Differences of the Truncal Expansion and Respiratory Function between          Children with Spastic Diplegic and Hemiplegic Cerebral Palsy

Kwon, Yong Hyun; Lee, Hye Young

doi:10.1589/jpts.25.1633

Cited by 17 publications

(16 citation statements)

References 20 publications

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“…Respiratory pressure and the PFT have been used to measure the strength of respiration muscles and lung capacity, which is one of routine procedures for measurement of respiratory function, along with PFT. These findings are supported by several previous studies, indicating that children who were capable of more vigorous physical activity showed better respiratory function compared with children without independent walking ability14,15,16 ) . The low cardiopulmonary capacity in CP is due to restrictive lung dysfunction resulting from limited movement and not because of parenchymal lung dysfunction3, 17, 18 ) .…”

Section: Discussionsupporting

confidence: 88%

“…It is a generalized fact that walking disability can accompany respiratory dysfunction in children with CP, which together result in disturbance of normal motor development and restriction of functional activity in daily life14, 19, 20 ) . Elucidation of differences in respiration function and effectiveness of respiratory training according to walking ability is an important clinical issue.…”

Section: Discussionmentioning

confidence: 99%

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Can Walking Ability Enhance the Effectiveness of Breathing Exercise in Children with Spastic Cerebral Palsy?

Lee

Kim

2014

J Phys Ther Sci

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[Purpose] The purpose of this study was to compare differences in respiratory pressure and pulmonary function and the effectiveness of respiratory feedback training according to walking ability in children with cerebral palsy (CP). [Subjects and Methods] Twenty-three children with spastic CP were enrolled in the final analysis and were divided into an independent walking group (n=12) and non-independent walking group. All children received respiratory feedback training for four weeks. Before and after the training, respiratory muscle strength was measured and a pulmonary function test was performed. [Results] Comparison of respiratory pressure and pulmonary function test results between the two revealed that the independent walking group had significantly higher respiratory function than the other group in all variables except peak expiratory flow. In comparison of changes in respiratory function between the two groups, the independent walking group showed significantly higher improvement of respiratory function in terms of maximal inspiratory pressure, maximal expiratory pressure, and forced vital capacity. [Conclusion] These findings showed that children with independent walking ability had better respiratory muscle strength and pulmonary function compared with children without independent walking ability. Understanding respiratory function and the effectiveness of respiratory training according to walking ability will be valuable clinical information for respiratory assessment and therapy in children with CP.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Can Walking Ability Enhance the Effectiveness of Breathing Exercise in Children with Spastic Cerebral Palsy?

Lee

Kim

2014

J Phys Ther Sci

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“…All speech systems: respiration, phonation, resonance, prosody and articulation are usually involved, although the degree of impairment in the function of each subsystem can vary between individuals (Workinger and Kent ). Limited respiratory control has been observed in shallow tidal volume, use of paradoxical breathing patterns and difficulties coordinating exhalation with phonation (Solomon and Charron , Kwon and Lee , ). Impairment in laryngeal function has been perceived in harsh and breathy voice qualities, reduced pitch range and unwanted pitch breaks (Workinger and Kent , Ciocca et al .…”

Section: Introductionmentioning

confidence: 99%

Acoustic changes in the speech of children with cerebral palsy following an intensive program of dysarthria therapy*

Pennington

Lombardo

Steen

et al. 2017

Intl J Lang & Comm Disor

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Background: The speech intelligibility of children with dysarthria and cerebral palsy has been observed to increase following therapy focusing on respiration and phonation. Aims: To determine if speech intelligibility change following intervention is associated with change in acoustic measures of voice. Methods & Procedures:We recorded 16 young people with cerebral palsy and dysarthria (nine girls; mean age 14 years, SD = 2; nine spastic type, two dyskinetic, four mixed; one Worster-Drought) producing speech in two conditions (single words, connected speech) twice before and twice after therapy focusing on respiration, phonation and rate. In both single-word and connected speech we measured vocal intensity (root mean square-RMS), period-to-period variability (Shimmer APQ, Jitter RAP and PPQ) and harmonics-to-noise ratio (HNR). In connected speech we also measured mean fundamental frequency, utterance duration in seconds and speech and articulation rate (syllables/s with and without pauses respectively). All acoustic measures were made using Praat. Intelligibility was calculated in previous research. Outcomes & Results:In single words statistically significant but very small reductions were observed in period-toperiod variability following therapy: Shimmer APQ -0.15 (95% CI = -0.21 to -0.09); Jitter RAP -0.08 (95% CI = -0.14 to -0.01); Jitter PPQ -0.08 (95% CI = -0.15 to -0.01). No changes in period-to-period perturbation across phrases in connected speech were detected. However, changes in connected speech were observed in phrase length, rate and intensity. Following therapy, mean utterance duration increased by 1.11 s (95% CI = 0.37-1.86) when measured with pauses and by 1.13 s (95% CI = 0.40-1.85) when measured without pauses. Articulation rate increased by 0.07 syllables/s (95% CI = 0.02-0.13); speech rate increased by 0.06 syllables/s (95% CI = < 0.01-0.12); and intensity increased by 0.03 Pascals (95% CI = 0.02-0.04). There was a gradual reduction in mean fundamental frequency across all time points . Only increases in the intensity of single words (0.37 Pascals, 95% CI = 0.10-0.65) and reductions in fundamental frequency (-0.11 Hz, 95% CI = -0.21 to -0.02) in connected speech were associated with gains in intelligibility. Conclusions & Implications:Mean reductions in impairment in vocal function following therapy observed were small and most are unlikely to be clinically significant. Changes in vocal control did not explain improved intelligibility.

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“…It was found that children with spastic diplegic cerebral palsy had lower respiratory parameters than children with spastic hemiplegic cerebral palsy. Depending on the type of disability, biomechanical insufficiencies, weak respiratory muscles, and low volumetric ventilation affect respiratory mechanism (15). Although no statistically significant difference was found between children with level 2 and below and with level 3 and above with respect to %FVC values according to MACS, the values were higher in children with better levels.…”

Section: Discussionmentioning

confidence: 81%

Comparison of Respiratory Parameters of Physically Disabled and Healthy Children

Muammer¹,

Baktır²,

Muammer³

2015

Bezmialem Science

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Objective: The aim of this study was to compare the respiratory parameters of physically disabled and healthy children. Methods:The study included 25 children. Of these children, 13 were physically disabled and 12 were healthy children. The BTL-08 spirometry device was used for measuring the respiratory values of the children. The gross motor function classification system (GMFCS) and manual ability classification system (MACS) levels were determined.Results: A statistically significant difference was found between the respiratory parameters of physically disabled and healthy children in relation to the restrictive patterns (p<0.001). The values of forced vital capacity (%FVC) were found to be better in children with GMFCS level 2 and lower than children with level 3 and above (p<0.05). Conclusion:In addition to the rehabilitation program for physically disabled children, a pulmonary rehabilitation program aiming to conduct respiratory training and increase the respiratory capacity would be useful.

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Differences of the Truncal Expansion and Respiratory Function between Children with Spastic Diplegic and Hemiplegic Cerebral Palsy

Cited by 17 publications

References 20 publications

Can Walking Ability Enhance the Effectiveness of Breathing Exercise in Children with Spastic Cerebral Palsy?

Can Walking Ability Enhance the Effectiveness of Breathing Exercise in Children with Spastic Cerebral Palsy?

Acoustic changes in the speech of children with cerebral palsy following an intensive program of dysarthria therapy*

Comparison of Respiratory Parameters of Physically Disabled and Healthy Children

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