Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy
ObjectiveTo investigate the relationship between functional level and muscle thickness (MT) of the rectus femoris (RF) and the gastrocnemius (GCM) in young children with cerebral palsy (CP).MethodsThe study participants were comprised of 26 children (50 legs) with spastic CP, aged 3–6 years, and 25...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2018-04-01
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| Series: | Annals of Rehabilitation Medicine |
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| Online Access: | http://www.e-arm.org/upload/pdf/arm-42-286.pdf |
| _version_ | 1797716172047646720 |
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| author | Yeo Reum Choe Joo Sup Kim Kee Hoon Kim Tae Im Yi |
| author_facet | Yeo Reum Choe Joo Sup Kim Kee Hoon Kim Tae Im Yi |
| author_sort | Yeo Reum Choe |
| collection | DOAJ |
| description | ObjectiveTo investigate the relationship between functional level and muscle thickness (MT) of the rectus femoris (RF) and the gastrocnemius (GCM) in young children with cerebral palsy (CP).MethodsThe study participants were comprised of 26 children (50 legs) with spastic CP, aged 3–6 years, and 25 age-matched children with typical development (TD, 50 legs). The MT of the RF, medial GCM, and lateral GCM was measured with ultrasound imaging. The functional level was evaluated using the Gross Motor Function Measurement-88 (GMFM-88), Gross Motor Function Classification System (GMFCS), and based on the mobility area of the Korean version of the Modified Barthel Index (K-MBI). The measurement of spasticity was evaluated with the Modified Ashworth Scale (MAS).ResultsWe note that the height, weight, body mass index, and MT of the RF, and the medial and lateral GCM were significantly higher in the TD group (p<0.05). There was a direct relationship between MT of the RF and medial GCM and the GMFM-88, GMFCS, and mobility scores of the K-MBI in individuals with early CP. In addition, we have noted that there was a direct relationship between MT of the lateral GCM and the GMFM-88 and GMFCS. Although there was a tendency toward lower MT with increasing MAS ratings in the knee and ankle, the correlation was not statistically significant.ConclusionIn young children with CP, MT of the RF and GCM was lower than in age-matched children with TD. Furthermore, it is noted with confidence that a significant positive correlation existed between MT and functional level as evaluated using the GMFM-88, GMFCS, and mobility area of K-MBI. |
| first_indexed | 2024-03-12T08:17:38Z |
| format | Article |
| id | doaj.art-348314a960a14df2825e26ce5a4cea95 |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T08:17:38Z |
| publishDate | 2018-04-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-348314a960a14df2825e26ce5a4cea952023-09-02T18:44:26ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-04-0142228629510.5535/arm.2018.42.2.286953Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral PalsyYeo Reum Choe0Joo Sup Kim1Kee Hoon Kim2Tae Im Yi3Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, .KoreaDepartment of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, .KoreaDepartment of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, .KoreaDepartment of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, .KoreaObjectiveTo investigate the relationship between functional level and muscle thickness (MT) of the rectus femoris (RF) and the gastrocnemius (GCM) in young children with cerebral palsy (CP).MethodsThe study participants were comprised of 26 children (50 legs) with spastic CP, aged 3–6 years, and 25 age-matched children with typical development (TD, 50 legs). The MT of the RF, medial GCM, and lateral GCM was measured with ultrasound imaging. The functional level was evaluated using the Gross Motor Function Measurement-88 (GMFM-88), Gross Motor Function Classification System (GMFCS), and based on the mobility area of the Korean version of the Modified Barthel Index (K-MBI). The measurement of spasticity was evaluated with the Modified Ashworth Scale (MAS).ResultsWe note that the height, weight, body mass index, and MT of the RF, and the medial and lateral GCM were significantly higher in the TD group (p<0.05). There was a direct relationship between MT of the RF and medial GCM and the GMFM-88, GMFCS, and mobility scores of the K-MBI in individuals with early CP. In addition, we have noted that there was a direct relationship between MT of the lateral GCM and the GMFM-88 and GMFCS. Although there was a tendency toward lower MT with increasing MAS ratings in the knee and ankle, the correlation was not statistically significant.ConclusionIn young children with CP, MT of the RF and GCM was lower than in age-matched children with TD. Furthermore, it is noted with confidence that a significant positive correlation existed between MT and functional level as evaluated using the GMFM-88, GMFCS, and mobility area of K-MBI.http://www.e-arm.org/upload/pdf/arm-42-286.pdfCerebral palsyMuscle thicknessGross motor function |
| spellingShingle | Yeo Reum Choe Joo Sup Kim Kee Hoon Kim Tae Im Yi Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy Annals of Rehabilitation Medicine Cerebral palsy Muscle thickness Gross motor function |
| title | Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy |
| title_full | Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy |
| title_fullStr | Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy |
| title_full_unstemmed | Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy |
| title_short | Relationship Between Functional Level and Muscle Thickness in Young Children With Cerebral Palsy |
| title_sort | relationship between functional level and muscle thickness in young children with cerebral palsy |
| topic | Cerebral palsy Muscle thickness Gross motor function |
| url | http://www.e-arm.org/upload/pdf/arm-42-286.pdf |
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