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 |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
Adult
Muscle stiffness Contracture Acoustics and Ultrasonics Radiological and Ultrasound Technology Cerebral Palsy Biophysics Intramuscular fat Middle Aged Echo intensity Grayscale Muscle composition Ultrasound Humans Cerebral palsy Radiology Nuclear Medicine and imaging Range of Motion Articular Muscle Skeletal Range of motion Ankle Joint Ultrasonography |
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 |
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