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KMID : 0357220130250050246
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Journal of Korean Society Physical Therapy
2013 Volume.25 No. 5 p.246 ~ p.251
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Development of the Chest Wall in Children with Cerebral Palsy according to GMFCS Levels
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Jung Jee-Woon
Ko Joo-Yeon
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Abstract
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Purpose: The purpose of this study was to provide quantitative data regarding development of the chest wall in children with cerebral palsy (CP) according to Gross Motor Function Classification System (GMFCS) levels and age using the radiological image diameter measurement method.
Methods: Subjects included 112 children with CP and 110 healthy children, All of the children underwent simple chest x-ray. The diameters of the upper chest (Dapex) and lower chest (Dbase) were measured on the anteroposterior (AP) view of a chest x-ray, and the Dapex to Dbase ratio was calculated. Chest wall ratios were compared among children with CP at GMFCS levels I ∼ III, GMFCS levels IV and V, and healthy children.
Results: The results showed significant differences between the upper and lower chest wall diameters of children with CP at GMFCS levels IV and V, and healthy children (F=4.54, p=0.01; F=3.20, p=0.04). Results of comparison between the chest wall ratios of children with CP and healthy children, showed that the upper chest walls of healthy children were significantly larger in children younger than 48 months (p<0.05), and both the upper and lower chest walls of healthy children were significantly larger compared to children with CP in children older than 48 months (p<0.05).
Conclusion: Radiographic measurement for examination of chest wall development is relatively simple, and the results yield quantitative data on development of the chest wall for children with CP. In addition, therapeutic interventions may be considered based on the results.
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KEYWORD
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Cerebral Palsy, Chest Wall, GMFCS Level
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