Iranian Journal of Radiology

Published by: Kowsar

Intra- and Inter-Rater Reliability of Ultrasound in Plantar Fascia Thickness Measurement

Masoomeh Nakhaee 1 , Mohammad Ebrahim Mousavi 2 , Mohammad Ali Mohseni-Bandpei 3 , 4 , Ali Shakourirad 5 , 6 , * , Mohammad Reza Safari 2 , Reza Vahab Kashani 2 , Mohammad Reza Baneshi 7 and Masoud Nakhaei 8
Authors Information
1 Department of Physical Therapy, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3 Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4 University Institute of Physical Therapy, Faculty of Allied Health, University of Lahore, Lahore, Pakistan
5 Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Department of Radiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
6 Department of Radiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
7 Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
8 Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
Article information
  • Iranian Journal of Radiology: July 2018, 15 (3); e59022
  • Published Online: May 27, 2018
  • Article Type: Research Article
  • Received: July 29, 2017
  • Revised: January 30, 2018
  • Accepted: February 7, 2018
  • DOI: 10.5812/iranjradiol.59022

To Cite: Nakhaee M, Mousavi M E, Mohseni-Bandpei M A, Shakourirad A, Safari M R, et al. Intra- and Inter-Rater Reliability of Ultrasound in Plantar Fascia Thickness Measurement, Iran J Radiol. 2018 ; 15(3):e59022. doi: 10.5812/iranjradiol.59022.

Copyright © 2018, Iranian Journal of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Thordarson DB. Foot and ankle. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.
  • 2. Cornwall MW, McPoil TG. Plantar fasciitis: etiology and treatment. J Orthop Sports Phys Ther. 1999;29(12):756-60. doi: 10.2519/jospt.1999.29.12.756. [PubMed: 10612073].
  • 3. Pascual Huerta J, Garcia JM, Matamoros EC, Matamoros JC, Martinez TD. Relationship of body mass index, ankle dorsiflexion, and foot pronation on plantar fascia thickness in healthy, asymptomatic subjects. J Am Podiatr Med Assoc. 2008;98(5):379-85. [PubMed: 18820041].
  • 4. Gordon R, Wong C, Crawford EJ. Ultrasonographic evaluation of low energy extracorporeal pulse activated therapy (EPAT) for chronic plantar fasciitis. Foot Ankle Int. 2012;33(3):202-7. doi: 10.3113/FAI.2012.0202. [PubMed: 22734281].
  • 5. Fabrikant JM, Park TS. Plantar fasciitis (fasciosis) treatment outcome study: plantar fascia thickness measured by ultrasound and correlated with patient self-reported improvement. Foot (Edinb). 2011;21(2):79-83. doi: 10.1016/j.foot.2011.01.015. [PubMed: 21398108].
  • 6. McNally EG, Shetty S. Plantar fascia: imaging diagnosis and guided treatment. Semin Musculoskelet Radiol. 2010;14(3):334-43. doi: 10.1055/s-0030-1254522. [PubMed: 20539958].
  • 7. Sabir N, Demirlenk S, Yagci B, Karabulut N, Cubukcu S. Clinical utility of sonography in diagnosing plantar fasciitis. J Ultrasound Med. 2005;24(8):1041-8. [PubMed: 16040817].
  • 8. Wu CH, Chang KV, Mio S, Chen WS, Wang TG. Sonoelastography of the plantar fascia. Radiology. 2011;259(2):502-7. doi: 10.1148/radiol.11101665. [PubMed: 21357519].
  • 9. Crofts G, Angin S, Mickle KJ, Hill S, Nester CJ. Reliability of ultrasound for measurement of selected foot structures. Gait Posture. 2014;39(1):35-9. doi: 10.1016/j.gaitpost.2013.05.022. [PubMed: 23791782].
  • 10. Ghamkhar L, Emami M, Mohseni-Bandpei MA, Behtash H. Application of rehabilitative ultrasound in the assessment of low back pain: a literature review. J Bodyw Mov Ther. 2011;15(4):465-77. doi: 10.1016/j.jbmt.2010.07.003. [PubMed: 21943620].
  • 11. Javanshir K, Amiri M, Mohseni-Bandpei MA, Rezasoltani A, Fernandez-de-las-Penas C. Ultrasonography of the cervical muscles: a critical review of the literature. J Manipulative Physiol Ther. 2010;33(8):630-7. doi: 10.1016/j.jmpt.2010.08.016. [PubMed: 21036286].
  • 12. Rahmani N, Mohseni-Bandpei MA, Vameghi R, Salavati M, Abdollahi I. Application of ultrasonography in the assessment of skeletal muscles in children with and without neuromuscular disorders: a systematic review. Ultrasound Med Biol. 2015;41(9):2275-83. doi: 10.1016/j.ultrasmedbio.2015.04.027. [PubMed: 26027896].
  • 13. Nabavi N, Mosallanezhad Z, Haghighatkhah HR, Mohseni Bandpeid MA. Reliability of rehabilitative ultrasonography to measure transverse abdominis and multifidus muscle dimensions. Iran J Radiol. 2014;11(3). e21008. doi: 10.5812/iranjradiol.21008. [PubMed: 25763078]. [PubMed Central: PMC4341170].
  • 14. McMillan AM, Landorf KB, Barrett JT, Menz HB, Bird AR. Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res. 2009;2:32. doi: 10.1186/1757-1146-2-32. [PubMed: 19912628]. [PubMed Central: PMC2784446].
  • 15. McMillan AM, Landorf KB, Gilheany MF, Bird AR, Morrow AD, Menz HB. Ultrasound guided corticosteroid injection for plantar fasciitis: randomised controlled trial. BMJ. 2012;344. e3260. doi: 10.1136/bmj.e3260. [PubMed: 22619193].
  • 16. Mohseni-Bandpei MA, Nakhaee M, Mousavi ME, Shakourirad A, Safari MR, Vahab Kashani R. Application of ultrasound in the assessment of plantar fascia in patients with plantar fasciitis: a systematic review. Ultrasound Med Biol. 2014;40(8):1737-54. doi: 10.1016/j.ultrasmedbio.2014.03.001. [PubMed: 24798393].
  • 17. Mahowald S, Legge BS, Grady JF. The correlation between plantar fascia thickness and symptoms of plantar fasciitis. J Am Podiatr Med Assoc. 2011;101(5):385-9. [PubMed: 21957269].
  • 18. Yucel I, Yazici B, Degirmenci E, Erdogmus B, Dogan S. Comparison of ultrasound-, palpation-, and scintigraphy-guided steroid injections in the treatment of plantar fasciitis. Arch Orthop Trauma Surg. 2009;129(5):695-701. doi: 10.1007/s00402-008-0760-1. [PubMed: 18839190].
  • 19. Cheng JW, Tsai WC, Yu TY, Huang KY. Reproducibility of sonographic measurement of thickness and echogenicity of the plantar fascia. J Clin Ultrasound. 2012;40(1):14-9. doi: 10.1002/jcu.20903. [PubMed: 22109854].
  • 20. Kane D, Grassi W, Sturrock R, Balint PV. Musculoskeletal ultrasound--a state of the art review in rheumatology. Part 2: Clinical indications for musculoskeletal ultrasound in rheumatology. Rheumatology (Oxford). 2004;43(7):829-38. doi: 10.1093/rheumatology/keh215. [PubMed: 15161981].
  • 21. Rathleff MS, Moelgaard C, Lykkegaard Olesen J. Intra- and interobserver reliability of quantitative ultrasound measurement of the plantar fascia. J Clin Ultrasound. 2011;39(3):128-34. doi: 10.1002/jcu.20787. [PubMed: 21387326].
  • 22. Ahn JH, Lee CW, Park C, Kim YC. Ultrasonographic examination of plantar fasciitis: a comparison of patient positions during examination. J Foot Ankle Res. 2016;9:38. doi: 10.1186/s13047-016-0171-4. [PubMed: 27651833]. [PubMed Central: PMC5025581].
  • 23. Kwon YJ, Lee HO. How different knee flexion angles influence the hip extensor in the prone position. J Phys Ther Sci. 2013;25(10):1295-7. doi: 10.1589/jpts.25.1295. [PubMed: 24259779]. [PubMed Central: PMC3820173].
  • 24. Arampatzis A, Karamanidis K, Stafilidis S, Morey-Klapsing G, DeMonte G, Bruggemann GP. Effect of different ankle- and knee-joint positions on gastrocnemius medialis fascicle length and EMG activity during isometric plantar flexion. J Biomech. 2006;39(10):1891-902. doi: 10.1016/j.jbiomech.2005.05.010. [PubMed: 15993886].
  • 25. Rosner B, editor. Fundamentals of Biostatistics (text only). 6th ed. Nelson Education; 2005.
  • 26. Beeson P. Plantar fasciopathy: revisiting the risk factors. Foot Ankle Surg. 2014;20(3):160-5. doi: 10.1016/j.fas.2014.03.003. [PubMed: 25103701].
  • 27. Del Baño-Aledo ME, Martínez Payá JJ, Ríos Díaz J, Palomino Cortés MA. Aplicacion en fisioterapia de la valoracion cuantitativa de las caracteristicas morfoecogenicas del tendon de Aquiles. Fisioterapia. 2008;30(2):61-8.
  • 28. Skou ST, Aalkjaer JM. Ultrasonographic measurement of patellar tendon thickness--a study of intra- and interobserver reliability. Clin Imaging. 2013;37(5):934-7. doi: 10.1016/j.clinimag.2013.01.007. [PubMed: 23759209].

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