Endo Soma, Soyama Toshikazu, Asai Hitoshi, Inaoka Pleiades Tiharu, Sasaki Hiroyuki, Nomura Issei, Sakurakichi Keisuke
Department of Physical Therapy, Graduate Course of Rehabilitation Science, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University: 5-11-80 Kodatsuno, Kanazawa City, Ishikawa 920-0942, Japan.
Department of Rehabilitation, Kanazawa Disabled Children's Hospital, Japan.
J Phys Ther Sci. 2021 Mar;33(3):288-294. doi: 10.1589/jpts.33.288. Epub 2021 Mar 17.
[Purpose] To observe the effect of daily standing, as indicated by gross motor function, on the quantity and quality of the thigh muscles in adults with severe cerebral palsy and to obtain data to determine an appropriate intervention that will improve their quality of life. [Participants and Methods] Thirty-three adults with severe cerebral palsy participated in the study. We assessed the gross motor function using the GMFM-66-IS. We then evaluated the quadriceps muscle thickness and the rectus femoris muscle echo intensity using ultrasonography. We divided the participants into the standing and non-standing groups and then examined the correlations of the GMFM-66-IS score to muscle thickness and echo intensity. We calculated the difference in mean muscle thickness and echo intensity between the two groups using an independent t-test. [Results] Significant positive correlations were found between the GMFM-66-IS score and muscle thickness and echo intensity. In the group-specific analysis, no significant correlation was found between echo intensity and the GMFM-66-IS score in either group. Muscle thickness and echo intensity were greater in the participants of the standing group. [Conclusion] Daily standing, as indicated by gross motor function, affected muscle thickness and echo intensity. Quantitative and qualitative data might need to be evaluated when assessing the muscles of adults with severe cerebral palsy using ultrasonography.
[目的]观察以粗大运动功能衡量的日常站立对重度脑瘫成人股部肌肉数量和质量的影响，并获取数据以确定能改善其生活质量的适当干预措施。[参与者与方法]33名重度脑瘫成人参与了本研究。我们使用GMFM-66-IS评估粗大运动功能。然后，我们使用超声检查评估股四头肌厚度和股直肌回声强度。我们将参与者分为站立组和非站立组，然后检查GMFM-66-IS评分与肌肉厚度和回声强度之间的相关性。我们使用独立t检验计算两组之间平均肌肉厚度和回声强度的差异。[结果]GMFM-66-IS评分与肌肉厚度和回声强度之间存在显著正相关。在分组分析中，两组的回声强度与GMFM-66-IS评分之间均未发现显著相关性。站立组参与者的肌肉厚度和回声强度更大。[结论]以粗大运动功能衡量的日常站立会影响肌肉厚度和回声强度。使用超声检查评估重度脑瘫成人的肌肉时，可能需要评估定量和定性数据。
