{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:10:11Z","timestamp":1786122611788,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cerebral palsy (CP) represents the leading cause of motor\u2010related disability during childhood and may be presented by reduced chest wall movement, and weak respiratory muscles contribute to impaired pulmonary function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The current study was designed to compare the efficacy of Lung boost trainer versus an incentive spirometer on pulmonary function post COVID spastic hemiplegic CP children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010blind randomized controlled trial. Recruited patients from the Faculty of Physical Therapy Clinics, Cairo University. Children aged from 4 to 9\u00a0years were randomly allocated into 3 groups (LBT n\u00a0=\u00a020, IST n\u00a0=\u00a020 and TRPT group n\u00a0=\u00a020). The three groups received as follows: lung Booster Training, Incentive Spirometer Training and Traditional Respiratory Physical Therapy, respectively. The intervention delivered five sessions per week for 4\u00a0weeks. Pulmonary function values and functional capacity evaluated through spirometry, six\u2010minute walk test (6MWT), and Short Form\u201036 (SF\u201036) quality of life questionnaire targeted physical domain only before and after study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study findings indicated that the pulmonary function values, 6MWT, and physical domain of SF\u201036 exhibited a difference that was statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value \u2264\u00a00.05), which was observed among all groups following treatment, favoring group (LBT).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within the limits of this study, it was concluded that lung boost trainer was associated with significant improvements in pulmonary function in relation to FVC, FEV1, FEV1\/FVC and functional capacity among children with spastic hemiplegic cerebral palsy following COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trail Registration<\/jats:title>\n                    <jats:p>\n                      NCT07508332 in the International Registry of Clinical Trials (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.clinicaltrials.gov\/\">www.clinicaltrials.gov<\/jats:ext-link>\n                      )\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70234","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T11:39:41Z","timestamp":1781005181000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lung Boost Trainer Versus Incentive Spirometer on Pulmonary Function Post COVID Hemiplegic Cerebral Palsy Children; Randomized Controlled Trial"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4397-7287","authenticated-orcid":false,"given":"Amira G.","family":"Mahmoud","sequence":"first","affiliation":[{"name":"Department of Physical Therapy for Pediatrics and Its Surgery Faculty of Physical Therapy Egyptian Chinese University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faten M.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of\u00a0Physical Therapy for Internal Medicine and Geriatrics Faculty of Physical Therapy Egyptian Chinese University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9929-3917","authenticated-orcid":false,"given":"Mai A.","family":"Eid","sequence":"additional","affiliation":[{"name":"Department of Physical\u00a0Therapy for Internal Medicine and Geriatrics Faculty of Physical Therapy University of Hertfordshire  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9142-6442","authenticated-orcid":false,"given":"Yasmine S.","family":"Elkhateeb","sequence":"additional","affiliation":[{"name":"Department of Basic Sciences Faculty of Physical Therapy Egyptian Chinese University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7278-1535","authenticated-orcid":false,"given":"Doaa A.","family":"Adel Aziz","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Women's Health Faculty of Physical Therapy Egyptian Chinese University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1766-6721","authenticated-orcid":false,"given":"Ghada S.","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Internal Medicine and Geriatrics Faculty of Physical Therapy  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai M.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Physical\u00a0Therapy for Internal Medicine and Geriatrics Faculty of Physical Therapy University of Hertfordshire  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.16965\/ijpr.2021.109"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2013.224"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2020.0072"},{"issue":"10","key":"e_1_2_12_5_1","first-page":"215","article-title":"Speech and Respiratory Impairments and Related Therapies in Cerebral Palsy","volume":"18","author":"Blumberg M. 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