The Effect of Inspiratory Muscle Training on Respiratory Parameters, Trunk Control, Gait, and Functional Independence in Children With Cerebral Palsy: A Randomized Controlled Trial.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: The Effect of Inspiratory Muscle Training on Respiratory Parameters, Trunk Control, Gait, and Functional Independence in Children With Cerebral Palsy: A Randomized Controlled Trial.
Συγγραφείς: Berat Cil H; Division of Physiotherapy and Rehabilitation, Institute of Graduate Education, Istanbul Okan University, Istanbul, Turkey., Aydin G; Faculty of Health Sciences, Division of Physiotherapy and Rehabilitation, Istanbul Okan University, Istanbul, Turkey. Electronic address: gamze.tosun@okan.edu.tr.
Πηγή: Pediatric neurology [Pediatr Neurol] 2026 Oct; Vol. 183, pp. 146-155. Date of Electronic Publication: 2026 Jul 22.
Τύπος έκδοσης: Journal Article; Randomized Controlled Trial
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Science Publishing Country of Publication: United States NLM ID: 8508183 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5150 (Electronic) Linking ISSN: 08878994 NLM ISO Abbreviation: Pediatr Neurol Subsets: MEDLINE
Imprint Name(s): Publication: New York Ny : Elsevier Science Publishing
Original Publication: Chippewa Falls, Wis. : Professional Publications, [c1985-
Ιατρικοί όροι (MeSH): Cerebral Palsy*/rehabilitation , Cerebral Palsy*/physiopathology , Respiratory Muscles*/physiopathology , Breathing Exercises*/methods , Torso*/physiopathology , Gait*/physiology, Muscle Strength/physiology ; Humans ; Male ; Child ; Female ; Prospective Studies
Περίληψη: Background: The aim of this study was to investigate the effects of inspiratory muscle training (IMT) on respiratory parameters, trunk control, gait, and functional independence in children with cerebral palsy (CP).
Methods: A total of 36 children with CP, (mean age 7.89 ± 2.17 years; 55.5% male) were included in this prospective, randomized controlled trial. Participants were randomly assigned to two groups; the experimental group received IMT in addition to a routine exercise program, while the control group received sham IMT in addition to the routine exercise program for 6 weeks. Respiratory muscle strength (maximum inspiratory pressure [MIP] and maximum expiratory pressure), pulmonary function (spirometry), trunk control (Trunk Control Measurement Scale), gait speed (10-Meter Walk Test), gait endurance (2-Minute Walk Test), and functional independence (Functional Independence Measure for Children) were assessed. All evaluations were conducted by physiotherapists at baseline, at the 6th week, and at the 12th week.
Results: In the intergroup comparisons, significant differences were found in MIP, forced expiratory volume in the first second (FEV1), and FEV1/ forced vital capacity (P = 0.009, P = 0.023, P = 0.007, respectively). In the experimental group, the within-group effect sizes for MIP and FEV1 were greater than those observed in the control group (P < 0.001, η2 = 0.794; P < 0.001, η2 = 0.521, respectively). No significant differences were observed between the groups in 10-Meter Walk Test, 2-Minute Walk Test, and Functional Independence Measure for Children scores (P > 0.05). For Trunk Control Measurement Scale, although a significant within-group improvement was observed in the experimental group (P < 0.001), additional analyses were performed because of the substantial baseline imbalance between groups. After adjustment for baseline differences, the overall group effect remained significant (F = 6.133, P = 0.019, partial η2 = 0.157), whereas the group × time interaction was not significant (linear mixed model (LMM): F = 0.187, P = 0.830; analysis of covariance (ANCOVA): F = 0.879, P = 0.355).
Conclusions: IMT added to a routine exercise program in children with CP was superior to sham IMT in addition to the routine exercise program in improving inspiratory muscle strength and pulmonary function (FEV1).
(Copyright © 2026 Elsevier Inc. All rights reserved.)
Competing Interests: Declaration of competing interest The authors declare no conflict of interest or financial disclosures concerning the materials or methods used in this study or the findings specified in this article. This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of University (Approval Date: November 13, 2024; Approval No: 10840098-202.3.02-6970).
Contributed Indexing: Keywords: Cerebral palsy; Functional status; Gait; Muscle strength; Respiratory muscles
Entry Date(s): Date Created: 20260809 Date Completed: 20260915 Latest Revision: 20260915
Update Code: 20260916
DOI: 10.1016/j.pediatrneurol.2026.07.019
PMID: 42571774
Βάση Δεδομένων: MEDLINE