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  4. Lower extremity muscle structure in incomplete spinal cord injury: a comparison between ultrasonography and magnetic resonance imaging

Lower extremity muscle structure in incomplete spinal cord injury: a comparison between ultrasonography and magnetic resonance imaging

Spinal Cord Series and Cases, 2017 · DOI: 10.1038/scsandc.2017.4 · Published: February 23, 2017

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

Following a spinal cord injury, motor function can be affected by changes in muscle mass and structure. This study compares ultrasound (US) and magnetic resonance imaging (MRI) for measuring muscle size in patients with incomplete spinal cord injury (SCI). MRI is often used to quantify muscle size, but it can be expensive. Ultrasound is a potentially cheaper and more practical alternative. This study aims to see if ultrasound measurements of muscle thickness correlate with MRI measurements of muscle cross-sectional area (CSA) in patients with incomplete SCI. The study found significant correlations between ultrasound muscle thickness and MRI CSA in the gastrocnemius and tibialis anterior muscles. This suggests that ultrasound could be a useful and cost-effective way to track muscle changes during rehabilitation for people with incomplete SCI.

Study Duration
Not specified
Participants
Six male individuals with chronic cervical incomplete SCI
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    Significant positive linear correlations were found between MRI cross-sectional area and US muscle thickness in the gastrocnemius muscle.
  • 2
    Significant positive linear correlations were found between MRI cross-sectional area and US muscle thickness in the tibialis anterior muscle.
  • 3
    The correlation between ultrasound and MRI measurements was stronger in the gastrocnemius muscle compared to the tibialis anterior muscle, possibly due to differences in muscle morphology and range of values.

Research Summary

This study compared ultrasound (US) measures of muscle thickness with magnetic resonance imaging (MRI) measures of muscle cross-sectional area (CSA) in six participants with incomplete spinal cord injury (SCI). The study found significant correlations between US muscle thickness and MRI CSA in both the gastrocnemius and tibialis anterior muscles. The results suggest that US muscle thickness may be used as a surrogate measure of CSA in patients with incomplete SCI, offering a cheaper and more accessible alternative to MRI for tracking muscle gains during rehabilitation.

Practical Implications

Clinical Monitoring

Ultrasound can be used to monitor muscle changes during rehabilitation in patients with incomplete SCI.

Cost-Effective Assessment

Ultrasound provides a cheaper alternative to MRI for assessing muscle size.

Prognostic Tool

Muscle thickness measurements with ultrasound may help in making informed prognoses of functional recovery.

Study Limitations

  • 1
    Small sample size (six participants).
  • 2
    Homogeneous participant pool (chronic cervical incomplete SCI).
  • 3
    Cost-effectiveness needs to be trialed.

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