Age-Related Differences in Muscle Size and Strength between Individuals with Cerebral Palsy and Individuals with Typical Development.

Autor: Pontiff ME; Department of Physical Therapy, LSUHSC-New Orleans, New Orleans, LA, USA., Moreau NG; Department of Physical Therapy, LSUHSC-New Orleans, New Orleans, LA, USA.
Jazyk: angličtina
Zdroj: Physical & occupational therapy in pediatrics [Phys Occup Ther Pediatr] 2024; Vol. 44 (4), pp. 572-585. Date of Electronic Publication: 2023 Nov 30.
DOI: 10.1080/01942638.2023.2287463
Abstrakt: Aim: Examine age-related differences in muscle size and strength of the knee extensors in individuals with cerebral palsy (CP) and individuals with typical development (TD).
Methods: 54 individuals with CP (14.5 ± 4.5 years, GMFCS I-V) and 33 individuals with TD (16.2 ± 5.5 years) were included. Relationships between rectus femoris (RF) and vastus lateralis (VL) muscle volume and isokinetic knee extensor strength with age were examined with linear regression and ANCOVA to test age-related differences between groups.
Results: Linear regression for muscle volume with age was statistically significant in TD (VL: r 2  = 0.48, RF: r 2  = 0.56, p  < .05) and those with CP (VL: r  = 0.36, RF: r 2  = 0.27, p  < .05) with no differences in regression slopes between groups ( p  > .05). Age-related strength differences were observed in TD ( r 2  = 0.66, p  < .001) and those with CP ( r 2  = 0.096, p  = .024), but the slopes were significantly different between CP and TD ( p  < .001).
Conclusion: Age-related linear differences in muscle volume and strength were observed in both groups. The linear slope of the age-related differences in knee extensor muscle strength and strength-to-body mass ratio were significantly lower in individuals with CP compared to individuals with TD, suggesting that strength is insufficient to keep up with gains in body mass during growth.
Databáze: MEDLINE