Lower extremity strength profiles in spastic cerebral palsy

被引:332
作者
Wiley, ME
Damiano, DL
机构
[1] Univ Virginia, Hlth Sci Ctr, Mot Anal & Human Performance Lab, Charlottesville, VA USA
[2] Univ Virginia, Curry Sch Educ, Charlottesville, VA 22903 USA
关键词
D O I
10.1111/j.1469-8749.1998.tb15369.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Although weakness has been identified in cerebral palsy (CP) in isolated muscle groups, the magnitude of weakness in multiple muscles and the patterns of weakness across joints have not been documented. The maximum voluntary contraction of eight muscle groups in the lower extremities of 15 children with spastic diplegia, 15 with spastic hemiplegia, and 16 age-matched peers was determined using a hand-held dynamometer. Children with spastic diplegia were shown to be weaker than age-matched peers in all muscles tested, as were the children with hemiplegia on the involved side, with strength differences also noted on the uninvolved side. Weakness was more pronounced distally in the groups with CP, and the hip flexors and ankle plantarflexors in spastic CP tended to be relatively stronger than their antagonists as compared with the strength ratios of the comparison group. In conclusion, children with spastic CP demonstrate quantifiable lower-extremity weakness and muscle imbalance across joints.
引用
收藏
页码:100 / 107
页数:8
相关论文
共 26 条
[1]  
BERGER W, 1982, ELECTROENCEPHALOGRAP, V58, P538
[2]   IS THE MEASUREMENT OF MUSCLE STRENGTH APPROPRIATE IN PATIENTS WITH BRAIN-LESIONS - A SPECIAL COMMUNICATION [J].
BOHANNON, RW .
PHYSICAL THERAPY, 1989, 69 (03) :225-230
[3]  
BROWN JK, 1991, DEV MED CHILD NEUROL, V33, P1037
[4]   MUSCLE RESPONSE TO HEAVY RESISTANCE EXERCISE IN CHILDREN WITH SPASTIC CEREBRAL-PALSY [J].
DAMIANO, DL ;
VAUGHAN, CL ;
ABEL, MF .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 1995, 37 (08) :731-739
[5]   EFFECTS OF QUADRICEPS FEMORIS MUSCLE STRENGTHENING ON CROUCH GAIT IN CHILDREN WITH SPASTIC DIPLEGIA [J].
DAMIANO, DL ;
KELLY, LE ;
VAUGHN, CL .
PHYSICAL THERAPY, 1995, 75 (08) :658-667
[6]  
Daniels L, 1972, MUSCLE TESTING TECHN
[7]  
DIETZ V, 1995, DEV MED CHILD NEUROL, V37, P180
[8]  
GUILIANI CA, 1991, PHYS THER, V71, P248
[9]  
HINDERER KA, 1993, INT PERSPECTIVES PHY, V8
[10]  
HORVAT M, 1987, AM CORRECTIVE THERAP, V41, P7