The Effect of Breathing Exercise on Pain Level, Balance, Gait, and Quality of Lıfe in Adolescents with Cerebral Palsy: A Single-Blind, Randomized Controlled Trial
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Keywords:Adolescent, Breathing Exercise, Cerebral Palsy, Quality of Life, Pain
Objective: The aim of this study was to examine the effect of diaphragmatic breathing exercise with conventional physiotherapy program on pain level, functional capacity and quality of life in adolescents with cerebral palsy.
Methods: A total of twenty-seven adolescents with cerebral palsy (12-17 years of age) who were level 1-2 according to Gross Motor Functional Classification System participated in this randomized controlled study. Participants were randomly divided into two groups as the control group (n:13, mean age: 13.8±1.7 years, and the study group (n:14, mean age: 13.5±1.8 years). Both groups participated neurodevelopmental physiotherapy (NDT) program for 8 weeks. In addition to NDT program study group also recieved diaphragmatic breathing exercises for 8 weeks, everyday of the week, for 15 minutes. Both groups pain level assessed with Visual Analog Scale (VAS), balance assessed with Time Up and Go Test (TUG) and Pediatric Berg Balance Scale (PBBS), gait evaluated with Gillette Functional Gait Assessment Questionnaire (GFAQ, GFAQ-22), and quality of life was evaluated with the Pediatric Quality of Life Questionniare (PedsQL) before and after physiotherapy program.
Results: In both groups, after physiotherapy program balance, walking performance, and quality of life parameters increased (p<0.05). After breathing exercise pain level was changed from 6.8±0.7 to 5.1±0.5 (p=0.0001) in the study group, and from 6.5±0.1 to 6.3±1.2 (p=0.083) in the control group. After the physiotherapy program, there was a statistically significant improvement in pain level in the study group than the control group (p=0.005), but no significant difference was revealed between the two groups in other parameters (p>0.05).
Conclusion: We think that adding breathing exercise to the physiotherapy program can ocur improvement on pain level in adolescent with cerebral palsy.
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