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Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy

Egyptian Journal of Bronchology volume 13, pages 716–721 (2019)Cite this article

Abstract

Background

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.

Materials and methods

Fifty 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.

Results

The authors found significant improvements in FEV1%, FVC %, and maximal mid-expiratory flow in the study group, but not in the control group.

Conclusion

The authors support the use of ISE for improving pulmonary functions in children with spastic CP.

References

  1. Stavsky M, Mor O, Mastrolia SA, Greenbaum S, Than NG, Erez O. Cerebralpalsy–trends in epidemiology and recent development in prenatal mechanisms of disease, treatment, and prevention. Front Pediatr 2017; 5:21.

    Article  Google Scholar 

  2. Proesmans M. Respiratory illness in children with disability: a serious problem? Breathe (Sheff) 2016; 12:e97–e103.

    Article  Google Scholar 

  3. Arvedson JC, Clin EJ. Feeding children with cerebral palsy and swallowing difficulties. Nutr 2013; 67:S9–S12.

    Google Scholar 

  4. Parkes J, Hill N, Platt MJ, Donnelly C. Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study. Dev Med Child Neurol 2010; 52:1113–1119.

    Article  Google Scholar 

  5. Wang HY, Chen CC, Hsiao SF. Relationships between respiratory muscle strength and daily living function in children with cerebral palsy. Res Dev Disabil 2012; 33:1176–1182.

    Article  CAS  Google Scholar 

  6. Kwon YH, Lee HY. Differences of respiratory function according to level of the gross motor function classification system in children with cerebral palsy. J Phys Ther Sci 2014; 26:389–391.

    Article  Google Scholar 

  7. Pathmanathan N, Beaumont N, Gratrix A. Respiratory physiotherapy in the critical care unit. Continuing Education in Anaesthesia. Critical Care Pain J 2015; 15:20–25.

    Google Scholar 

  8. Lee HY, Cha YJ, Kim K. The effect of feedback respiratory training on pulmonary function of children with cerebral palsy: a randomized controlled preliminary report. Clin Rehabil 2014; 28:965–971.

    Article  Google Scholar 

  9. Kotecha SJ, Watkins WJ, Paranjothy S, Dunstan FD, Henderson AJ, Kotecha S. Effect of late preterm birth on longitudinal lung spirometry in school age children and adolescents. Thorax 2012; 67:54–61.

    Article  Google Scholar 

  10. Scherer TA, Spengler CM, Owassapian D, Imhof E, Boutellier U. Respiratory muscle endurance training in chronic obstructive pulmonary disease: impact on exercise capacity, dyspnea, and quality of life. Am J Respir Crit Care Med 2000; 162:1709–1714.

    Article  CAS  Google Scholar 

  11. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy. Develop Med Child Neurol 2007; 109:8–14.

    Google Scholar 

  12. Duruflé-Tapin A, Colin A, Nicolas B, Lebreton C, Dauvergne F, Gallien P. Analysis of the medical causes of death in cerebral palsy. Ann Phys Rehabil Med 2014; 57:24–37.

    Article  Google Scholar 

  13. Kwon YH, Lee HY. Differences in respiratory pressure and pulmonary function among children with spastic diplegic and hemiplegic cerebral palsy in comparison with normal controls. J Phys Ther Sci 2015; 27:401–403.

    Article  Google Scholar 

  14. So MW, Heo HM, Koo BS, Kim YG, Lee CK, Yoo B. Efficacy of incentive spirometer exercise on pulmonary functions of patients with ankylosing spondylitis stabilized by tumor necrosis factor inhibitor therapy. J Rheumatol 2012; 39:1854–1858.

    Article  Google Scholar 

  15. Choi JY, Rha DW, Park ES. Change in pulmonary function after incentive spirometer exercise in children with spastic cerebral palsy: a randomized controlled study. Yonsei Med J 2016; 57:769–775.

    Article  Google Scholar 

  16. El-Refaey B, Abd-El Maksoudb G, Ali O. Efficacy of feedback respiratory training on respiratory musclestrength and quality of life in children with spastic cerebralpalsy: Randomized controlled trial. Bull Faculty Phys Ther 2017; 22:46–52.

    Google Scholar 

  17. Lee HY, Kim K. Can walking ability enhance the effectiveness of breathing exercise in children with spastic cerebral palsy? J Phys Ther Sci 2014; 26:539–542.

    Article  Google Scholar 

  18. Kim K, Fell DW, Lee JH. Feedback respiratory training to enhance chestexpansion and pulmonary function in chronic stroke: a double-blind, randomized controlled study. J Phys Ther Sci 2011; 23:75–79.

    Article  Google Scholar 

  19. Sartori R, Barbi E, Poli F, Ronfani L, Marchetti F, Amaddeo A, et al. Respiratory training with a specific device in cystic fibrosis: aprospective study. J Cyst Fibros 2008; 7:313–319.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatrics, Faculty of Medicine, Ain Shams University, 232 Elnarges Buildings, New Cairo, 11865, Egypt

    Magda Y. Elseify, Dina A. Ramadan & Sally R. Ishak MD (Pediatrics Lecturer of Pediatrics)

Authors
  1. Magda Y. Elseify
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  2. Dina A. Ramadan
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  3. Sally R. Ishak MD
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Corresponding author

Correspondence to Sally R. Ishak MD.

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Elseify, M.Y., Ramadan, D.A. & Ishak, S.R. Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy. Egypt J Bronchol 13, 716–721 (2019). https://doi.org/10.4103/ejb.ejb_53_19

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  • DOI: https://doi.org/10.4103/ejb.ejb_53_19

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