Not Yet RecruitingNot Applicable

Expiratory Muscle Training in Children With Cerebral Palsy

20 participantsStarted 2025-07-30

Plain-language summary

This study aims to examine the effects of expiratory muscle training on posture, trunk control, balance, selective motor control, and respiratory function in children with spastic-type cerebral palsy (CP). The research focuses on evaluating an innovative rehabilitation approach that addresses common challenges observed in children with CP, such as trunk instability, reduced respiratory capacity, and postural abnormalities. In individuals with CP, the ineffective use of respiratory muscles affects not only the respiratory system but also trunk control and overall motor performance. While most existing studies emphasize inspiratory muscle training, research on expiratory muscle training remains limited. Therefore, this study seeks to fill this gap by investigating the neuromotor effects of expiratory muscle training-an emerging component of respiratory rehabilitation-in children with CP.

Who can participate

Age range

12 Years – 18 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Diagnosis of cerebral palsy * Age between 12 and 18 years * Gross Motor Function Classification System (GMFCS) Level I or II * Communication Function Classification System (CFCS) Level I, II, or III * Spasticity graded as 0, 1, 1+, or 2 on the Modified Ashworth Scale * No history of Botulinum Toxin-A injection or orthopedic surgery within the past 6 months Exclusion Criteria: * Spasticity graded as 3 or 4 on the Modified Ashworth Scale Uncontrolled seizures * Presence of congenital cardiopulmonary disease, autism spectrum disorder, balance-impairing conditions, or significant visual/hearing impairments * Acute respiratory tract infection

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Respiratory Muscle Strength Assessment (MIP/MEP)

Timeframe: Before treatment, week 8

Peak Cough Flow

Timeframe: before treatment, week 8

Assessment of Posture (PostureScreen App)

Timeframe: before treatment, week 8

Trunk Control Assessment (ProKin Star Excursion Balance Test, Trunk Control Measurement Scale (TCMS))

Timeframe: Before treatment, week 8

Balance Assessment (PROKIN®)

Timeframe: before treatmant, week 8

Selective Motor Control Assessment (SCALE), (Noraxon MyoMotion)

Timeframe: before treatment, week 8

Trial details

NCT IDNCT07048223

SponsorIstinye University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-01-30

Contact for this trial

Zeynep KAVRIK

+905076884614 zeynepsavas35@gmail.com

View on ClinicalTrials.gov More Cerebral Palsy (CP) trials

Plain-language summary

Who can participate

Age range

12 Years – 18 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Respiratory Muscle Strength Assessment (MIP/MEP)

Timeframe: Before treatment, week 8

Peak Cough Flow

Timeframe: before treatment, week 8

Assessment of Posture (PostureScreen App)

Timeframe: before treatment, week 8

Trunk Control Assessment (ProKin Star Excursion Balance Test, Trunk Control Measurement Scale (TCMS))

Timeframe: Before treatment, week 8

Balance Assessment (PROKIN®)

Timeframe: before treatmant, week 8

Selective Motor Control Assessment (SCALE), (Noraxon MyoMotion)

Timeframe: before treatment, week 8