超声弹性成像在肌肉痉挛评定中的应用进展

doi:10.3969/j.issn.1006-9771.2018.07.011

Abstract

Abstract: Spasticity is one of common manifestations of upper motor neuron injury, and often evaluated with semi-quantitative scales. Ultrasound elastography (UE) can provide elastic information for muscle tissue, and can be used for the evaluation of muscle tension after cerebral palsy and stroke, as well as the efficacy of treatment. It correlates well with clinical spasm rating scales. However, UE may also be used for assessment of spasticity after spinal cord injury and multiple sclerosis, etc.

Key words: spasticity, assessment, ultrasound elastography, review

CLC Number:

R445.1

ZHONG Dong-ling, YANG Lu-ping, HU Yi-juan, LI Meng-xiao, ZHANG Fu-rong, LI Juan, JIN Rong-jiang. Advance in Ultrasound Elastography for Evaluation of Spasticity (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(7): 815-818.

References

[1] Lance JW.Symposium synopsis[M]// Feldman RG, Young RR, Koella WP. Spasticity: Disordered Motor Control. Miami,FL: Year Book Medical Publishers, 1980: 485-494.
[2] Noreau L, Proulx P, Gagnon L, et al.Secondary impairments after spinal cord injury: a population-based study[J]. Am J Phys Med Rehabil, 2000, 79(6): 526-535.
[3] Welmer AK, von Arbin M, Widen Holmqvist L, et al. Spasticity and its association with functioning and health-related quality of life 18 months after stroke[J]. Cerebrovasc Dis, 2006, 21(4): 247-253.
[4] Wichers MJ, Odding E, Stam HJ, et al.Clinical presentation, associated disorders and aetiological moments in cerebral palsy: a Dutch population-based study[J]. Disabil Rehabil, 2005, 27(10): 583-589.
[5] Wedekind C, Lippert-Gruner M.Long-term outcome in severe traumatic brain injury is significantly influenced by brainstem involvement[J]. Brain Inj, 2005, 19(9): 681-684.
[6] Mutlu A, Livanelioglu A, Gunel MK.Reliability of Ashworth and Modified Ashworth Scales in children with spastic cerebral palsy[J]. BMC Muskuloskelet Disord, 2008, 9(1): 44.
[7] 饶金柱,关健伟,曹黎明. 脑卒中后肌痉挛发病情况调查分析[J]. 中国实用神经疾病杂志, 2013, 16(1): 74-76.
[8] Ophir J, Céspedes I, Ponnekanti H, et al.Elastography: a quantitative method for imaging the elasticity of biological tissues[J]. Ultrason Imaging, 1991, 13(2): 111-134.
[9] 林僖,李安华,王悦,等. 超声弹性成像对乳腺实性肿瘤的初步研究[J]. 中国超声医学杂志, 2006, 22(3): 185-187.
[10] 马媛媛,张晓光,帕丽达·帕尔哈提,等. 国内超声弹性成像对甲状腺良恶性结节鉴别诊断价值的Meta分析[J]. 中国循证医学杂志, 2014, 14(5): 584-591.
[11] 刘利,洪睿霞,黄泽君,等. 超声弹性成像技术在肝脏肿块良恶性鉴别诊断中的应用价值[J]. 临床超声医学杂志, 2015, 17(9): 590-593.
[12] Aubry S, Risson JR, Barbier-Brion B, et al.Transient elastography of calcaneal tendon: preliminary results and future prospects[J]. J Radiol, 2011, 92(5): 421-427.
[13] Nordez A, Hug F.Muscle shear elastic modulus measured using supersonic shear imaging is highly related to muscle activity level[J]. J Appl Physiol (1985), 2010, 108(5): 1389-1394.
[14] 温朝阳,范春芝,安力春,等. 实时定量超声弹性成像技术检测肱二头肌松弛和紧张状态下弹性模量值差异[J]. 中华医学超声杂志(电子版), 2011, 8(1): 129-134.
[15] 肖沪生,范春芝,徐智章,等. 肱二头肌收缩的剪切波声弹性成像动态测定及其生理学意义探讨[J]. 上海医学影像, 2012, 21(2): 81-83.
[16] Yoshitake Y, Takai Y, Kanehisa H, et al.Muscle shear modulus measured with ultrasound shear-wave elastography across a wide range of contraction intensity[J]. Muscle Nerve, 2014, 50(1): 103-113.
[17] 徐开寿,何璐,麦坚凝,等. 痉挛型脑瘫患儿的社会生活能力特征及其相关性研究[J]. 中国康复医学杂志, 2011, 26(4): 308-312.
[18] 徐开寿,麦坚凝. 脑性瘫痪的诊断、评价与治疗[J]. 实用儿科临床杂志, 2010, 25(12): 950-952.
[19] Booth CM, Cortina-Borja MJ, Theologis TN.Collagen accumulation in muscles of children with cerebral palsy and correlation with severity of spasticity[J]. Dev Med Child Neurol, 2001, 43(5): 314-320.
[20] Smith LR, Lee KS, Ward SR, et al.Hamstring contractures in children with spastic cerebral palsy result from a stiffer extracellular matrix and increased in vivo sarcomere length[J]. J Physiol, 2011, 589(Pt 10): 2625-2639.
[21] Mathewson MA, Chambers HG, Girard PJ, et al.Stiff muscle fibers in calf muscles of patients with cerebral palsy lead to high passive muscle stiffness[J]. J Orthop Res, 2014, 32(12): 1667-1674.
[22] Brandenburg JE, Eby SF, Song P, et al.Feasibility and reliability of quantifying passive muscle stiffness in young children by using shear wave ultrasound elastography[J]. J Ultrasound Med, 2015, 34(4): 663-670.
[23] Brandenburg JE, Eby SF, Song P, et al.Quantifying passive muscle stiffness in children with and without cerebral palsy using ultrasound shear wave elastography[J]. Dev Med Child Neurol, 2016, 58(12): 1288-1294.
[24] Lee SS, Gaebler-Spira D, Zhang LQ, et al.Use of shear wave ultrasound elastography to quantify muscle properties in cerebral palsy[J]. Clin Biomech (Bristol, Avon), 2016, 31: 20-28.
[25] Kwon DR, Park GY, Lee SU, et al.Spastic cerebral palsy in children; dynamic sono elastographic findings of medial gastrocnemius[J]. Radiology, 2012, 263(3): 794-801.
[26] Öztürk M, Sayinbatur B.Real-time ultrasound elastography of the Achilles tendon in patients with cerebral palsy: Is there a correlation between strain ratio and biomechanical indicators?[J]. J Med Ultrason (2001), 2017, 45(1): 143-148.
[27] Vasilescu D, Vasilescu D, Dudea S, et al.Sonoelastography contribution in cerebral palsy spasticity treatment assessment, preliminary report: a systematic review of the literature apropos of seven patients[J]. Med Ultrason, 2010, 12(4): 306-310.
[28] Bilgici MC, Bekci T, Ulus Y, et al.Quantitative assessment of muscle stiffness with acoustic radiation force impulse elastography after botulinum toxin A injection in children with cerebral palsy[J]. J Med Ultrason, 2017, 45(1): 137-141.
[29] Boyaci A, Tutoglu A, Boyaci N, et al.Changes in spastic muscle stiffness after botulinum toxin A injections as part of rehabilitation therapy in patients with spastic cerebral palsy[J]. NeuroRehabilitation, 2014, 35(1): 123-129.
[30] Park GY, Kwon DR.Sonoelastographic evaluation of medial gastrocnemius muscles intrinsic stiffness after rehabilitation therapy with botulinum toxin A injection in spastic cerebral palsy[J]. Arch Phys Med Rehabil, 2012, 93(11): 2085-2089.
[31] Sommerfeld DK, Eek EU, Svensson AK, et al.Spasticity after stroke: its occurrence and association with motor impairments and activity limitations[J]. Stroke, 2004, 35(1): 134-139.
[32] Welmer AK, von Arbin M, Widen HL, et al. Spasticity and its association with functioning and health-related quality of life 18 months after stroke[J]. Cerebrovasc Dis, 2006, 21(4): 247-253.
[33] 樊留博,韩文胜,田瑛,等. 超声弹性成像技术在脑卒中后痉挛性偏瘫患者康复疗效评估中的应用[J]. 新医学, 2017, 48(4): 229-234.
[34] 樊留博,韩文胜,江莹莹,等. 超声弹性成像评价脑卒中偏瘫肢体硬度对痉挛性偏瘫患者预后的影响[J]. 中华全科医学, 2017, 15(8): 1323-1325, 1354.
[35] 王季,张志杰,陈亮波,等. 实时剪切波超声弹性成像技术在评估针刺治疗脑中风后肌痉挛的临床应用[J]. 四川中医, 2016, 34(12): 171-173.
[36] 郭云怀,马力,李忠举,等. 实时剪切波弹性成像技术评估脑卒中后下肢肌张力的研究[J]. 中国现代医学杂志, 2017, 27(24): 81-84.
[37] Kesikburun S, Yaşar E, Adıgüzel E, et al.Assessment of spasticity with sonoelastography following stroke: a feasibility study[J]. PM R, 2015, 7(12): 1254-1260.
[38] Yaşar E, Adigüzel E, Kesikburun S.Assessment of forearm muscle spasticity with sonoelastography in patients with stroke[J]. Br J Radiol, 2016, 89(1068): 20160603.
[39] 陈欣欣. 剪切波弹性成像评价注射A型肉毒毒素治疗中枢神经损伤肌痉挛临床研究[D]. 广州:广州中医药大学, 2016.
[40] 邵玉红,孔迅,彭泽,等. 超声弹性成像在评价脑卒中后单侧下肢运动障碍患者康复训练后跟腱恢复功能的价值[J]. 中国超声医学杂志, 2017, 33(2): 166-169.
[41] Illomei G.Muscle elastography in multiple sclerosis spasticity[J]. Neurodegener Dis Manag, 2016, 6(6s): 13-16.
[42] Illomei G, Spinicci G, Locci E, et al.Muscle elastography: a new imaging technique for multiple sclerosis spasticity measurement[J]. Neurol Sci, 2017, 38(3): 433-439.
[43] 姜丽,王巧缘,卫小梅,等. 脊髓损伤大鼠痉挛腓肠肌超声弹性成像特征与其病理学特征的相关性[J]. 中国医学影像技术, 2016, 32(3): 323-327.

Advance in Ultrasound Elastography for Evaluation of Spasticity (review)

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	SHAO Weiting, LEI Jianghua. Effect of response interruption and redirection as a behavioral intervention on vocal stereotypy in children with autism spectrum disorder: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 10-20.
[2]	WANG Hangyu, GE Keke, FAN Yonghong, DU Lilu, ZOU Min, FENG Lei. Effect of active music therapy on cognitive function for older adults with cognitive impairment: a systematic review based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 36-43.
[3]	WEN Jianing, JIN Qiuyan, ZHANG Qi, LI Jie, SI Qi. Effect of cognitively engaging physical activity on developing executive function of children and adolescents: a systematic review based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 44-53.
[4]	GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
[5]	ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.
[6]	WANG Junyu, YANG Yong, YUAN Xun, XIE Ting, ZHUANG Jie. Effect of high-intensity interval training on executive function for healthy children and adolescents: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1012-1020.
[7]	WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028.
[8]	YANG Yaru, YANG Jian. School-based physical activity-related health services and their health benefits within the World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1040-1047.
[9]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[10]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.
[11]	JIANG Changhao, HUANG Chen, GAO Xiaoyan, DAI Yuanfu, ZHAO Guoming. Effect of neurofeedback training on cognitive function in the elderly: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 903-909.
[12]	WEI Xiaowei, YANG Jian, WEI Chunyan, HE Qiling. Adapted physical education programs for psychomotor development in school settings for children with intellectual and developmental disabilities: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 910-918.
[13]	ZHANG Yuan, YANG Jian. School health services and effectiveness based on World Health Organization health-promoting school framework: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 791-799.
[14]	WANG Shaopu, CHEN Gang. Psychological-behavioral health services and its outcome based on World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 800-807.
[15]	JIANG Changhao, GAO Xiaoyan. Effect of acute physical activity on cognitive function in children: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 667-672.