Association of activities of daily living and cognitive function with thickness of the upper extremity muscles in children and adults with cerebral palsy.
Association of activities of daily living and cognitive function with thickness of the upper extremity muscles in children and adults with cerebral palsy.
复制标题
脑瘫儿童和成人的日常生活活动和认知功能与上肢肌肉厚度的关系。
DOI：
10.1007/s10396-023-01292-0
复制
发表时间：
2023
影响因子：
1.8
通讯作者：
Kitamura Y.
中科院分区：
文献类型：
--
作者：
Masaki M;Uchikawa Y;Iizuka Y;Sugawara K;Isobe H;Hattori F;Okamoto M;Takahashi S;Morohashi E;Kitamura Y.
目的探讨脑性瘫痪(CP)儿童和成人日常生活活动能力(ADL)和认知功能与上肢肌肉厚度、上肢活动范围(ROM)和痉挛状态的关系。分别采用儿童残疾评定量表(PEDI)的生活自理领域和韦氏儿童智力量表(WISC-IV)的全量智商(FSIQ)评定患者的上肢ADL和认知功能。在20名能够接受评估的受试者中，只有7人接受了WISC-IV的评估。使用超声成像仪测量上肢肌肉厚度。采用改良Ashworth评分(MAS)评定患者上肢的活动度和痉挛状态。结果逐步回归分析显示伸指伸肌厚度和MACS水平是影响足底自理能力的显著独立因素。以MACS水平和年龄为控制变量的偏相关分析显示，WISC-IV的FSIQ与三角肌和指浅屈肌前纤维厚度显著相关。结论儿童和成人CP患者采用上肢进行ADL训练与伸指肌层厚度减少有关，而与上肢关节活动度和上肢痉挛程度无关。
PurposeWe examined the association of activities of daily living (ADL) and cognitive function with the upper extremity muscle thickness and upper extremity range of motion (ROM) and spasticity in children and adults with cerebral palsy (CP).MethodsThe subjects were 20 children and adults with CP. The ADL performed using the upper extremities and cognitive function were assessed using the self-care domain of the Pediatric Evaluation of Disability Inventory (PEDI) and the full-scale intelligence quotient (FSIQ) of the Wechsler Intelligence Scale for Children, fourth edition (WISC-IV), respectively. The WISC-IV was assessed in only seven of 20 subjects able to undergo evaluation. The thickness of the upper extremity muscles was measured using an ultrasound imaging device. Moreover, ROM and spasticity of the upper extremities were assessed using the Modified Ashworth Scale (MAS). Manual manipulation ability was also assessed using the Manual Ability Classification System (MACS).ResultsStepwise regression analysis revealed that the extensor digitorum muscle thickness and MACS level were significant and independent factors of self-care in the PEDI. Partial correlation analysis with MACS level and age as control variables showed that the FSIQ of the WISC-IV was significantly associated with the thickness of the anterior fibers of the deltoid and flexor digitorum superficialis muscles.ConclusionReduced ADL performed using the upper extremities is associated with decreased extensor digitorum muscle thickness rather than ROM and spasticity of the upper extremities in children and adults with CP.