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Cerebral palsy in adults: Independent effects of muscle strength and muscle tone  Masaharu Maruishi, MD, Yukio Mano, MD, PhD, Tetsuto Sasaki, MD, PhD,

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Presentation on theme: "Cerebral palsy in adults: Independent effects of muscle strength and muscle tone  Masaharu Maruishi, MD, Yukio Mano, MD, PhD, Tetsuto Sasaki, MD, PhD,"— Presentation transcript:

1 Cerebral palsy in adults: Independent effects of muscle strength and muscle tone 
Masaharu Maruishi, MD, Yukio Mano, MD, PhD, Tetsuto Sasaki, MD, PhD, Naoki Shinmyo, MD, Humie Sato, MD, Taro Ogawa, MD  Archives of Physical Medicine and Rehabilitation  Volume 82, Issue 5, Pages (May 2001) DOI: /apmr Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig. 1 Distribution of adult patients with (A) CP for mental retardation, (B) distribution of motor deficits, (C) manual muscle testing, (D) muscle tone scale, (E) deformity, (F) sensory disturbance, and (G) pain. Abbreviations: Quadri-, quadriplegia; Di-, diplegia; Hemi-, hemiplegia; Mono-, monoplegia. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig. 2 Plot of clinical characteristics in adults with CP. Abnormalities decrease as the dots move outward. Muscle tone scale rating and deformity show worsening in this series. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig. 3 Distribution of patients (n = 256) for various ADLs, showing a bimodal distribution. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 Fig. 4 Correlation between (A) the Barthel Index and IQ, (B) topography of motor deficits, (C) manual muscle testing, (D) muscle tone scale, (E) contracture, (F) sensory disturbance, and (G) pain. The Barthel Index score was about 20 points lower in patients with severe hypertonus, and 30 points lower in those with severe muscle weakness. The Barthel Index was significantly affected by low manual muscle testing scores, increased tone, and the deformity. * p <.0001, Spearman's rank correlation coefficient. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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