Breathing pattern of athletes with cerebral palsy

Silva, AC da; Steinberg, LL; Coutinho, AV; Lima, R I; Fernandez, AC; Neder, J. Alberto; Tufik, Sérgio; Mello, M. T.

doi:10.1017/s0012162205000538

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Secondly, the similar peak VE/VO 2 values we found for CP and TD contrast with previous studies, 14;17 but are in accordance with Verschuren et al 34 Therefore, our results do not support the suggestion that spastic paresis affects the respiratory muscles. 9 Thirdly, a higher peak VE/VCO 2 was only seen in GMFCS II, and an increased Rfpeak in GMFCS I and II, in comparison with TD. This might indicate increased ventilatory responses to the increase of VCO 2 , occurring at VT1 and VT2, due to excessive lactate buffering.…”

Section: Discussionmentioning

confidence: 85%

Maximal Aerobic and Anaerobic Exercise Responses in Children with Cerebral Palsy

Balemans

Wely

Heer

et al. 2013

Medicine &Amp; Science in Sports &Amp; Exercise

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Section: Discussionmentioning

confidence: 85%

Maximal Aerobic and Anaerobic Exercise Responses in Children with Cerebral Palsy

Balemans

Wely

Heer

et al. 2013

Medicine &Amp; Science in Sports &Amp; Exercise

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“…The deficient voluntary cough response observed in this sample of children with SCP may stem from inadequate control and coordination of laryngeal, thoracic, and abdominal musculature. Children with SCP present with spasticity of the respiratory musculature, chest wall rigidity, impaired posture and abnormal timing of muscle activity [36,41]. These factors may also contribute to insufficient intrathoracic and subglottic pressure.…”

Section: Correlations Between Clinical and Physiological Measuresmentioning

confidence: 99%

Voluntary Cough and Clinical Swallow Function in Children with Spastic Cerebral Palsy and Healthy Controls

et al. 2018

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Dysphagia and resulting pulmonary sequelae are frequently observed in children with spastic cerebral palsy (SCP). However, physiological evidence regarding airway protective behaviors (specifically swallowing and cough function) in these children is sparse. The aim of this investigation was to quantify specific feeding, swallowing, and cough impairments in children with SCP compared to controls. Eleven children with SCP (mean age: 7 ± 2 years; GMFCS: I-V; MACS: I-V) and 10 age-matched controls participated. Clinical feeding and swallowing performance was evaluated with the dysphagia disorder survey (DDS) using standardized liquid, puree, and chewable solid consistencies. Suprahyoid muscle activity and respiratory-swallow patterns were assessed with simultaneous surface electromyography and respiratory inductance plethysmography as children swallowed the various consistencies. Voluntary cough airflow measures were also obtained. Nonparametric tests were used for group comparisons and correlational analyses. Compared to controls, children with SCP demonstrated more signs of clinical feeding and swallowing impairment (p < 0.0001, η = 0.771), heightened suprahyoid muscle activity for puree (p = 0.014, η = 0.305) and chewable solids (p = 0.001, η = 0.528), more frequent post-swallow inhalation across liquid (p = 0.005, η = 0.401), puree (p = 0.014, η = 0.304), and chewable solids (p = 0.035, η = 0.223), and lower cough volume acceleration (p = 0.019, η = 0.289). Post-swallow inhalation for chewable solids was correlated with the DDS Part 1 (r = 0.734, p = 0.010), DDS Part 2 (r = 0.610, p = 0.046) and the DDS Total scores (r = 0.673, p = 0.023). This study is the first to provide evidence of specific physiological deficits of both swallowing and voluntary cough in children with SCP. Potential hypotheses explaining these deficits and implications for physiologically driven management are explored.

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Current World Literature

2006

Current Opinion in Neurology

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Breathing pattern of athletes with cerebral palsy

Cited by 5 publications

References 9 publications

Maximal Aerobic and Anaerobic Exercise Responses in Children with Cerebral Palsy

Maximal Aerobic and Anaerobic Exercise Responses in Children with Cerebral Palsy

Voluntary Cough and Clinical Swallow Function in Children with Spastic Cerebral Palsy and Healthy Controls

Current World Literature

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