1 research outputs found
Π£Π»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²Π°Ρ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΡ ΠΌΡΡΡ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ Π΄Π΅ΡΡΠΊΠΈΠΌ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΡΠΌ ΠΏΠ°ΡΠ°Π»ΠΈΡΠΎΠΌ: ΡΠΈΡΡΠ΅ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΎΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ
Quantitative analysis of skeletal muscles in cerebral palsy is an important but unsolved problem. Ultrasound elastography is a group of diagnostic methods that allow visualizing tissue stiffness, measuring and displaying biomechanical properties of tissues. The aim of our study was to conduct a systematic analysis of literature on ultrasound elastography of skeletal muscles in children with cerebral palsy.A literary search for keywords in the databases PubMed, Google Scholar, eLIBRARY was carried out. The inclusion criteria were nosology (cerebral palsy), age (up to 18 years) and the study design (original study in ultrasound elastography of the skeletal muscler), as well as the availability of detailed information about the technical issues, demographic and clinical data.The final analysis included 20 publications. Patients with hemiplegic cerebral palsy were most often studied, with the healthy side used as a control, shear wave elastography was used more often, in which both share wave velocity and shear modulus were assessed, and linear probes were used more often. The most frequent anatomical objects were the calf muscles. Most often, elastography was used to assess the results of botulinum therapy, and demonstrated an increase in muscle elasticity after treatment.Ultrasound elastography as a method od assessment of the mechanical properties of skeletal muscles in children with cerebral palsy cannot be considered suitable as a routine study at the moment. But the method showed promising results for the research purposes: all the publications we analyzed demonstrated significant difference in elastography indicators both when comparing with unaffected limb or with healthy controls. Positive changes were also detected after various therapeutic interventions aimed to reducing muscle tone and retraction e. g. botulinum toxin injections.The absence of a unified approach to muscle elastography in children with cerebral palsy was demonstrated, both for data obtaining and interpretation. In general, ultrasound elastography of the skeletal muscles in children with cerebral palsy is a promising method for qualitative and quantitative assessment of muscle tissue that requires further development. Improvement of technology, standardization of technique and measurements will further expand the usage of this method.Π£Π»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²Π°Ρ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΡ β ΡΡΠΎ Π³ΡΡΠΏΠΏΠ° Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ², ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠΈΡ
Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ ΠΆΠ΅ΡΡΠΊΠΎΡΡΡ ΡΠΊΠ°Π½ΠΈ, ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΡΡ ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΎΡΠΎΠ±ΡΠ°ΠΆΠ°ΡΡ Π±ΠΈΠΎΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ²ΠΎΠΉΡΡΠ²Π° ΡΠΊΠ°Π½Π΅ΠΉ. Π¦Π΅Π»ΡΡ ΡΠ°Π±ΠΎΡΡ Π±ΡΠ»ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΡΠΈΡΡΠ΅ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π° ΠΈΠΌΠ΅ΡΡΠΈΡ
ΡΡ Π² Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ΅ Π΄Π°Π½Π½ΡΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ, ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π½ΡΡ
ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΠΈ ΠΌΡΡΡΡ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ Π΄Π΅ΡΡΠΊΠΈΠΌ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΡΠΌ ΠΏΠ°ΡΠ°Π»ΠΈΡΠΎΠΌ (ΠΠ¦Π).ΠΡΠΎΠ²Π΅Π΄Π΅Π½ ΠΏΠΎΠΈΡΠΊ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ ΠΏΠΎ ΠΊΠ»ΡΡΠ΅Π²ΡΠΌ ΡΠ»ΠΎΠ²Π°ΠΌ Π² Π±Π°Π·Π°Ρ
Π΄Π°Π½Π½ΡΡ
PubMed, Google Scholar, eLIBRARY. ΠΡΠΈΡΠ΅ΡΠΈΡΠΌΠΈ Π²ΠΊΠ»ΡΡΠ΅Π½ΠΈΡ ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΉ Π² Π°Π½Π°Π»ΠΈΠ· ΡΠ²Π»ΡΠ»ΠΈΡΡ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΈΠ΅ Π½ΠΎΠ·ΠΎΠ»ΠΎΠ³ΠΈΠΈ (ΠΠ¦Π), Π²ΠΎΠ·ΡΠ°ΡΡΡ (Π΄ΠΎ 18 Π»Π΅Ρ) ΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½Π½ΠΎΠΌΡ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ (ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²Π°Ρ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΡ ΠΌΡΡΡ), ΠΈΡ
Π΄ΠΈΠ·Π°ΠΉΠ½ (ΠΎΡΠΈΠ³ΠΈΠ½Π°Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅), Π° ΡΠ°ΠΊΠΆΠ΅ Π½Π°Π»ΠΈΡΠΈΠ΅ ΠΏΠΎΠ΄ΡΠΎΠ±Π½ΡΡ
ΡΠ²Π΅Π΄Π΅Π½ΠΈΠΉ ΠΎ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΠΎΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΡΡ
, Π΄Π΅ΠΌΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ.Π ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ Π°Π½Π°Π»ΠΈΠ· Π²ΠΎΡΠ»ΠΎ 20 ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΉ. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ ΠΈΠ·ΡΡΠ°Π»ΠΈΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Ρ Π³Π΅ΠΌΠΈΠΏΠ°ΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΡΠΎΡΠΌΠ°ΠΌΠΈ ΠΠ¦Π, ΠΏΡΠΈ ΡΡΠΎΠΌ Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»Π°ΡΡ Π·Π΄ΠΎΡΠΎΠ²Π°Ρ ΡΡΠΎΡΠΎΠ½Π°, ΡΠ°ΡΠ΅ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»Π°ΡΡ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΡ ΡΠ΄Π²ΠΈΠ³ΠΎΠ²ΠΎΠΉ Π²ΠΎΠ»Π½ΠΎΠΉ, ΠΏΡΠΈ ΠΊΠΎΡΠΎΡΠΎΠΉ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈΡΡ ΠΊΠ°ΠΊ Π΅Π΅ ΡΠΊΠΎΡΠΎΡΡΡ, ΡΠ°ΠΊ ΠΈ ΠΌΠΎΠ΄ΡΠ»Ρ ΡΠ΄Π²ΠΈΠ³Π°, ΡΠ°ΡΠ΅ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΠΈΡΡ Π»ΠΈΠ½Π΅ΠΉΠ½ΡΠ΅ Π΄Π°ΡΡΠΈΠΊΠΈ. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΎΠ±ΡΠ΅ΠΊΡΠΎΠΌ Π±ΡΠ»ΠΈ ΠΌΡΡΡΡ Π³ΠΎΠ»Π΅Π½ΠΈ. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»Π°ΡΡ Π΄Π»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π±ΠΎΡΡΠ»ΠΈΠ½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΈ ΠΏΠΎΠΊΠ°Π·ΡΠ²Π°Π»Π° ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ ΡΠ»Π°ΡΡΠΈΡΠ½ΠΎΡΡΠΈ ΠΌΡΡΡΡ ΠΏΠΎΡΠ»Π΅ Π»Π΅ΡΠ΅Π½ΠΈΡ.ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ²ΠΎΠΉΡΡΠ² ΡΠΊΠ΅Π»Π΅ΡΠ½ΡΡ
ΠΌΡΡΡ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ ΠΠ¦Π Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²ΠΎΠΉ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΠΈ Π½Π°Ρ
ΠΎΠ΄ΠΈΡΡΡ Π² ΡΡΠ°Π΄ΠΈΠΈ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠΈ, ΠΈ Π½Π° Π΄Π°Π½Π½ΡΠΉ ΠΌΠΎΠΌΠ΅Π½Ρ ΡΡΡ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΡ Π½Π΅Π»ΡΠ·Ρ ΡΡΠΈΡΠ°ΡΡ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΡΡΠ΅ΠΉ Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΡΡΡΠΈΠ½Π½ΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΡΠΊΠΈΡ
ΡΠ΅Π»ΡΡ
Π΄Π°Π½Π½ΡΠΉ ΠΌΠ΅ΡΠΎΠ΄ ΠΏΠΎΠΊΠ°Π·Π°Π» ΡΠ²ΠΎΡ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΠΎΡΡΡ: Π²ΡΠ΅ Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π½Π°ΠΌΠΈ ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΈ ΠΏΡΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΡΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ΅ ΠΎΡΠ»ΠΈΡΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΠΈ ΠΊΠ°ΠΊ ΠΏΡΠΈ ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½Π½ΡΡ
ΠΌΡΡΡ Ρ ΠΌΡΡΡΠ°ΠΌΠΈ Π½Π΅ΠΏΠΎΡΠ°ΠΆΠ΅Π½Π½ΠΎΠΉ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠΈ ΠΈΠ»ΠΈ Π·Π΄ΠΎΡΠΎΠ²ΡΡ
Π΄Π΅ΡΠ΅ΠΉ, ΡΠ°ΠΊ ΠΈ ΠΏΡΠΈ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΡΠ΅ΡΠ°ΠΏΠ΅Π²ΡΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΠΉ, Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½Π½ΡΡ
Π½Π° ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠΎΠ½ΡΡΠ° ΠΈ ΡΠ΅ΡΡΠ°ΠΊΡΠΈΠΈ ΠΌΡΡΡΡ.ΠΡΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠΎΠ²Π°Π½ΠΎ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ Π΅Π΄ΠΈΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Π° ΠΊ ΡΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΠΈ ΠΌΡΡΡΡ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ ΠΠ¦Π Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΠΊΠ°ΠΊ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΡ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ, ΡΠ°ΠΊ ΠΈ Π΅Π΅ Π°Π½Π°Π»ΠΈΠ·Π° ΠΈ ΠΈΠ½ΡΠ΅ΡΠΏΡΠ΅ΡΠ°ΡΠΈΠΈ. ΠΠ»Π°ΡΡΠΎΠ³ΡΠ°ΡΠΈΡ ΠΌΡΡΡ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ ΠΠ¦Π ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΠΌΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ, ΡΡΠ΅Π±ΡΡΡΠΈΠΌ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅Π³ΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΡ. Π‘ΠΎΠ²Π΅ΡΡΠ΅Π½ΡΡΠ²ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΡ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡ ΠΈ Π΅Π³ΠΎ ΠΎΠ±ΡΠ°Π±ΠΎΡΠΊΠΈ, ΡΡΠ°Π½Π΄Π°ΡΡΠΈΠ·Π°ΡΠΈΡ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡ Π² Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅ΠΌ ΡΠ°ΡΡΠΈΡΠΈΡΡ ΠΎΠ±Π»Π°ΡΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π°