Incentive Spirometer as a Visual Feedback in Children With Spastic Cerebral Palsy
NCT ID: NCT05945953
Last Updated: 2024-03-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
54 participants
INTERVENTIONAL
2023-09-10
2024-02-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Incentive spirometer as visual feedback
Incentive spirometer as visual feedback
Incentive spirometer as deep breathing then UE movement in sitting: Frequency: 2 sets of 10x Intensity: Up to tolerance (hold breath for 2-4 secs). Time: Twice a week Type: Deep breathing exercise UE movement: Gentle ROMs (5 reps)
along with conventional Treatment; Passive stretching of spastic muscles, Strengthening of weak muscles using manual resistance, Diaphragmatic Breathing, Resisted Diaphragmatic Breathing (placing 5Ib sandbag on abdomen).
Diaphragmatic breathing exercise (Mirror mediated therapy)
Diaphragmatic breathing exercise (Mirror mediated therapy)
Diaphragmatic breathing exercise (Mirror mediated therapy): In front of mirror deep breathing with UE movement in sitting: Frequency: 1 cycle of 10x Intensity: Up to tolerance. Time: 3 times per week. Type: Deep breathing exercise. UE movement: Gentle ROMs (5 reps).
along with conventional Treatment; Passive stretching of spastic muscles, Strengthening of weak muscles using manual resistance, Diaphragmatic Breathing, Resisted Diaphragmatic Breathing (placing 5Ib sandbag on abdomen).
Interventions
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Incentive spirometer as visual feedback
Incentive spirometer as deep breathing then UE movement in sitting: Frequency: 2 sets of 10x Intensity: Up to tolerance (hold breath for 2-4 secs). Time: Twice a week Type: Deep breathing exercise UE movement: Gentle ROMs (5 reps)
along with conventional Treatment; Passive stretching of spastic muscles, Strengthening of weak muscles using manual resistance, Diaphragmatic Breathing, Resisted Diaphragmatic Breathing (placing 5Ib sandbag on abdomen).
Diaphragmatic breathing exercise (Mirror mediated therapy)
Diaphragmatic breathing exercise (Mirror mediated therapy): In front of mirror deep breathing with UE movement in sitting: Frequency: 1 cycle of 10x Intensity: Up to tolerance. Time: 3 times per week. Type: Deep breathing exercise. UE movement: Gentle ROMs (5 reps).
along with conventional Treatment; Passive stretching of spastic muscles, Strengthening of weak muscles using manual resistance, Diaphragmatic Breathing, Resisted Diaphragmatic Breathing (placing 5Ib sandbag on abdomen).
Eligibility Criteria
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Inclusion Criteria
* Spastic diplegic, age above 5.
* According to modified Ashworth scale, moderate spasticity 1 to 3.
* Adequate cognition (will be assessed by using MMSE scale) in order to follow the instructions to use Incentive Spirometry and also able to comprehend single verbal command for breathing.
* Able to attend all sessions. (mentally and physically capable of attending session).
* Able to sit with support.
Exclusion Criteria
* Patients with any respiratory or cardiac disease that can affect their respiratory function.
* Patients with beta blockers or bronchodilators.
* Children with any cognitive impairment who are unable to follow instructions.
* Children with bone deformities, such as scoliosis or kyphosis.
* Children with any sort of auditory and visual defects.
5 Years
12 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Muhammad Iqbal Tariq, MSCPPT
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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NIRM (National Institute of Rehabilitation Medicine
Islamabad, Federal, Pakistan
Countries
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Other Identifiers
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REC/01541 Ayesha Khalid
Identifier Type: -
Identifier Source: org_study_id
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