Mateos-Angulo Álvaro, Salazar-Agulló José Andrés, Roldán-Jiménez Cristina, Trinidad-Fernández Manuel, Cuesta-Vargas Antonio Ignacio
Department of Physiotherapy, Universidad de Málaga, 29071 Málaga, Spain.
Grupo Clinimetría F-14, Instituto de Investigación Biomédica de Málaga-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.
Diagnostics (Basel). 2022 Nov 9;12(11):2743. doi: 10.3390/diagnostics12112743.
There is nospecific designed diagnostic test for post-poliomyelitis syndrome. The most important symptoms of this syndrome are new loss of muscle strength and more fatigue. Previous studies have investigated muscle ultrasound parameters to distinguish neuromuscular disease patients from healthy controls. The aim of this study was to investigate if muscle thickness and echo intensity measured by ultrasound can discriminate post-poliomyelitis syndrome patients from healthy controls. A total of 29 post-polio patients and 27 healthy controls participated in this cross-sectional study. Anthropometric measures, muscle thickness, echo intensity using B-mode ultrasound in rectus femoris and biceps brachii muscles, and muscle strength test data were collected. Muscle thickness in rectus femoris was significantly lower in post-poliomyelitis patients than in healthy controls, but not in biceps brachii. Echo intensity in rectus femoris and biceps brachii was higher in post-poliomyelitis syndrome patients than in healthy controls. Correlations were found between muscle thickness and strength in the upper and lower limbs. The results of the present study showed that muscle thickness in rectus femoris and echo intensity in rectus femoris and biceps brachii can discriminate post-poliomyelitis syndrome patients from healthy controls. A better assessment is possible because it can observe differences and relevant parameters in this clinical population.
目前尚无专门针对小儿麻痹后遗症的诊断测试。该综合征最重要的症状是新出现的肌肉力量丧失和更易疲劳。先前的研究调查了肌肉超声参数，以区分神经肌肉疾病患者与健康对照。本研究的目的是调查通过超声测量的肌肉厚度和回声强度是否能够区分小儿麻痹后遗症患者与健康对照。共有29名小儿麻痹症患者和27名健康对照参与了这项横断面研究。收集了人体测量指标、肌肉厚度、使用B型超声测量股直肌和肱二头肌的回声强度以及肌肉力量测试数据。小儿麻痹后遗症患者的股直肌肌肉厚度显著低于健康对照，但肱二头肌则不然。小儿麻痹后遗症综合征患者的股直肌和肱二头肌回声强度高于健康对照。发现上肢和下肢的肌肉厚度与力量之间存在相关性。本研究结果表明，股直肌的肌肉厚度以及股直肌和肱二头肌的回声强度能够区分小儿麻痹后遗症综合征患者与健康对照。因为它可以观察该临床人群中的差异和相关参数，所以有可能进行更好的评估。
