Respiratory function in handicapped children

Respiratory function in handicapped children

Ishida C; Fujita M; Umemoto H; Taneda M; Sanae N; Tasaki T

Brain & Development

1990

Child; Female; Male; Posture; adolescent; Preschool; Comparative Study; Human; Recurrence; Brain Damage; Brain Damage; Disabled Persons; Muscular Dystrophies/pp [Physiopathology]; Respiration Disorders/et [Etiology]; Tidal Volume; Vital Capacity; Anoxia/et [Etiology]; Chronic/co [Complications]; Chronic/pp [Physiopathology]; Hypercapnia/et [Etiology]; Motor Skills; Muscular Dystrophies/co [Complications]; Respiratory Tract Infections/et [Etiology]; Spinal Dysraphism/co [Complications]; Spinal Dysraphism/pp [Physiopathology]

The aim of this study was to evaluate respiratory function of severely handicapped children. Tidal volumes and respiratory rates were determined in a total of 130 children with different clinical motor abilities. Tidal volume of non-sitters (n = 39) was significantly lower than ambulators (n = 49) or sitters (n = 42) (p less than 0.01). There was no difference in respiratory rate among the three groups. Among 45 children whose vital capacity could be determined, the tidal volumes showed a significant correlation with vital capacity (r = 0.56, p less than 0.001). Among four children whose tidal volume was less than 200 ml and respiratory rate was more than 30 cpm, blood gas analysis revealed hypoxia in three of them. The tidal volumes, therefore, would be a useful guide to estimate respiratory functions. It was concluded that the respiratory function in a non-sitter with reduced tidal volume is impaired, and that preventive measures must be taken against respiratory infection.

1990

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