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Purpose of the study to determine the impact of incentive spirometer training and the oropharyngeal motor training or the combination of both for pulmonary dysfunction in spastic diplegic children
This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.
Conditions: Cerebral Palsy
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A : Will include 16 spastic diplegic Children suffer from pulmonary dysfunction from both gend | Experimental | Each child in the group A will receive the incentive spirometer training , attending three sessions per week for three consecutive months. The duration of the session will be half an hour Set up
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| Group B :Will include 16 spastic diplegic Children suffer from pulmonary dysfunction from both gende | Experimental | Each child in the group B will receive the oropharyngeal motor training programme , attending three sessions per week for three consecutive months. The duration of the session will be an hour The training programme consists of 10 individual mobilization exercises involving orofacial and pharyngeal area that required 45 minutes Each exercise had to be repeated for 10 times. The 10 exercises are:
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| Group C : Will include 16 spastic diplegic Children suffer from pulmonary dysfunction from both gend | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A | Device | Each child in the group A will receive the incentive spirometer training , attending three sessions per week for three consecutive months. The duration of the session will be half an hour Set up
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| Measure | Description | Time Frame |
|---|---|---|
| forced vital capacity (FVC) | 1) By using digital incentive spirometry which is the amount of air that an individual is able to forcibly exhale from his / her lungs after taking the deepest breath they can. | Two months |
| forced expiratory volume at 1 s (FEV1) | 1) By using digital incentive spirometry refers to the air an individual can exhale during a forced breath in 1 second | Two months |
| FVC/FEV1 ratio | 1) By using digital incentive spirometry refers to the air an individual can exhale during a forced breath in 1 second | Two months |
| expiratory reserve volume (ERV) | 1) By using digital incentive spirometry the amount of extra air above normal that you exhale during a forceful breath out. | Two months |
| Peak expiratory flow (PEF) | the volume of air forcefully expelled from the lungs in one quick exhalation | Two months |
| forced expiratory flow (FEF) | the speed that someone can breathe out air from their lungs, measured in the middle of a hard, fast breath out. | Two months |
| tidal volume (TV) | refers to the air an individual can exhale during a forced breath in 1 second | Two months |
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Inclusion Criteria:
Level I to IV on the gross motor function classification system (GMFCS) , who have the partial ability to maintain antigravity head and trunk postures.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy Kafrelsheikh University | Kafrelsheikh | KafrelsheikhU | Egypt | |||
| Faculty of physical therapy Kafrelsheikh University |
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Intervention study model Parallel assignment The study will include 48 spastic diplegic children suffering from pulmonarydysfunction ( age 3-7 years old )
Children meeting the inclusion criteria will be randomly assigned to three experimental groups :
First experimental group: children in this group will receive the incentive spirometer training Second experimental group: children in this group will receive oropharyngeal motor training Third experimental group: children in this group will receive a combination program of the incentive spirometer training and oropharyngeal motor training
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Each child in the group C will receive a combination program of the incentive spirometer training and oropharyngeal motor training programme attending three sessions per week for three consecutive months. The duration of the session will be one hour and half that Will be designed into half an hour for the incentive spirometer training and an hour for the oropharyngeal motor training programme
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| Group B | Other | Each child in the group B will receive the oropharyngeal motor training programme , attending three sessions per week for three consecutive months. The duration of the session will be an hour The training programme consisted of 10 individual mobilization exercises involving orofacial and pharyngeal area that required 45 minutes Each exercise had to be repeated for 10 times. The 10 exercises are:
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| Group C | Combination Product | Each child in the group C will receive a combination program of the incentive spirometer training and oropharyngeal motor training programme attending three sessions per week for three consecutive months. The duration of the session will be one hour and half that Will be designed into half an hour for the incentive spirometer training and an hour for the oropharyngeal motor training programme |
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| inspiratory reserve volume (IRV) | the additional volume of air that can be inspired at the end of a normal or tidal inspiration | Two months |
| the orofacial myofunctional clinical evaluation | the OMES protocol is an instrument for the clinical evaluation of orofacial structures and functions of children that will permit the examiner to express numerically his perception of the characteristics and behaviors observed, and that can be administered without special equipment and in a brief manner | Two months |
| Kafrelsheikh |
| Kafrelsheikh |
| Egypt |