Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Comparisons of Diaphragm Movement and Pulmonary Function Between Normal Children and Children With Cerebral Palsy

정상 아동과 뇌성마비 아동의 감소된 횡격막 움직임 및 호흡 기능의 비교

  • Kang, Min-soo (Dept. of Physical Therapy, Choi's Rehabilitation Hospital) ;
  • Shim, Jae-hoon (Dept. of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Kang, Sun-young (Company-affiliated Research Institute, Korea Industry Development Institute)
  • 강민수 (최재활의학과의원 물리치료실) ;
  • 심재훈 (백석대학교 보건학부 물리치료학과) ;
  • 강선영 (한국산업진흥원 기업부설연구소)
  • Received : 2018.01.05
  • Accepted : 2018.02.08
  • Published : 2018.02.19
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Abstract

Background: Research efforts to improve the pulmonary function of children with cerebral palsy (CP) need to focus on their decreased diaphragmatic ability compared to normal children. Real-time ultrasonography is appropriate for demonstrating diaphragmatic mechanisms. Objects: This study aimed to compare diaphragm movement, pulmonary function, and pulmonary strength between normal children and children with CP by using ultrasonography M-mode. The correlation between general characteristics, diaphragm movement, pulmonary function, and pulmonary strength was also studied. Methods: The subjects of this study were 25 normal and 25 CP children between five and 14 years of age. Diaphragm movement was measured using real-time ultrasonography during quiet and deep breathing. Pulmonary function (such as forced expiratory volume in one second; FEV1 and peak expiratory flow; PEF) and pulmonary strength (such as maximum inspiratory pressure; MIP and maximum expiratory pressure; MEP) were measured. A paired t-test and Spearman's Rho test, with a significance level of .05, were used for statistical analysis. Results: The between-group comparison revealed that normal children had significantly greater diaphragm movement, FEV1, PEF, MIP, and MEP (p<.05) than CP children. The results showed that general characteristics were significantly related to FEV1, PEF, MIP, and MEP (p<.05). Conclusion: In clinical settings, clinicians need to concern decreased diaphragm movement, pulmonary function, and pulmonary strength in CP group compared to normal children.

Keywords

References

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