BioFeedBack Breathing Training Influence Cardiac Autonomic Nervous System in Children With Cerebral-Palsy.

Hadassah Medical Center

Status: Completed

Conditions: Autonomic Nerveus System; Cerebral Palsy

Treatments: Other: Biofeedback training

Study type: Interventional

Funder types: Other

Identifiers

NCT01872507

HMO-0374-12

Details and patient eligibility

About

The effect of breathing biofeedback training to influence the function of the cardiac autonomic nervous system at rest and in activity in children with cerebral palsy.

Cerebral palsy children suffer from a non-progressive damage of the brain. It is the most common injury that causes physical handicapped in childhood. There are a few researches that investigated the autonomic function in cerebral palsy children. Those researches found hyperactivity of the sympathetic autonomic system, including high resting heart rate compare to their typically developed pears. The recommended treatment for cerebral palsy is activity, muscle strengthening and mobility. The impairment in the autonomic system influences the everyday function and has correlation with secondary morbidity.

As far as we know there are no researches who investigated the following issues.

In this study we would like to:

1. Describe the autonomic cardiac function, Breathing function, motor function and the correlation between them in children with cerebral palsy.
2. Compare the autonomic cardiac function at rest in aerobic test and in diaphragmatic breathing.
3. Test the influence of breathing training on Heart rate variability parameters at rest, in aerobic test right after the breathing training program and one month after, in children with cerebral palsy

Full description

Participants:

60 children with cerebral palsy age 6-11 who can walk and understand simple instructions.

Main outcome measures:

Heart rate variability using Polar watch and transmitter RS810CX.

Secondary outcome measures:

1. Lung functioning using Sensormedics Vmax 29 spirometry:Forced Vital Capacity, Forced Expiratory Volume in one,Tidal Volume.
2. Biofeedback
3. Sub maximal aerobic test on treadmill-Modified Naughton Protocol with Polar watch and transmitter.
4. Gross Motor Function Classification System
5. Gross Motor Function Measure
6. Functional Mobility Scale
7. Children Assessment of Participation and Enjoyment
8. Autonomic function questionnaire

Enrollment: 20 patients

Sex: All

Ages: 6 to 11 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children with cerebral palsy
• age 6-11 years
• able to walk
• both gender

Exclusion criteria

• heart or lung known disease
• can not follow simple commends

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

biofeedback training

Active Comparator group

Description:

usual treatment+12 treatment of biofeedback training

Treatment:

Other: Biofeedback training

control

No Intervention group

Description:

usual treatment