PMID- 29765882
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220317
IS  - 2234-0645 (Print)
IS  - 2234-0653 (Electronic)
IS  - 2234-0645 (Linking)
VI  - 42
IP  - 2
DP  - 2018 Apr
TI  - Relationship Between Functional Level and Muscle Thickness in Young Children With 
      Cerebral Palsy.
PG  - 286-295
LID - 10.5535/arm.2018.42.2.286 [doi]
AB  - OBJECTIVE: To investigate the relationship between functional level and muscle 
      thickness (MT) of the rectus femoris (RF) and the gastrocnemius (GCM) in young 
      children with cerebral palsy (CP). METHODS: The study participants were comprised 
      of 26 children (50 legs) with spastic CP, aged 3-6 years, and 25 age-matched 
      children with typical development (TD, 50 legs). The MT of the RF, medial GCM, 
      and lateral GCM was measured with ultrasound imaging. The functional level was 
      evaluated using the Gross Motor Function Measurement-88 (GMFM-88), Gross Motor 
      Function Classification System (GMFCS), and based on the mobility area of the 
      Korean version of the Modified Barthel Index (K-MBI). The measurement of 
      spasticity was evaluated with the Modified Ashworth Scale (MAS). RESULTS: We note 
      that the height, weight, body mass index, and MT of the RF, and the medial and 
      lateral GCM were significantly higher in the TD group (p<0.05). There was a 
      direct relationship between MT of the RF and medial GCM and the GMFM-88, GMFCS, 
      and mobility scores of the K-MBI in individuals with early CP. In addition, we 
      have noted that there was a direct relationship between MT of the lateral GCM and 
      the GMFM-88 and GMFCS. Although there was a tendency toward lower MT with 
      increasing MAS ratings in the knee and ankle, the correlation was not 
      statistically significant. CONCLUSION: In young children with CP, MT of the RF 
      and GCM was lower than in age-matched children with TD. Furthermore, it is noted 
      with confidence that a significant positive correlation existed between MT and 
      functional level as evaluated using the GMFM-88, GMFCS, and mobility area of 
      K-MBI.
FAU - Choe, Yeo Reum
AU  - Choe YR
AUID- ORCID: 0000-0002-3744-0056
AD  - Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, 
      Seongnam, Korea.
FAU - Kim, Joo Sup
AU  - Kim JS
AUID- ORCID: 0000-0001-7541-1603
AD  - Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, 
      Seongnam, Korea.
FAU - Kim, Kee Hoon
AU  - Kim KH
AUID- ORCID: 0000-0001-6060-5261
AD  - Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, 
      Seongnam, Korea.
FAU - Yi, Tae Im
AU  - Yi TI
AUID- ORCID: 0000-0001-6369-4677
AD  - Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, 
      Seongnam, Korea.
LA  - eng
PT  - Journal Article
DEP - 20180430
PL  - Korea (South)
TA  - Ann Rehabil Med
JT  - Annals of rehabilitation medicine
JID - 101573065
PMC - PMC5940605
OTO - NOTNLM
OT  - Cerebral palsy
OT  - Gross motor function
OT  - Muscle thickness
COIS- CONFLICT OF INTEREST: No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2018/05/17 06:00
MHDA- 2018/05/17 06:01
PMCR- 2018/04/01
CRDT- 2018/05/17 06:00
PHST- 2017/04/28 00:00 [received]
PHST- 2017/08/08 00:00 [accepted]
PHST- 2018/05/17 06:00 [entrez]
PHST- 2018/05/17 06:00 [pubmed]
PHST- 2018/05/17 06:01 [medline]
PHST- 2018/04/01 00:00 [pmc-release]
AID - 10.5535/arm.2018.42.2.286 [doi]
PST - ppublish
SO  - Ann Rehabil Med. 2018 Apr;42(2):286-295. doi: 10.5535/arm.2018.42.2.286. Epub 
      2018 Apr 30.