Effects of Inspiratory Muscle Training in Children with Cerebral Palsy: a Randomized Controlled Trial

Overview

Journal Braz J Phys Ther

Specialty Rehabilitation Medicine

Date 2018 Apr 12

PMID 29636305

Citations 13

Authors

Muserrefe Nur Keles

Bulent Elbasan

Umut Apaydin

Zeynep Aribas

Arzu Bakirtas

Nurdan Kokturk

Affiliations

Soon will be listed here.

Abstract

Background: Respiratory muscle weakness and its relation to other impairments in children with cerebral palsy (CP) have been shown in the latest studies. The effects of inspiratory muscle training (IMT) in this population have not been comprehensively investigated so far.

Objectives: To investigate the effects of IMT on trunk control, pulmonary functions, respiratory muscle strength, daily living activities, exercise capacity and quality of life in children with CP.

Methods: This was a prospective-randomized controlled trial. Twenty-five children with CP were randomly assigned to the treatment (n=13) or the control group (n=12). The treatment group received IMT at 30% of maximal inspiratory pressure (MIP) and the control group received sham therapy (5% of MIP) for 6 weeks. Also, both groups received routine conventional physical therapy (stretching, strengthening, and functional exercises, etc.) for 6 weeks. The primary outcome measure was trunk control. Secondary outcome measures were pulmonary function, respiratory muscle strength, daily living activities, functional exercise capacity and quality of life.

Results: The treatment group had better outcome for trunk control (3.87, 95% CI 3.72-4.02). Also, respiratory muscle strength, daily living activities, functional exercise capacity and quality of life were significantly improved in the treatment group compared with controls. No improvements were observed in the pulmonary function test scores between the groups.

Conclusion: Inspiratory muscle training improves trunk control, respiratory muscle strength, daily living activities, functional exercise capacity and quality of life in children with CP and it can be included in the physiotherapy and rehabilitation programs.

Citing Articles

Effectiveness of Threshold-Pressure Inspiratory Muscle Training on Pulmonary Rehabilitation in Children and Adolescents with Asthma.

Wu P, Qian X, Hu Y, Yan X J Asthma Allergy. 2024; 17:1073-1082.

PMID: 39493893 PMC: 11531299. DOI: 10.2147/JAA.S479398.

Benefits of inspiratory muscle training therapy in institutionalized adult people with cerebral palsy: A double-blind randomized controlled trial.

Martin-Sanchez C, Barbero-Iglesias F, Amor-Esteban V, Martin-Sanchez M, Martin-Nogueras A Brain Behav. 2024; 14(9):e70044.

PMID: 39295105 PMC: 11410885. DOI: 10.1002/brb3.70044.

Supplementary Respiratory Therapy Improves Pulmonary Function in Pediatric Patients with Cerebral Palsy: A Systematic Review and Meta-Analysis.

Kolumban E, Szabados M, Hernadfoi M, Do To U, Nagy R, Zolcsak A J Clin Med. 2024; 13(3).

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Respiratory muscle training induces additional stress and training load in well-trained triathletes-randomized controlled trial.

Kowalski T, Kasiak P, Rebis K, Klusiewicz A, Granda D, Wiecha S Front Physiol. 2023; 14:1264265.

PMID: 37841319 PMC: 10576561. DOI: 10.3389/fphys.2023.1264265.

Evaluation of Recovery Efficacy of Inspiratory Muscle Training After Lobectomy Based on Computed Tomography 3D Reconstruction.

Wang T, Li F, Wang X, Sang T, Wang M, Ma X Respir Care. 2023; 69(1):42-49.

PMID: 37553214 PMC: 10753615. DOI: 10.4187/respcare.11037.

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