Abstract
BackgroundSpastic cerebral palsy (CP) patients have lower pulmonary functions than normal healthy individuals as they usually have decreased chest wall mobility, deviation of optimal chest wall structure, and weak respiratory muscles.PurposeThe aim was to study the effect of incentive spirometer exercise (ISE) on spirometry pulmonary function in children with spastic CP.Materials and methodsFifty spastic CP patients were randomly divided into two groups: the study group consisted of 30 patients and the control group consisted of 20 patients. Both groups were following and doing physiotherapy in the National Institute of Neuromotor System, the study group added incentive spirometer exercise to their physiotherapy program. We assessed forced expiratory volume at first second (FEV1%), the forced vital capacity (FVC %), FEV1/ FVC ratio, and maximal mid-expiratory flow before and after 4 weeks of exercise and lastly after another 4 weeks of exercise.ResultsThe authors found significant improvements in FEV1%, FVC %, and maximal mid-expiratory flow in the study group, but not in the control group.ConclusionThe authors support the use of ISE for improving pulmonary functions in children with spastic CP.
Highlights
IntroductionChildren with cerebral palsy (CP) have a higher incidence of respiratory dysfunction than healthy children
Cerebral palsy (CP) is the most common physical disability in children [1]
Only 50 cerebral palsy (CP) patients were enrolled in the study, 30 patients as the study group and 20 patients as the control group because of the difficulty in collecting cooperative patients with a reasonable IQ to understand the test
Summary
Children with CP have a higher incidence of respiratory dysfunction than healthy children They usually have recurrent chest infections, bronchiectasis, atelectasis, sleep apnea, and chronic obstructive lung disease [2]. Children with spastic CP have decreased chest wall mobility, weak respiratory muscles, and deviation of optimal chest wall structure [5], resulting in lower pulmonary function than healthy children [6]. Spastic cerebral palsy (CP) patients have lower pulmonary functions than normal healthy individuals as they usually have decreased chest wall mobility, deviation of optimal chest wall structure, and weak respiratory muscles. Purpose The aim was to study the effect of incentive spirometer exercise (ISE) on spirometry pulmonary function in children with spastic CP
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