脑瘫儿童和成人的粗大运动功能及日常生活活动与躯干和下肢肌肉质量、关节活动范围及痉挛的相关性
Association of gross motor function and activities of daily living with muscle mass of the trunk and lower extremity muscles, range of motion, and spasticity in children and adults with cerebral palsy.
作者信息
Masaki Mitsuhiro, Isobe Honoka, Uchikawa Yuki, Okamoto Mami, Chiyoda Yoshie, Katsuhara Yuki, Mino Kunio, Aoyama Kaori, Nishi Tatsuya, Ando Yasushi
机构信息
Department of Physical Therapy, Takasaki University of Health and Welfare, Takasaki, Japan.
Department of Rehabilitation, Ibaraki Seinan Medical Center Hospital, Sashimagun, Japan.
出版信息
Dev Neurorehabil. 2023 Feb;26(2):115-122. doi: 10.1080/17518423.2023.2171149. Epub 2023 Jan 30.
PURPOSE
We examined the association of gross motor function and activities of daily living (ADL) with muscle mass of the trunk and lower extremity muscles in children and adults with cerebral palsy (CP).
METHODS
The subjects were 32 children and adults with CP. Muscle thickness of the trunk and lower extremity muscles was measured using an ultrasound imaging device.
RESULTS
Stepwise regression analysis revealed that the thoracic erector spinae muscle thickness was a significant and independent factor of gross motor function. Stepwise regression analysis also showed that the thickness of the rectus abdominis and vastus lateralis muscles were significant and independent factors of ADL.
CONCLUSIONS
Our findings suggest that declined gross motor function is associated with decreased thoracic erector spinae muscle mass in children and adults with CP. The results also indicate that declined ADL is associated with decreased muscle mass of the rectus abdominis and vastus lateralis muscles.
目的
我们研究了脑瘫（CP）儿童和成人的总体运动功能及日常生活活动（ADL）与躯干和下肢肌肉量之间的关联。
方法
研究对象为32名CP儿童和成人。使用超声成像设备测量躯干和下肢肌肉的厚度。
结果
逐步回归分析显示，胸段竖脊肌厚度是总体运动功能的一个显著且独立的因素。逐步回归分析还表明，腹直肌和股外侧肌的厚度是ADL的显著且独立的因素。
结论
我们的研究结果表明，CP儿童和成人总体运动功能下降与胸段竖脊肌量减少有关。结果还表明，ADL下降与腹直肌和股外侧肌量减少有关。
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