Dorsiflexor muscle-group thickness in children with cerebral palsy: relation to cross-sectional area.

If the thickness and cross-sectional area of the dorsiflexor muscle group are related in children with cerebral palsy, measurements of muscle thickness may be used to monitor changes in muscle size due to training or immobilisation in these patients. We assessed the validity and reliability of measu...

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Publicado en:NeuroRehabilitation Vol. 24; no. 4; pp. 299 - 307
Autores principales: Bandholm T, Magnusson P, Jensen BR, Sonne-Holm S
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-2009-0482
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        atl: Dorsiflexor muscle-group thickness in children with cerebral palsy: relation to cross-sectional area.
      aug:
        au:
          Bandholm T
          Magnusson P
          Jensen BR
          Sonne-Holm S
        affil: Gait Analysis Laboratory, Department of Orthopedic Surgery, Hvidovre University Hospital, Copenhagen, Denmark
      sug:
        subj:
          Cerebral Palsy Physiopathology
          Lower Extremity Anatomy and Histology
          Muscles Anatomy and Histology
          Case Control Studies
          Child
          Denmark
          Descriptive Statistics
          Female
          Funding Source
          Intraclass Correlation Coefficient
          Magnetic Resonance Imaging Methods
          Male
          Paired T-Tests
          Pearson's Correlation Coefficient
          Reliability
          Scales
          Test-Retest Reliability
          Ultrasonography Methods
          Validity
          Human
          Child: 6-12 years
          Female
          Male
      ab: If the thickness and cross-sectional area of the dorsiflexor muscle group are related in children with cerebral palsy, measurements of muscle thickness may be used to monitor changes in muscle size due to training or immobilisation in these patients. We assessed the validity and reliability of measurements of dorsiflexor muscle-thickness using the cross-sectional area of the muscle group as the criterion-related muscle-size variable. Muscle thickness was measured using ultrasound, and cross-sectional area using MRI in nine children with spastic cerebral palsy (eight with hemiplegia). Test-retest reliability of the muscle-thickness measurements was assessed in six healthy subjects. All measurements were made on both legs at 35% lower leg length. In the children with cerebral palsy, dorsiflexor muscle-thickness and cross-sectional area were well correlated (r<formula>;{2}<formula> = 0.778, P < 0.001), and the reliability of the muscle-thickness measurements was high in the healthy subjects (ICC<formula>_{2.1}</formula> = 0.94, standard error of measurement = 0.04 cm). The dorsiflexor muscle-thickness was 22% less in the affected compared to the non-affected leg in children with hemiplegic cerebral palsy (P < 0.001). Accordingly, the dorsiflexor cross-sectional area was 32% less in the affected compared to the non-affected leg (P = 0.002). Measurements of dorsiflexor muscle-thickness can be reliably obtained, and they reflect dorsiflexor cross-sectional area in children with cerebral palsy.</formula></formula>
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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