Evaluation of cardiorespiratory state in patients with cerebral palsy
Evaluation of cardiorespiratory state in patients with cerebral palsy
Aim: The objective of this study is to compare the cardiorespiratory state of individuals with hemiparetic cerebral palsy and healthyindividuals.Material and Methods: The demographic information of 40 individuals were evaluated. Then their body mass index and frequencyand duration of physiotherapy were questioned. Gross motor skill levels with the Gross Motor Classification System (GMCS),flexibility with the sit and reach test, cardiorespiratory endurance with the 6-minute walking test and independence in daily lifeactivities with the WeeFIM survey were evaluated. Oxygen saturation, respiration frequency and heart rate were recorded before andafter evaluation.Results: 20 individuals with hemiparetic cerebral palsy (%55 female, %45 male) (with an age average of 9.7± 1.94) and 20 individualsas the control group (%65 female, %35 male) (with an age average of 9.1± 1.83) were included in the study. According to the sixminutetest analysis, no important variety was observed between the two groups in terms with regard oxygen saturation, respirationfrequency and heart rate parameters prior to and after the test (p>0.05). A statistically significant difference was observed betweenthe patient and control groups in terms of walking distance (p=0.001) and the WeeFIM total score (p= 0.001) and flexibility test(p=0.001).Conclusion: Remarkably, walking distance, WeeFIM total score and flexibility test in patients with cerebral palsy can give an ideaabout prognosis and the adverse effects of disease in early period on patients’ physical, psychological and social development.
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- 1.
Odding E, Roebbeck ME, Stam HJ. The Epidemiology of CP: Incidence, impairments and risk factors. Disabil Rehabil 2006;28:183-91.
- 2.
Maltais DB, Wiart L, Fowler E, et al. Health-related physical fitness for children with cerebral palsy. J Child Neurol 2014;29:1091-100.
- 3.
Priego Quesada, JI, Lucas Cuevas AG, Llana Belloch S, et al. Effects of exercise in people with cerebral palsy. A review. J Physical Edu and Sport; 2014;14:36-41
- 4.
Rimmer JH. Physical fitness levels of persons with cerebral palsy. Developmental Medicine & Child Neurology 2001;43:208-12.
- 5.
van den Berg-Emons HJ, Saris WH, de Barbanson DC, et al. Daily physical activity of schoolchildren with spastic diplegia and of healthy control subjects. J Pediatr 1995;127:578-84.
- 6.
Hoofwijk M, Unnithan V, Bar-Or O. Maximal treadmill performance of children with cerebral palsy. Pediatr Exerc Sci 1995;7:305-13.
- 7.
Carlon SL, Taylor NF, Dodd KJ, et al. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disabil Rehabil 2013;35:647-55.
- 8.
Krigger KW, Cerebral palsy: an overview. Am Fam Physician 2006;73:91-100.
- 9.
Strong WB, Malina RM, Blimkie CJ, et al. Evidence based physical activity for school-age youth. J Pediatr 2005;146:732-7.
- 10.
Hsieh PL, Chen ML, Huang CM, et al. physical activity, body mass index, and cardiorespiratory fitness among school children in taiwan: a cross-sectional study. Int J Environ Res Public Health 2014;11:7275-85.
- 11.
Ryan JM, Hensey O, McLoughlin B, et al.. Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy. PLoS One 2015;10:e0123267.
- 12.
Merino-Marban R, Mayorga-Vega D, Fernandez-Rodriguez E, et al. Effect of a physical education-based stretching programme on sit-and-reach score and its posterior reduction in elementary school children. Eur Physical Edu cation Review 2015;21:83-92.
- 13.
Ramírez-Vélez R, Tordecilla-Sanders A, Correa-Bautista JE, et al. Handgrip strength and ideal cardiovascular healt hamong Colombian children and adolescents. J pediatrics 2016;179:82-9.
- 14.
Franjoine MR, Darr N, Young B. Can the PBS Differentiate Balance Ability in Preschoolers with Cerebral Palsy from Children Developing Typically? Archives of Physical Med Rehabil 2017;98:e156.
- 15.
Fitzgerald D, Hickey C, Delahunt E, et al. Six-minute walk test in children with spastic cerebral palsy and children developing typically. Pediatr Phys Ther 2016;28:192-9.
- 16.
Park EY, Kim WH, Choi YI. Factor analysis of the WeeFIM in children with spastic cerebral palsy. Disabil Rehabil 2013;35:1466-71.
- 17.
Strong WB, Malina RM, Blimkie CJ, et al. Evidence based physical activity for school-age youth. J Pediatr 2005;146:732-7.
- 18.
Tessier DW, Hefner JL, Newmeyer A. Factors related to psychosocial quality of life for children with cerebral palsy. Int J PediatR 2014;2014:204386.
- 19.
Adler C, Rauchenzauner M, Staudt M, et al. Activities of daily living in children with hemiparesis: influence of cognitive abilities and motor competence. Neuropediatrics 2014;45:341-5.
- 20.
Fontes PLB, Cruz TKF, Souto DO, et al. Body representation in children with hemiplegic cerebral palsy. Child Neuropsychology 2017;23:838-63.
- 21.
Fowler EG, Kolobe TH, Damiano DL, et al. Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: section on pediatrics research summit proceedings. Phys Ther 2007;87:1495-510.
- 22.
Keefer DJ, Tseh W, Caputo JL, et al. Within- and between-day stability of treadmill walking VO2 in children with hemiplegic cerebral palsy, stability of walking VO2 in children with CP. Gait Posture 2005;22:177-81.
- 23.
Ryan JM, Forde C, Hussey JM, et al. Comparison of patterns of physical activity and sedentary behavior between children with cerebral palsy and children with typical development. Phys Ther. 2015;95:1609-16.
- 24.
García CC, Gamboa AA, Ruiz MP, Caballero MI, Faigenbaum AD, Lanao JE, et al. Metabolic, cardiorespiratory, and neuromuscular fitness performance in children with cerebral palsy: A comparison with healthy youth. J Exerc Rehabil 2016;12:124-31.
- 25.
Klingels K, Demeyere I, Jaspers E, et al. Upper limb impairments and their impact on activity measures in children with unilateral cerebral palsy. Eur J Pediatr Neurol 2012;16:475-84.
- 26.
Braendvik SM, Elvrum AK, Vereijken B, et al. Relationship between neuromuscular body functions and upper extremity activity in children with cerebral palsy. Dev Med Child Neurol 2010;52:e29-34.
- 27.
Wong V, Chung B, Hui S, et al. Cerebral palsy: correlation of risk factors and functional performance using the Functional Independence Measure for Children (WeeFIM). J Child Neurol 2004;19:887-93.