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The Effects of Balance and Respiratory Muscle Training on Functional Capacity, Balance, Respiratory Function and Respiratory Muscle Strength in Children With Cerebral Palsy

Not Applicable
Completed
Conditions
Cerebral Palsy, Spastic
Registration Number
NCT03396289
Lead Sponsor
Bezmialem Vakif University
Brief Summary

Cerebral palsy (CP) is a permanent, non-progressive disorder in which the immature brain is affected by various causes in the prenatal, perinatal or postnatal period. Damage to the central nervous system in children with CP causes motor problems, balance and postural disorders. It is reported in the literature that the effects of balance and the effects of balance exercises in children with CP, similarly respiratory effects were also investigated. Balance and balance responses are especially important in children with ambulatory SP and balance problems are seen in most CP children. Insufficient control of respiratory muscles affects pulmonary ventilation negatively in children with CP. However, it seems that CP has limited articles in which respiratory muscle strength is investigated, and also limited studies involving inspiratory muscle training. Inspiratory muscle training is shown to improve pulmonary function and diaphragm (which is one of the core muscles) strength and have an effect on balance. Studies showed that respiratory muscle strength in children with CP is lower than in children with normal development. Nevertheless, there was no study showing the effects of respiratory muscle training on functional capacity and balance in children with CP. The aim of this study is to investigate the effects of balance training and inspiratory muscle training on functional capacity, balance, respiratory function and respiratory muscle strength in children with CP.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Cerebral palsy diagnosis
  • Children with level I or II according to Gross Motor Classification System
Exclusion Criteria
  • Orthopedic surgery and / or Botox application in the lower extremity in the last 6 months
  • Severe convulsions that can not be controlled by drugs
  • Congenital malformation accompanying cerebral palsy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change from baseline maximum inspiratory pressure at 8 weeksEight weeks
Change from baseline maximum expiratory pressure at 8 weeksEight weeks
Change from baseline distance covered in six-minute walk test at 8 weeksEight weeks
Change from baseline Forced Vital Capacity (FVC) at 8 weeksEight weeks
Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeksEight weeks
Change from baseline Peak Expiratory Flow (PEF) at 8 weeksEight weeks
Change from baseline postural stability test score in Biodex Balance System SD at 8 weeksEight weeks
Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeksEight weeks
Change from baseline sensory integration and balance test score in Biodex Balance System SD at 8 weeksEight weeks
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Bezmialem Vakif University

🇹🇷

Istanbul, Turkey

Bezmialem Vakif University
🇹🇷Istanbul, Turkey

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