Relationships Between Lower Limb Muscle Architecture and Activities and Participation of Children with Cerebral Palsy

Overview

Journal J Exerc Rehabil

Date 2013 Nov 27

PMID 24278886

Citations 10

Authors

In-Hee Ko

Jung-Hee Kim

Byoung-Hee Lee

Affiliations

Soon will be listed here.

Abstract

The purpose of this study was to determine the effects of the structure of skeletal muscle of lower extremities on function, activity, and participation of children with cerebral palsy. The subjects were 38 hospitalized patients and 13 infants with normal development. The following clinical measures were used for assessment of activity daily living and functional level of gross motor: Gross Motor Function Classification System (GMFCS), Gross Motor Function Measure (GMFM), Wee Functional Independence Measure (WeeFIM), International Classification of Functioning Child and Youth (ICF CY). Muscle thickness and strength of knee extensor and ankle extensor were collected using ultrasonography and manual muscle tester. Following the results of ICF CY evaluation for body function, activity, learning and application of knowledge, communication and environmental factors showed a decline (P< 0.05). Significant differences in the thickness of muscle was observed according to the GMFCS level, thickness of knee extensor and ankle extensor of cerebral palsy (P< 0.05), and clauses of self-care, activity, mobility, ambulation, communication, and social acknowledgement (P< 0.05). Following analysis, results showed negative correlation in the thickness of muscle, muscle strength, major motor function, daily activity and participation; the score of ICF-CY was shown to decline due to the high score for differences in thickness of muscle, muscle strength, WeeFIM, and GMFM. The thickness and muscle strength of lower extremities affect main functions of the body and improvement of muscle strength of lower extremities may have positive effects on social standards such as activity and participation of cerebral palsy.

Citing Articles

Fine-needle percutaneous muscle microbiopsy technique as a feasible tool to address histological analysis in young children with cerebral palsy and age-matched typically developing children.

Deschrevel J, Maes K, Andries A, De Beukelaer N, Corvelyn M, Costamagna D PLoS One. 2023; 18(11):e0294395.

PMID: 37992082 PMC: 10664906. DOI: 10.1371/journal.pone.0294395.

Skeletal Muscle Measurements in Pediatric Hematology and Oncology: Essential Components to a Comprehensive Assessment.

Rock K, Addison O, Gray V, Henshaw R, Ward C, Marchese V Children (Basel). 2023; 10(1).

PMID: 36670664 PMC: 9856749. DOI: 10.3390/children10010114.

Alterations in Muscle Architecture: A Review of the Relevance to Individuals After Limb Salvage Surgery for Bone Sarcoma.

Nelson C, Marchese V, Rock K, Henshaw R, Addison O Front Pediatr. 2020; 8:292.

PMID: 32612962 PMC: 7308581. DOI: 10.3389/fped.2020.00292.

Soleus muscle weakness in cerebral palsy: Muscle architecture revealed with Diffusion Tensor Imaging.

Sahrmann A, Stott N, Besier T, Fernandez J, Handsfield G PLoS One. 2019; 14(2):e0205944.

PMID: 30802250 PMC: 6388915. DOI: 10.1371/journal.pone.0205944.

Effect of twister wrap orthosis on foot pressure distribution and balance in diplegic cerebral palsy.

Eid M, Aly S, Mohamed R J Musculoskelet Neuronal Interact. 2018; 18(4):543-550.

PMID: 30511958 PMC: 6313041.

References

Goh H, Thompson M, Huang W, Schafer S . Relationships among measures of knee musculoskeletal impairments, gross motor function, and walking efficiency in children with cerebral palsy. Pediatr Phys Ther. 2006; 18(4):253-61. DOI: 10.1097/01.pep.0000233054.26082.4e. View

Elder G, Kirk J, Stewart G, Cook K, Weir D, Marshall A . Contributing factors to muscle weakness in children with cerebral palsy. Dev Med Child Neurol. 2003; 45(8):542-50. DOI: 10.1017/s0012162203000999. View

Krebs D, Scarborough D, McGibbon C . Functional vs. strength training in disabled elderly outpatients. Am J Phys Med Rehabil. 2007; 86(2):93-103. DOI: 10.1097/PHM.0b013e31802ede64. View

Andersson C, Mattsson E . Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotion. Dev Med Child Neurol. 2001; 43(2):76-82. DOI: 10.1017/s0012162201. View

Liu M, Toikawa H, Seki M, Domen K, Chino N . Functional Independence Measure for Children (WeeFIM): a preliminary study in nondisabled Japanese children. Am J Phys Med Rehabil. 1998; 77(1):36-44. DOI: 10.1097/00002060-199801000-00006. View

Wood E, Rosenbaum P . The gross motor function classification system for cerebral palsy: a study of reliability and stability over time. Dev Med Child Neurol. 2000; 42(5):292-6. DOI: 10.1017/s0012162200000529. View

Sanders J, McConnell S, King R, Lanford A, Montpetit K, Gates P . A prospective evaluation of the WeeFIM in patients with cerebral palsy undergoing orthopaedic surgery. J Pediatr Orthop. 2006; 26(4):542-6. DOI: 10.1097/01.bpo.0000226272.78330.bb. View

Ohata K, Tsuboyama T, Haruta T, Ichihashi N, Kato T, Nakamura T . Relation between muscle thickness, spasticity, and activity limitations in children and adolescents with cerebral palsy. Dev Med Child Neurol. 2008; 50(2):152-6. DOI: 10.1111/j.1469-8749.2007.02018.x. View

Gao F, Zhao H, Gaebler-Spira D, Zhang L . In vivo evaluations of morphologic changes of gastrocnemius muscle fascicles and achilles tendon in children with cerebral palsy. Am J Phys Med Rehabil. 2011; 90(5):364-71. DOI: 10.1097/PHM.0b013e318214f699. View

10.

Pirpiris M, Gates P, McCarthy J, DAstous J, Tylkowksi C, Sanders J . Function and well-being in ambulatory children with cerebral palsy. J Pediatr Orthop. 2006; 26(1):119-24. DOI: 10.1097/01.bpo.0000191553.26574.27. View

11.

Mizner R, Snyder-Mackler L . Altered loading during walking and sit-to-stand is affected by quadriceps weakness after total knee arthroplasty. J Orthop Res. 2005; 23(5):1083-90. DOI: 10.1016/j.orthres.2005.01.021. View

12.

Damiano D, Quinlivan J, Owen B, Shaffrey M, Abel M . Spasticity versus strength in cerebral palsy: relationships among involuntary resistance, voluntary torque, and motor function. Eur J Neurol. 2002; 8 Suppl 5:40-9. DOI: 10.1046/j.1468-1331.2001.00037.x. View

13.

Akagi R, Kanehisa H, Kawakami Y, Fukunaga T . Establishing a new index of muscle cross-sectional area and its relationship with isometric muscle strength. J Strength Cond Res. 2008; 22(1):82-7. DOI: 10.1519/JSC.0b013e31815ef675. View

14.

Wiley M, Damiano D . Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol. 1998; 40(2):100-7. DOI: 10.1111/j.1469-8749.1998.tb15369.x. View

15.

Lampe R, Grassl S, Mitternacht J, Gerdesmeyer L, Gradinger R . MRT-measurements of muscle volumes of the lower extremities of youths with spastic hemiplegia caused by cerebral palsy. Brain Dev. 2006; 28(8):500-6. DOI: 10.1016/j.braindev.2006.02.009. View

16.

Gormley Jr M . Treatment of neuromuscular and musculoskeletal problems in cerebral palsy. Pediatr Rehabil. 2001; 4(1):5-16. DOI: 10.1080/13638490151068393. View

17.

McNee A, Gough M, Morrissey M, Shortland A . Increases in muscle volume after plantarflexor strength training in children with spastic cerebral palsy. Dev Med Child Neurol. 2009; 51(6):429-35. DOI: 10.1111/j.1469-8749.2008.03230.x. View

18.

Moreau N, Simpson K, Teefey S, Damiano D . Muscle architecture predicts maximum strength and is related to activity levels in cerebral palsy. Phys Ther. 2010; 90(11):1619-30. PMC: 2967708. DOI: 10.2522/ptj.20090377. View

19.

Smith T, Davies L, Hing C . A systematic review to determine the reliability of knee joint position sense assessment measures. Knee. 2012; 20(3):162-9. DOI: 10.1016/j.knee.2012.06.010. View

20.

Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B . Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39(4):214-23. DOI: 10.1111/j.1469-8749.1997.tb07414.x. View