Effectiveness of the manual diaphragmatic stretching technique on respiratory function in cerebral palsy: A randomised controlled trial

Respiratory failure resulting from diaphragmatic muscle weakness is a major cause of long-term hospitalization in children with cerebral palsy (CP). Manual diaphragmatic stretching technique (MDST) can be directly applied to stretch diaphragmatic muscle and has been reported to improve respiratory f...

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Bibliographic Details
Published in:Respiratory medicine 2021-08, Vol.184, p.106443-106443, Article 106443
Main Authors: Bennett, Surussawadi, Siritaratiwat, Wantana, Tanrangka, Nittaya, Bennett, Michael John, Kanpittaya, Jaturat
Format: Article
Language:English
Subjects:
Adolescent
Asthma
Births
Cerebral palsy
Cerebral Palsy - complications
Cerebral Palsy - physiopathology
Cerebral Palsy - therapy
Chest
Child
Children
Chronic obstructive pulmonary disease
Data collection
Diaphragm
Diaphragm (Anatomy)
Diaphragm - physiopathology
Expansion
Female
Humans
Lung - physiopathology
Male
Manual diaphragmatic stretching technique
Mobility
Mortality
Muscles
Paralysis
Physical therapy
Physical Therapy Modalities
Prospective Studies
Pulmonary functions
Respiratory failure
Respiratory function
Respiratory Function Tests - methods
Respiratory Insufficiency - etiology
Respiratory Insufficiency - prevention & control
Single-Blind Method
Stretching
Thoracic Wall - physiopathology
Treatment Outcome
Ultrasonic imaging
Ultrasonography
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Summary:Respiratory failure resulting from diaphragmatic muscle weakness is a major cause of long-term hospitalization in children with cerebral palsy (CP). Manual diaphragmatic stretching technique (MDST) can be directly applied to stretch diaphragmatic muscle and has been reported to improve respiratory function in patients with asthma and COPD. However, there have been no studies among CP. This study aimed to examine the effects of a six-week MDST course on respiratory function among CP. Fifty-three children with spastic CP were randomly assigned to experimental (n = 27) and control (n = 26) groups. The experimental group received MDST on non-consecutive days, three days per week for six weeks alongside standard physiotherapy (SDPT), while the control group received only SDPT. The outcome variables were diaphragmatic mobility, pulmonary function and chest wall expansion. MDST significantly improved diaphragmatic mobility on both sides of the body, with a between-group difference of 0.97 cm (95% CI 0.55–1.39 cm, p 
ISSN:0954-6111
1532-3064
DOI:10.1016/j.rmed.2021.106443