Yonsei Med J.  2016 May;57(3):769-775. 10.3349/ymj.2016.57.3.769.

Change in Pulmonary Function after Incentive Spirometer Exercise in Children with Spastic Cerebral Palsy: A Randomized Controlled Study

• Choi JY
• Rha DW
• Park ES

• KMID: 2374100
• DOI: http://doi.org/10.3349/ymj.2016.57.3.769

Abstract

PURPOSE
The aim of this study was to investigate the effect of incentive spirometer exercise (ISE) on pulmonary function and maximal phonation time (MPT) in children with spastic cerebral palsy (CP).
MATERIALS AND METHODS
Fifty children with CP were randomly assigned to two groups: the experimental group and the control group. Both groups underwent comprehensive rehabilitation therapy. The experimental group underwent additional ISE. The forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), and MPT were assessed as outcome measures before and after 4 weeks of training.
RESULTS
There were significant improvements in FVC, FEV1, PEF, and MPT in the experimental group, but not in the control group. In addition, the improvements in FVC, FEV1, and MPT were significantly greater in the experimental group than in the control group.
CONCLUSION
The results of this randomized controlled study support the use of ISE for enhancing pulmonary function and breath control for speech production in children with CP.

Keyword

Pulmonary function; incentive spirometer; cerebral palsy

MeSH Terms

Adolescent
Body Fluids
Breathing Exercises/*methods
Cerebral Palsy/complications/*physiopathology
Child
*Exercise
Female
Forced Expiratory Volume
Humans
Lung
Male
Motivation
*Spirometry
Treatment Outcome

Figure

• 

  Fig. 1 Flow chart of participant enrollment.

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  Fig. 2 Incentive spirometer (DHD CliniFLO®).

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