Efficacy of feedback respiratory training on respiratory muscle strength and quality of life in children with spastic cerebral palsy: Randomized controlled trial

Elrefaey, Basant Hamdy; Maksoud, Gehan Mosaad Abd-El; Ali, Olfat Ibrahim

doi:10.4103/bfpt.bfpt_65_16

Cited by 12 publications

(5 citation statements)

References 28 publications

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“…The studies used six types of supplementary respiratory therapy, including manual diaphragmatic stretching technique [21], incentive spirometer [14,33], feedback respiratory training [29,30], inspiratory muscle training (IMT) [24][25][26], breathing exercise series [27,28], and resistance exercise [34,40].…”

Section: Discussionmentioning

confidence: 99%

“…The baseline characteristics of the studies included are detailed in Table S1. All 12 articles were randomized controlled trials and six distinct approaches were identified that could be categorized as supplementary respiratory therapy, namely: manual diaphragmatic stretching technique [21], incentive spirometer [22,23] inspiratory muscle training [24][25][26], breathing exercise series [25,26], feedback respiratory training [27,28] and upper extremity resistance exercise with elastic bands [29,30]. We considered the different supplementary respiratory therapies as a single category.…”

Section: Basic Characteristics Of Studies Includedmentioning

confidence: 99%

“…El-Refaey et al [27] conducted a study in which they compared the PedsQL scores before and after a four-week feedback respiratory training intervention in a study group and a control group. Both groups showed an improvement in PedsQL score, but this improvement was not statistically significant.…”

Section: Efficacy Of Supplementary Respiratory Therapy On Quality Of ...mentioning

confidence: 99%

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Supplementary Respiratory Therapy Improves Pulmonary Function in Pediatric Patients with Cerebral Palsy: A Systematic Review and Meta-Analysis

Kolumbán,

Szabados,

Hernádfői

et al. 2024

JCM

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Background: Despite medical advances, individuals with cerebral palsy (CP) face significant respiratory challenges, leading to heightened hospitalization rates and early mortality among this population. We hypothesize that integrating supplementary respiratory therapy into standard rehabilitation will result in significant improvements in pulmonary function, enhanced respiratory muscle strength, and an overall increase in the quality of life among pediatric patients with CP. Methods: A systematic search of literature across five databases was conducted, and random-effects meta-analyses were performed to assess the impact of supplementary respiratory therapy on (a) pulmonary function: forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV1), FVC/FEV1 ratio, peak expiratory flow (PEF), and (b) respiratory muscle strength: maximal inspiratory and expiratory pressure (MIP, MEP), and (c) quality of life. Certainty of evidence was determined by the GRADE assessment. Results: Analysis of data from 11 eligible randomized controlled trials revealed clinically meaningful changes in pulmonary function. We found a relevant mean difference (MD) in absolute PEF of 0.50 L/s (95% confidence interval (CI): 0.19; 0.82 p = 0.0107). The certainty of the evidence ranged from moderate to high. Conclusions: This study presents current evidence on the impact of various supplementary respiratory therapies for CP patients classified under gross motor function classification level I–IV, demonstrating clinically meaningful improvements in pulmonary function and respiratory muscle strength. These improvements suggest the potential for an enhanced quality of life. Our findings hold the promise of serving as a foundational reference for potential revisions to conventional rehabilitation care, incorporating supplementary respiratory therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Basic Characteristics Of Studies Includedmentioning

confidence: 99%

Section: Efficacy Of Supplementary Respiratory Therapy On Quality Of ...mentioning

confidence: 99%

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Supplementary Respiratory Therapy Improves Pulmonary Function in Pediatric Patients with Cerebral Palsy: A Systematic Review and Meta-Analysis

Kolumbán,

Szabados,

Hernádfői

et al. 2024

JCM

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“…Most the children with CP had spastic CP (77.4%), which can be divided into bilateral spastic CP (63.6%) and unilateral spastic CP (36.4%) [3]. CP is one of the most common developmental disabilities throughout life, caused by large-scale changes in subcortical brain activity with a reduced activation of corticospinal and somatosensory circuits, which leads to diminished activation of the central nervous system during volitional activities [4][5][6]. CP is accompanied by a host of medical comorbidities, each of which may have different strategies for optimal treatment and management [6,7].…”

Section: Introductionmentioning

confidence: 99%

Effect of Transcranial Direct Current Stimulation versus Virtual Reality on Gait for Children with Bilateral Spastic Cerebral Palsy: A Randomized Clinical Trial

et al. 2023

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Impaired gait is a common sequela in bilateral spastic cerebral palsy. We compared the effects of two novel research interventions—transcranial direct current stimulation and virtual reality—on spatiotemporal and kinetic gait impairments in children with bilateral spastic CP. Forty participants were randomized to receive either transcranial direct current stimulation or virtual reality training. Both groups received standard-of-care gait therapy during the assigned intervention and for the subsequent 10 weeks afterward. Spatiotemporal and kinetic gait parameters were evaluated at three different times: (i) before starting the intervention, (ii) after two weeks of intervention, and (iii) 10 weeks after intervention completion. Both groups exhibited higher velocity and cadence, as well as longer stance time, step length, and stride length after intervention (p < 0.001). Only the transcranial direct current stimulation group exhibited increased maximum force and maximum peak pressure after intervention (p’s ≤ 0.001), with continued improvements in spatiotemporal parameters at follow-up. The transcranial direct current stimulation group had higher gait velocities, stride length, and step length at follow-up compared to the virtual reality group (p ≤ 0.02). These findings suggest that transcranial direct current stimulation has a broader and longer-lasting effect on gait than virtual reality training for children with bilateral spastic cerebral palsy.

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“…[13][14][15][16] To the best of our knowledge, three studies have looked at the results of respiratory muscle training in CP kids using various tools and methods. 17 When the relationship between the strength of the respiratory muscles and balance is taken into account, improving balance can be accomplished via IMT. On the basis of this data, it is hypothesised that IMT may help children with hemiplegic CP balance and postural stability.…”

mentioning

confidence: 99%

Influence of Respiratory Muscle Training and Balance Exercise in Children with Cerebral Palsy: A Randomized Controlled Trial

2023

IJFMR

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Efficacy of feedback respiratory training on respiratory muscle strength and quality of life in children with spastic cerebral palsy: Randomized controlled trial

Cited by 12 publications

References 28 publications

Supplementary Respiratory Therapy Improves Pulmonary Function in Pediatric Patients with Cerebral Palsy: A Systematic Review and Meta-Analysis

Supplementary Respiratory Therapy Improves Pulmonary Function in Pediatric Patients with Cerebral Palsy: A Systematic Review and Meta-Analysis

Effect of Transcranial Direct Current Stimulation versus Virtual Reality on Gait for Children with Bilateral Spastic Cerebral Palsy: A Randomized Clinical Trial

Influence of Respiratory Muscle Training and Balance Exercise in Children with Cerebral Palsy: A Randomized Controlled Trial

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