Diaphragmatic excursion and pulmonary function in children with cerebral palsy – comparative study
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Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
Department of Health Professions, Faculty Health and Education, Manchester Metropolitan University, Manchester, UK
Submission date: 2021-12-20
Acceptance date: 2022-04-26
Publication date: 2023-02-21
Physiother Quart. 2023;31(4):33-36
Cerebral palsy (CP) is a common paediatric disorder occurring in about 2 to 2.5 per1000 live births. Studies have reported that children with cerebral palsy have a high incidence of respiratory problems, with limited evidence regarding diaphragmatic impairment. Thus, the study aims to analyse and compare the diaphragmatic excursion and pulmonary function in children with CP compared to the typically developing children.

The sample size was calculated as 38, divided into groups of typically developed children (19) and spastic CP children (16). An experienced radiologist assessed the diaphragmatic excursion. The respiratory parameters were assessed using a portable Pulmonary Function Test machine.

A positive significance was seen in the pulmonary function test values (p = 0.00) and diaphragmatic excursion (p = 0.00), showing better values among the typically developed children than the CP group.

The study concludes that children with CP have a reduction in diaphragm excursion and poorer pulmonary values than typically developing children, making them prone to respiratory diseases, thus requiring early intervention.

Jan MMS. Cerebral palsy: comprehensive review and update. Ann Saudi Med. 2006;26(2):123–132; doi: 10.5144/0256-4947.2006.123.
Kwon YH, Lee HY. Differences of respiratory function in children with spastic diplegic and hemiplegic cerebral palsy, compared with normally developed children. J Pediatr Rehabil Med. 2013;6(2):113–117; doi: 10.3233/PRM-130246.
Fauroux B, Quijano-Roy S, Desguerre I, Khirani S. The value of respiratory muscle testing in children with neuromuscular disease. Chest. 2015;147(2):552–559; doi: 10.1378/chest.14-0819.
Badaru UM, Ogwumike OO, Adeniyi AF. Effect of task-oriented exercise training program on the functional performance of children with cerebral palsy. Physiother Quart. 2021;29(3):40–48; doi: 10.5114/pq.2020.100293.
Boel L, Pernet K, Toussaint M, Ides K, Leemans G, Haan J, et al. Respiratory morbidity in children with cerebral palsy: an overview. Dev Med Child Neurol. 2019;61(6):646–653; doi: 10.1111/dmcn.14060.
Marpole R, Blackmore AM, Gibson N, Cooper MS, Langdon K, Wilson AC. Evaluation and management of respiratory illness in children with cerebral palsy. Front Pediatr. 2020;8:333; doi: 10.3389/fped.2020.00333.
Edgson MR, Tucker BV, Archibald ED, Boliek CA. Neuromuscular and biomechanical adjustments of the speech mechanism during modulation of vocal loudness in children with cerebral palsy and dysarthria. Neurocase. 2021;27(1):30–38, doi: 10.1080/13554794.2020.1862240.
Escobar H, Carver TW Jr. Pulmonary function testing in young children. Curr Allergy Asthma Rep. 2011;11(6):473–481; doi: 10.1007/s11882-011-0220-9.
Wang F, Zhu X, Ma S. Ultrasonographic evaluation of diaphragm structure and function. Chi Crit Care Med. 2017;29(3):276–280; doi: 10.3760/cma.j.issn.2095-4352.2017.03.018.
Shaffer TH, Wolfson MR, Bhutani VK. Respiratory muscle function, assessment, and training. Phys Ther. 1981;61(12):1711–1723; doi: 10.1093/ptj/61.12.1711.
Rutka M, Myśliwiec A, Wolny T, Gogola A, Linek P. Influence of chest and diaphragm manual therapy on the spirometry parameters in patients with cerebral palsy: a pilot study. Biomed Res Int. 2021;6263973:1–7; doi: https://doi.org/10.1155/2021/6....
Stamer M (2nd ed.).Posture and Movement of the Child with Cerebral Palsy. Pro-Ed Inc.; 2015.
Özal C, Türker D, Korkem D. Strength training in people with cerebral palsy. In: MK Gunel (ed.) Cerebral Palsy – Current Steps. 2016; doi: 10.5772/64638.
Chiu H-C, Ada L, Butler J, Coulson S. Characteristics of associated reaction in people with spastic cerebral palsy. Physiother Res Int. 2011;16(3):125–132; doi: 10.1002/pri.487.
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