Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy

Aim: To relate quantitative magnetic resonance imaging (MRI) of ankle plantar flexor muscles to clinical functional tests in adults with cerebral palsy (CP) and neurologically intact (NI) adults.Methods: Eleven adults with CP (aged 41 ± 12, GMFCS level I-II) and 11 NI adults (aged 35 ± 10) participa...

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Autores principales: Christian Svane, Christian Riis Forman, Aqella Rasul, Christian Hammer Nielsen, Jens Bo Nielsen, Jakob Lorentzen
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:bac5328b3bf545519e6b5e7deeb656802021-11-10T05:39:18ZQuantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy1664-229510.3389/fneur.2021.771375https://doaj.org/article/bac5328b3bf545519e6b5e7deeb656802021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.771375/fullhttps://doaj.org/toc/1664-2295Aim: To relate quantitative magnetic resonance imaging (MRI) of ankle plantar flexor muscles to clinical functional tests in adults with cerebral palsy (CP) and neurologically intact (NI) adults.Methods: Eleven adults with CP (aged 41 ± 12, GMFCS level I-II) and 11 NI adults (aged 35 ± 10) participated in this case-control study. We used MRI to assess muscle volume and composition of the triceps surae muscles. We quantified muscle function as maximal voluntary plantarflexion (MVC) torque and countermovement jump (CMJ) height.Results: Compared to NI adults, the MRI intramuscular fat fraction estimate was significantly higher and MRI muscle volume and functional abilities (MVC and CMJ) significantly lower in adults with CP. In NI adults, but not adults with CP, MRI muscle volume correlated significantly with MVC and CMJ. In adults with CP, the estimate of intramuscular fat levels correlated significantly with jump height in a CMJ.Discussion: This study shows reduced muscle volume and altered muscle composition in adults with CP. Muscle composition appears to provide a better marker than muscle volume of reduced muscle function and impaired performance in this population. Measurements of muscle composition could be used in the assessment of neuromuscular impairments and in the determination of rehabilitation protocols in individuals with neurological disorders.Christian SvaneChristian SvaneChristian Riis FormanChristian Riis FormanAqella RasulChristian Hammer NielsenJens Bo NielsenJens Bo NielsenJakob LorentzenJakob LorentzenFrontiers Media S.A.articlemagnetic resonance imaging (MRI)cerebral palsymuscle compositionmuscle sizefat fractioncountermovement jumpNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic magnetic resonance imaging (MRI)
cerebral palsy
muscle composition
muscle size
fat fraction
countermovement jump
Neurology. Diseases of the nervous system
RC346-429
spellingShingle magnetic resonance imaging (MRI)
cerebral palsy
muscle composition
muscle size
fat fraction
countermovement jump
Neurology. Diseases of the nervous system
RC346-429
Christian Svane
Christian Svane
Christian Riis Forman
Christian Riis Forman
Aqella Rasul
Christian Hammer Nielsen
Jens Bo Nielsen
Jens Bo Nielsen
Jakob Lorentzen
Jakob Lorentzen
Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy
description Aim: To relate quantitative magnetic resonance imaging (MRI) of ankle plantar flexor muscles to clinical functional tests in adults with cerebral palsy (CP) and neurologically intact (NI) adults.Methods: Eleven adults with CP (aged 41 ± 12, GMFCS level I-II) and 11 NI adults (aged 35 ± 10) participated in this case-control study. We used MRI to assess muscle volume and composition of the triceps surae muscles. We quantified muscle function as maximal voluntary plantarflexion (MVC) torque and countermovement jump (CMJ) height.Results: Compared to NI adults, the MRI intramuscular fat fraction estimate was significantly higher and MRI muscle volume and functional abilities (MVC and CMJ) significantly lower in adults with CP. In NI adults, but not adults with CP, MRI muscle volume correlated significantly with MVC and CMJ. In adults with CP, the estimate of intramuscular fat levels correlated significantly with jump height in a CMJ.Discussion: This study shows reduced muscle volume and altered muscle composition in adults with CP. Muscle composition appears to provide a better marker than muscle volume of reduced muscle function and impaired performance in this population. Measurements of muscle composition could be used in the assessment of neuromuscular impairments and in the determination of rehabilitation protocols in individuals with neurological disorders.
format article
author Christian Svane
Christian Svane
Christian Riis Forman
Christian Riis Forman
Aqella Rasul
Christian Hammer Nielsen
Jens Bo Nielsen
Jens Bo Nielsen
Jakob Lorentzen
Jakob Lorentzen
author_facet Christian Svane
Christian Svane
Christian Riis Forman
Christian Riis Forman
Aqella Rasul
Christian Hammer Nielsen
Jens Bo Nielsen
Jens Bo Nielsen
Jakob Lorentzen
Jakob Lorentzen
author_sort Christian Svane
title Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy
title_short Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy
title_full Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy
title_fullStr Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy
title_full_unstemmed Quantitative MRI and Clinical Assessment of Muscle Function in Adults With Cerebral Palsy
title_sort quantitative mri and clinical assessment of muscle function in adults with cerebral palsy
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/bac5328b3bf545519e6b5e7deeb65680
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