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Effects of Inspiratory Muscle Training in Children With Cerebral Palsy

Not Applicable
Completed
Conditions
Cerebral Palsy
Respiration; Decreased
Interventions
Device: Threshold (IMT)
Registration Number
NCT02998281
Lead Sponsor
Gazi University
Brief Summary

Even if cerebral palsy not directly effect respiratory system, impairment of nervous and muscle systems, because of the brain damage, may cause respiratory functions impairment. In literature, it has been showed that children with cerebral palsy have decreased respiratory muscle strength and associated with trunk control, quality of life and respiratory functions. But, there is no study in literature that aims to increase respiratory muscle strength in these children. Hence, the aim of this study is to investigate effects of inspiratory muscle training on respiratory functions, trunk control, activities of daily living, functional exercise capacity and quality of life in children with cerebral palsy.

Detailed Description

A convenience of children with hemiparetic and diplegia CP, 7-14 years, is going to recruited from Gazi University, Faculty of Health Science, Department of Physiotherapy and Rehabilitation. Patients will randomly allocate to either a treatment group or control group. The treatment group will receive inspiratory muscle training at 30-40% of maximal mouth pressure, the control group will receive sham inspiratory muscle training at a fixed work load, 5% of maximal mouth pressure. Groups are going to train for a total of 30 min/d, 7 days/week, for 6 weeks. Before and after treatment, every each of patients pulmonary function test will be evaluated with using spirometry, respiratory muscle strength using with electronic mouth pressure device, trunk control with using trunk control measurement scale, activities of daily living using with Pediatric Evaluation of Disability Inventory (PEDI), functional exercise capacity usin with six minute walk test (6MWT) and quality of life using with Cerebral Palsy Quality of Life Questionnaire (CPQOL).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • Aged 7-14 years
  • Diagnosed to spastic cerebral palsy
  • Gross Motor Function Classification System levels I or II.
  • Have no earlier interventions in the form of orthopaedic surgery or injection with botulinum toxin type A in the 6 month prior to baseline assessments
  • Child are able to demonstrate sufficient co-operation and cognitive understanding participating
Exclusion Criteria
  • Active medical condition impairment (pneumonia etc.)
  • Do not accommodate the study
  • Do not want to attempt the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control GroupThreshold (IMT)The control group received sham Inspiratory muscle training (IMT) at a fixed work load, 5% of PImax by using Threshold IMT.
Treatment GroupThreshold (IMT)The treatment group received Inspiratory muscle training (IMT) at 40% of maximal mouth pressure (PImax) by using Threshold IMT and training loads were adjusted to maintain 40% of the PImax weekly. The PImax was measured at supervised sessions each week, and 40% of the measured value was determined as the new training work load.
Primary Outcome Measures
NameTimeMethod
Timed Up and Go Test6 weeks

this is a simple test used to assess a person's mobility and requires both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair and sit down. During the test, the child is expected to wear their regular footwear and use any mobility aids that they would normally require.

Secondary Outcome Measures
NameTimeMethod
Activities of daily living using with Pediatric Evaluation of Disability Inventory6 weeks

PEDI scale

Pulmonary Function Test6 weeks

spirometry

Respiratory muscle strength6 weeks

Mouth pressure device

Functional exercise capacity6 weeks

six minute walk test

Change in trunk control over time assessed with Trunk Control Measurement Scale6 weeks

Assessing change in trunk control

Trial Locations

Locations (1)

Gazi University, Faculty of Health and Sciences, Department of Physiotherapy and Rehabilitation

🇹🇷

Ankara, Turkey

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