Incentive Spirometer as a Visual Feedback in Children With Spastic Cerebral Palsy

Comparison of Incentive Spirometer as a Visual Feedback Versus Deep Breathing Via Mirror Mediated Therapy on Pulmonary Function in Children With Spastic Cerebral Palsy

Objective: To compare the effects of incentive spirometer as a visual feedback versus deep breathing via mirror mediated therapy on pulmonary function in children with spastic cerebral palsy. To determine the effects of incentive spirometer as a visual feedback versus deep breathing via mirror mediated therapy on sleep and quality of life in children with spastic cerebral palsy.

Inclusion Criteria:

• Participants falling in this category would be recruited into the study.
• 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:

• Participant falling in this category would be excluded of the study.
• 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.