4.4 Article

Muscle morphology of the lower leg in ambulant children with spastic cerebral palsy

期刊

MUSCLE & NERVE
卷 58, 期 6, 页码 818-823

出版社

WILEY
DOI: 10.1002/mus.26293

关键词

anatomical cross-sectional area; MRI; muscle volume; spastic cerebral palsy; subcutaneous fat

资金

  1. BrightSpark Research Foundation
  2. Pay-it-Forward Foundation
  3. Raine Medical Research Fellowship
  4. University of Western Australia
  5. University of Western Australia, Perth, WA
  6. Allergan (Irvine, CA, USA)

向作者/读者索取更多资源

Introduction: In this study we aimed to determine the lower limb morphological characteristics of skeletal muscle of ambulant children with spastic cerebral palsy (CP) and typically developing (TD) children. Methods: Seventeen children with spastic diplegic CP (10 boys and 7 girls, 5-12 years of age, Gross Motor Function Classification System [GMFCS] level I or II) and 19 TD children (8 boys and 11 girls, 5-11 years of age) underwent lower limb T1-weighted MRI. Morphological characteristics of the triceps surae, including muscle volume, anatomical cross-sectional area, muscle length, and subcutaneous adipose tissue, were digitally quantified, and the proportional distribution calculated. Results: Children with GMFCS II had significantly reduced muscle volume, cross-sectional area, and muscle length, and increased subcutaneous fat compared with TD children. Children classified as GMFCS II consistently exhibited the greatest deficits in all morphology variables. Discussion: Morphological variables were significantly different between the groups. These alterations have the potential to influence the functional capabilities of the triceps surae muscle group. Muscle Nerve 58:818-823, 2018

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