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Volume 13, Issue 3 (7-2025)
J. Pediatr. Rev 2025, 13(3): 235-248 |
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Mehrem E S, Kamel R M, Sallam M A, Shabana M, Salem S, Gad Allah M A et al . Analysis of Pulmonary Functions in Pediatrics With Spastic Cerebral Palsy: A Pediatric Innovative Study. J. Pediatr. Rev 2025; 13 (3) :235-248
URL: http://jpr.mazums.ac.ir/article-1-724-en.html
URL: http://jpr.mazums.ac.ir/article-1-724-en.html
Elsayed S. Mehrem *1 
, Roshdy M. Kamel2 , Mohamed A. Sallam3 , Magdy Shabana4 , Shymaa Salem5 , Mohamed A. Gad Allah3 , Osama Yassin6
, Roshdy M. Kamel2 , Mohamed A. Sallam3 , Magdy Shabana4 , Shymaa Salem5 , Mohamed A. Gad Allah3 , Osama Yassin6
1- Department of Physical Therapy, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi Arabia. , sayed7555@yahoo.com
2- Department of Basic Sciences, Faculty of Physical Therapy, Benha University, Qalyubia, Egypt. & Department of Physical Therapy, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, Amman, Jordan.
3- Department of Physical Therapy for Internal Medicine, Faculty of Physical Therapy, Deraya University, Minia, Egypt.
4- Department of Musculoskeletal, Faculty of Physical Therapy, German International University, Cairo, Egypt. & Department of Musculoskeletal, Cairo University Hospitals, Cairo University, Cairo, Egypt.
5- Department of Physical Therapy for Neurology and its Surgery, Faculty of Physical Therapy, Sphinx University, Assuit, Egypt.
6- Lecturer of physical therapy for Pediatrics, Faculty of Physical Therapy, Sphinx University, Asyut- Egypt.
2- Department of Basic Sciences, Faculty of Physical Therapy, Benha University, Qalyubia, Egypt. & Department of Physical Therapy, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, Amman, Jordan.
3- Department of Physical Therapy for Internal Medicine, Faculty of Physical Therapy, Deraya University, Minia, Egypt.
4- Department of Musculoskeletal, Faculty of Physical Therapy, German International University, Cairo, Egypt. & Department of Musculoskeletal, Cairo University Hospitals, Cairo University, Cairo, Egypt.
5- Department of Physical Therapy for Neurology and its Surgery, Faculty of Physical Therapy, Sphinx University, Assuit, Egypt.
6- Lecturer of physical therapy for Pediatrics, Faculty of Physical Therapy, Sphinx University, Asyut- Egypt.
Abstract: (174 Views)
Background: Cerebral palsy (CP) is a non-progressive developmental condition that impacts movement and posture. It results from damage to the developing brain and can lead to various motor impairments that limit physical activities. Children with CP may experience respiratory issues, including limited chest wall movement and weakened respiratory muscles, which can cause inadequate alveolar ventilation, difficulty clearing airways, and shortness of breath.
Objectives: This study aimed to evaluate the pulmonary function of children with CP. Additionally, it sought to investigate differences in lung function based on the distribution of paralysis.
Methods: Sixteen children of both genders, aged 3 to 16 years, diagnosed with CP, participated in the study. They were selected from the Pediatric Rehabilitation Center. The outcomes were assessed using Geratherm Respiratory Blue Cherry software to measure vital capacity (VC), forced expired volume in one second (FEV1), FEV1/FVC, FEV1/VC, and peak expiratory flow (PEF), providing objective information for monitoring lung health.
Results: An unpaired t-test indicated that there was a significant difference between children with CP and their normative values in terms of VC, FEV1, and PEF, with P of 0.038, 0.044, and 0.00125, respectively. However, there was no significant difference between the groups in terms of FEV1/FVC and FEV1/VC, with P of 0.066 and 0.076, respectively. Regarding PEF, there was a statistically significant difference between patients with diaplegia and normative values for the same age and sex (0.005). In terms of VC and FEV1/VC, the pairwise comparisons revealed statistically significant differences between patients with diplegia and normative values for the same age and sex (P=0.01 and P=0.002, respectively).
Conclusions: Children with CP exhibit poor PEF and respiratory muscle weakness.
Objectives: This study aimed to evaluate the pulmonary function of children with CP. Additionally, it sought to investigate differences in lung function based on the distribution of paralysis.
Methods: Sixteen children of both genders, aged 3 to 16 years, diagnosed with CP, participated in the study. They were selected from the Pediatric Rehabilitation Center. The outcomes were assessed using Geratherm Respiratory Blue Cherry software to measure vital capacity (VC), forced expired volume in one second (FEV1), FEV1/FVC, FEV1/VC, and peak expiratory flow (PEF), providing objective information for monitoring lung health.
Results: An unpaired t-test indicated that there was a significant difference between children with CP and their normative values in terms of VC, FEV1, and PEF, with P of 0.038, 0.044, and 0.00125, respectively. However, there was no significant difference between the groups in terms of FEV1/FVC and FEV1/VC, with P of 0.066 and 0.076, respectively. Regarding PEF, there was a statistically significant difference between patients with diaplegia and normative values for the same age and sex (0.005). In terms of VC and FEV1/VC, the pairwise comparisons revealed statistically significant differences between patients with diplegia and normative values for the same age and sex (P=0.01 and P=0.002, respectively).
Conclusions: Children with CP exhibit poor PEF and respiratory muscle weakness.
Type of Study: Research Article |
Subject:
Pediatric Rehabilitation
Received: 2025/02/10 | Accepted: 2025/07/20 | Published: 2025/07/19
Received: 2025/02/10 | Accepted: 2025/07/20 | Published: 2025/07/19
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