| Titre : | Sonoelastographic Evaluation of Medial Gastrocnemius Muscles Intrinsic Stiffness After Rehabilitation Therapy With Botulinum Toxin A Injection in Spastic Cerebral Palsy (2012) |
| Auteurs : | Gi-Young Park ; Dong Rak Kwon |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2012/11, 2012) |
| Article en page(s) : | pp. 2085-2089 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Imagerie d'élasticité tissulaire ; Muscles ; Paralysie cérébrale ; Rééducation et réadaptation |
| Mots-clés: | Cerebral palsy ; Skeletal ; Muscles squelettiques ; Muscle spasticity ; Spasticité musculaire ; Elasticity Imaging Techniques |
| Résumé : |
"Objective To investigate intrinsic stiffness changes using real-time sonoelastography (RTS) in the medial gastrocnemius muscle (GCM) after rehabilitation therapy with botulinum toxin type A (BTA) injection in spastic cerebral palsy (CP). Design Prospective study using ultrasonography and RTS. Setting An inpatient rehabilitation clinic. Participants Children (N=17) with spastic CP (mean age, 57+22y, age range, 26–110mo). Intervention Rehabilitation therapy and intramuscular injection of BTA in both medial and lateral GCMs. Main Outcome Measures RTS was obtained on the medial GCM, and the elastic pattern of the medial GCM was graded from RTS 1 (purple to green: soft) to RTS 4 (red: stiff) on the basis of color-scaled RTS. RTS score, color histogram, Modified Ashworth Scale (MAS) score of the ankle plantar flexor muscles, and Gross Motor Function Measure (GMFM) score were obtained before intervention and 4 weeks after intervention. The correlations among RTS score, GMFM, and MAS score were determined. Intrarater reliability was also evaluated. Results Before and at 4 weeks after intervention, the mean RTS score decreased from 3.4 to 1.5 (P<.05 median red pixel intensity decreased from to blue increased mean mas score of the ankle and gmfm significant correlations were observed between rts score. intrarater reliability was high.> Conclusions Our results suggest that more information about the change of spastic muscle in CP after rehabilitation treatment with BTA may be gained by estimating muscle stiffness using RTS combined with clinical scale measurements." |
| Disponible en ligne : | Oui |
| En ligne : | http://www.archives-pmr.org/article/S0003-9993(12)00505-9/abstract |
Bibliothèques HE Vinci
