Cerebral Palsy
Conditions
Keywords
respiratory function test, muscle strength, gait, trunk
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.
Interventions
Inspiratory muscle training for increase strength of inspiratory muscle.
Sponsors
Study design
Masking description
Participants will be blind to their group and outcomes assessor will be blind to groups.
Intervention model description
randomized controlled study
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 2 minutes walking test | 6 months | gait endurance will assess with 2 minutes walking test. |
| WeeFIM scale | 6 months | functional independence will assess with WeeFIM scale. |
| PP Check device | 6 months | respiratory muscle strength will assess with device that called 'RP Check'. |
| spirometer | 6 months | respiratory function test will be assess with spirometer. |
| trunk control mesurement scale | 6 months | trunk control will assess with Trunk Control Measurement Scale. |
| 10 m walking test | 6 months | gait speed will assess with 10 meter walking test |