Incentive Spirometer Training and Oropharyngeal Motor Training for Pulmonary Dysfunction in Spastic Diplegic Children

Incentive Spirometer Training and Oropharyngeal Motor Training for Pulmonary Dysfunction in Spastic Diplegic Children

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.

• Forty-eight children of both genders.
• The study will include children (age 3-7 years) post selective pulmonary dysfunction.
• Children meeting the inclusion criteria will be randomly assigned to one of three groups:
• first Experimental Group: children in this group will receive incentive spirometer training.
• second Experimental Group:children in this group will receive oropharyngeal motor training. .
• third experimental Group: Patients in this group will receive combination of incentive spirometer training and oropharyngeal motor training
• Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.

Conditions: Cerebral Palsy

Inclusion Criteria:

• the children with spastic CP between the age from 3 to 7 years old.

Level I to IV on the gross motor function classification system (GMFCS) , who have the partial ability to maintain antigravity head and trunk postures.

• Cognitive and cooperative function allowing pulmonary function measurements.
• No history of psychiatric or neurological disorders rather than cp.

Exclusion Criteria:

• Any uncontrolled clinically significant medical conditions such as coexistent cardiac disease or respiratory disease
• Children with cognitive impairment who are unable to comply with the protocol required procedure
• Children who are taking medications that can affect respiratory function
• Children with presence or history of tracheostomy