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The Effects of Inspiratory Muscle Training in Children With Cerebral Palsy

Not Applicable
Not yet recruiting
Conditions
Cerebral Palsy
Registration Number
NCT06640686
Lead Sponsor
Istanbul University - Cerrahpasa (IUC)
Brief Summary

Cerebral palsy (CP) is characterized by permanent or variable sensory-motor function impairments resulting from developmental anomalies or damage to the brain. Spasticity, dystonia, postural disorders, and weakened movement patterns can hinder the development of the respiratory system in children with CP. As the severity of postural disorders increases in children with CP, inadequate or improper use of respiratory muscles and insufficient ventilation reduce the mobility of the thoracic cage. The aim of study is to investigate the effects of respiratory muscle training on respiratory parameters, trunk control, walking, and functional independence in children with CP.

Detailed Description

In this prospective randomized controlled study, participants will be divided into two groups: the Inspiratory Muscle Training (IMT) group and the control group. The IMT group will receive IMT in addition to the traditional physical therapy program, while the control group will only receive the traditional physical therapy program. Respiratory muscle strength, respiratory functions, chest expansion, trunk control, walking speed and endurance, and functional independence will be assessed before and after the training.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Aged between 4 and 12 years
  • Classified as levels 1, 2, and 3 according to the Gross Motor Function Classification System (GMFCS)
  • Diagnosed with spastic diplegia and/or hemiplegic cerebral palsy
  • Ability to cooperate during the exercises
Exclusion Criteria
  • Presence of acute or chronic respiratory diseases
  • Presence of acute medical conditions
  • History of active epilepsy
  • Scoliosis with a Cobb angle greater than 30 degrees
  • Presence of chest deformities
  • Severe visual and hearing impairments

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
2 minutes walking test6 months

gait endurance will assess with 2 minutes walking test.

trunk control mesurement scale6 months

trunk control will assess with Trunk Control Measurement Scale.

10 m walking test6 months

gait speed will assess with 10 meter walking test

WeeFIM scale6 months

functional independence will assess with WeeFIM scale.

PP Check device6 months

respiratory muscle strength will assess with device that called 'RP Check'.

spirometer6 months

respiratory function test will be assess with spirometer.

Secondary Outcome Measures
NameTimeMethod
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