The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Development of the Chest Wall in Children with Cerebral Palsy according to GMFCS Levels

뇌성마비 아동의 대동작운동기능 수준에 따른 흉곽발달 양상

  • Jung, Jee Woon (Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University) ;
  • Ko, Joo Yeon (Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University)
  • 정지운 (CHA의과학대학교 분당차병원 재활의학팀) ;
  • 고주연 (CHA의과학대학교 분당차병원 재활의학팀)
  • Received : 2013.09.10
  • Accepted : 2013.10.10
  • Published : 2013.10.25
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Abstract

Purpose: The purpose of this study was to provide quantitative data regarding development of the chest wall in children with cerebral palsy (CP) according to Gross Motor Function Classification System (GMFCS) levels and age using the radiological image diameter measurement method. Methods: Subjects included 112 children with CP and 110 healthy children, All of the children underwent simple chest x-ray. The diameters of the upper chest ($D_{apex}$) and lower chest ($D_{base}$) were measured on the anteroposterior (AP) view of a chest x-ray, and the $D_{apex}$ to $D_{base}$ ratio was calculated. Chest wall ratios were compared among children with CP at GMFCS levels I ~ III, GMFCS levels IV and V, and healthy children. Results: The results showed significant differences between the upper and lower chest wall diameters of children with CP at GMFCS levels IV and V, and healthy children (F=4.54, p=0.01; F=3.20, p=0.04). Results of comparison between the chest wall ratios of children with CP and healthy children, showed that the upper chest walls of healthy children were significantly larger in children younger than 48 months (p<0.05), and both the upper and lower chest walls of healthy children were significantly larger compared to children with CP in children older than 48 months (p<0.05). Conclusion: Radiographic measurement for examination of chest wall development is relatively simple, and the results yield quantitative data on development of the chest wall for children with CP. In addition, therapeutic interventions may be considered based on the results.

Keywords

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