Correlation between the Gait Deviation Index and skeletal muscle mass in children with spastic cerebral palsy

Matsunaga, Naomichi; Ito, Tadashi; Noritake, Koji; Sugiura, Hiroshi; Kamiya, Yasunari; Ito, Yuji; Mizusawa, Jun; Sugiura, Hideshi

doi:10.1589/jpts.30.1176

Cited by 11 publications

(7 citation statements)

References 24 publications

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“…While objective gait analysis has not directly been correlated with muscle mass increase in dogs, the authors' assumption was that increased limb function would indicate a normal recovery and in turn this should be associated with continued increase in thigh muscle mass. 32 We found no relationship between changes in GRF and US; however, this may be related to the small sample size.…”

Section: Discussioncontrasting

confidence: 59%

Diagnostic Ultrasound Detection of Changes in Femoral Muscle Mass Recovery after Tibial Plateau Levelling Osteotomy in Dogs

Frank

Duerr

Zanghi³

et al. 2019

Vet Comp Orthop Traumatol

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Objective The goal of this study was to develop a clinically feasible ultrasound (US) protocol that can detect changes in thigh muscle mass in dogs after stifle surgery. The primary aim of this study was to compare previously described US measurement locations of the canine thigh for detecting changes in muscle mass in dogs recovering from tibial plateau levelling osteotomy (TPLO). Study Design This was a prospective, exploratory pilot study. Adult dogs (n = 7) undergoing pet-owner elected TPLO were enrolled. Twelve different US measurements were performed in triplicate by a single experienced observer. Measurements were performed at 0, 2, 4 and 8 weeks after surgery at a proximal and distal location along the femur. Data from all available time points and locations were analysed for the main effect of time within modalities. Results A total of 1,008 US measurements were performed. Measurements of the transverse sectional area of the rectus femoris muscle detected significant (p ≤ 0.05) muscle loss between weeks 0 and 2 at the lateral and medial aspects of the distal location (19% and 15% respectively). Measurements of the thigh muscle thickness were significantly (p < 0.01) increased between 2nd- and 8th- week time points at the lateral aspect of the proximal location (26%). Conclusion The proximal femoral location, measured from the lateral aspect, appears to be the most suitable US measurement for detecting increases in femoral muscle mass in dogs recovering from TPLO. The provided pilot data suggest that further research evaluating this outcome measure is indicated.

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Section: Discussioncontrasting

confidence: 59%

Diagnostic Ultrasound Detection of Changes in Femoral Muscle Mass Recovery after Tibial Plateau Levelling Osteotomy in Dogs

Frank

Duerr

Zanghi³

et al. 2019

Vet Comp Orthop Traumatol

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“…This condition can also be called as sarcopenia, and the ideal SMI is ranged from 5.67 to 7.23. Actually, this condition is usually reflected on the ageing population, however concerning the participants of the current study is students with physical disabilities that, functional impairment and physical disability tended to show a significant association with low skeletal muscle mass (27,28). Nevertheless, it is worth noting that some of the participants were using wheelchairs so they were not able to stand on the TANITA, body composition analyses reports were not possible to generate, thus leading to the missing values in weight and BMI.…”

Section: Body Compositionmentioning

confidence: 64%

“…In addition to that, most of the physical performance-related research only showed the improvement of disabled elderlies' flexibility in stretching and balancing exercises, like yoga and vibration exercise, as well as in resistance training (40)(41)(42). Despite having mentioned that both elderly and physically disabled have a relatively weak skeletal muscle mass compared to others, in which may have similar physical movement limitations (27,28), the current research discovered that aerobic exercises could improve the flexibility of physical disabilities.…”

Section: Discussionmentioning

confidence: 82%

“…Regarding the pretest-posttest differences on aspects of body composition, the Wilcoxon signed rank test did not reveal any significant results on all related aspects, including BMI, skinfold test (triceps), fat mass (FM) and predicted muscle mass (PMM). But still, the descriptive statistics showed a slight increase in the overall mean of the BMI, FM and SMI (27,28). Therefore, whether a longer intervention program is able to reveal a positive body composition change among students with physical disability is still considered as uncertain ( Table 2).…”

Section: Body Compositionmentioning

confidence: 99%

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Effects of Sitting Light Volleyball Intervention on Physical Fitness Among Hong Kong Students with Physical Disabilities: A Pilot Quasi-Experimental Study

Wong

Leung

2020

Asian J Sports Med

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Background: Hong Kong students with physical disabilities were being seen as physically inactive compared with typically developed people or even people with other disabilities, such as visual impairment or intellectual disabilities. Lack of regular physical activity would lead to poor physical fitness, and yet is associated with a higher risk of being obese or other physical as well as mental health problems. Currently, a newly developed sport, sitting light volleyball, modified from the Paralympic sitting volleyball, is considered as suitable for disabled people with lower physical fitness, in which was able to increase fitness level and increase their physical activity. Objectives: The current study aimed to examine the effect of sitting light volleyball in improving physical fitness among students with physical disabilities in Hong Kong. Methods: The current study was an interventional, quasi-experimental study. Nineteen participants, 8 males and 11 females, with the age of 18.5 on average (SD = 3.24), participated in the study. Two local special education schools were involved in the 10-week (65 minutes per session) sitting light volleyball intervention program. Participants took part in a fitness test before and after the intervention. The intended-to-treat approach was adopted throughout the data analysis, with the last observation carried forward method for managing the missing data. Results: No significant changes in body composition outcomes of the participants were found. The non-parametric sign test showed significant median differences on dumbbell press test and flexibility test of the right shoulder before and after the intervention, with Z = 2.94, P = 0.003; Z = 2.20, P = 0.028, respectively. Conclusions: This indicated that the sitting light volleyball intervention was able to provide preliminary evidence on showing the enhancement of muscle endurance and flexibility of the students with physical disabilities. Whereas, intensified interventions should be done in the future to examine the possible changes in body composition as well as psychological health conditions.

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“…The length of the gastrocnemius muscle during gait in normal humans is associated with the kinematics of ankle and knee joints, while the length of the soleus muscle is closely associated with the kinematics of the ankle joint (Matsunaga et al, 2018). Spasticity and contracture of muscles due to cerebral lesions can affect structural changes in the bone.…”

Section: Discussionmentioning

confidence: 99%

Differences of the ankle plantar flexor length in typically developing children and children with spastic hemiplegic cerebral palsy

DaeYeon

2019

J Exerc Rehabil

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The purpose of this study is to analyze the lengths of the medial and lateral gastrocnemius and soleus muscles in children with spastic hemiplegic cerebral palsy to quantitatively assess the structural differences in skeletal muscles. This study included 10 children with spastic cerebral palsy and 10 children with typically development. To assess the changes in the length of the ankle plantar flexor due to cerebral palsy, we utilized both gait analysis and software for interactive musculoskeletal modeling to model skeletal muscle length. With this model, the differences in the lengths of the medial and lateral gastrocnemius and soleus muscles were assessed at different knee (0°, 45°, and 90°) and ankle (−10°, 0°, 15°, and 30°) angles. Muscle length on the paretic group was shorter than the typically developing and nonparetic group for all three muscles (medial and lateral gastrocnemius and soleus muscles) for knee and ankle angles. These results were not statistically significant. Normalized muscle lengths in the dynamic/static status revealed a significant difference in the length of the lateral gastrocnemius muscle between the cerebral palsy and typically developing group. I observed muscle shortening on the paretic side of the children with cerebral palsy. This finding suggests that the recovery of plantar flexor length is the most important issue that must be resolved for normal gait and motor function.

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Correlation between the Gait Deviation Index and skeletal muscle mass in children with spastic cerebral palsy

Cited by 11 publications

References 24 publications

Diagnostic Ultrasound Detection of Changes in Femoral Muscle Mass Recovery after Tibial Plateau Levelling Osteotomy in Dogs

Diagnostic Ultrasound Detection of Changes in Femoral Muscle Mass Recovery after Tibial Plateau Levelling Osteotomy in Dogs

Effects of Sitting Light Volleyball Intervention on Physical Fitness Among Hong Kong Students with Physical Disabilities: A Pilot Quasi-Experimental Study

Differences of the ankle plantar flexor length in typically developing children and children with spastic hemiplegic cerebral palsy

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