[Purposes] Although it is recommended to develop a habit of physical activities, there is
no easy way to measure skeletal muscle mass in preschool children, which cause the
difficulty of evaluation. The purpose of this study was to examine the validity of body
composition including the skeletal muscle mass assessment using multi-frequency
bioelectrical impedance analysis by comparing body fat mass obtained by using
multi-frequency bioelectrical impedance analysis method and body mass index formulas.
[Subjects and Methods] Ninety-four children were surveyed for age, height, weight, grip
strength, maximum occlusal force, thickness of muscle and fat mass (masseter and lower
limb), body fat mass, skeletal muscle mass, and calf circumference. We assessed additional
parameters, which were thought to be related to skeletal muscle mass, to ensure validity.
[Results] A strong correlation was found in body fat mass values obtained using the
multi-frequency bioelectrical impedance analysis method and those obtained using the body
mass index formulas. Additionally, strong correlation coefficients were found between the
skeletal muscle mass/height obtained using the multi-frequency bioelectrical impedance
analysis method and grip strength and calf circumference. [Conclusion] Our results
indicate that skeletal muscle mass can be reliably measured using the multi-frequency
bioelectrical impedance analysis method in preschool children.
[Purpose] Hip dislocation and subluxation are common in patients with cerebral palsy
(CP). Hip abduction orthoses are used to prevent and treat these problems. This study
investigated the effects of an underwear-type hip abduction orthosis on sitting balance
and sit-to-stand (STS) activity in children with spastic CP. [Participants and Methods]
This trial had a cross-over design. Eight children aged 6 to 18 years old with spastic CP
and Gross Motor Function Classification level III and IV were randomly allocated to groups
with or without use of the underwear-type hip orthosis. The trunk impairment scale (TIS)
score was evaluated and the 5-times sit-to-stand test (FTSST) was conducted with and
without the underwear. [Results] The dynamic sitting balance scores in the TIS and FTSST
showed significant improvement with use of the orthotic underwear. [Conclusion] The
dynamic sitting balance scores of the TIS and FTSST were higher, thus indicating better
stability, when wearing the orthosis underwear. Thus, it was suggested that underwear-type
hip abduction orthoses are effective for promoting sitting balance and STS activities in
children with spastic CP.
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