Differences of Chest and Waist Circumferences in Spastic Diplegic and Hemiplegic Cerebral Palsy

  • Nam, Ki Seok (Department of Physical Therapy, Yeungnam College of Science and Technology) ;
  • Lee, Hye Young (Department of Rehabilitation Science, Graduate School, Daegu University)
  • Received : 2013.06.13
  • Accepted : 2013.06.14
  • Published : 2013.06.25

Abstract

Purpose: Circumference of the chest and waist can be one of clinical indicator to reflect respiratory function in children with cerebral palsy. In this study, we compared to differences in the chest/waist circumference and maximal phonation time between children with spastic diplegia and hemiplegia. Methods: Seventeen children with spastic diplegic and hemiplegic cerebral palsy were recruited, who were matched to gender, age, height, weight, and body mass index for control of the known factors affected to respiratory function. The chest/waist circumference and were measured in each group, when children took a breath at rest and at maximal voluntary inspiration/expiration. Results: No significant differences were found in the chest and waist circumference and expansion between the two groups. However, only in the waist expansion, children with diplegic CP were significantly lower extensibility of lung, compared to the other group. In comparison of the maximal phonation time, a significant lower score was shown in children with spastic diplegic CP, compared to children with hemiplegic CP. Conclusion: Our results indicated that children with spastic diplegic CP had smaller chest wall and waist, compared to children with spastic hemiplegic CP. In addition, they showed a shorter time for sustaining phonation than spastic hemiplegic CP did. Therefore, spastic diplegic CP will be required for careful monitor regarding respiratory function in rehabilitation settings.

Keywords

References

  1. Fitzgerald DA, Follett J, Van Asperen PP. Assessing and managing lung disease and sleep disordered breathing in children with cerebral palsy. Paediatr Respir Rev. 2009;10(1):18-24.
  2. Lee HY, K. K, Cha YJ. A survey on stress and coping style in mothers of cerebral palsied children. J Korean Soc Phys Ther. 2012;24(2):98-106.
  3. Choi HJ, Nam KW. The effect of weight-support treadmill training on the balance and activity of daily living of children with spastic diplegia. J Korean Soc Phys Ther. 2012;24(6):398-404.
  4. Park ES, Park JH, Rha DW et al. Comparison of the ratio of upper to lower chest wall in children with spastic quadriplegic cerebral palsy and normally developed children. Yonsei Med J. 2006;47(2):237-42. https://doi.org/10.3349/ymj.2006.47.2.237
  5. Seddon PC, Khan Y. Respiratory problems in children with neurological impairment. Arch Dis Child. 2003;88(1):75-8. https://doi.org/10.1136/adc.88.1.75
  6. Plioply AV, Kasnicka I, Lewis S et al. Survival rates among children with severe neurological disabilities. South Med J. 1998;91(2):161-72. https://doi.org/10.1097/00007611-199802000-00009
  7. Bjure J, Berg K. Dynamic and static lung volumes of school children with cerebral palsy. Acta Paediatr Scand Suppl. 1970;59(s204):35-9.
  8. O'Donnell DM. Pulmonary complications in neuromuscular disease. Adolesc Med. 2000;11(3):633-45.
  9. Leopando MT, Moussavi Z, Holbrow J et al. Effect of a soft boston orthosis on pulmonary mechanics in severe cerebral palsy. Pediatr Pulmonol. 1999;28(1):53-8. https://doi.org/10.1002/(SICI)1099-0496(199907)28:1<53::AID-PPUL9>3.0.CO;2-2
  10. Ersoz M, Selcuk B, Gunduz R et al. Decreased chest mobilityin children with spastic cerebral palsy. Turk J Pediatr. 2006;48(4):344-50.
  11. Chen Y, Rennie D, Cormier Y et al. Waist circumference associated with pulmonary function in children. Pediatr Pulmonol. 2009;44(3):216-21. https://doi.org/10.1002/ppul.20854
  12. Chen Y, Rennie D, Cormier YF et al. Waist circumference is associated with pulmonary function in normal-weight, overweight, and obese subjects. Am J Clin Nutr. 2007;85(1):35-9.
  13. Sievenpiper JL, Jenkins DJ, Josse RG et al. Simple skinfoldthickness measurements complement conventional anthropometric assessments in predicting glucose tolerance. Am J Clin Nutr. 2001;73(3):567-73.
  14. Blumberg ML. Respiration and speech in the cerebral palsied child. AMA Am J Dis Child. 1955;89(1):48-53.
  15. Shin HK. The effects of water-based exercise on respiratory function in children with spastic diplegic cerebral palsy. J Korean Soc Phys Ther. 2012;24(3):198-201.
  16. Shin HK, Kim HS, Lee OB. The effect of seat surface inclination on respiratory function and speech production in sitting. J Korean Soc Phys Ther. 2012;24(1):29-34.
  17. Alexander R, Boehme R, Cupps B. Normal development of functional motor skills: The first year of life. Tucson, Therapy skill builders, 1993:82-93,113-124.
  18. Hong JS. Normal development for cerebral palsy treatment. Korea, Goonja, 2009:39-41.
  19. Kim MH, Lee WH, Yun MJ. The effects on respiratory strength training on respiratory function and trunk control in patient with stroke. J Korean Soc Phys Ther. 2012;24(5):340-7.
  20. Heyrman L, Desloovere K, Molenaers G et al. Clinical characteristics of impaired trunk control in children with spastic cerebral palsy. Res Dev Disabil. 2013;34(1):327-34. https://doi.org/10.1016/j.ridd.2012.08.015
  21. Gorter JW, Rosenbaum PL, Hanna SE et al. Limb distribution, motor impairment, and functional classification of cerebral palsy. Dev Med Child Neurol. 2004;46(7):461-7.
  22. Rosenbaum P, Paneth N, Leviton A et al. A report: The definition and classification of cerebral palsy april 2006. Dev Med Child Neurol Suppl. 2007;49(s109):8-14.
  23. Hutzler Y, Chacham A, Bergman U et al. Effects of a movement and swimming program on vital capacity and water orientation skills of children with cerebral palsy. Dev Med Child Neurol. 1998;40(3):176-81.
  24. Rose J, Haskell WL, Gamble JG. A comparison of oxygen pulse and respiratory exchange ratio in cerebral palsiedand nondisabled children. Arch Phys Med Rehabil. 1993;74(7):702-5. https://doi.org/10.1016/0003-9993(93)90029-A
  25. Rothman JG. Effects of respiratory exercises on the vital capacity and forced expiratory volume in children with cerebral palsy. Phys Ther. 1978;58(4):421-5. https://doi.org/10.1093/ptj/58.4.421