| Impact of diaphragm training on diaphragm function and motor function in children with cerebral palsy |
| |
| DOI：10.3870/zgkf.2026.03.005 |
| EN KeyWords: diaphragm training core stability training cerebral palsy diaphragm function motor function |
| Fund Project:广东省医学科学技术研究基金项目（A2024002） |
|
| View Counts: 1043 |
| PDF Download Counts: 713 |
| EN Abstract: |
| Objective：To explore the effects of diaphragm training, core stability training, and conventional exercise on improving diaphragm function and motor function in children with cerebral palsy. Methods: A total of 80 children with cerebral palsy were recruited and divided into three groups: conventional exercise group, core stability training group, and diaphragm training group. All three groups received conventional exercise; additionally, the core group received supplementary core stability training, and the diaphragm group received supplementary diaphragm training. Clinical outcomes were assessed using the following indicators: diaphragm function indicators: diaphragm thickness (Tdi), diaphragm thickening fraction (DTF), and diaphragmatic excursion (DE); motor function indicator: scores in zones D and E of the Gross Motor Function Measure (GMFM-88); balance and mobility indicators: Pediatric Balance Scale (PBS), Timed Up and Go Test (TUGT), and 10 Meter Walk Test (10MWT). Results: After 12 weeks of treatment: For diaphragm function, the inspiratory Tdi, expiratory Tdi, DTF, and DE in the diaphragm group and core group were significantly improved as compared with pre-treatment (P<0.05), the inspiratory Tdi, DTF, and DE in the diaphragm group were higher than those in the core group and conventional group (P<0.05), and the DTF and DE in the core group were higher than those in the conventional group (P<0.05). For motor function (GMFM), scores in zones D and E were significantly increased in all three groups as compared with pre-treatment (P<0.05). Scores in zones D and E of the core group were higher than those of the conventional group (P<0.05), and the score in zone E of the diaphragmatic group was higher than that of the conventional group (P<0.05). For balance and mobility: in terms of PBS scores, the diaphragm group and core group showed significant increases as compared with pre-treatment (P<0.05), and their scores were higher than those of the conventional group (P<0.05); regarding TUGT duration, all three groups showed significant reduction as compared with pre-treatment (P<0.05), with the duration in the order of diaphragm group < core group < conventional group (P<0.05); for 10MWT (comfortable/maximum speed), all three groups showed significant improvement as compared with pre-treatment (P<0.05), with the speed in the order of diaphragm group > core group > conventional group (P＜0.05). Conclusion: Diaphragmatic training has a better effect on improving diaphragm function and mobility (walking speed and transfer function) in children with cerebral palsy. Diaphragmatic training is similar to core stability training in improving balance function. In clinical practice, single training or combined intervention can be selected according to the children’s needs. |
|
查看全文
Download PDF Reader HTML Full Text |
| Close |
|
|
|
