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Muscle weakness is a recognised problem in children with Cerebral Palsy (CP). Changes in the understanding of motor control, and progress in the treatment of spasticity, have led to a greater appreciation that spastic muscles are also weak. In recent years weakness has been identified in isolated muscle groups, but studies quantifying the degree and distribution of weakness in multiple muscles remain...
Objective. To assess and compare the effects of physiotherapy and suction on expired tidal volume (VTE), respiratory compliance (Crs), resistance (Rrs) and arterial blood gases. Design. Randomised cross-over study comparing outcomes after both treatments on the same day. Setting. Intensive tertiary care units, Great Ormond Street Hospital, London. Patients. One hundred children on full ventilatory...
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