Effects of inspiratory muscle training in children with cerebral palsy: a randomized controlled trial

Abstract

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.

Effect of respiratory therapy on pulmonary functions in children with cerebral palsy: a systematic review

“…The mean score of the 8 studies was 6.5. One study obtained a score of 9 [24] which represents "excellent" quality, two studies had a score of 8 [21,25], and three studies scored 6 [19,20,23] which represent "good" quality. One study was given a score of 5 [22], and one study was given score of 4 [26] which represent "fair" quality.…”

“…Two hundred thirty-five children ranged from 5 to 15 years of age were diagnosed with diplegic [19][20][21][22]24], hemiplegic [20][21][22]24], quadriplegic [20,22,26], and triplegic [22] CP of different levels of severity. Two studies did not specify CP type [23,25].…”

“…All studies examined the effect of different types of respiratory therapy (breathing exercises [19], aquatic activities [20], feedback respiratory muscle training [21], incentive spirometer [22], upper extremity resistance exercise [23], inspiratory muscle training at 30% MIP [24], task-specific movement exercise with loaded resistance [25], and respiratory exercises [26]).…”

“…Six studies applied conventional physical therapy in the form of neurodevelopmental technique [19][20][21][22][23]26]. One study used inspiratory muscle training at 5% MIP and home program [24]. Other study applied ROM and stretching exercises [25]…”

“…Pulmonary functions measured are VC [19][20][21], FVC [21][22][23][24][25][26], FEV 1 [19,[21][22][23][24][25][26], PEF [21][22][23][24][25][26], FEV 1 /FVC ratio [22,26], FEF [24], ERV, TV, and IRV [21].…”