{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T11:34:30Z","timestamp":1777808070827,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T00:00:00Z","timestamp":1606003200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"LymphaTouch LLC"},{"DOI":"10.13039\/100009157","name":"national institute on disability, independent living, and rehabilitation research","doi-asserted-by":"publisher","award":["90AR5020-04"],"award-info":[{"award-number":["90AR5020-04"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"national institute of arthritis and musculoskeletal and skin diseases","doi-asserted-by":"publisher","award":["K24-AR-063129"],"award-info":[{"award-number":["K24-AR-063129"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Diagnostic Medical Sonography"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study developed a musculoskeletal ultrasound (MSUS) protocol to evaluate rehabilitation outcomes in systemic sclerosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Three MSUS methods (gray-scale, Doppler, strain elastography) and two acquisition techniques (long- vs short-axis; transducer on skin vs floating on gel) were examined in the forearm before and after rehabilitation treatment. For gray-scale, tissue thickness measures and intrarater and interrater reliability were calculated (intraclass correlation coefficients [ICCs]), and paired t tests examined differences among techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five people with diffuse cutaneous systemic sclerosis participated. The most valid and reliable gray-scale technique was with the transducer in long-axis, floating on gel. Doppler and strain elastography did not detect changes. Both dermal and subcutaneous thickness measurement error was small; intrarater and interrater reliability was good to excellent. Preliminary data indicate that treatment may lead to dermal thinning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A replicable protocol was established and may be an adjunct to rehabilitation outcome measurement in systemic sclerosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/8756479320965210","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T02:04:23Z","timestamp":1606097063000},"page":"13-23","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Development of a Musculoskeletal Ultrasound Protocol to Examine Upper Extremity Rehabilitation Outcomes in Systemic Sclerosis"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7924-0012","authenticated-orcid":false,"given":"Susan L.","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA"},{"name":"VA Ann Arbor Health Care System, Geriatric Research Education and Clinical Center (GRECC) Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donnamarie","family":"Krause","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-396X","authenticated-orcid":false,"given":"Shawn C.","family":"Roll","sequence":"additional","affiliation":[{"name":"Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girish","family":"Gandikota","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Barber","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh","family":"Khanna","sequence":"additional","affiliation":[{"name":"Rheumatology Division, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,22]]},"reference":[{"key":"bibr1-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-06551-1.00138-X"},{"issue":"11","key":"bibr2-8756479320965210","first-page":"1892","volume":"20","author":"Clements P","year":"1993","journal-title":"J Rheumatol"},{"issue":"7","key":"bibr3-8756479320965210","first-page":"1630","volume":"30","author":"Merkel PA","year":"2003","journal-title":"J Rheumatol"},{"key":"bibr4-8756479320965210","doi-asserted-by":"publisher","DOI":"10.5301\/jsrd.5000231"},{"key":"bibr5-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kex202"},{"key":"bibr6-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh214"},{"key":"bibr7-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22183"},{"key":"bibr8-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21836"},{"issue":"5","key":"bibr9-8756479320965210","first-page":"3","volume":"114","author":"Hassan S","year":"2018","journal-title":"Clin Exp Rheumatol"},{"key":"bibr10-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-015-0853-5"},{"key":"bibr11-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg435"},{"key":"bibr12-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-017-1270-8"},{"key":"bibr13-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23597"},{"key":"bibr14-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejr.2012.08.005"},{"key":"bibr15-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0362-4"},{"key":"bibr16-8756479320965210","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.04.011"},{"key":"bibr17-8756479320965210","unstructured":"Adams L, Greene L, Topoozian E: Range of motion, in Casanova JS (ed):\n                      Clinical Assessment Recommendations\n                      . 2nd ed. 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