302 443

Cited 19 times in

Comparison of the ratio of upper to lower chest wall in children with spastic quadriplegic cerebral palsy and normally developed children

 Eun Sook Park  ;  Jung Hyun Park  ;  Dong-wook Rha  ;  Chang Il Park  ;  Chan Woo Park 
 YONSEI MEDICAL JOURNAL, Vol.47(2) : 237-242, 2006 
Journal Title
Issue Date
Case-Control Studies ; Cerebral Palsy/pathology* ; Child ; Child, Preschool ; Female ; Forced Expiratory Volume ; Humans ; Lung/pathology ; Male ; Muscle Spasticity/pathology* ; Quadriplegia/pathology* ; Respiration* ; Respiratory Tract Diseases/pathology* ; Respiratory Tract Diseases/physiopathology ; Thoracic Cavity ; Thoracic Wall ; Time Factors ; Vital Capacity ; X-Rays
Chest wall ; cerebral palsy ; quadriplegia
The upper chest wall does not grow properly in children with spinal muscular atrophy (SMA) with paradoxical breathing. This suggests that long-term inability to take a deep breath in developing children may result in underdevelopment of the upper chest wall. In addition, a rapid and paradoxical breathing pattern is frequently observed in children with severe cerebral palsy (CP), which often corresponds to the underdevelopment of the upper chest wall. The present study is designed to evaluate the ratio of the upper to lower chest wall in children with severe spastic quadriplegic CP, compared with normal children. We compared normal children with children that had spastic quadriplegic CP who did not have kyphosis or scoliosis. Test subjects were matched in terms of age, height, and weight. The diameters of upper chest (Dapex) and of lower chest (Dbase) were measured on the anteroposterior (AP) view of a chest X-ray and the Dapex to Dbase ratio was calculated. In selected cases the forced vital capacity (FVC) was measured using a Wright Respirometer. The Dapex to Dbase ratio was significantly lower in the CP group than in the control group (p<0.001). The ratio increased linearly with age (p<0.001) in both CP (R = 0.372) and control groups (R = 0.477). The FVC/preFVC showed significant correlation with the Dapex to Dbase ratio (R = 0.542, p<0.01). The results of this study suggest a deviation of optimal chest wall structure in children with spastic quadriplegic CP.
Files in This Item:
T200600527.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Park, Jung Hyun(박중현) ORCID logo https://orcid.org/0000-0003-3262-7476
Park, Chang Il(박창일)
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.