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Changes in spastic muscles of patients with infantile cerebral palsy according to ultrasound findings

https://doi.org/10.14412/2074-2711-2016-1-39-42

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Abstract

Infantile cerebral palsy (ICP) occupies a leading position in its prevalence among childhood disabling neurological diseases.

Objective: to investigate the structure of spastic muscles in patients with ICP using ultrasonography (USG).

Patients and methods. A total of 196 patients with ICP (spastic diplegia) who received a cycle of sanatorium-and-spa treatment underwent clinical, neurological, electromyographic examinations and lower limb muscle USG.

Results. It was established that USG could reliably estimate the degree of structural changes in lower limb muscles. An average correlation was found between the level of development, by using the Gross Motor Function Classification System for Cerebral Palsy (GMFCS), and age at contracture formation (R=0.60; p=0.001). Analysis of USG and electromyographic findings in patients with ICP revealed a strong negative correlation with the amplitude and rates (R=-0.81; p=0.002; R=-0.77; p=0.001, respectively) and weak reciprocity-adequacy correlations (R=0.21; p=0.071; R=0.24; p=0.043, respectively).

Conclusion. Based on the findings, the authors formed rehabilitation approaches for motor disorders in children with ICP in relation to the magnitude of structural changes in the muscular system.

About the Authors

S. V. Vlasenko
Research Institute of Pediatric Balneology, Physiotherapy, and Medical Rehabilitation, Yevpatoria, Russia 6, Mayakovsky St., Yevpatoria, Republic of Crimea 297412
Russian Federation


G. M. Kushnir
Department of Nervous System Diseases, Neurosurgery, and Neurology, Medical Faculty One, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University, Simferopol, Russia 4, Academician Vernadsky Prospect, Simferopol, Republic of Crimea 295007
Russian Federation


T. F. Golubeva
Research Institute of Pediatric Balneology, Physiotherapy, and Medical Rehabilitation, Yevpatoria, Russia 6, Mayakovsky St., Yevpatoria, Republic of Crimea 297412
Russian Federation


E. A. Osmanov
Yevpatoria Military Clinical Sanatorium for Children, Ministry of Defense of Russia, Yevpatoria, Russia 21, Duvanovskaya St., Yevpatoria, Republic of Crimea 298408
Russian Federation


E. V. Strashko
Yevpatoria Military Clinical Sanatorium for Children, Ministry of Defense of Russia, Yevpatoria, Russia 21, Duvanovskaya St., Yevpatoria, Republic of Crimea 298408
Russian Federation


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For citation:


Vlasenko S.V., Kushnir G.M., Golubeva T.F., Osmanov E.A., Strashko E.V. Changes in spastic muscles of patients with infantile cerebral palsy according to ultrasound findings. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(1):39-42. (In Russ.) https://doi.org/10.14412/2074-2711-2016-1-39-42

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)