The Effect of Trunk Control on Respiratory Muscle Strength

NCT03209310 | Completed

• 1 other identifier: B.10.4.ISM.4.06.68.49/975
• Study Type: observational
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cerebral palsy (CP) can be defined as a group of disorders of movement and posture, causing activity limitation that are attributed to nonprogressive deficits that take place in the immature brain. The motor disorders of CP are often accompanied by deficits in sensation, cognition, communication, perception, behavioral and respiratory system . Children with CP have many primary motor impairments such as selective mobility, muscle weakness, abnormal muscle tone, impaired coordination between agonist-antagonist muscles and insufficient postural control. These motor impairments also lead to secondary problems such as contractures and bone deformities. Whether primer or secondary, all these problems can reduce independence in activities of daily living (ADL) by affecting CP children at different levels. There are several studies in children with CP that investigate the effects of trunk control and/or respiratory functions. However, there are very few studies examining the relationship of these functions which have direct effects on ADL. In these studies, the functions of children who are more heavily affected and unable to move have been examined. However, there are no studies examining the effect of trunk control on respiratory muscle strength in children with CP with a better mobility level. There are many factors affecting both trunk control and respiratory functions in these children. Therefore, in children with CP, who have better functional level and can move on their own, revealing the interaction between trunk control and respiratory functions may contribute significantly to the treatment process. For this reason, this study was planned to investigate the effect of trunk control on ADL and respiratory muscle strength in children with CP having a Gross Motor Functional Classification System (GMFCS) levels of 1 and 2 and to compare them with healthy children.

Conditions

Cerebral Palsy, Spastic; Posture; Respiratory Muscle Strength; Activities of Daily Living

Outcome Measures

Primary Outcomes (1)

• Trunk Control Measurement Scale (TCMS)

  TCMS measures the state of balance on the support surface and the ability to actively move body parts during functional activities, which are the two components of trunk control. TCMS consists of 15 items in total that are scored on 2, 3 or 4 point ordinal scale and administered bilaterally in case of clinical relevance. The total TCMS score ranges from 0 to 58. A high score on this scale represents a better performance

  15 minutes

Secondary Outcomes (2)

• Pediatric Evaluation of Disability Inventory (PEDI)

  30 minutes

• Respiratory Muscle Strength

  15 minutes

Study Arms (2)

The children with Cerebral Palsy

Cerebral palsy (CP) can be defined as a group of disorders of movement and posture, causing activity limitation that are attributed to nonprogressive deficits that take place in the immature brain. The motor disorders of CP are often accompanied by deficits in sensation, cognition, communication, perception, behavioral and respiratory system.

Control Group

Children with typical development were included in this study

Eligibility Criteria

• Age: 6 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children with Cerebral Palsy and healthy volunteers.

You may qualify if:

• Diagnosis of CP by a pediatric neurologist
• No significant scoliosis during postural evaluation
• Were having a level of 1 or 2 of GMFCS
• No orthopedic surgery or not having Botulinum Toxin-A injection in the last 6 months

You may not qualify if:

• Having speech or cooperative problems

Sponsors & Collaborators

• Gazi University: lead

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Bülent Elbasan

  Gazi U

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Gazi Ethical Committee

Study Record Dates

• First Submitted: July 3, 2017
• First Posted: July 6, 2017
• Study Start: October 30, 2016
• Primary Completion: April 16, 2017
• Study Completion: July 1, 2017
• Last Updated: July 11, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share