Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy
Abstract Background In cerebral palsy (CP), spasticity is the dominant symptom and hip pain is one of the most common secondary conditions. Aetiology is not clear. Musculoskeletal ultrasound (MSUS) is a low-cost, non-invasive imaging technique that allows assessment of structural status, dynamic ima...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06610-8 |
| _version_ | 1797795940576264192 |
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| author | Claudia Guízar-Sánchez Cristina Hernández-Díaz Diana Guízar-Sánchez Ana Victoria Meza-Sánchez Alejandra Torres-Serrano María Elena Camacho Cruz Lucio Ventura-Ríos |
| author_facet | Claudia Guízar-Sánchez Cristina Hernández-Díaz Diana Guízar-Sánchez Ana Victoria Meza-Sánchez Alejandra Torres-Serrano María Elena Camacho Cruz Lucio Ventura-Ríos |
| author_sort | Claudia Guízar-Sánchez |
| collection | DOAJ |
| description | Abstract Background In cerebral palsy (CP), spasticity is the dominant symptom and hip pain is one of the most common secondary conditions. Aetiology is not clear. Musculoskeletal ultrasound (MSUS) is a low-cost, non-invasive imaging technique that allows assessment of structural status, dynamic imaging, and quick contralateral comparison. Objective A retrospective case-matched-control study. To investigate associated factors with painful spastic hip and to compare ultrasound findings (focusing on muscle thickness) in children with CP vs. typically developing (TD) peers. Setting Paediatric Rehabilitation Hospital in Mexico City, from August to November 2018. Participants 21 children (13 male, 7 + 4.26 years) with CP, in Gross Motor Function Classification System (GMFCS) levels IV to V, with spastic hip diagnosis (cases) and 21 children age- and sex-matched (7 + 4.28 years) TD peers (controls). Characteristically data Sociodemographic data, CP topography, degree of spasticity, mobility arch, contractures, Visual Analog Scale (VAS), GMFCS, measurements of the volumes of eight major muscles of the hip joint and MSUS findings of both hips. Results All children with CP group reported chronic hip pain. Associated factors for hip pain (high VAS hip pain score) were degree of hip displacement (percentage of migration), Ashworth Level, GMFCS level V. No synovitis, bursitis or tendinopathy was found. Significant differences (p < 0.05) were found in muscle volumes in all hip muscles (right and left) except in the right and left adductor longus. Conclusion Though possibly the most important issue with diminished muscle growth in CP children is the influence on their long-term function, it is likely that training routines that build muscle size may also increase muscle strength and improve function in this population. To improve the choice of treatments in this group and maintain muscle mass, longitudinal investigations of the natural history of muscular deficits in CP as well as the impact of intervention are needed. |
| first_indexed | 2024-03-13T03:25:37Z |
| format | Article |
| id | doaj.art-ce285250f26c42ea942f356e6a67e636 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T03:25:37Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-ce285250f26c42ea942f356e6a67e6362023-06-25T11:03:41ZengBMCBMC Musculoskeletal Disorders1471-24742023-06-0124111110.1186/s12891-023-06610-8Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsyClaudia Guízar-Sánchez0Cristina Hernández-Díaz1Diana Guízar-Sánchez2Ana Victoria Meza-Sánchez3Alejandra Torres-Serrano4María Elena Camacho Cruz5Lucio Ventura-Ríos6Pediatric Physical Medicine and Rehabilitation Service, Hospital de Pediatría Centro Médico Nacional Siglo XXI (CMNSXXI)Rheumatology Department, Hospital Juárez de MéxicoPhysiology Department, Faculty of Medicine, Universidad Nacional Autónoma de MéxicoRadiology and Imaging Department, Instituto Nacional de Ciencias Médicas y Nutricion Salvador Zubirán.Pediatric Physical Medicine and Rehabilitation Service, Hospital de Pediatría Centro Médico Nacional Siglo XXI (CMNSXXI)Pediatric Physical Medicine and Rehabilitation Service, Hospital de Pediatría Centro Médico Nacional Siglo XXI (CMNSXXI)Rheumatology Department, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”Abstract Background In cerebral palsy (CP), spasticity is the dominant symptom and hip pain is one of the most common secondary conditions. Aetiology is not clear. Musculoskeletal ultrasound (MSUS) is a low-cost, non-invasive imaging technique that allows assessment of structural status, dynamic imaging, and quick contralateral comparison. Objective A retrospective case-matched-control study. To investigate associated factors with painful spastic hip and to compare ultrasound findings (focusing on muscle thickness) in children with CP vs. typically developing (TD) peers. Setting Paediatric Rehabilitation Hospital in Mexico City, from August to November 2018. Participants 21 children (13 male, 7 + 4.26 years) with CP, in Gross Motor Function Classification System (GMFCS) levels IV to V, with spastic hip diagnosis (cases) and 21 children age- and sex-matched (7 + 4.28 years) TD peers (controls). Characteristically data Sociodemographic data, CP topography, degree of spasticity, mobility arch, contractures, Visual Analog Scale (VAS), GMFCS, measurements of the volumes of eight major muscles of the hip joint and MSUS findings of both hips. Results All children with CP group reported chronic hip pain. Associated factors for hip pain (high VAS hip pain score) were degree of hip displacement (percentage of migration), Ashworth Level, GMFCS level V. No synovitis, bursitis or tendinopathy was found. Significant differences (p < 0.05) were found in muscle volumes in all hip muscles (right and left) except in the right and left adductor longus. Conclusion Though possibly the most important issue with diminished muscle growth in CP children is the influence on their long-term function, it is likely that training routines that build muscle size may also increase muscle strength and improve function in this population. To improve the choice of treatments in this group and maintain muscle mass, longitudinal investigations of the natural history of muscular deficits in CP as well as the impact of intervention are needed.https://doi.org/10.1186/s12891-023-06610-8Musculoskeletal ultrasoundPainful spastic hipChildrenInfantile cerebral palsyMuscle thicknessLower limb |
| spellingShingle | Claudia Guízar-Sánchez Cristina Hernández-Díaz Diana Guízar-Sánchez Ana Victoria Meza-Sánchez Alejandra Torres-Serrano María Elena Camacho Cruz Lucio Ventura-Ríos Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy BMC Musculoskeletal Disorders Musculoskeletal ultrasound Painful spastic hip Children Infantile cerebral palsy Muscle thickness Lower limb |
| title | Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy |
| title_full | Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy |
| title_fullStr | Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy |
| title_full_unstemmed | Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy |
| title_short | Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy |
| title_sort | ultrasound findings in painful spastic hip muscle thickness in children with cerebral palsy |
| topic | Musculoskeletal ultrasound Painful spastic hip Children Infantile cerebral palsy Muscle thickness Lower limb |
| url | https://doi.org/10.1186/s12891-023-06610-8 |
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