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Respiratory function in handicapped children.

C Ishida1, M Fujita, H Umemoto

  • 1Department of Pediatrics, Asahikawa Children's Rehabilitation Center, Hokkaido, Japan.

Brain & Development
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Severely handicapped children who cannot sit have significantly lower tidal volumes, indicating impaired respiratory function. Monitoring tidal volume is crucial for assessing respiratory health and preventing infections in these children.

Area of Science:

  • Pediatric Pulmonology
  • Rehabilitation Medicine
  • Disability Studies

Background:

  • Assessing respiratory function is vital for managing severely handicapped children.
  • Motor abilities significantly impact physiological functions in children with disabilities.

Purpose of the Study:

  • To evaluate the respiratory function in severely handicapped children.
  • To determine the relationship between motor abilities and respiratory parameters.

Main Methods:

  • Measured tidal volumes and respiratory rates in 130 children with varying motor abilities (non-sitters, sitters, ambulators).
  • Correlated tidal volume with vital capacity in 45 children.
  • Conducted blood gas analysis on children with critically low tidal volumes.

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Main Results:

  • Non-sitters exhibited significantly lower tidal volumes compared to sitters and ambulators (p < 0.01).
  • No significant difference in respiratory rate was observed across motor ability groups.
  • Tidal volume showed a strong positive correlation with vital capacity (r = 0.56, p < 0.001).
  • Hypoxia was detected in 3 out of 4 children with tidal volume < 200 ml and respiratory rate > 30 cpm.

Conclusions:

  • Reduced tidal volume in non-sitters suggests impaired respiratory function.
  • Tidal volume serves as a useful indicator for estimating respiratory status.
  • Preventive strategies against respiratory infections are essential for children with impaired respiratory function, particularly non-sitters.