Effects of Inspiratory Muscle Training on Postural Stability, Balance, Pulmonary Function and Functional Capacity in Children With Cystic Fibrosis
- Conditions
- Cystic Fibrosis
- Interventions
- Other: Conventional chest physiotherapyOther: Inspiratory muscle training
- Registration Number
- NCT03375684
- Lead Sponsor
- Bezmialem Vakif University
- Brief Summary
It is extensively reported in the literature that patients with chronic obstructive lung disease may have impairments in balance and postural control which further increase the disease burden. Mechanisms related to these impairments include, but are not limited to increased work of breathing, diaphragm weakness, peripheral muscle weakness and systemic inflammation. Since the similar symptoms are reported for the children with cystic fibrosis, it is hypothesized that balance and postural control may also be compromised in these patients. Inspiratory muscle training (IMT) is shown to improve diaphragm strength and pulmonary function. Considering the relation between diaphragm which is one of the core muscles, and balance, IMT may also have an impact on postural control and balance alongside the standard clinical parameters such as respiratory muscle strength, pulmonary function and functional capacity in these patients. Thus, the aim of this study was to investigate the effects of inspiratory muscle training and conventional chest physiotherapy on postural stability, balance, pulmonary function and functional capacity in children with cystic fibrosis.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 32
- Cystic fibrosis diagnosis
- Stable clinical condition (no exacerbation in last 4 weeks)
- Documented diagnosis of vestibular, neurological or orthopedic disorders which may affect balance and mobility
- Subjects previously involved in exercise training or physiotherapy programs
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Group Conventional chest physiotherapy Patients in this group will receive conventional chest physiotherapy, two times a day, 7 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home. Training Group Conventional chest physiotherapy In addition to conventional chest physiotherapy programme, patients in this group will also receive inspiratory muscle training for 15 minutes, twice a day, 7 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home. Training Group Inspiratory muscle training In addition to conventional chest physiotherapy programme, patients in this group will also receive inspiratory muscle training for 15 minutes, twice a day, 7 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home.
- Primary Outcome Measures
Name Time Method Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeks Eight weeks Change from baseline sensory integriation and balance test score in Biodex Balance System SD at 8 weeks Eight weeks Change from baseline distance covered in six-minute walk test at 8 weeks Eight weeks Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks Eight weeks Change from baseline maximum inspiratory pressure at 8 weeks Eight weeks Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks Eight weeks Change from baseline Forced Vital Capacity (FVC) at 8 weeks Eight weeks Change from baseline Peak Expiratory Flow (PEF) at 8 weeks Eight weeks Change from baseline maximum expiratory pressure at 8 weeks Eight weeks
- Secondary Outcome Measures
Name Time Method Change from baseline m. quadriceps strength at 8 weeks Eight weeks
Trial Locations
- Locations (1)
Bezmialem Vakif Universitesi, Department of Physiotherapy and Rehabilitation
🇹🇷Istanbul, Eyup, Turkey