Muscle Contractures in Adults With Cerebral Palsy Characterized by Combined Ultrasound-Derived Echo Intensity and Handheld Dynamometry Measures
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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.
Original language | English |
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Journal | Ultrasound in Medicine and Biology |
Volume | 48 |
Issue number | 4 |
Pages (from-to) | 694-701 |
Number of pages | 8 |
ISSN | 0301-5629 |
DOIs | |
Publication status | Published - 2022 |
Bibliographical note
Publisher Copyright:
© 2021 The Authors
- Cerebral palsy, Contracture, Echo intensity, Grayscale, Intramuscular fat, Muscle composition, Muscle stiffness, Range of motion, Ultrasound
Research areas
ID: 291010103