{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:29:22Z","timestamp":1787840962856,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":238,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n To evaluate the effectiveness of inspiratory muscle training (IMT) added to standard neurodevelopmental physiotherapy (SNP) on respiratory muscle strength, pulmonary function, trunk control, upper extremity function, and swallowing\u2010related symptoms in children with cerebral palsy (CP).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A total of 20 children with CP were included in this randomized controlled trial. Participants were randomly assigned to two groups; experimental group received IMT in addition to SNP, while control group received only the SNP for 8\u2009weeks. Respiratory muscle strength (maximum inspiratory pressure [MIP] and maximum expiratory pressure [MEP]), pulmonary function (Forced Expiratory Volume in 1\u2009s [FEV\n 1<\/jats:sub>\n ], Forced Vital Capacity [FVC], Forced Expiratory Flow 25%\u201375% [FEF\n 25\u201375<\/jats:sub>\n ], Peak Expiratory Flow [PEF]), trunk control (Trunk Control Measurement Scale [TCMS]), upper extremity function (The ABILHAND\u2010Kids questionnaire), swallowing (The Pediatric Eating Assessment Tool\u201010 [PEDI\u2010EAT\u201010]) were assessed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In the experimental group, an increase was observed in MIP, MIP%, MEP, MEP%, FEV\n 1<\/jats:sub>\n , FVC, FEF\n 25\u201375<\/jats:sub>\n and PEF (all\n p<\/jats:italic>\n \u2009<\u20090.05,\n \u03b7<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.202\u20130.838). In the control group, no significant increase was observed in parameters other than FEV\n 1<\/jats:sub>\n \/FVC (\n p<\/jats:italic>\n \u2009=\u20090.031,\n \u03b7<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.234) (\n p<\/jats:italic>\n \u2009>\u20090.05). The group\u00d7time interaction effect was significant in MIP, MIP%, MEP%, FEV\n 1<\/jats:sub>\n , FVC (all\n p<\/jats:italic>\n \u2009<\u20090.05;\n \u03b7<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.316\u20130.690). In the within\u2010group analysis, an increase in TCMS scores was observed only in the experimental group (\n p<\/jats:italic>\n \u2009=\u20090.018). No significant differences were observed in the other parameters in either the within\u2010group analysis or the between\u2010group comparisons (\n p<\/jats:italic>\n \u2009>\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n IMT led to improvements in respiratory muscle strength, pulmonary function, and trunk control in children with CP, with no effects on swallowing or upper extremity function.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n NCT07041593<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ped.70535","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:35:13Z","timestamp":1787837713000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inspiratory Muscle Training in Children With Cerebral Palsy: Effects on Respiratory and Motor Functions"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2276-061X","authenticated-orcid":false,"given":"Sad\u0131k Emre","family":"\u00c7elebi","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies Istanbul University\u2010Cerrahpa\u015fa Istanbul Turkey"},{"name":"Department of Physiotherapy and Rehabilitation, School of Health Sciences Istanbul Medipol University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4952-2825","authenticated-orcid":false,"given":"Gamze","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Istanbul Okan University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8428-3081","authenticated-orcid":false,"given":"Hande","family":"Tun\u00e7","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, School of Health Sciences Istanbul Medipol University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9198-5152","authenticated-orcid":false,"given":"Mert","family":"Ers\u00f6z","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Institute of Postgraduate Education Istanbul Okan University Istanbul 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