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Diaphragmatic mobility in children with spastic cerebral palsy and differing motor performance levels

Diaphragmatic mobility in children with spastic cerebral palsy and differing motor performance levels
Diaphragmatic mobility in children with spastic cerebral palsy and differing motor performance levels

The aim of this study was to compare diaphragmatic mobility (DM)and respiratory function between children with cerebral palsy (CP)and healthy controls (HC). CP was divided into non-ambulatory CP (NACP)and ambulatory CP (ACP). Eighteen children with NACP, 18 with ACP and 18 HC age between 8 and 18 years were recruited. Ultrasound was used to measure DM on both sides. Respiratory muscle strength (RMS), pulmonary function (PF)and chest expansion (CE)were also measured. The results showed that there was significantly lower right DM in CP than HC group. The NACP group had significantly lower DM than the ACP group. There were also significantly lower values of RMS, PF and CE in CP, compared to the HC group. There are significant impairments of diaphragmatic and respiratory function in CP, relative to HC. Thus, appropriate interventions to improve diaphragmatic muscle strength are necessary for children with CP, especially in the NACP.

Cerebral palsy, Diaphragmatic mobility, Pulmonary function, Respiratory muscle strength, Ultrasound measurement
1569-9048
163-170
Bennett, Surussawadi
7e08834c-c0d8-4ca3-9b90-a0878662528b
Siritaratiwat, Wantana
d2770ba4-a682-488b-bacf-31e89b39d23d
Tanrangka, Nittaya
0aa5bc8f-e5e5-4343-9f7d-c09f504cc491
Bennett, Michael John
6df5585a-3d93-4870-8797-389759fc82c7
Kanpittaya, Jaturat
39dcf83a-378e-4f73-a67f-4c8cd4ab739c
Bennett, Surussawadi
7e08834c-c0d8-4ca3-9b90-a0878662528b
Siritaratiwat, Wantana
d2770ba4-a682-488b-bacf-31e89b39d23d
Tanrangka, Nittaya
0aa5bc8f-e5e5-4343-9f7d-c09f504cc491
Bennett, Michael John
6df5585a-3d93-4870-8797-389759fc82c7
Kanpittaya, Jaturat
39dcf83a-378e-4f73-a67f-4c8cd4ab739c

Bennett, Surussawadi, Siritaratiwat, Wantana, Tanrangka, Nittaya, Bennett, Michael John and Kanpittaya, Jaturat (2019) Diaphragmatic mobility in children with spastic cerebral palsy and differing motor performance levels. Respiratory Physiology and Neurobiology, 266, 163-170. (doi:10.1016/j.resp.2019.05.010).

Record type: Article

Abstract

The aim of this study was to compare diaphragmatic mobility (DM)and respiratory function between children with cerebral palsy (CP)and healthy controls (HC). CP was divided into non-ambulatory CP (NACP)and ambulatory CP (ACP). Eighteen children with NACP, 18 with ACP and 18 HC age between 8 and 18 years were recruited. Ultrasound was used to measure DM on both sides. Respiratory muscle strength (RMS), pulmonary function (PF)and chest expansion (CE)were also measured. The results showed that there was significantly lower right DM in CP than HC group. The NACP group had significantly lower DM than the ACP group. There were also significantly lower values of RMS, PF and CE in CP, compared to the HC group. There are significant impairments of diaphragmatic and respiratory function in CP, relative to HC. Thus, appropriate interventions to improve diaphragmatic muscle strength are necessary for children with CP, especially in the NACP.

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More information

Accepted/In Press date: 18 May 2019
e-pub ahead of print date: 21 May 2019
Published date: August 2019
Keywords: Cerebral palsy, Diaphragmatic mobility, Pulmonary function, Respiratory muscle strength, Ultrasound measurement

Identifiers

Local EPrints ID: 433656
URI: http://eprints.soton.ac.uk/id/eprint/433656
ISSN: 1569-9048
PURE UUID: 51a6a38a-d761-4b71-adfa-0094223a4466

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Date deposited: 29 Aug 2019 16:30
Last modified: 05 Jun 2024 17:37

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Contributors

Author: Surussawadi Bennett
Author: Wantana Siritaratiwat
Author: Nittaya Tanrangka
Author: Michael John Bennett
Author: Jaturat Kanpittaya

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