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KMID : 1140920180420020286
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Annals of Rehabilitation Medicine
2018 Volume.42 No. 2 p.286 ~ p.295
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Relationship Between Functional Level andMuscle Thickness in Young ChildrenWith Cerebral Palsy
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Choe Yeo-Reum
Kim Joo-Sup
Kim Kee-Hoon
Yi Tae-Im
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Abstract
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Objective: To investigate the relationship between functional level and muscle thickness (MT) of the rectusfemoris (RF) and the gastrocnemius (GCM) in young children with cerebral palsy (CP).
Methods: The study participants were comprised of 26 children (50 legs) with spastic CP, aged 3?6 years, and 25age-matched children with typical development (TD, 50 legs). The MT of the RF, medial GCM, and lateral GCMwas measured with ultrasound imaging. The functional level was evaluated using the Gross Motor FunctionMeasurement-88 (GMFM-88), Gross Motor Function Classification System (GMFCS), and based on the mobilityarea of the Korean version of the Modified Barthel Index (K-MBI). The measurement of spasticity was evaluatedwith the Modified Ashworth Scale (MAS).
Results: We note that the height, weight, body mass index, and MT of the RF, and the medial and lateral GCM weresignificantly higher in the TD group (p<0.05). There was a direct relationship between MT of the RF and medialGCM and the GMFM-88, GMFCS, and mobility scores of the K-MBI in individuals with early CP. In addition,we have noted that there was a direct relationship between MT of the lateral GCM and the GMFM-88 andGMFCS. Although there was a tendency toward lower MT with increasing MAS ratings in the knee and ankle, thecorrelation was not statistically significant.
Conclusion: In young children with CP, MT of the RF and GCM was lower than in age-matched children with TD.Furthermore, it is noted with confidence that a significant positive correlation existed between MT and functionallevel as evaluated using the GMFM-88, GMFCS, and mobility area of K-MBI.
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KEYWORD
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Cerebral palsy, Muscle thickness, Gross motor function
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