Resistance Exercise in Children With Post-operative Congenital Diaphragmatic Hernia

Effect of Chest Resistance Exercise Combined With Chest Expansion Exercises on Respiratory Muscle Strength, Lung Function, and Thoracic Excursion in Children With Post-operative Congenital Diaphragmatic Hernia

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04900649

Acronym

hernia

Enrollment

Registered

2021-05-25

Start date

2020-05-01

Completion date

2021-04-05

Last updated

2021-05-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hernias, Diaphragmatic, Congenital

Brief summary

Congenital diaphragmatic hernia (CDH) is a life-threatening condition with long-term complications including respiratory tract infections, respiratory muscle weakness, and abnormal lung functions. This study, therefore, has been designed to ascertain the effect of chest resistance exercise and chest expansion exercise on respiratory muscle strength, lung function, and chest mobility in children with post-operative CDH.

Detailed description

With the advances in surgical and neonatal treatment, the survival rates in children with CDH have been improved in the last decades. The surviving children may suffer from long-term complications such as impairments in lung growth (lung hypoplasia), cardiovascular disorders, pulmonary hypertension, gastrointestinal problems, and recurrent occurrence of lower respiratory tract infection. One of the physical therapy techniques used to treat chest disorders via encouraging the normal alignment of respiratory muscles with respiratory rhythm is chest resistance exercise through applying resistance to the sternal and coastal areas .

Interventions

OTHERchest resistance exercise

lung function.

OTHERchest expansion exercises

thoracic excursion

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

10 Years to 14 Years

Healthy volunteers

Inclusion criteria

* ages between 10 and 14 years. * the BMI between 20 and 25 Kg/m2. the children were considered as high risky CDH as they developed respiratory distress in the first days of their life. * CDH was corrected surgically immediately after birth. * children are still in following upstate in pediatric and physical therapy departments.

Exclusion criteria

* physical disability. * diaphragmatic eventration. * unable to perform all tests or procedures. * children with cardiac anomalies

Design outcomes

Primary

Measure	Time frame	Description
Respiratory muscle Strength	at baseline	evaluated by using POWER breathe KH2 equipment.
Lung functions	at baseline	assessed by the Minispir® Light spirometer with Winspiro® Light software. The child was seated with knees flexed 90° and was asked to hold three deep breaths, take deep inspiration to total lung capacity (TLC), then expire all the air inside the lungs to their residual volume (RV) to obtain the variables FEV1 (forced expiratory volume in 1 s) and FVC (forced vital capacity).

Secondary

Measure	Time frame	Description
Thoracic excursion	at baseline	assessed by tape measurement

Countries

Saudi Arabia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026