与典型发育的儿童相比,患有脑的儿童的上肢和下肢肌肉度:剪切波弹性图学的见解
Dolors Casellas-Vidal1, Raquel Font-Lladó2, Inés Osiniri3
1Servei de Pediatria, Hospital Universitari Doctor Josep Trueta, Girona, Spain; Neurodevelopmental Group [Girona Biomedical Research Institute]-IDIBGI, Institute of Health Assistance (IAS), Parc Hospitalari Martí i Julià, 17190 Girona, Spain.
Journal of biomechanics
|April 6, 2025
概括
剪波弹性图 (SWE) 揭示了与典型发育儿童相比,性脑 (CP) 儿童的肌肉弹性有明显的差异. 这种非侵入性技术可以通过考虑神经和肌肉因素来改善性评估.
科学领域:
- 生物医学工程 生物医学工程
- 儿科神经学 儿科神经学
- 康复科学 康复科学 康复科学
背景情况:
- 患有性脑 (CP) 的儿童表现出改变的肌肉度,传统上通过临床尺度来评估.
- 剪波弹性图 (SWE) 提供了一种非侵入性方法来量化肌肉的生物力学特性.
研究的目的:
- 在性CP和典型发育 (TD) 儿童中比较SWE测量.
- 调查影响SWE的因素,包括关节位置,运动范围和CP特征.
- 在CP中将SWE测量与临床性度量表相关联.
主要方法:
- 在休息状态下和最大被动拉伸期间,SWE测量了上肢和下肢肌肉的肌肉弹性模量.
- 参与者包括34名性CP儿童和44名TD儿童.
- 评估的肌肉包括:双臂肌,前肌,长肌,侧面胃角肌和单肌.
主要成果:
- 在CP和TD儿童之间观察到SWE的显著差异 (p < 0.05).
- 脊髓炎儿童在休息时表现出下肢和上肢肌肉弹性,在伸展时反转.
- 肌肉弹性与休息下肢肌肉中的Ashworth和Tardieu尺度相关.
结论:
- SWE检测到性CP的独特肌肉弹性模式,受神经和肌肉结构因素的影响.
- SWE可以提供更精确的性评估,可能最大限度地减少混关节结构的影响.
- 这些发现突出了影响儿科CP肌肉度的因素的复杂相互作用.
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