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The effect of breathing biofeedback training to influence the function of the cardiac autonomic nervous system at rest and in activity in children with cerebral palsy.
Cerebral palsy children suffer from a non-progressive damage of the brain. It is the most common injury that causes physical handicapped in childhood. There are a few researches that investigated the autonomic function in cerebral palsy children. Those researches found hyperactivity of the sympathetic autonomic system, including high resting heart rate compare to their typically developed pears. The recommended treatment for cerebral palsy is activity, muscle strengthening and mobility. The impairment in the autonomic system influences the everyday function and has correlation with secondary morbidity.
As far as we know there are no researches who investigated the following issues.
In this study we would like to:
Participants:
60 children with cerebral palsy age 6-11 who can walk and understand simple instructions.
Main outcome measures:
Heart rate variability using Polar watch and transmitter RS810CX.
Secondary outcome measures:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| biofeedback training | Active Comparator | usual treatment+12 treatment of biofeedback training |
|
| control | No Intervention | usual treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biofeedback training | Other | usual treatment +12 biofeedback training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline of Heart rate variability meaures at one and two months | Change from Baseline at one and two months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline of Forced Vital Capacity, Forced Expiratory Volume in one, Tidal Volume, | Change from Baseline at one and two month | |
| Change from Baseline Sub maximal aerobic test on treadmill-Modified Naughton Protocol with Polar watch and transmitter. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline Gross Motor Function Measure | Change from baseline at one and two month later | |
| Change from baseline Children Assessment of Participation and Enjoyment | Change from baseline at one and two month later |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Itai Berger, MD | Hadassah Medical Organization | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah Medical Organization | Jerusalem | 91240 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20956067 | Background | Zamuner AR, Cunha AB, da Silva E, Negri AP, Tudella E, Moreno MA. The influence of motor impairment on autonomic heart rate modulation among children with cerebral palsy. Res Dev Disabil. 2011 Jan-Feb;32(1):217-21. doi: 10.1016/j.ridd.2010.09.020. Epub 2010 Oct 16. | |
| Background | Sutarto AP, Wahab M, Zin NM. Heart Rate Variability (HRV),biofeedback; A new training approch for aperator's performance enhancement. JIEM, 2010, 3;176-198. | ||
| 21323740 |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Change from baseline at one and two month later |
| Change from baseline breathing rate, by biofeedback | Change from baseline at one and two month later |
| Change from baseline Autonomic function questionnaire | Change from baseline at one and two month later |
| Background |
| Ferreira MC, Pastore C, Imada R, Guare R, Leite M, Poyares D, Santos MT. Autonomic nervous system in individuals with cerebral palsy: a controlled study. J Oral Pathol Med. 2011 Aug;40(7):576-81. doi: 10.1111/j.1600-0714.2011.01008.x. Epub 2011 Feb 16. |
| 10999236 | Background | Lehrer PM, Vaschillo E, Vaschillo B. Resonant frequency biofeedback training to increase cardiac variability: rationale and manual for training. Appl Psychophysiol Biofeedback. 2000 Sep;25(3):177-91. doi: 10.1023/a:1009554825745. |