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http://dx.doi.org/10.12674/ptk.2018.25.1.012

Comparisons of Diaphragm Movement and Pulmonary Function Between Normal Children and Children With Cerebral Palsy  

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)
Publication Information
Physical Therapy Korea / v.25, no.1, 2018 , pp. 12-21 More about this Journal
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
Cerebral Palsy; Diaphragm movement; Pulmonary function; Ultrasonography;
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