Application of ultrasonography in the assessment of skeletal muscles in children with and without neuromuscular disorders: a systematic review

Ultrasound Med Biol. 2015 Sep;41(9):2275-83. doi: 10.1016/j.ultrasmedbio.2015.04.027. Epub 2015 May 29.

Abstract

The purpose of this study was to systematically review published studies (2000-2014) carried out on the application of ultrasonography (US) to evaluation of skeletal muscle size in children with and without neuromuscular disorders. Different databases including PubMed, Science Direct, OVID, MEDLINE, CINAHL, EMBASE, ProQuest and Google Scholar were searched. The key words used were: "children," "ultrasound," "skeletal muscles," "neuromuscular disease," "neurogenic disorders," "spina bifida," "myelomeningocele" and "reliability." Eighteen articles were found to be relevant. Eight studies applied US in combination with additional methods of assessment. Four of the 18 studies did not have a control group. Ten studies applied only US in the assessment of skeletal muscles in children with and without neuromuscular diseases. In 9 studies, there were children ranging widely in age, and in 3 studies US was used to determine normal values for skeletal muscles. According to the results of these 18 reviewed articles, US is an appropriate, reliable and highly predictive method for assessment of skeletal muscles in children.

Keywords: Children; Myelomeningocele; Neuromuscular disease; Reliability; Review; Skeletal muscles; Spina bifida; Systematic; Ultrasound.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Evidence-Based Medicine
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Muscle, Skeletal / diagnostic imaging*
  • Neuromuscular Diseases / diagnostic imaging*
  • Neuromuscular Diseases / epidemiology*
  • Observer Variation
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Prevalence
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Ultrasonography / statistics & numerical data*
  • Utilization Review