The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Predictive Factors Affected to Forced Vital Capacity in Children with Cerebral Palsy

뇌성마비 아동에서 노력성 폐활량에 영향을 미치는 요인 분석에 관한 연구

  • Nam, Ki Seok (Department of Physical Therapy, Yeungnam College of Science and Technology) ;
  • Lee, Hye Young (Department of Physical Therapy, Keimyung University Dongsan Medical Center)
  • 남기석 (영남이공대학교 물리치료과) ;
  • 이혜영 (계명대학교 동산의료원 물리치료실)
  • Received : 2013.07.13
  • Accepted : 2013.08.12
  • Published : 2013.08.25
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Abstract

Purpose: Children with cerebral palsy generally have a high incidence of respiratory problem, resulted from poor coughing, airway clearance problem, respiratory muscle weakness, kyphoscoliosis and so forth. The purpose of this study is to investigate the possible factors that can be affected to forced vital capacity (FVC) in children with cerebral palsy. Methods: Total thirty six children with diplegic and hemiplegic cerebral palsy were recruited in this study. They were evaluated by general demographic data (i.e., age, gender, body mass index (BMI)) and variables related to respiratory functions (i.e., chest mobility, waist mobility, maximal phonation time, and maximum inspiratory/expiratory pressure (MIP/MEP)). The correlation between forced vital capacity and the rested variables were analyzed, and multiple regression with stepwise method was conducted to predict respiratory function, in terms of FVC as the dependent variable, and demographic and other respiratory variables as the independent variable. Results: FVC showed a significant correlation with waist mobility (r=0.59, p<0.01), maximal phonation time (r=0.48, p<0.05), MIP (r=0.73, p<0.01), and MEP (r=0.60, p<0.01). In addition, the multiple regression analysis model indicated that FVC could be predicted by the assessment of each waist mobility and MIP. Conclusion: These finding suggest that respiratory function is related to body size and respiratory muscle strength, and that BMI, waist mobility, and MIP can be predictable factors to affected respiratory function in term of FVC.

Keywords

References

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