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      편마비 환자의 정상측과 마비측의 비복근 운동점에서의 근육 두께 차이 = Differences of Muscle Thickness in the Motor Points of the Gastrocnemius between the Paretic and Non-paretic Legs in Hemiplegics

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      https://www.riss.kr/link?id=A60247967

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      다국어 초록 (Multilingual Abstract)

      Objective : To investigate any difference of muscle thickness in the motor points of the gastrocnemius between the paretic and non-paretic legs in hemiplegics.
      Method : Ultrasonography was used to assess in vivo the gastrocnemius muscle thickness at the motor points in the paretic and non-paretic legs of twenty-four patients with stroke.
      Results : Muscle thickness at the motor points were reduced in the paretic legs compared to the non-paretic legs (p<0.05). There was no correlation between muscle thickness and duration of hemiplegia, site of hemiplegia. However, it did not take regular pattern of the muscular atrophy in the paretic legs.
      Conclusion : The gastrocnemius muscle of the paretic leg had smaller thickness compared with the non-paretic leg. The present results indicate that paresis in hemiplegics may affect the accuracy of intramuscular injection of botulinum toxin A. Therefore, we recommend ultrasonography for visually controlled, anatomically precise injection of botulinum toxins.
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      Objective : To investigate any difference of muscle thickness in the motor points of the gastrocnemius between the paretic and non-paretic legs in hemiplegics. Method : Ultrasonography was used to assess in vivo the gastrocnemius muscle thickness at ...

      Objective : To investigate any difference of muscle thickness in the motor points of the gastrocnemius between the paretic and non-paretic legs in hemiplegics.
      Method : Ultrasonography was used to assess in vivo the gastrocnemius muscle thickness at the motor points in the paretic and non-paretic legs of twenty-four patients with stroke.
      Results : Muscle thickness at the motor points were reduced in the paretic legs compared to the non-paretic legs (p<0.05). There was no correlation between muscle thickness and duration of hemiplegia, site of hemiplegia. However, it did not take regular pattern of the muscular atrophy in the paretic legs.
      Conclusion : The gastrocnemius muscle of the paretic leg had smaller thickness compared with the non-paretic leg. The present results indicate that paresis in hemiplegics may affect the accuracy of intramuscular injection of botulinum toxin A. Therefore, we recommend ultrasonography for visually controlled, anatomically precise injection of botulinum toxins.

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      목차 (Table of Contents)

      • 서론
      • 연구 대상 및 방법
      • 1) 연구대상
      • 2) 연구방법
      • 3) 통계분석
      • 서론
      • 연구 대상 및 방법
      • 1) 연구대상
      • 2) 연구방법
      • 3) 통계분석
      • 결과
      • 1) 정상측과 마비측 비복근 운동점에서의 근육 두께 비교
      • 2) 편마비 위치에 따른 비복근 운동점에서의 근육 두께 비교
      • 3) 유병 기간에 따른 마비측 비복근 운동점에서의 근육 두께 비교
      • 4) 정상측에 대한 마비측의 근위축 비율의 분포 비교
      • 고찰
      • 결론
      • 참고문헌
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      참고문헌 (Reference)

      1 김민욱, "하퇴삼두근 운동점의 해부학적 위치" 대한재활의학회 28 (28): 581-584, 2003

      2 Miyatani M, "Validity of ultrasonograph measurements for estimating muscle volume of knee extensors in humans" 86 : 203-208, 2002

      3 Weiss LW, "Ultrasound protocols for separately measuring subcutaneous fat and skeletal muscle thickness in the calf area" 65 : 477-481, 1985

      4 Sipila S, "Ultrasound imaging of the quardriceps muscle in elderly athletes and untrained men" 14 : 527-533, 1991

      5 Howe TE, "The reliability of measuring quaridceps cross-sectional area with compound B ultrasound scanning" 1 : 112-126, 1996

      6 Li L, "The effect of poststroke impairments on brachialis muscle architecture as measured by ultrasound" 88 : 243-250, 2007

      7 Miyatani M, "The accuracy of volume estimate using ultrasound muscle thickness measurements in different muscle groups" 91 : 264-272, 2004

      8 Kanehisa H, "Strength and cross-sectional area of knee extensor muscles in children" 68 : 402-405, 1994

      9 Dimitrijevic MR, "Spasticity : medical and surgical treatment" 30 : 19-27, 1980

      10 Edstrom L, "Relation between spasticity and muscle atrophy pattern in upper motor neurone lesions" 5 : 170-171, 1973

      1 김민욱, "하퇴삼두근 운동점의 해부학적 위치" 대한재활의학회 28 (28): 581-584, 2003

      2 Miyatani M, "Validity of ultrasonograph measurements for estimating muscle volume of knee extensors in humans" 86 : 203-208, 2002

      3 Weiss LW, "Ultrasound protocols for separately measuring subcutaneous fat and skeletal muscle thickness in the calf area" 65 : 477-481, 1985

      4 Sipila S, "Ultrasound imaging of the quardriceps muscle in elderly athletes and untrained men" 14 : 527-533, 1991

      5 Howe TE, "The reliability of measuring quaridceps cross-sectional area with compound B ultrasound scanning" 1 : 112-126, 1996

      6 Li L, "The effect of poststroke impairments on brachialis muscle architecture as measured by ultrasound" 88 : 243-250, 2007

      7 Miyatani M, "The accuracy of volume estimate using ultrasound muscle thickness measurements in different muscle groups" 91 : 264-272, 2004

      8 Kanehisa H, "Strength and cross-sectional area of knee extensor muscles in children" 68 : 402-405, 1994

      9 Dimitrijevic MR, "Spasticity : medical and surgical treatment" 30 : 19-27, 1980

      10 Edstrom L, "Relation between spasticity and muscle atrophy pattern in upper motor neurone lesions" 5 : 170-171, 1973

      11 Dupont AC, "Real-time sonography to estimate muscle thickness: comparison with MRI and CT" 29 : 230-236, 2001

      12 Shaari CM, "Quantifying how location and dose of botulinum toxin injections affect muscle paralysis" 16 : 964-969, 1993

      13 Streichenberger N, "Pathology of spastic muscles. Study of 26 patients" 49 : 185-189, 2003

      14 Metoki N, "Muscular atrophy in the hemiplegic thigh in patients after stroke" 82 : 862-865, 2003

      15 Sipila S, "Muscle ultrasonography and computed tomography in elderly trained and untrained women" 16 : 294-300, 1993

      16 Becher JG, "Measurement of impairedmuscle function of the gastrocnemius, soleus, and tibialis anterior muscles in spastic hemiplegia: a preliminary study" 35 : 314-326, 1998

      17 Hides JA, "Magnetic resonance imaging and ultrasound of the lumbar multifidus muscle" 20 : 54-58, 1995

      18 Chleboun GS, "In vivo measurement of fascicle length and pennation angle of the human biceps femoris muscle" 169 : 401-409, 2001

      19 Mohagheghi AA, "Differences in gastrocnemius muscle architecture between the paretic and non-paretic legs in children with hemiplegic cerebral palsy" 22 : 718-724, 2007

      20 Hicks JE, "Diagnostic ultrasound: its use in the evaluation of muscle" 65 : 129-131, 1984

      21 Herbert RD, "Changes in pennation with joint angle and muscle torque: in vivo measurements in human brachialis muscles" 484 : 523-532, 1995

      22 Brin MF, "Botulinum toxin: chemistry, pharmacology, toxicity, and immunology" 6 : S146-S168, 1997

      23 Shortland AP, "Architecture of the medial gastrocnemius in children with spastic diplegia" 44 : 158-163, 2002

      24 Milz P, "13 MHz high-frequency sonography of the lateral ankle joint ligaments and the tibiofibular syndesmosis in anatomic specimens" 15 : 277-284, 1996

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2017-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2015-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.02 0.02 0.03
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.04 0.04 0.21 0
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