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Table 7 Validity evidence grading

From: Elastography in the assessment of the Achilles tendon: a systematic review of measurement properties

Validity

Summary or pooled result

Overall rating of good measurement properties

Quality of evidence

Strain elastography

Convergent

Assessed in one article

Insufficient

/

Correlated to VISA-A for symptomatic AT

Total sample size—240

Assessed in one article

Insufficient

/

Correlated to B mode US

Total sample size—240

Correlated to isometric contractions

Sufficient

Moderate (downgraded for indirectness)

Total sample size—114

Discriminative

Assessed in one article

Insufficient

/

Age

Total sample size 100

Gender

Sufficient

Moderate (downgraded for indirectness)

Total sample size—114

Shear wave velocity

Convergent

Correlated to VISA-A for symptomatic AT

Sufficient

High

Total sample size—207

Discriminative

age

Sufficient

High

Total sample size—702

Assessed in one article

Insufficient

/

Gender

Total sample size—652

Tendinopathy

Sufficient

Moderate (downgraded for inconsistency)

Total sample size—342

Foot posture—increases with dorsiflexion

Sufficient

High

Total sample size—370

Assessed in one article

Insufficient

/

BMI

Total sample size—50

Shear wave modulus

Criterion

Assessed in one article

Insufficient

/

Correlated to MRI, US, doppler flow & UTC

Total sample size—75

Convergent

Assessed in one article

Insufficient

/

correlated to dispersion analysis

Total sample size—10

Correlated to isometric contraction

Sufficient

Low (downgraded for imprecision sample size & indirectness)

Total sample size—88

cSWE

Convergent

correlation to MVIC

Sufficient

Very Low (downgraded for imprecision sample size < 100 & inconsistency & indirectness)

Total sample size—58

Pearson CC =  < 0.12–0.99

Assessed in one article

Insufficient

/

Correlation to shear wave modulus

Total sample size—6

  1. VISA-A Victorian institute of sport assessment-achilles, US Ultrasound, MRI Magnetic resonance imaging, UTC Ultrasound tissue characterization, MVIC Maximum voluntary isometric contraction, CC Correlation coefficient