الفهرس 
Title : Effect of Respiratory Therapy on Pulmonary Functions in Children with Cerebral Palsy: Systematic review
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Abstract
Background: Children with cerebral palsy (CP) are at risk for respiratory dysfunction. Early initiation of pulmonary rehabilitation in addition to conventional physical therapy may result in improvement and maintenance of chest mobility and respiratory function. However, empirical support for respiratory therapy is limited. The aim of the review was to assess the evidence of the effectiveness of respiratory therapy on pulmonary functions in children with CP. Methods: Four electronic databases (PubMed, Cochrane Library, Physiotherapy Evidence Database (PEDro), and Google Scholar) were searched till December 2019 using predefined terms by two independent reviewers. Randomized controlled trials published in English were included if they met the following criteria; population: children with different types of CP of both sex, aged up to 18 years, Intervention: respiratory therapy, Outcomes: pulmonary functions. Predefined data were tabulated using American Academy for Cerebral Palsy and Developmental Medicine by two reviewers and verified by third reviewer. Methodological quality was assessed using rating system of AACPDM quality assessment and PEDro scale; also levels of evidence adopted from Sacket’s scale were used for each study. Results: Eight studies with 235 participants met the inclusion criteria and were included in this review. They provide moderate to strong quality evidence to support the effectiveness of respiratory therapy. Meta-analysis was done for all included studies and showed significant effect of respiratory therapy on vital capacity,peak expiratory flow, forced expiratory volume at 1 second in children with CP