Aquatic exercise in the treatment of children with cerebral palsy

Dimitrijević, Ljiljana; Bjelaković, Bojko; Lazović, Milica; Stanković, Ivona; Čolović, Hristina; Kocić, Miodrag; Zlatanović, Dragan

doi:10.2298/sarh1212746d

Cited by 10 publications

(14 citation statements)

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“…[3][4][5][6][7][8] However, muscle weakness, poor joint alignment, and muscle contracture in children with cerebral palsy leads to pain and fatigue, causing problems in engagement and compliance in conventional land-based therapy. [9][10][11] Aquatic therapy protects joint integrity more than land-based exercises 12 and has proved useful in improving gross motor function, 3,4 reducing spasticity, increasing cardiorespiratory endurance 13,14 and vital capacity, and improving gait in children with cerebral palsy. 3,8 In children diagnosed with cerebral palsy at Gross Motor Functional Classification System Levels IV and V, landbased activities are more difficult than for those at Gross Motor Functional Classification System Levels I and II.…”

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confidence: 99%

Pediatric Aquatic Therapy on Motor Function and Enjoyment in Children Diagnosed With Cerebral Palsy of Various Motor Severities

Lai

Yang

et al. 2014

J Child Neurol

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This study investigates the effects of pediatric aquatic therapy on motor function, enjoyment, activities of daily living, and health-related quality of life for children with spastic cerebral palsy of various motor severities. Children with spastic cerebral palsy were assigned to a pediatric aquatic therapy group (n = 11; mean age = 85.0 ± 33.1 months; male : female = 4 : 7) or a control group (n = 13; mean age = 87.6 ± 34.0 months; male : female = 9 : 4). The statistic results indicate that the pediatric aquatic therapy group had greater average 66-item Gross Motor Function Measure following intervention than the control group (η(2) = 0.308, P = .007), even for children with Gross Motor Function Classification System level IV (5.0 vs 1.3). The pediatric aquatic therapy group had higher Physical Activity Enjoyment Scale scores than the control group at post-treatment (P = .015). These findings demonstrate that pediatric aquatic therapy can be an effective and alternative therapy for children with cerebral palsy even with poor Gross Motor Function Classification System level.

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confidence: 99%

Pediatric Aquatic Therapy on Motor Function and Enjoyment in Children Diagnosed With Cerebral Palsy of Various Motor Severities

Lai

Yang

et al. 2014

J Child Neurol

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“…In addition, warm water can decrease muscle tension, muscle spasm, and relieve muscle tension, which can promote a more effective way to exercise. Also, increased muscle strength can be expected by increasing the speed of movement in the opposite direction fo the flow of water [12]. The results of this study showed that after intervention, the trunk control scale was significantly higher in static balance, dynamic balance, and dynamic reach, and variability in weight distribution was significantly lower compared to before intervention.…”

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confidence: 65%

The effects of water-based exercise on postural control in children with spastic cerebral palsy

Kim

Shin

2017

PTRS

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Objective: Swimming and water-based exercise (WE) programs can provide vigorous physical activity in a fun and a motivating environment. The properties of water, may make it easier for children with cerebral palsy (CP) to move and to participate in an WE program. The aims of this study was to evaluate the effect of WEs on postural control in children with spastic CP. Design: Quasi-experimental design (one group pretest-posttest design). Methods: Twenty preschoolers with spastic CP participated in this study. Prior to the application, sufficient warm-up training was performed to allow the subjects to adapt to the water. Afterwards, three different types of underwater leg exercises for the flexor, extensor, and adductor/abductor of muscles of the lower limb were performed. The WE program lasted during 8 weeks, with one-40 minute sessions per week (8 training session). The usual care was performed during the training session. The Korean-trunk control measurement scale (K-TCMS) and weight distribution variability (difference of both Fz) were measured before and after training session. Results: According to the results, the K-TCMS scores of the three sub-levels, including static sitting, dynamic sitting, and dynamic reaching, was significantly increased after the training session (p<0.05). Also, the weight distribution variability was significantly decreased after 8 weeks (p<0.05). Conclusions: We suggest that WEs may improve the postural control ability in children with spastic CP. Furthermore, we support the need for additional research on the effect of WE on gait or activity of daily living performance with a control group included.

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“…They found neurodevelopmental treatment (NDT), functional and task-oriented training, and therapeutic horse riding or hippotherapy had Level IV evidence, hinting at the causality of reduction in spasticity. Dimitrijevi c and colleagues 16 found a statistically significant reduction in spasticity in children with CP who participated in a twiceweekly aquatic therapy program for 12 weeks. Constraint-induced movement therapy (CIMT) may show functional benefits, but does not statistically change upper limb spasticity.…”

Section: Physical Management Of Hypertonicitymentioning

confidence: 98%

Pediatric Tone Management

Vadivelu

Stratton

Pierce

2015

Physical Medicine and Rehabilitation Clinics of North America

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Aquatic exercise in the treatment of children with cerebral palsy

Abstract: Aquatic exercise program can be useful in improving gross motor functioning, reducing spasticity and increasing cardiorespiratory endurance in children with spastic CP.

Cited by 10 publications

References 10 publications

Pediatric Aquatic Therapy on Motor Function and Enjoyment in Children Diagnosed With Cerebral Palsy of Various Motor Severities

Pediatric Aquatic Therapy on Motor Function and Enjoyment in Children Diagnosed With Cerebral Palsy of Various Motor Severities

The effects of water-based exercise on postural control in children with spastic cerebral palsy

Pediatric Tone Management

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