Motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment: a diffusion tensor imaging study
Identifieur interne : 000722 ( Main/Exploration ); précédent : 000721; suivant : 000723Motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment: a diffusion tensor imaging study
Auteurs : Jin Hyun Kim [Corée du Sud] ; Yong Min Kwon [Corée du Sud] ; Su Min Son [Corée du Sud]Source :
- Neural Regeneration Research [ 1673-5374 ] ; 2015.
Abstract
Previous diffusion tensor imaging (DTI) studies regarding pediatric patients with motor dysfunction have confirmed the correlation between DTI parameters of the injured corticospinal tract and the severity of motor dysfunction. There is also evidence that DTI parameters can help predict the prognosis of motor function of patients with cerebral palsy. But few studies are reported on the DTI parameters that can reflect the motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment. In the present study, 36 pediatric patients with hemiplegic cerebral palsy were included. Before and after rehabilitation treatment, DTI was used to measure the fiber number (FN), fractional anisotropy (FA) and apparent diffusion coefficient (ADC) of bilateral corticospinal tracts. Functional Level of Hemiplegia scale (FxL) was used to assess the therapeutic effect of rehabilitative therapy on clinical hemiplegia. Correlation analysis was performed to assess the statistical interrelationship between the change amount of DTI parameters and FxL. DTI findings obtained at the initial and follow-up evaluations demonstrated that more affected corticospinal tract yielded significantly decreased FN and FA values and significantly increased ADC value compared to the less affected corticospinal tract. Correlation analysis results showed that the change amount of FxL was positively correlated to FN and FA values, and the correlation to FN was stronger than the correlation to FA. The results suggest that FN and FA values can be used to evaluate the motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment and FN is of more significance for evaluation.
Url:
DOI: 10.4103/1673-5374.155438
PubMed: 26170825
PubMed Central: 4424757
Affiliations:
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xml:lang="en" level="a" type="main">Motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment: a diffusion tensor imaging study</title><author><name sortKey="Kim, Jin Hyun" sort="Kim, Jin Hyun" uniqKey="Kim J" first="Jin Hyun" last="Kim">Jin Hyun Kim</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717</wicri:regionArea><wicri:noRegion>705-717</wicri:noRegion></affiliation></author><author><name sortKey="Kwon, Yong Min" sort="Kwon, Yong Min" uniqKey="Kwon Y" first="Yong Min" last="Kwon">Yong Min Kwon</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717</wicri:regionArea><wicri:noRegion>705-717</wicri:noRegion></affiliation></author><author><name sortKey="Son, Su Min" sort="Son, Su Min" uniqKey="Son S" first="Su Min" last="Son">Su Min Son</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717</wicri:regionArea><wicri:noRegion>705-717</wicri:noRegion></affiliation></author></analytic><series><title level="j">Neural Regeneration Research</title><idno type="ISSN">1673-5374</idno><idno type="eISSN">1876-7958</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Previous diffusion tensor imaging (DTI) studies regarding pediatric patients with motor dysfunction have confirmed the correlation between DTI parameters of the injured corticospinal tract and the severity of motor dysfunction. There is also evidence that DTI parameters can help predict the prognosis of motor function of patients with cerebral palsy. But few studies are reported on the DTI parameters that can reflect the motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment. In the present study, 36 pediatric patients with hemiplegic cerebral palsy were included. Before and after rehabilitation treatment, DTI was used to measure the fiber number (FN), fractional anisotropy (FA) and apparent diffusion coefficient (ADC) of bilateral corticospinal tracts. Functional Level of Hemiplegia scale (FxL) was used to assess the therapeutic effect of rehabilitative therapy on clinical hemiplegia. Correlation analysis was performed to assess the statistical interrelationship between the change amount of DTI parameters and FxL. DTI findings obtained at the initial and follow-up evaluations demonstrated that more affected corticospinal tract yielded significantly decreased FN and FA values and significantly increased ADC value compared to the less affected corticospinal tract. Correlation analysis results showed that the change amount of FxL was positively correlated to FN and FA values, and the correlation to FN was stronger than the correlation to FA. The results suggest that FN and FA values can be used to evaluate the motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment and FN is of more significance for evaluation.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ancel, Py" uniqKey="Ancel P">PY Ancel</name></author><author><name sortKey="Livinec, F" uniqKey="Livinec F">F Livinec</name></author><author><name sortKey="Larroque, B" uniqKey="Larroque B">B Larroque</name></author><author><name sortKey="Marret, S" uniqKey="Marret S">S Marret</name></author><author><name sortKey="Arnaud, C" uniqKey="Arnaud C">C Arnaud</name></author><author><name sortKey="Pierrat, V" uniqKey="Pierrat V">V Pierrat</name></author><author><name sortKey="Dehan, M" uniqKey="Dehan M">M Dehan</name></author><author><name sortKey="N Uyen, S" uniqKey="N Uyen S">S N’Guyen</name></author><author><name sortKey="Escande, B" uniqKey="Escande B">B 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sortKey="Yamamoto, A" uniqKey="Yamamoto A">A Yamamoto</name></author><author><name sortKey="Okano, S" uniqKey="Okano S">S Okano</name></author><author><name sortKey="Kanda, T" uniqKey="Kanda T">T Kanda</name></author><author><name sortKey="Yamori, Y" uniqKey="Yamori Y">Y Yamori</name></author><author><name sortKey="Yoshida, N" uniqKey="Yoshida N">N Yoshida</name></author><author><name sortKey="Hirota, H" uniqKey="Hirota H">H Hirota</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yu, C" uniqKey="Yu C">C Yu</name></author><author><name sortKey="Shu, N" uniqKey="Shu N">N Shu</name></author><author><name sortKey="Li, J" uniqKey="Li J">J Li</name></author><author><name sortKey="Qin, W" uniqKey="Qin W">W Qin</name></author><author><name sortKey="Jiang, T" uniqKey="Jiang T">T Jiang</name></author><author><name sortKey="Li, K" uniqKey="Li K">K Li</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Jin Hyun" sort="Kim, Jin Hyun" uniqKey="Kim J" first="Jin Hyun" last="Kim">Jin Hyun Kim</name></noRegion><name sortKey="Kwon, Yong Min" sort="Kwon, Yong Min" uniqKey="Kwon Y" first="Yong Min" last="Kwon">Yong Min Kwon</name><name sortKey="Son, Su Min" sort="Son, Su Min" uniqKey="Son S" first="Su Min" last="Son">Su Min Son</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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