정상 아동과 뇌성마비 아동의 감소된 횡격막 움직임 및 호흡 기능의 비교

서지정보

ㆍ발행기관 : 한국전문물리치료학회 ㆍ수록지정보 : 한국전문물리치료학회지 / 25권 / 1호
ㆍ저자명 : 강민수, 심재훈, 강선영

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
1.연구 대상자
2. 연구설계
3. 측정도구 및 측정방법
4. 분석방법
Ⅲ. 결과
1. 뇌성마비 아동군과 정상 아동군 비교
2. 뇌성마비 아동군의 일반적 특성과 횡격막 움직임 크기, 호흡기능과의 상관관계 분석
3. 정상 아동군의 일반적 특성과 횡격막 움직임크기, 호흡기능과의 상관관계 분석
Ⅳ. 고찰
Ⅴ. 결론
References

영어 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; FEV1 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, FEV1, PEF, MIP, and MEP (p<.05) than CP children. The results showed that general characteristics were significantly related to FEV1, 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.

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