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QUANTITATIVE ULTRASOUND IMAGING TO ASSESS THE BICEPS BRACHII MUSCLE IN CHRONIC POST-STROKE SPASTICITY: PRELIMINARY OBSERVATION

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收录情况: ◇ SCIE ◇ EI

机构: [1]Department of Radiology,Weill Cornell Medicine,New York,NewYork,USA [2]RockyVista University,Ivins,Utah,USA [3]Beijing Tiantan Hospital,Capital Medical University,Beijing,China [4]Department of Radiology,University of Michigan,AnnArbor,Michigan,USA [5]Department of Rehabilitation Medicine,Weill Cornell Medicine,NewYork,NewYork,USA
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关键词: Biceps brachii muscle Modified Ashworth scale Post-stroke spasticity Shear wave elastography Ultrasound

摘要:
We prospectively investigated the feasibility of using quantitative ultrasound imaging (QUI) to assess the biceps brachii muscle (BBM) in individuals with chronic post-stroke spasticity. To quantify muscle echogenicity and stiffness, we measured QUI parameters (gray-scale pixel value and shear wave velocity [SWV, m/s]) of the BBM in three groups: 16 healthy BBMs; 12 post-stroke, non-spastic BBMs; and 12 post-stroke, spastic BBMs. The QUI results were compared with the Modified Ashworth Scale and Tardieu Scale. A total of 20 SWVs were measured in each BBM, once at elbow in 90 degrees flexion and again at maximally achievable extension using acoustic radiation force impulse imaging. BBM pixel value was measured in gray-scale images captured at 90 degrees elbow flexion using ImageJ software. Statistical analyses included analysis of variance for examining the difference in SWV and pixel values among the three groups; Bonferroni correction for testing the difference in SWV and pixel values in a paired group; t-test for examining the difference in SWV values measured at two elbow angles; and Pearson correlation coefficient for analyzing the correlation of QUI to Modified Ashworth Scale and Tardieu Scale. SWV significantly differed between spastic BBMs and non-spastic or healthy BBMs. For pixel values, each of the three groups significantly differed from the others at elbow 90 degrees flexion. The difference in SWV measured between the two elbow angles was also significant (p < 0.01). A strong negative correlation was found between SWV and passive range of motion (R-2 = -0.88, p < 0.0001) in spastic upper limbs. These results suggest that the use of QUI is feasible in quantitative assessment of spastic BBM. (C) 2017 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 2 区 声学 3 区 核医学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 声学 3 区 核医学
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出版当年[2016]版:
Q1 ACOUSTICS Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 ACOUSTICS

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第一作者机构: [1]Department of Radiology,Weill Cornell Medicine,New York,NewYork,USA [2]RockyVista University,Ivins,Utah,USA [*1]Rocky Vista University,255 East Center Street,C286,Ivins,UT84738,USA
通讯作者:
通讯机构: [1]Department of Radiology,Weill Cornell Medicine,New York,NewYork,USA [2]RockyVista University,Ivins,Utah,USA [*1]Rocky Vista University,255 East Center Street,C286,Ivins,UT84738,USA
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