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Vol. 22. Num. 6.01 November 2018
Pages 435-526
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Vol. 22. Num. 6.01 November 2018
Pages 435-526
Original Research
DOI: 10.1016/j.bjpt.2018.03.010
Effects of inspiratory muscle training in children with cerebral palsy: a randomized controlled trial
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Muserrefe Nur Kelesa,
Corresponding author
muserref-1@hotmail.com

Corresponding author at: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Emniyet Mah. Muammer Yaşar Bostancı Cad. No: 16 Beşevler, Ankara, Turkey.
, Bulent Elbasana, Umut Apaydina, Zeynep Aribasa, Arzu Bakirtasb, Nurdan Kokturkc
a Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
b Department of Pediatric Allergy and Asthma, Faculty of Medicine, Gazi University, Ankara, Turkey
c Department of Pulmonary Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey
Highlights

  • Children with cerebral palsy have variable degrees of respiratory muscle weakness.

  • IMT improves respiratory muscle strength, trunk control and exercise capacity in these children.

  • IMT also improves daily living activities and quality of life.

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Tables (3)
Table 1. Baseline demographic characteristics of treatment and control groups.
Table 2. Effects of inspiratory muscle training on pulmonary function, respiratory muscle strength, trunk control and functional exercise capacity.
Table 3. Effects of inspiratory muscle training on daily living activities and quality of life.
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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.

Keywords:
Cerebral palsy
Inspiratory muscle training
Trunk control
Exercise capacity
Quality of life

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