Comparison of the ratio of upper to lower chest wall in children with spastic quadriplegic cerebral palsy and normally developed children.

Yonsei Medical Journal
Eun Sook ParkChan Woo Park

Abstract

The upper chest wall does not grow properly in children with spinal muscular atrophy (SMA) with paradoxical breathing. This suggests that long-term inability to take a deep breath in developing children may result in underdevelopment of the upper chest wall. In addition, a rapid and paradoxical breathing pattern is frequently observed in children with severe cerebral palsy (CP), which often corresponds to the underdevelopment of the upper chest wall. The present study is designed to evaluate the ratio of the upper to lower chest wall in children with severe spastic quadriplegic CP, compared with normal children. We compared normal children with children that had spastic quadriplegic CP who did not have kyphosis or scoliosis. Test subjects were matched in terms of age, height, and weight. The diameters of upper chest (D(apex)) and of lower chest (D(base)) were measured on the anteroposterior (AP) view of a chest X-ray and the D(apex) to D(base) ratio was calculated. In selected cases the forced vital capacity (FVC) was measured using a Wright Respirometer. The D(apex) to D(base) ratio was significantly lower in the CP group than in the control group (p < 0.001). The ratio increased linearly with age (p < 0.001) in both CP (R = 0...Continue Reading

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Citations

Apr 17, 2012·Research in Developmental Disabilities·Hui-Yi WangShih-Fen Hsiao
Apr 26, 2014·Journal of Physical Therapy Science·Hye Young Lee, Kyoung Kim
Feb 5, 2014·Anesthesiology Clinics·Mary C Theroux, Sabina DiCindio
Apr 13, 2018·Journal of Physical Therapy Science·Seung-Oh Shin, Nan-Soo Kim
Sep 17, 2019·Journal of Child Language·Gloria SotoGat Savaldi-Harussi
Jan 19, 2019·Journal of Exercise Rehabilitation·Sun-Young Ha, Yun-Hee Sung
Aug 16, 2021·Journal of Bodywork and Movement Therapies·Rasha A MohamedSobhy M Aly

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SMA

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