ABSTRACT

The aim of the study was to investigate the effects of inspiratory muscle and balance training on pulmonary function, respiratory muscle strength (RMS), functional capacity, and balance in children with hemiplegic cerebral palsy (CP). Thirty children with hemiplegic CP (Gross Motor Function Classification System I–II) included in this study. The control group (n = 15) underwent conventional physiotherapy rehabilitation program (CPRP) that included balance exercises, and the training group’s (n = 15) program included inspiratory muscle training (IMT) in addition to CPRP for 8 weeks. The outcome measures were pulmonary function test, RMS measurement, the six-minute walk test (6MWT), and balance tests. There were no significant differences in the score changes of pulmonary function, balance, and 6MWT distance between groups (p > .05), whereas maximum inspiratory and expiratory pressure further increased in the training group (p > .05). RMS assessment and the identification of children who need it, and adding IMT to CPRP will contribute greatly to the rehabilitative approach of children with CP.

摘要

本研究的目的是调查吸气肌和平衡训练对偏瘫型脑瘫 (CP) 儿童的肺功能、呼吸肌力量 (RMS)、功能能力和平衡的影响。本研究包括 30 名患有偏瘫 CP（大体运动功能分类系统 I-II）的儿童。对照组 (n = 15) 接受了包括平衡练习在内的常规物理治疗康复计划 (CPRP)，训练组 (n = 15) 计划除了 CPRP 外还包括吸气肌训练 (IMT) 8 周。结果测量是肺功能测试、RMS测量、六分钟步行测试（6MWT）和平衡测试。肺功能、平衡、6MWT距离等评分变化组间差异无统计学意义（p > .05），而训练组的最大吸气和呼气压力进一步增加（p > .05）。RMS 评估和识别需要它的儿童，并将 IMT 添加到 CPRP 将大大有助于 CP 儿童的康复方法。