Evidence map›Paper›PMID 41664476›Full record

Trial reportJournal of pediatric rehabilitation medicine2026

Effects of diaphragmatic breathing and manual diaphragm relaxation on respiratory muscle strength, chest expansion, pulmonary function, and sitting ability in children with diplegic cerebral palsy: A randomized controlled trial.

Berna Karamancıoğlu, Özge Keniş Coşkun, Ela Erdem-Eralp, Yasemin Gökdemir, Evrim Karadag-Saygı

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pediatric rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05559346 (Investigation of the Effects of Diaphragm Exercises in Children With Cerebral Palsy), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05559346 nacompletednot on this map

Investigation of the Effects of Diaphragm Exercises in Children With Cerebral Palsy

TypeinterventionalSponsorUskudar UniversityRan2022 to 2023Enrolled15ConditionsCerebral Palsy Spastic DiplegiaArmsDiaphragmatic exercises, conventional physiotherapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Berna KaramancıoğluDepartment of Physiotherapy and Rehabilitation, Uskudar University, Istanbul, Turkiye.ORCID 0000-0003-2561-4618
Özge Keniş CoşkunDepartment of Physical Medicine and Rehabilitation, Marmara University, Istanbul, Turkiye.ORCID 0000-0002-3004-1992
Ela Erdem-EralpDepartment of Pediatric Pulmonology, Marmara University, Istanbul, Turkiye.
Yasemin GökdemirDepartment of Pediatric Pulmonology, Marmara University, Istanbul, Turkiye.
Evrim Karadag-SaygıDepartment of Physical Medicine and Rehabilitation, Marmara University, Istanbul, Turkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the effects of manual diaphragmatic relaxation combined with diaphragmatic breathing on respiratory muscle strength, pulmonary function, chest expansion, and sitting ability in children with diplegic cerebral palsy (CP). MATERIALS AND

methodsThis randomized controlled study was conducted with 15 children with diplegic CP aged 5-15 years. Participants were randomly divided into two groups (control and intervention); both groups received conventional physiotherapy two days a week (45 minutes) for eight weeks. The intervention group additionally received manual diaphragm relaxation and diaphragmatic breathing exercises. The primary outcome was respiratory muscle strength (maximum inspiratory pressure and maximum respiratory pressure. Secondary outcomes were pulmonary function test (PFT), chest expansion and sitting dimension of the Gross Motor Functional Measurement (GMFM-B). (NCT05559346)Results:After eight weeks of intervention, the intervention group showed improvement in respiratory muscle strength, chest mobility, and GMFM-B score (p < 0.05). Respiratory muscle strength was significantly higher in the intervention group than in the control group (p < 0.05), but PFT parameters and GMFM-B scores were not significantly different between the two groups (p > 0.05)Conclusion:Adding manual diaphragmatic relaxation and diaphragmatic breathing exercises to the physiotherapy program in children with CP may contribute to the rehabilitation program.

Indexed as

Breathing ExercisesCerebral PalsyDiaphragmMuscle StrengthRespiratory MusclesAdolescentChildChild, PreschoolFemaleHumansMalePhysical Therapy ModalitiesRespiratory Function TestsSitting PositionTreatment OutcomeCerebral PalsyDiaphragmatic BreathingPulmonary Function TestRespiratory Muscle StrengthSitting Function.

Identifiers

PMID41664476
PMCPMC13292746

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.