정상 아동과 뇌성마비 아동의 감소된 횡격막 움직임 및 호흡 기능의 비교

• 영문명: Comparisons of Diaphragm Movement and Pulmonary Function Between Normal Children and Children With Cerebral Palsy
• 발행기관: 한국전문물리치료학회
• 저자명: 강민수(Min-soo Kang) 심재훈(Jae-hoon Shim) 강선영(Sun-young Kang)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제25권 제1호, 12~21쪽, 전체 10쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2018.02.19

국문 초록

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; FEV 1 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, FEV 1 , PEF, MIP, and MEP (p<.05) than CP children. The results showed that general characteristics were significantly related to FEV 1 , 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.

목차

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

키워드

Cerebral Palsy Diaphragm movement Pulmonary function Ultrasonography.