Skeletal Muscle Measurements in Pediatric Hematology and Oncology: Essential Components to a Comprehensive Assessment

Author:

Rock KellyORCID,Addison OdessaORCID,Gray Vicki L.,Henshaw Robert M.,Ward Christopher,Marchese Victoria

Abstract

Children with hematologic and oncologic health conditions are at risk of impaired skeletal muscle strength, size, and neuromuscular activation that may limit gross motor performance. A comprehensive assessment of neuromuscular function of these children is essential to identify the trajectory of changes in skeletal muscle and to prescribe therapeutic exercise and monitor its impact. Therefore, this review aims to (a) define fundamental properties of skeletal muscle; (b) highlight methods to quantify muscle strength, size, and neuromuscular activation; (c) describe mechanisms that contribute to muscle strength and gross motor performance in children; (d) recommend clinical assessment measures; and (e) illustrate comprehensive muscle assessment in children using examples of sickle cell disease and musculoskeletal sarcoma.

Funder

NIAMS

Foundation for Physical Therapy Research

Gladys E. Wadsworth Physical Therapy Research Fund

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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