Quantitative assessment of muscle stiffness with acoustic radiation force impulse elastography after botulinum toxin A injection in children with cerebral palsy

Our objective in this study was to assess the changes in medial gastrocnemius muscle (GCM) stiffness after botulinum toxin A (BTA) injection in children with cerebral palsy (CP) by using acoustic radiation force impulse (ARFI) elastography and to research the usability of this technique in clinical practice. Twenty-four spastic lower extremities of 12 children with CP were assessed. BTA injection treatment was applied to the medial GCM. Muscle stiffness was measured with the ARFI technique before the procedure and a month after the procedure. The patients were assessed with the modified Ashworth scale (MAS) in the physiotherapy department at about the same time. Shear wave velocity (SWV) values and MAS scores before and after the treatment were compared. Mean SWV values were measured as 3.20 +/- 0.14 m/s before BTA and as 2.45 +/- 0.21 m/s after BTA, and the difference between them was found to be statistically significant (p < 0.001). Mean MAS score (2.33 +/- 0.70) after BTA decreased significantly when compared to the score before BTA (2.96 +/- 0.62) (p = 0.001). SWV values positively correlated with MAS scores (rho = 0.578, p = 0.003). The interobserver agreement expressed as interclass correlation coefficient (ICC) was 0.65 (95% CI 0.33-0.84, p < 0.001). ARFI elastography for identifying structural changes that occur in the spastic muscle after BTA injection in children with CP can yield more valuable information with combined use of MAS.

Yazar Bilgici, Meltem Ceyhan
Bekci, Tumay
Ulus, Yasemin
Bilgici, Ayhan
Tomak, Leman
Selcuk, Mustafa Bekir
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3213
Tek Biçim Adres 10.1007/s10396-017-0780-y
Konu Başlıkları Cerebral palsy
Gastrocnemius muscle
Muscle spasticity
ARFI elastography
Botulinum toxin A
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF MEDICAL ULTRASONICS
Dergi Cilt Bilgisi 45
Dergi Sayısı 1
Sayfalar 137 - 141
Yayın Yılı 2018
Eser Adı
[dc.title]
Quantitative assessment of muscle stiffness with acoustic radiation force impulse elastography after botulinum toxin A injection in children with cerebral palsy
Yazar
[dc.contributor.author]
Bilgici, Meltem Ceyhan
Yazar
[dc.contributor.author]
Bekci, Tumay
Yazar
[dc.contributor.author]
Ulus, Yasemin
Yazar
[dc.contributor.author]
Bilgici, Ayhan
Yazar
[dc.contributor.author]
Tomak, Leman
Yazar
[dc.contributor.author]
Selcuk, Mustafa Bekir
Yayın Yılı
[dc.date.issued]
2018
Yayıncı
[dc.publisher]
SPRINGER JAPAN KK
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Our objective in this study was to assess the changes in medial gastrocnemius muscle (GCM) stiffness after botulinum toxin A (BTA) injection in children with cerebral palsy (CP) by using acoustic radiation force impulse (ARFI) elastography and to research the usability of this technique in clinical practice. Twenty-four spastic lower extremities of 12 children with CP were assessed. BTA injection treatment was applied to the medial GCM. Muscle stiffness was measured with the ARFI technique before the procedure and a month after the procedure. The patients were assessed with the modified Ashworth scale (MAS) in the physiotherapy department at about the same time. Shear wave velocity (SWV) values and MAS scores before and after the treatment were compared. Mean SWV values were measured as 3.20 +/- 0.14 m/s before BTA and as 2.45 +/- 0.21 m/s after BTA, and the difference between them was found to be statistically significant (p < 0.001). Mean MAS score (2.33 +/- 0.70) after BTA decreased significantly when compared to the score before BTA (2.96 +/- 0.62) (p = 0.001). SWV values positively correlated with MAS scores (rho = 0.578, p = 0.003). The interobserver agreement expressed as interclass correlation coefficient (ICC) was 0.65 (95% CI 0.33-0.84, p < 0.001). ARFI elastography for identifying structural changes that occur in the spastic muscle after BTA injection in children with CP can yield more valuable information with combined use of MAS.
Açıklama
[dc.description]
WOS: 000418965300019
Açıklama
[dc.description]
PubMed: 28271231
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Cerebral palsy
Konu Başlıkları
[dc.subject]
Gastrocnemius muscle
Konu Başlıkları
[dc.subject]
Muscle spasticity
Konu Başlıkları
[dc.subject]
ARFI elastography
Konu Başlıkları
[dc.subject]
Botulinum toxin A
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1346-4523
ISSN
[dc.identifier.issn]
1613-2254
İlk Sayfa Sayısı
[dc.identifier.startpage]
137
Son Sayfa Sayısı
[dc.identifier.endpage]
141
Dergi Adı
[dc.relation.journal]
JOURNAL OF MEDICAL ULTRASONICS
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
45
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s10396-017-0780-y
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3213
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
24
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
15 Şubat 2024 09:00
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Tıklayınız
before values injection children technique treatment spastic elastography muscle procedure changes medial compared stiffness assessed scores measured significantly decreased statistically between significant positively combined information valuable structural identifying correlated coefficient correlation interclass expressed agreement interobserver
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