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Does ultrasound imaging of the spastic muscle have an additive effect on clinical examination tools in patients with cerebral palsy?: A pilot study

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dc.contributor.authorAKBAŞ, FIRAT
dc.contributor.authorYAĞCI, İLKER
dc.contributor.authorAKGÜLLE, AHMET HAMDİ
dc.contributor.authorKARADAĞ SAYGI, NAİME EVRİM
dc.contributor.authorsAtalay K. G., Saygi E. K., AKBAŞ F., Coskun O. K., AKGÜLLE A. H., YAĞCI İ.
dc.date.accessioned2023-05-22T08:11:46Z
dc.date.available2023-05-22T08:11:46Z
dc.date.issued2022-01-01
dc.description.abstractOBJECTIVE: The Modified Ashworth Scale, the Modified Tardieu Scale, and measuring the passive range of motion is commonly preferred examination tools for spasticity in cerebral palsy (CP). Ultrasonography has become increasingly used to provide relevant insight into spastic muscle morphology and structure recently. It was aimed to reveal associations between the clinical and ultrasonographic parameters of gastrocnemius medialis (GM) and lateralis muscles in this population. METHODS: Thirty-four children with spastic CP aged between 4 and 12 years who did not have botulinum neurotoxin A intervention within 6 months or had no previous history of any orthopedic or neurological surgery were included. The spasticity of GM and lateralis was evaluated firstly by the Modified Ashworth Scale, Modified Tardieu Scale, and ankle passive range of motion. Then, the cross-sectional area (CSA), muscle thickness (MT), qualitative and quantitative echo intensity (EI) values of both muscles were measured from their ultrasonographic images. RESULTS: The CSA of GM, and qualitative EI of both muscles were found to be mild-to-moderately correlated to all clinical examination tools (p<0.01), whereas the CSA of gastrocnemius lateralis was mildly related to Modified Ashworth Scale (p=0.009). The MT and quantitative EI of both muscles were not associated with any of the clinical tools (p>0.05). CONCLUSION: Ultrasonographic measurements of GM and lateralis partially reflect ankle spasticity in children with CP. Ultrasonography can be used as an alternative tool in this patient population where the clinical evaluation can not perform ideally.
dc.identifier.citationAtalay K. G., Saygi E. K., AKBAŞ F., Coskun O. K., AKGÜLLE A. H., YAĞCI İ., "Does ultrasound imaging of the spastic muscle have an additive effect on clinical examination tools in patients with cerebral palsy?: A pilot study", NORTHERN CLINICS OF ISTANBUL, cilt.9, sa.2, ss.102-108, 2022
dc.identifier.doi10.14744/nci.2020.78045
dc.identifier.endpage108
dc.identifier.issn2148-4902
dc.identifier.issue2
dc.identifier.startpage102
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/35582513/
dc.identifier.urihttps://hdl.handle.net/11424/289481
dc.identifier.volume9
dc.language.isoeng
dc.relation.ispartofNORTHERN CLINICS OF ISTANBUL
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectTemel Tıp Bilimleri
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectFundamental Medical Sciences
dc.subjectTIP, GENEL & DAHİLİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectMEDICINE, GENERAL & INTERNAL
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectAile Sağlığı
dc.subjectTemel Bilgi ve Beceriler
dc.subjectGenel Sağlık Meslekleri
dc.subjectPatofizyoloji
dc.subjectDahiliye
dc.subjectDeğerlendirme ve Teşhis
dc.subjectTıp (çeşitli)
dc.subjectGenel Tıp
dc.subjectFamily Practice
dc.subjectFundamentals and Skills
dc.subjectGeneral Health Professions
dc.subjectPathophysiology
dc.subjectInternal Medicine
dc.subjectAssessment and Diagnosis
dc.subjectMedicine (miscellaneous)
dc.subjectGeneral Medicine
dc.subjectGastrocnemius
dc.subjectspastic cerebral palsy
dc.subjectultrasound imaging
dc.subjectTOXIN TYPE-A
dc.subjectCHILDREN
dc.subjectGASTROCNEMIUS
dc.subjectARCHITECTURE
dc.subjectSTROKE
dc.subjectRELIABILITY
dc.subjectPARAMETERS
dc.subjectHEALTHY
dc.subjectGastrocnemius
dc.subjectspastic cerebral palsy
dc.subjectultrasound imaging
dc.titleDoes ultrasound imaging of the spastic muscle have an additive effect on clinical examination tools in patients with cerebral palsy?: A pilot study
dc.typearticle
dspace.entity.typePublication
local.avesis.id292f7ac4-419e-4562-952e-349b50510195
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atTRDIZIN
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relation.isAuthorOfPublication6da3f4cf-132f-4cd9-bcd8-3775bb1de546
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relation.isAuthorOfPublication.latestForDiscoveryd08533a1-a413-4e64-841e-eb7914315bd3

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