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    Mobilidade da caixa torácica de crianças com paralisia cerebral durante a respiração
    (Universidade Federal de São Paulo, 2014-07-29) Cabo, Soraia Liborio [UNIFESP]; Carvalho, Raquel de Paula [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Cerebral palsy (CP) refers to a group of non-progressive disorders that occurs during the process of brain maturation. It has multifactorial and diversity of clinical etiologies. The respiratory system of children with CP is influenced by disturbances of tone, posture and movement that characterize this population. The aim of this study was to analyze the shape and mobility of thoracic cage in children with CP during quiet and forced breathing. Eighteen children aged from 8 to14 years old participated of this cross-sectional study. Nine children with typical motor development were included in the control group (CG) and nine children with spastic hemiparesis CP (levels I and II of the Gross Motor Function Classification System) were included in the group of CP (CPG). A three-dimensional kinematic analysis system (Dvideow) was used to describe spatial trajectories of 60 markers attached on anatomical landmarks. From the three-dimensional coordinates of the markers, the following experimental variables could be obtained: anteroposterior diameter (APD) and transverse (TD) and angles alpha (?), beta (?), gamma (?), theta (? ), lambda (?) and sigma (?). The results indicate that children with mild spastic hemiparesis CP (PCG) showed similar shape of the rib cage to typical children (CG) of the same age. The asymmetry between right and left ribs of CPG did not influence shape of the rib cage, and it was similar to CG. However, in relation to mobility, children with CP showed lower mobility of last rib when compared to CG. As the mobility of the lower thoracic region suggests measure of diaphragmatic excursion, we believe that these results may reflect the strength deficit, mainly the diaphragm and other respiratory muscles of children in this group.