{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T14:18:26Z","timestamp":1778336306060,"version":"3.51.4"},"reference-count":42,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Taibah University Medical Sciences"],"published-print":{"date-parts":[[2023,12]]},"DOI":"10.1016\/j.jtumed.2023.05.003","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T01:21:03Z","timestamp":1684286463000},"page":"1254-1260","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of intrathoracic oscillations on pulmonary functions in children with cerebral palsy"],"prefix":"10.1016","volume":"18","author":[{"given":"Alaa M.","family":"El-Moatasem","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-3027","authenticated-orcid":false,"given":"Mai E.","family":"Abbass","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtumed.2023.05.003_bib1","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2017.00021","article-title":"Cerebral palsy-trends in epidemiology and recent development in prenatal mechanisms of disease, treatment, and prevention","volume":"5","author":"Stavsky","year":"2017","journal-title":"Front Pediatr"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib2","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1016\/j.ridd.2012.02.004","article-title":"Relationships between respiratory muscle strength and daily living function in children with cerebral palsy","volume":"33","author":"Wang","year":"2012","journal-title":"Res Dev Disabil"},{"key":"10.1016\/j.jtumed.2023.05.003_bib3","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1038\/ejcn.2013.224","article-title":"Feeding children with cerebral palsy and swallowing difficulties","volume":"67","author":"Arvedson","year":"2013","journal-title":"Eur J Clin Nutr"},{"issue":"12","key":"10.1016\/j.jtumed.2023.05.003_bib4","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1111\/j.1469-8749.2010.03765.x","article-title":"Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study","volume":"52","author":"Parkes","year":"2010","journal-title":"Dev Med Child Neurol"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib5","doi-asserted-by":"crossref","first-page":"e97","DOI":"10.1183\/20734735.017416","article-title":"Respiratory illness in children with disability: a serious problem?","volume":"12","author":"Proesmans","year":"2016","journal-title":"Breathe"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1136\/adc.88.1.75","article-title":"Respiratory problems in children with neurological impairment","volume":"88","author":"Seddon","year":"2003","journal-title":"Arch Dis Child"},{"issue":"2","key":"10.1016\/j.jtumed.2023.05.003_bib7","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3349\/ymj.2006.47.2.237","article-title":"Comparison of the ratio of upper to lower chest wall in children with spastic quadriplegic cerebral palsy and normally developed children","volume":"47","author":"Park","year":"2006","journal-title":"Yonsei Med J"},{"issue":"2","key":"10.1016\/j.jtumed.2023.05.003_bib8","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3349\/ymj.2006.47.2.237","article-title":"Comparison of the ratio of upper to lower chest wall in children with spastic quadriplegic cerebral palsy and normally developed children","volume":"47","author":"Park","year":"2006","journal-title":"Yonsei Med J"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib9","first-page":"121","article-title":"The effects of tetraplegia on chest wall statics","volume":"134","author":"Estenne","year":"1986","journal-title":"Am Rev Respir Dis"},{"issue":"5","key":"10.1016\/j.jtumed.2023.05.003_bib10","first-page":"CD006842","article-title":"Oscillating devices for airway clearance in people with cystic fibrosis","volume":"5","author":"Morrison","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"5 Pt 1","key":"10.1016\/j.jtumed.2023.05.003_bib11","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/S0022-3476(05)81356-3","article-title":"Efficacy of the Flutter device for airway mucus clearance in patients with cystic fibrosis","volume":"124","author":"Konstan","year":"1994","journal-title":"J\u00a0Pediatr"},{"issue":"3","key":"10.1016\/j.jtumed.2023.05.003_bib12","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1002\/ppul.1950110314","article-title":"The long-term effect of high-frequency chest compression therapy on pulmonary complications of cystic fibrosis","volume":"11","author":"Warwick","year":"1991","journal-title":"Pediatr Pulmonol"},{"issue":"3","key":"10.1016\/j.jtumed.2023.05.003_bib13","doi-asserted-by":"crossref","first-page":"199","DOI":"10.3138\/ptc.57.3.199","article-title":"The flutter device versus the PEP mask in the treatment of adults with cystic fibrosis","volume":"57","author":"Newbold","year":"2005","journal-title":"Physiother Can"},{"issue":"5","key":"10.1016\/j.jtumed.2023.05.003_bib14","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1002\/ppul.1146","article-title":"Comparison of high-frequency chest wall oscillation and oscillating positive expiratory pressure in the home management of cystic fibrosis: a pilot study","volume":"32","author":"Oermann","year":"2001","journal-title":"Pediatr Pulmonol"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib15","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1002\/(SICI)1099-0496(199910)28:4<255::AID-PPUL4>3.0.CO;2-K","article-title":"Comparison of Flutter device and chest physical therapy in the treatment of cystic fibrosis pulmonary exacerbation","volume":"28","author":"Gondor","year":"1999","journal-title":"Pediatr Pulmonol"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib16","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1002\/ppul.1950200110","article-title":"Comparison of effects of an intrapulmonary percussive ventilator to standard aerosol and chest physiotherapy in treatment of cystic fibrosis","volume":"20","author":"Homnick","year":"1995","journal-title":"Pediatr Pulmonol"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib17","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1097\/00008483-199807000-00005","article-title":"Alternatives to percussion and postural drainage. A review of mucus clearance therapies: percussion and postural drainage, autogenic drainage, positive expiratory pressure, flutter valve, intrapulmonary percussive ventilation, and high-frequency chest co","volume":"18","author":"Langenderfer","year":"1998","journal-title":"J\u00a0Cardiopulm Rehabil"},{"issue":"6","key":"10.1016\/j.jtumed.2023.05.003_bib18","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1067\/mpd.2001.114017","article-title":"Long-term comparative trial of positive expiratory pressure versus oscillating positive expiratory pressure (flutter) physiotherapy in the treatment of cystic fibrosis","volume":"138","author":"McIlwaine","year":"2001","journal-title":"J\u00a0Pediatr"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib19","first-page":"211","article-title":"Current devices of respiratory physiotherapy","volume":"12","author":"Hristara-Papadopoulou","year":"2008","journal-title":"Hippokratia"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib20","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1164\/ajrccm.150.4.7921452","article-title":"Comparison of high frequency chest compression and conventional chest physiotherapy in hospitalized patients with cystic fibrosis","volume":"150","author":"Arens","year":"1994","journal-title":"Am J Respir Crit Care Med"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib21","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1002\/(SICI)1099-0496(199610)22:4<271::AID-PPUL7>3.0.CO;2-P","article-title":"A\u00a0comparison of bronchial drainage treatments in cystic fibrosis","volume":"22","author":"Kluft","year":"1996","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.jtumed.2023.05.003_bib22","article-title":"Comparison of the active cycle of breathing techniques and external high frequency oscillation jacket for clearance of secretions in children with cystic fibrosis","volume":"53","author":"Phillips","year":"1998","journal-title":"THORAX-LONDON-."},{"issue":"10","key":"10.1016\/j.jtumed.2023.05.003_bib23","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1136\/thx.40.10.749","article-title":"Effect of oral high frequency ventilation by jet or oscillator on minute ventilation in normal subjects","volume":"40","author":"George","year":"1985","journal-title":"Thorax"},{"issue":"6","key":"10.1016\/j.jtumed.2023.05.003_bib24","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1136\/thx.40.6.433","article-title":"Increase in mucociliary clearance in normal man induced by oral high frequency oscillation","volume":"40","author":"George","year":"1985","journal-title":"Thorax"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib25","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1378\/chest.114.1.171","article-title":"Sputum rheology changes in cystic fibrosis lung disease following two different types of physiotherapy: flutter vs autogenic drainage","volume":"114","author":"App","year":"1998","journal-title":"Chest"},{"issue":"2","key":"10.1016\/j.jtumed.2023.05.003_bib26","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0031-9406(10)61958-X","article-title":"Physiotherapy for cystic fibrosis\u2014which technique?","volume":"78","author":"Pryor","year":"1992","journal-title":"Physiotherapy"},{"issue":"6 CC-Airways","key":"10.1016\/j.jtumed.2023.05.003_bib27","first-page":"20","article-title":"Comparison of quake and RC-Cornet for airway clearance in bronchiectasis: a randomised crossover trial","volume":"2","author":"Amit","year":"2012","journal-title":"Int J Health Sci Res"},{"issue":"7","key":"10.1016\/j.jtumed.2023.05.003_bib28","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1177\/0883073809350223","article-title":"Safety, tolerability, and efficacy of high-frequency chest wall oscillation in pediatric patients with cerebral palsy and neuromuscular diseases: an exploratory randomized controlled trial","volume":"25","author":"Yuan","year":"2010","journal-title":"J\u00a0Child Neurol"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib29","doi-asserted-by":"crossref","first-page":"40","DOI":"10.7326\/M17-0046","article-title":"CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts","volume":"167","author":"Boutron","year":"2017","journal-title":"Ann Intern Med"},{"issue":"2","key":"10.1016\/j.jtumed.2023.05.003_bib30","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1093\/ptj\/67.2.206","article-title":"Interrater reliability of a modified Ashworth scale of muscle spasticity","volume":"67","author":"Bohannon","year":"1987","journal-title":"Phys Ther"},{"issue":"2","key":"10.1016\/j.jtumed.2023.05.003_bib31","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/j.1469-8749.1997.tb07414.x","article-title":"Development and reliability of a system to classify gross motor function in children with cerebral palsy","volume":"39","author":"Palisano","year":"1997","journal-title":"Dev Med Child Neurol"},{"issue":"2","key":"10.1016\/j.jtumed.2023.05.003_bib32","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1002\/ppul.20148","article-title":"Relevance of a portable spirometer for detection of small airways obstruction","volume":"39","author":"Ezzahir","year":"2005","journal-title":"Pediatr Pulmonol"},{"issue":"5","key":"10.1016\/j.jtumed.2023.05.003_bib33","doi-asserted-by":"crossref","first-page":"402","DOI":"10.4097\/kjae.2013.64.5.402","article-title":"The prevention and handling of the missing data","volume":"64","author":"Kang","year":"2013","journal-title":"Korean J Anesthesiol"},{"issue":"11","key":"10.1016\/j.jtumed.2023.05.003_bib34","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.biopsych.2006.01.017","article-title":"Prevention of missing data in clinical research studies","volume":"59","author":"Wisniewski","year":"2006","journal-title":"Biol Psychiatr"},{"key":"10.1016\/j.jtumed.2023.05.003_bib35","article-title":"Safety, tolerability and efficacy of LEGA-Kid\u00ae mechanical percussion device versus conventional chest physiotherapy in children: a randomised, single-blind controlled study","author":"Hue","year":"2020","journal-title":"Singapore Med J"},{"issue":"S204","key":"10.1016\/j.jtumed.2023.05.003_bib36","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/j.1651-2227.1970.tb06140.x","article-title":"Dynamic and static lung volumes of school children with cerebral palsy","volume":"59","author":"Bjure","year":"1970","journal-title":"Acta Paediatr"},{"issue":"4","key":"10.1016\/j.jtumed.2023.05.003_bib37","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1111\/j.1469-8749.1994.tb11850.x","article-title":"Sleep abnormalities in patients with severe cerebral palsy","volume":"36","author":"Kotagal","year":"1994","journal-title":"Dev Med \u2216& Child Neurol"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib38","first-page":"48","article-title":"Respiration and speech in the cerebral palsied child","volume":"89","author":"Blumberg","year":"1955","journal-title":"AMA Am J Dis Child"},{"key":"10.1016\/j.jtumed.2023.05.003_bib39","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1111\/j.1469-8749.1964.tb08139.x","article-title":"Lung function of athetoid and spastic quadriplegic children","volume":"6","author":"Hardy","year":"1964","journal-title":"Dev Med Child Neurol"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib40","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1152\/jappl.1995.78.1.179","article-title":"Developmental changes in chest wall compliance in infancy and early childhood","volume":"78","author":"Papastamelos","year":"1995","journal-title":"J\u00a0Appl Physiol"},{"issue":"3","key":"10.1016\/j.jtumed.2023.05.003_bib41","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.cupe.2005.02.007","article-title":"Physiological principles of airway clearance techniques used in the physiotherapy management of cystic fibrosis","volume":"15","author":"Rogers","year":"2005","journal-title":"Curr Paediatr"},{"issue":"1","key":"10.1016\/j.jtumed.2023.05.003_bib42","doi-asserted-by":"crossref","first-page":"107","DOI":"10.4187\/respcare.02446","article-title":"High-frequency chest wall compression therapy in neurologically impaired children","volume":"59","author":"Fitzgerald","year":"2014","journal-title":"Respir Care"}],"container-title":["Journal of Taibah University Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1658361223000707?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1658361223000707?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:35:19Z","timestamp":1761647719000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1658361223000707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S1658361223000707"],"URL":"https:\/\/doi.org\/10.1016\/j.jtumed.2023.05.003","relation":{},"ISSN":["1658-3612"],"issn-type":[{"value":"1658-3612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effect of intrathoracic oscillations on pulmonary functions in children with cerebral palsy","name":"articletitle","label":"Article Title"},{"value":"Journal of Taibah University Medical Sciences","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtumed.2023.05.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}