Investigation of the Effects of Diaphragm Exercises in Children With Cerebral Palsy
Condition: Cerebral Palsy Spastic Diplegia
MeSH terms: Paralysis; Cerebral Palsy
Study type: Interventional

Summary: 
      The aim of this study is to examine the effects of diaphragmatic myofascial relaxation
      exercise and diaphragmatic breathing exercises added to the conventional physiotherapy and
      rehabilitation program in children with diplegic cerebral palsy (CP), primarily on MIP, MEP,
      and secondarily on thoracic cage mobility, pulmonary functions and sitting ability.
    

Detailed description: 
      This research is a randomized controlled trial. Volunteers diagnosed with cerebral palsy who
      applied to Marmara University Pendik Training and Research Hospital will participate in the
      research. A voluntary consent form will be obtained from the participants at the beginning of
      the study. Demographic and clinical information form will be filled for each patient at the
      beginning of the study before clinical evaluations. Demographic and clinical information
      form; Age, gender, height, weight, body mass index (BMI), how many weeks were born, birth
      weight, drug use, disease history, number of siblings, neonatal intensive care
      hospitalization history, education level of parents will be questioned. The Gross Motor
      Functional Classification System (KMFSS) will be used to determine the functionality levels
      of the volunteers who will participate in the study. The following tests will be applied to
      all of the volunteers who will participate in our study before and after the intervention:

      Respiratory Muscle Strength Measurement Thoracic Cage Mobility Assessment Pulmonary Function
      Tests Gross Motor Functional Measurement (part B) Children meeting the inclusion criteria
      will be randomly assigned to two groups. The control and research groups will receive an
      individualized conventional rehabilitation program for 45 minutes, 2 days a week for 8 weeks.
      In addition to conventional rehabilitation, manual diaphragmatic relaxation exercises and
      diaphragmatic breathing exercises will be applied to the children in the research group two
      days a week.

      After 8 weeks of intervention and control group applications, the evaluations made at the
      beginning of the intervention will be repeated. The evaluations of the two groups will be
      compared statistically and the results will be interpreted.
    

Intervention name(s): Diaphragmatic exercises; conventional physiotherapy
Intervention type(s): Other; Other
Intervention description(s): Diaphragm exercises will be applied to the research group in addition to conventional rehabilitation.The content of the individualized conventional rehabilitation program consists of passive stretching exercises, strengthening exercises to antagonists of spastic muscles and exercises aimed at improving weight transfer, balance and correction reactions, and postural control. In addition to conventional rehabilitation, manual diaphragmatic relaxation exercises and diaphragmatic breathing exercises will be applied to the children in the research group two days a week.; The control group will only be taken to the conventional rehabilitation program. e content of the individualized conventional rehabilitation program consists of passive stretching exercises, strengthening exercises to antagonists of spastic muscles and exercises aimed at improving weight transfer, balance and correction reactions, and postural control.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: cerebral palsy; respiratory strength; pulmonary functions; sitting ability