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Overstretching of sarcomeres may not cause cerebral palsy muscle contracture
Author(s) -
Smeulders Mark J. C.,
Kreulen Michiel,
Hage J. Joris,
Huijing Peter A.,
van der Horst Chantal M. A. M.
Publication year - 2004
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1016/j.orthres.2004.04.006
Subject(s) - contracture , sarcomere , cerebral palsy , physical medicine and rehabilitation , medicine , muscle contracture , anatomy , surgery , myocyte
To answer the question whether the muscle contracture in patients with cerebral palsy is caused by overstretching of in‐series sarcomeres we studied the active and passive force–length relationship of the flexor carpi ulnaris muscle (FCU) in relation to its operating length range in 14 such patients with a flexion deformity of the wrist. Force–length relationship was measured intra‐operatively using electrical stimulation, a force transducer, and a data‐acquisition system. Muscle length was measured in maximally flexed and maximally extended position of the wrist. The spastic FCU was found to exert over 80% of its maximum active force at maximal extension of the wrist and this indicates abundant overlap of the sarcomeres. At maximal wrist extension, FCU passive force corresponded with only 0.7–18% of maximum active force. Both findings imply that the FCU sarcomeres are not overstretched when the wrist is extended. We conclude that the overstretching of in‐series sarcomeres appears not to be the cause of contracture of the spastic FCU. © 2004 Orthopaedic Research Society. Published y Elsevier Ltd. All rights reserved.