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Architecture of the medial gastrocnemius in children with spastic diplegia

Published online by Cambridge University Press:  18 December 2001

Adam P Shortland
Affiliation:
One Small Step Gait Laboratory, Guy's Hospital, London, SE1 9RT, UK.
Charlotte A Harris
Affiliation:
One Small Step Gait Laboratory, Guy's Hospital, London, SE1 9RT, UK.
Martin Gough
Affiliation:
One Small Step Gait Laboratory, Guy's Hospital, London, SE1 9RT, UK.
Richard O Robinson
Affiliation:
One Small Step Gait Laboratory, Guy's Hospital, London, SE1 9RT, UK.
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Abstract

Ultrasound images were obtained of the medial gastrocnemius at different ankle joint positions with the knee extended. Fascicle length and deep fascicle angle were measured in five normally developing adults (mean age 33 years, age range 24 to 36 years) and in five normally developing children (mean age 7.8 years, age range 7 to 11 years), and in seven children with spastic diplegia (mean age 10 years, age range 6 to 13 years). These architectural variables were similar in the groups of normally developing adults and children. Importantly, no statistical difference could be found between the normally developing children and those with diplegia for fascicle length. Deep fascicle angles were reduced significantly in the clinical group at a particular ankle joint angle but not at the resting angles. The difference in deep fascicle angles is explained as a function of resting muscle length and is not attributed any clinical importance. Our results do not explain the structural origin of muscle contracture explicitly. However, they do indicate that most of the fixed shortness in the medial gastrocnemii of ambulant children with spastic diplegia is not due to reduced muscle fascicle length. We suggest that muscle contracture may be better explained in terms of shortness of the aponeuroses of pennate muscles, such as the medial gastrocnemius, through reduced muscle fascicle diameter.

Type
Original Articles
Copyright
© 2001 Mac Keith Press

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Supplementary material: PDF

Shortland erratum

DMC erratum volume 44 number 2, Shortland et al.

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Supplementary material: PDF

Shortland revised article

DMC revised article volume 44 number 3, Shortland et al.

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