Effects of positioning on respiratory measures in individuals with cerebral palsy and severe scoliosis. Pediatr Phys Ther 2011;23(2):159-69
Date
05/10/2011Pubmed ID
21552079DOI
10.1097/PEP.0b013e318218e306Scopus ID
2-s2.0-79955837811 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
PURPOSE: To examine the effect of positioning on respiratory measurements in individuals with cerebral palsy and severe scoliosis.
METHODS: Five individuals aged 17 to 37 years participated in an alternating treatment, single-subject design. Oxygen saturation, respiratory rate, heart rate, and chest wall excursion measurements were obtained in supine, sitting, and sidelying positions.
RESULTS: Level of support for hypotheses varied on the basis of the respiratory measurement and participants' status. Respiratory rate appeared to be most sensitive to change in the positions. Severity of respiratory compromise and age may be associated with less tolerance for supine position versus sitting and sidelying positions.
CONCLUSIONS: The use of therapeutic positioning in sitting and sidelying positions should be considered as a noninvasive intervention for a population with respiratory compromise. Further research with a larger sample is needed to empirically link specific positions with improved respiratory efficiency.
Author List
Littleton SR, Heriza CB, Mullens PA, Moerchen VA, Bjornson KAuthor
Victoria Moerchen BA,BS,MS,PhD Assistant Professor in the Human Movement Sciences department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
AdultCerebral Palsy
Disability Evaluation
Female
Health Status Indicators
Heart Rate
Humans
Male
Oximetry
Oxygen Consumption
Physical Therapy Modalities
Posture
Prospective Studies
Respiratory Rate
Respiratory System
Scoliosis
Thoracic Wall
Young Adult
