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Respiratory muscular strength decrease in children with mylomeningocele

dc.contributor.authorRonchi, Carlos Fernando [UNESP]
dc.contributor.authorde Oliveira Antunes, Leticia Claudia [UNESP]
dc.contributor.authorFioretto, José Roberto [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade do Sagrado Coração (USC)
dc.date.accessioned2014-05-20T13:38:00Z
dc.date.available2014-05-20T13:38:00Z
dc.date.issued2008-02-01
dc.description.abstractStudy Design. Case-control study.Objective. To evaluate respiratory muscle force in children with myelomeningocele. Summary of Background Data. Myelomeningocele is a common spinal cord malformation with limitations linked to central nervous system lesions and abnormalities in respiratory movements. Despite this, little attention has been given to evaluating respiratory muscle force in these patients.Methods. Children with myelomeningocele aged between 4 and 14 years ( myelomeningocele group; MG, n = 20) were studied and compared with healthy children ( control group; CG, n = 20) matched for age and gender. Respiratory muscular force was evaluated by maximum inspiratory ( Pimax) and expiratory ( Pemax) pressures.Results. Groups were similar for age [ CG = 8 ( 6 - 13) = MG = 8 ( 4 - 14), P > 0.05]; gender, and body mass index [ CG = 17.4 ( 14.1 - 24.7) x MG = 19.2 ( 12.6 - 31.9), P > 0.05]. The lumbosacral region was predominantly affected ( 45%). Maximum respiratory pressures were significantly higher in CG than MG ( Pimax = CG: similar to 83 +/- 21.75 > MG: -54.1 +/- 23.66; P < 0.001 and Pemax = CG: + 87.4 +/- 26.28 > MG: + 64.6 +/- 26.97; P = 0.01). Patients with upper spinal lesion ( UL) had lower maximum respiratory pressure values than those with lower spinal lesion ( LL), [Pimax ( UL = - 38.33 +/- 11.20 cm H2O x LL = - 60.85 +/- 24.62 cm H2O), P < 0.041 and Pemax ( UL = + 48 +/- 20.82 cm H2O x LL + 71.71 +/- 26.73 cm H2O), P = 0.067]).Conclusion. Children with myelomeningocele at the ages studied presented reduced respiratory muscle force with more compromise in upper spinal lesion.en
dc.description.affiliationUNESP, Dept Pediat, Botucatu Med Sch, BR-18618000 Botucatu, SP, Brazil
dc.description.affiliationUNESP, Botucatu Med Sch, Univ Hosp, Physiotherapy & Rehabil Sect, BR-18618000 Botucatu, SP, Brazil
dc.description.affiliationUniv Sagrado Coracao, USC, Bauru, Brazil
dc.description.affiliationUnespUNESP, Dept Pediat, Botucatu Med Sch, BR-18618000 Botucatu, SP, Brazil
dc.description.affiliationUnespUNESP, Botucatu Med Sch, Univ Hosp, Physiotherapy & Rehabil Sect, BR-18618000 Botucatu, SP, Brazil
dc.format.extentE73-E75
dc.identifierhttp://dx.doi.org/10.1097/BRS.0b013e3181624bc8
dc.identifier.citationSpine. Philadelphia: Lippincott Williams & Wilkins, v. 33, n. 3, p. E73-E75, 2008.
dc.identifier.doi10.1097/BRS.0b013e3181624bc8
dc.identifier.issn0362-2436
dc.identifier.urihttp://hdl.handle.net/11449/13175
dc.identifier.wosWOS:000253542600020
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofSpine
dc.relation.ispartofjcr2.792
dc.relation.ispartofsjr1,736
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectrespiratory muscleen
dc.subjectmyelomeningoceleen
dc.subjectchildrenen
dc.subjectspina bifidaen
dc.subjectmaximal respiratory pressureen
dc.titleRespiratory muscular strength decrease in children with mylomeningoceleen
dc.typeArtigo
dcterms.licensehttp://edmgr.ovid.com/spine/accounts/copyrightTransfer.pdf
dcterms.rightsHolderLippincott Williams & Wilkins
dspace.entity.typePublication
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
unesp.departmentClínica Médica - FMBpt
unesp.departmentPediatria - FMBpt

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