Change of Pulmonary Function After Incentive Spirometer Training in Children With Cerebral Palsy

Yonsei University35 enrolled

Overview

This study was designed to examine the effect of incentive spirometry in pulmonary rehabilitation of children with cerebral palsy. The incentive spirometer, a device that can help improve breathing and strengthen inspiratory muscles. If the patient assigned to training group, the subjects started to respiratory muscle strengthening exercise using incentive spirometry. The training was performed ten sessions daily, for 4 weeks. Respiratory function tests including forced vital capacity, forced expiratory volume in 1 second, Peak cough flow, maximal phonation time were compared before interventions and at the end of exercise.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Cerebral Palsy

Interventions

The incentive spirometer, a device that can help improve breathing and strengthen inspiratory muscles. First, the subjects exhaled normally, then placed the mouthpiece in their mouth and sealed their lips around the mouthpiece. Then they inhaled slowly and deeply with their lips sealed tightly on the mouthpiece. After they inhaled as deeply as possible, held their breath for at least 3 seconds, and then removed the mouthpiece from their mouth and breathed out normally. Subjects repeated this technique 10-15 times. When they finished 10-15 exercises, they took a deep breath and coughed. The training was performed ten sessions daily, for 4 weeks.

Eligibility

Sex: ALLMin age: 4 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * male or female, 4 to 18 years * patients who are committed to comply with protocol-required procedures * GMFCS (Gross motor function classification system) level II, III, IV * Stable medical condition in the investigator's opinion * Acceptable chest radiologic result who has no evidence of pulmonary disease Exclusion Criteria: * Any uncontrolled clinically significant medical condition other than the one under study * Patients with cognitive impairment who are unable to comply with protocol-required procedure * Patients with presence or history of tracheostomy * Patients who are taking medications that can affect respiratory function

Outcomes

Primary Outcomes

Forced vital capacity

Forced vital capacity means amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Measuring FVC is done through spirometry testing.

Time frame: within 3 days after respiratory muscle training

Secondary Outcomes

forced expiratory volume in 1 second

Time frame: within 3 days after respiratory muscle training

Peak cough flow

Time frame: within 3 days after respiratory muscle training

maximal phonation time

Time frame: within 3 days after respiratory muscle training

Change of Pulmonary Function After Incentive Spirometer Training in Children With Cerebral Palsy

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes