lower limbs of 31 healthy young adults (mean age, 22.3+/-1.8) and 10 size-matched lower limbs from cadavers were used.


METHODS
Not applicable.


METHODS
The validity of the motor point detection system's motor point measure was determined by comparing the motor point locations of the lower-leg muscles obtained from the motor point detection system with the established anatomic motor point locations from our previous cadaveric dissection study. The anatomic motor points were determined by tracing the terminal motor nerve branches on soleus, medial, and lateral gastrocnemius muscles through the dissection of adult cadavers. The test-retest reliability was determined by repeatedly measuring the locations of motor points in healthy young adults on 2 separate occasions, approximately 24 hours apart. The intraclass correlation coefficient (ICC) was computed to determine correlation, and an independent t test was used to determine the difference between the demographic and clinical variables at the significance level (P<.05).


RESULTS
Correlation analysis revealed relatively high validity between the motor point detection system and cadaver-dissected motor point location measurements (ICC(2,1)=.71-.92, P<.05). The test-retest reliability showed excellent correlation between the repeated measures (range, ICC(1,2)=.90-.95 at P<.05).


CONCLUSIONS
Our results showed that the motor point detection system was accurate and consistent in the measurement of motor point locations of the lower-leg muscles. This system can be considered as an alternative device to localize motor points in clinical settings. Our motor point detection system warrants further investigation in pathologic population.
Lee
Nam G
NG
Department of Physical Therapy, Yonsei University, Wonju City, Kangwon-do, Republic of South Korea.
You
Joshua H
JH
Park
Ho D
HD
Myoung
Hyoun S
HS
Lee
Sung E
SE
Hwang
Ji H
JH
Kim
Hyeon S
HS
Kim
Seung S
SS
Lee
Kyung J
KJ
D000328:Adult; D002102:Cadaver; D017097:Electric Impedance; D005260:Female; D006801:Humans; D007866:Leg / Q000033:anatomy & histology / Q000294:innervation*; D008297:Male; D009045:Motor Endplate / Q000033:anatomy & histology*; D018482:Muscle, Skeletal / Q000033:anatomy & histology / Q000294:innervation*; D015203:Reproducibility of Results; D055815:Young Adult