The Effects of Inspiratory Muscle Training in Children With Cerebral Palsy

Istanbul University - Cerrahpasa (IUC)

Status: Not yet enrolling

Conditions: Cerebral Palsy

Treatments: Other: Exercise training

Study type: Interventional

Funder types: Other

Identifiers

NCT06640686

IstanbulOkanUniv

Details and patient eligibility

About

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.

Full 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.

Enrollment: 36 estimated patients

Sex: All

Ages: 4 to 12 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups

Inspiratory Muscle Training Group

Experimental group

Description:

Inspiratory muscle training consists of strengthening exercise with threshold Inspiratory muscle training device.

Treatment:

Other: Exercise training

Traditional Physiotherapy Group

Active Comparator group

Description:

The control group will receive the traditional physical therapy program.

Treatment:

Other: Exercise training