Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Comparisons of Diaphragm Movement, Pulmonary Function, and Pulmonary Strength Among Exercise Methods in Children with Cerebral Palsy

뇌성마비 아동의 운동중재 방법에 따른 횡격막 움직임, 호흡기능, 호흡근력의 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 : 2018.01.13
  • Accepted : 2018.01.30
  • Published : 2018.02.28
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Abstract

PURPOSE: This study assessed the effect of exercise intervention methods on diaphragm movement, pulmonary function, and pulmonary strength in children with cerebral palsy (CP). METHODS: A total of 28 children with CP were randomly allocated to the general exercise group (n=9, GEG), respiratory exercise group (n=10, REG), and intensive exercise group (n=9, IEG). The exercise intervention was performed for 12 weeks. This study measured diaphragm movement, pulmonary function, and pulmonary strength under two different conditions before and after each exercise. Ultrasonography was used for measuring diaphragm movement, and Pony Fx was used to measure the forced expiratory volume in one second ($FEV_1$), peak expiratory flow (PEF), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP). A Mann-Whitney test and ANOVA with a significance level of .05 were used for statistical analysis. RESULTS: Significant change was observed between the REG and the IEG as well as between the GEG and the IEG (p<.05). No significant difference was observed between the GEG and the REG. The diaphragm movement, $FEV_1$ PEF, MIP, and MEP were most improved in the IEG (p<.01). CONCLUSION: This study confirmed that intensive exercise is the most effective treatment method for improving diaphragm movement and respiratory function in CP children.

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References

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