Background To gain insight into the role of plantar intrinsic foot muscles in fall-related gait parameters in older adults, it is fundamental to assess foot muscles separately. Ultrasonography is considered a promising instrument to quantify the strength capacity of individual muscles by assessing their morphology. The main goal of this study was to investigate the intra-assessor reliability and measurement error for ultrasound measures for the morphology of selected foot muscles and the plantar fascia in older adults using a tablet-based device. The secondary aim was to compare the measurement error between older and younger adults and between two different ultrasound machines. Methods Ultrasound images of selected foot muscles and the plantar fascia were collected in younger and older adults by a single operator, intensively trained in scanning the foot muscles, on two occasions, 1–8 days apart, using a tablet-based and a mainframe system. The intra-assessor reliability and standard error of measurement for the cross-sectional area and/or thickness were assessed by analysis of variance. The error variance was statistically compared across age groups and machines. Results Eighteen physically active older adults (mean age 73.8 (SD: 4.9) years) and ten younger adults (mean age 21.9 (SD: 1.8) years) participated in the study. In older adults, the standard error of measurement ranged from 2.8 to 11.9%. The ICC ranged from 0.57 to 0.97, but was excellent in most cases. The error variance for six morphology measures was statistically smaller in younger adults, but was small in older adults as well. When different error variances were observed across machines, overall, the tablet-based device showed superior repeatability. Conclusions This intra-assessor reliability study showed that a tablet-based ultrasound machine can be reliably used to assess the morphology of selected foot muscles in older adults, with the exception of plantar fascia thickness. Although the measurement errors were sometimes smaller in younger adults, they seem adequate in older adults to detect group mean hypertrophy as a response to training. A tablet-based ultrasound device seems to be a reliable alternative to a mainframe system. This advocates its use when foot muscle morphology in older adults is of interest.
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This report describes the creation and use of a database for energy storage technologies which was developed in conjunction with Netbeheer Nederland and the Hanze University of Applied Sciences. This database can be used to make comparisons between a selection of storage technologies and will provide a method for ranking energy storage technology suitability based on the desired application requirements. In addition, this document describes the creation of the energy storage label which contains detailed characteristics for specific storage systems. The layout of the storage labels enables the analysis of different storage technologies in a comprehensive, understandable and comparative manner. A sampling of storage technology labels are stored in an excel spreadsheet and are also compiled in Appendix I of this report; the storage technologies represented here were found to be well suited to enable flexibility in energy supply and to potentially provide support for renewable energy integration [37] [36]. The data in the labels is presented on a series of graphs to allow comparisons of the technologies. Finally, the use and limitations of energy storage technologies are discussed. The results of this research can be used to support the Dutch enewable Energy Transition by providing important information regarding energy storage in both technically detailed and general terms. This information can be useful for energy market parties in order to analyze the role of storage in future energy scenarios and to develop appropriate strategies to ensure energy supply.
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