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

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 sp...

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Main Authors: Magda Y. Elseify, Dina A. Ramadan, Sally R. Ishak
Format: Article
Language:English
Published: SpringerOpen 2020-01-01
Series:The Egyptian Journal of Bronchology
Subjects:
Online Access:https://doi.org/10.4103/ejb.ejb_53_19
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author Magda Y. Elseify
Dina A. Ramadan
Sally R. Ishak
author_facet Magda Y. Elseify
Dina A. Ramadan
Sally R. Ishak
author_sort Magda Y. Elseify
collection DOAJ
description 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.
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spelling doaj.art-ad235134ad5341c89317f0725b94b02b2022-12-21T23:40:29ZengSpringerOpenThe Egyptian Journal of Bronchology1687-84262314-85512020-01-0113571672110.4103/ejb.ejb_53_19Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsyMagda Y. Elseify0Dina A. Ramadan1Sally R. Ishak2Department of Pediatrics, Faculty of Medicine, Ain Shams UniversityDepartment of Pediatrics, Faculty of Medicine, Ain Shams UniversityDepartment of Pediatrics, Faculty of Medicine, Ain Shams UniversityAbstract 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.https://doi.org/10.4103/ejb.ejb_53_19cerebral palsychildrenincentive spirometerpulmonary functionsspirometry
spellingShingle Magda Y. Elseify
Dina A. Ramadan
Sally R. Ishak
Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
The Egyptian Journal of Bronchology
cerebral palsy
children
incentive spirometer
pulmonary functions
spirometry
title Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
title_full Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
title_fullStr Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
title_full_unstemmed Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
title_short Effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
title_sort effect of incentive spirometer exercise on pulmonary functions in children with spastic cerebral palsy
topic cerebral palsy
children
incentive spirometer
pulmonary functions
spirometry
url https://doi.org/10.4103/ejb.ejb_53_19
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AT dinaaramadan effectofincentivespirometerexerciseonpulmonaryfunctionsinchildrenwithspasticcerebralpalsy
AT sallyrishak effectofincentivespirometerexerciseonpulmonaryfunctionsinchildrenwithspasticcerebralpalsy