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KMID : 1211620180130010121
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Journal of the Korean Society of Physical Medicine
2018 Volume.13 No. 1 p.121 ~ p.128
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Comparisons of Diaphragm Movement, Pulmonary Function, and Pulmonary Strength Among Exercise Methods in Children with Cerebral Palsy
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Kang Min-Soo
Shim Jae-Hun
Kang Sun-Young
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Abstract
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PURPOSE: This study assessed the effect of exercise intervention methods on diaphragm movement, pulmonary function, and pulmonary strength in children with cerebral palsy (CP).
METHODS: A total of 28 children with CP were randomly allocated to the general exercise group (n=9, GEG), respiratory exercise group (n=10, REG), and intensive exercise group (n=9, IEG). The exercise intervention was performed for 12 weeks. This study measured diaphragm movement, pulmonary function, and pulmonary strength under two different conditions before and after each exercise. Ultrasonography was used for measuring diaphragm movement, and Pony Fx was used to measure the forced expiratory volume in one second (FEV1), peak expiratory flow (PEF), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP). A Mann-Whitney test and ANOVA with a significance level of .05 were used for statistical analysis.
RESULTS: Significant change was observed between the REG and the IEG as well as between the GEG and the IEG (p<.05). No significant difference was observed between the GEG and the REG. The diaphragm movement, FEV1 PEF, MIP, and MEP were most improved in the IEG (p<.01).
CONCLUSION: This study confirmed that intensive exercise is the most effective treatment method for improving diaphragm movement and respiratory function in CP children.
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KEYWORD
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Cerebral palsy, Diaphragm, Pulmonary function, Ultrasonography
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