It is extensively reported in the literature that patients with chronic obstructive lung disease may have impairments in balance and postural control which further increase the disease burden. Mechanisms related to these impairments include, but are not limited to increased work of breathing, diaphragm weakness, peripheral muscle weakness and systemic inflammation. Since the similar symptoms are reported for the children with cystic fibrosis, it is hypothesized that balance and postural control may also be compromised in these patients. Inspiratory muscle training (IMT) is shown to improve diaphragm strength and pulmonary function. Considering the relation between diaphragm which is one of the core muscles, and balance, IMT may also have an impact on postural control and balance alongside the standard clinical parameters such as respiratory muscle strength, pulmonary function and functional capacity in these patients. Thus, the aim of this study was to investigate the effects of inspiratory muscle training and conventional chest physiotherapy on postural stability, balance, pulmonary function and functional capacity in children with cystic fibrosis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
32
Programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), oscillatory PEP (Flutter), postural drainage and coughing tecniques.
Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure.
Bezmialem Vakif Universitesi, Department of Physiotherapy and Rehabilitation
Istanbul, Eyup, Turkey (Türkiye)
Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks
Time frame: Eight weeks
Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeks
Time frame: Eight weeks
Change from baseline sensory integriation and balance test score in Biodex Balance System SD at 8 weeks
Time frame: Eight weeks
Change from baseline Forced Vital Capacity (FVC) at 8 weeks
Time frame: Eight weeks
Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks
Time frame: Eight weeks
Change from baseline Peak Expiratory Flow (PEF) at 8 weeks
Time frame: Eight weeks
Change from baseline maximum inspiratory pressure at 8 weeks
Time frame: Eight weeks
Change from baseline maximum expiratory pressure at 8 weeks
Time frame: Eight weeks
Change from baseline distance covered in six-minute walk test at 8 weeks
Time frame: Eight weeks
Change from baseline m. quadriceps strength at 8 weeks
Time frame: Eight weeks
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