Muscle Contractures in Adults With Cerebral Palsy Characterized by Combined Ultrasound-Derived Echo Intensity and Handheld Dynamometry Measures

Autor: Christian Svane, Christian Riis Forman, Aqella Rasul, Jens Bo Nielsen, Jakob Lorentzen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Svane, C, Forman, C R, Rasul, A, Nielsen, J B & Lorentzen, J 2022, ' Muscle Contractures in Adults With Cerebral Palsy Characterized by Combined Ultrasound-Derived Echo Intensity and Handheld Dynamometry Measures ', Ultrasound in Medicine and Biology, vol. 48, no. 4, pp. 694-701 . https://doi.org/10.1016/j.ultrasmedbio.2021.12.012
DOI: 10.1016/j.ultrasmedbio.2021.12.012
Popis: We used ultrasound-derived echo intensity and hand-held dynamometry to characterize plantar flexor muscle contractures in adults with cerebral palsy (CP). Eleven adults with CP (aged 41 ± 12 y, Gross Motor Function Classification System I–II) and 11 neurologically intact adults (aged 35 ± 10 y) participated in the study. Echo intensity was measured from the medial gastrocnemius muscle using brightness mode ultrasound. Hand-held dynamometry was used to quantify plantar flexor passive muscle stiffness and ankle joint passive range of motion (pROM). Echo intensity correlated with both passive muscle stiffness (r = 0.57, p = 0.006) and pROM (r = –0.56, p = 0.006). Ultrasound echo intensity (p = 0.02, standardized mean difference [SMD] = 1.13) and passive muscle stiffness (p < 0.001, SMD = 1.99) were higher and ankle joint pROM (p < 0.001, SMD = 2.69) was lower in adults with CP than in neurologically intact adults. We conclude that combined ultrasound-derived echo intensity and hand-held dynamometry may be used to provide an objective characterization of muscle contractures.
Databáze: OpenAIRE