Evidence map›Paper›PMID 25242618›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2015

High resolution muscle measurements provide insights into equinus contractures in patients with cerebral palsy.

Margie A Mathewson, Samuel R Ward, Henry G Chambers, Richard L Lieber

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Margie A MathewsonDepartment of Bioengineering, University of California San Diego, 9500 Gilman Drive, La Jolla, California, 92093-0412.
Samuel R Ward
Henry G Chambers
Richard L Lieber

Funding

National Center for Muscle Rehabilitation ResearchR24HD050837 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LIEBER, RICHARD L., WARD, SAMUEL RICHARD · 2005 to 2014
$7.2M
San Diego Skeletal Muscle Research CenterP30AR061303 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LIEBER, RICHARD L. · 2011 to 2015
$3.3M
Muscle Biological and Biomechanical Response in Cerebral PalsyR01AR057393 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LIEBER, RICHARD L. · 2010 to 2014
$1.7M
INTRAOPERATIVE MEASUREMENT IN CEREBRAL PALSY SURGERYR01AR045358 · NIAMS · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI LIEBER, RICHARD L · 1999 to 2003
$802k
NIAMS NIH HHS AR057393NIAMS NIH HHS P30 AR061303NIAMS NIH HHS P30AR061303NIAMS NIH HHS R01 AR045358NIAMS NIH HHS R01 AR057393NICHD NIH HHS R24 HD050837NICHD NIH HHS R24HD050837
6 · The paper itself

Abstract

Muscle contractures that occur after upper motor neuron lesion are often surgically released or lengthened. However, surgical manipulation of muscle length changes a muscle's sarcomere length (Ls ), which can affect force production. To predict effects of surgery, both macro- (fascicle length (Lf )) and micro- (Ls ) level structural measurements are needed. Therefore, the purpose of this study was to quantify both Ls and Lf in patients with cerebral palsy (CP) as well as typically developing (TD) children. Soleus ultrasound images were obtained from children with CP and TD children. Lf was determined and, with the joint in the same position, CP biopsies were obtained and formalin fixed, and Ls was measured by laser diffraction. Since soleus Ls values were not measurable in TD children, TD Ls values were obtained using three independent methods. While average Lf did not differ between groups (CP=3.6±1.2 cm, TD=3.5±0.9 cm; p>0.6), Ls was dramatically longer in children with CP (4.07±0.45 µm vs. TD=2.17±0.24 µm; p<0.0001). While Lf values were similar between children with CP and TD children, this was due to highly stretched sarcomeres within the soleus muscle. Surgical manipulation of muscle-tendon unit length will thus alter muscle sarcomere length and change force generating capacity of the muscle.

Indexed as

AdolescentBiomechanical PhenomenaBiopsyCase-Control StudiesCerebral PalsyChildEquinus DeformityFemaleHumansMaleMuscle, SkeletalSarcomeresTendonsUltrasonographycerebral palsyfascicle lengthsarcomereskeletal muscleultrasound

Identifiers

PMID25242618
PMCPMC4343320

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.