The Effects of Inspiratory Muscle Training on Respiratory Parameters, Trunk Control, Walking, and Functional Independence in Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 36
- 主要终点
- 2 minutes walking test
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Participants will be blind to their group and outcomes assessor will be blind to groups.
入排标准
- 年龄范围
- 4 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
2 minutes walking test
时间窗: 6 months
gait endurance will assess with 2 minutes walking test.
trunk control mesurement scale
时间窗: 6 months
trunk control will assess with Trunk Control Measurement Scale.
10 m walking test
时间窗: 6 months
gait speed will assess with 10 meter walking test
PP Check device
时间窗: 6 months
respiratory muscle strength will assess with device that called 'RP Check'.
spirometer
时间窗: 6 months
respiratory function test will be assess with spirometer.
WeeFIM scale
时间窗: 6 months
functional independence will assess with WeeFIM scale.
次要结局
未报告次要终点
研究者
Gamze Aydin
Principal Investigator
Istanbul University - Cerrahpasa (IUC)