Texto extraído de: POWERbreathe
Clinical Rehabilitation published online a study abstract, the objective for which was ‘to investigate the effect of respiratory training on pulmonary function of children with cerebral palsy’.
Hye Young Lee, Yong Jun Cha, Kyoung Kim
“Cerebral palsy does not directly cause airway or parenchymal lung dysfunction, however, the consequences of neuromuscular impairment may lead to lung damage and low cardiopulmonary capacity, and it reduces lung function of children with cerebral palsy… Some children with cerebral palsy, therefore, suffer from a high incidence of respiratory dysfunction, such as recurrent pneumonia, atelectasis, bronchiectasis, sleep apnoea, and chronic obstructive lung disease. Pulmonary function is thus an important issue in preservation of life for children with cerebral palsy.”
“Previous studies have reported an association in children with cerebral palsy between respiratory problems and decreased chest wall mobility, deviation of optimal chest wall structure and insufficient respiratory muscle strength. Early initiation of pulmonary rehabilitation may result in improvement and maintenance of chest mobility and respiratory function, and respiratory training can also be appropriate therapy in comprehensive treatment of children with cerebral palsy.
Several studies have reported that feedback respiratory training can provide maximal efficacy in improvement of respiratory function, endurance for exercise capacity, perception of dyspnoea and quality of life. However, no study to determine whether feedback respiratory training can have an effect on the respiratory function of children with cerebral palsy has been reported. The purpose of this study was to determine whether feedback respiratory training would improve pulmonary function of children with cerebral palsy.”
“Participation in feedback respiratory training resulted in improvement of pulmonary function of children with cerebral palsy.”
- Training respiratory muscles by utilizing visual and auditory stimulations increased forced vital capacity and forced expiratory volume at one second in children with cerebral palsy.
- Feedback respiratory training may be beneficial for the management of the pulmonary function of children with cerebral palsy.
“Further research into the various effects of feedback respiratory training on children with cerebral palsy, particularly a comparison with other treatment methods for improvement of pulmonary function will be necessary.”
Sem dúvida nenhuma a observação clínica já nos conduzia a crer que crianças com paralisia cerebral podem e se beneficiam de treinamento respiratório, já que os acomentimentos respiratórios acontecem sequencialmente nestas crianças tendo como uma das causas a alteração da função muscular respiratória e alterações na caixa torácia. Este estudo recente: The effect of feedback respiratory training on pulmonary function of children with cerebral palsy: a randomized controlled preliminary report, teve como resultados: melhorias significativas na função pulmonar no grupo experimental/treinamento (P < 0,05). Maiores ganhos foram observados no grupo experimental do que no grupo controle (P < 0,05). Os valores de capacidade vital forçada aumentaram 50 %, o volume expiratório forçado no primeiro segundo aumentou 40% como resultado do treinamento no grupo experimental. O grupo controle não apresentou alterações significativas na função pulmonar após o treinamento ( P> 0,05). Concluindo que o reinamento respiratório promoveu a melhora da função pulmonar de crianças com paralisia cerebral.