Cerebral Palsy, Spastic
Conditions
Keywords
Cerebral Palsy, Balance, Inspiratory Muscle Training, 6-Minute Walk Test, Pulmonary Function Test, Postural Stability
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.
Interventions
OTHERConventional physiotherapy including balance exercises
Programme will include balance exercises with balance board and swiss ball, weight shifting exercises on board, one-legged balance, balance on unstable surface, balance on tilting surface and balance with Biodex Balance System. Biodex Balance System Biodex will only be used during sessions under physiotherapist supervision.
OTHERInspiratory muscle training
Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure.
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Years to 16 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline maximum inspiratory pressure at 8 weeks | Eight weeks |
| Change from baseline maximum expiratory pressure at 8 weeks | Eight weeks |
| Change from baseline distance covered in six-minute walk test at 8 weeks | Eight weeks |
| Change from baseline Forced Vital Capacity (FVC) at 8 weeks | Eight weeks |
| Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks | Eight weeks |
| Change from baseline Peak Expiratory Flow (PEF) 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 limits of stability test score in Biodex Balance System SD at 8 weeks | Eight weeks |
| Change from baseline sensory integration and balance test score in Biodex Balance System SD at 8 weeks | Eight weeks |
Countries
Turkey (Türkiye)
Outcome results
None listed