Abdominal and lower extremity muscles activity and thickness in typically developing children and children with

Sun-Young Ha1, Yun-Hee Sung1,2

  • 1Department of Physical Therapy, Graduate School, Kyungnam University, Changwon, Korea.

Insights

Children with developmental delays show different muscle activity and thickness in their abdomen and legs compared to typically developing peers. Muscle tone characteristics are crucial for effective interventions in pediatric developmental delay.

Area of Science:

  • Pediatric Physical Therapy
  • Developmental Pediatrics
  • Biomechanics

Background:

  • Children with developmental delays often exhibit altered motor control and muscle function.
  • Understanding differences in muscle activity and thickness is key for targeted interventions.

Purpose of the Study:

  • To compare abdominal and lower extremity muscle activity and thickness between typically developing children and those with hypotonia or spasticity.
  • To identify specific muscle groups that differ in function and structure based on developmental status.

Main Methods:

  • Electromyography (EMG) to assess muscle activity of the rectus abdominis and quadriceps.
  • Ultrasonography to measure the thickness of the external oblique, internal oblique, and transversus abdominis muscles.
  • Measurements were taken at rest and during activity in 35 children (13 typically developing, 10 with hypotonia, 12 with spasticity).

Main Results:

  • Significant differences in rectus abdominis and quadriceps muscle activity were observed across groups at rest and during activity (P<0.05).
  • Significant differences in external oblique and transversus abdominis muscle thickness were found during activity (P<0.05).
  • Significant differences in external oblique and internal oblique muscle thickness were noted in the sitting position (P<0.05).

Conclusions:

  • Children with developmental delays, specifically hypotonia and spasticity, exhibit distinct patterns of abdominal and lower extremity muscle activity and thickness.
  • Muscle tone characteristics significantly influence muscle function and morphology in children with developmental delays.
  • Intervention strategies for pediatric developmental delay should account for individual muscle tone profiles for optimal efficacy.