Sonoelastographic Evaluation of Medial Gastrocnemius Muscles Intrinsic Stiffness After Rehabilitation Therapy With Botulinum Toxin A Injection in Spastic.

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Presentation transcript:

Sonoelastographic Evaluation of Medial Gastrocnemius Muscles Intrinsic Stiffness After Rehabilitation Therapy With Botulinum Toxin A Injection in Spastic Cerebral Palsy Gi-Young Park, MD, PhD, Dong Rak Kwon, MD, PhD Archives of Physical Medicine and Rehabilitation Volume 93, Issue 11, Pages 2085-2089 (November 2012) DOI: 10.1016/j.apmr.2012.06.024 Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 RTS image presentation of local muscle stiffness superimposed on the longitudinal B-mode ultrasound image of right medial gastrocnemius muscle. (A) RTS image (right) showed yellow to red coloring before rehabilitation therapy with BTA injection. (B) RTS image (right) of the spastic medial GCM showed purple to green coloring at 4 weeks of rehabilitation therapy with BTA injection. Archives of Physical Medicine and Rehabilitation 2012 93, 2085-2089DOI: (10.1016/j.apmr.2012.06.024) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Longitudinal RTS image and color histogram of spastic medial GCM. Yellow polygons depict ROI area of quantitative analysis of the medial GCM on color histogram. In spastic medial GCM before rehabilitation therapy with BTA injection, (A) RTS image showed yellow to red coloring and (B) the mean values for the intensity of red and blue on color histogram were 108.0 and 82.4, respectively. In spastic medial GCM at 4 weeks of rehabilitation therapy with BTA injection, (C) RTS image showed purple to green coloring and (D) the mean values for the intensity of red, green, and blue on color histogram were 99.1, 116.1, and 89.2, respectively. Archives of Physical Medicine and Rehabilitation 2012 93, 2085-2089DOI: (10.1016/j.apmr.2012.06.024) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions