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정상 아동과 뇌성마비 아동의 감소된 횡격막 움직임 및 호흡 기능의 비교 KCI 등재

Comparisons of Diaphragm Movement and Pulmonary Function Between Normal Children and Children With Cerebral Palsy

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한국전문물리치료학회지 (Physical Therapy Korea)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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.

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
저자
  • 강민수(최재활의학과의원 물리치료실, Dept. of Physical Therapy, Choi’s Rehabilitation Hospital) | Min-soo Kang
  • 심재훈(백석대학교 보건학부 물리치료학과, Dept. of Physical Therapy, Division of Health Science, Baekseok University) | Jae-hoon Shim
  • 강선영(한국산업진흥원 기업부설연구소, Company-affiliated Research Institute, Korea Industry Development Institute) | Sun-young Kang Corresponding Author