The Effect of Aquatic Intervention on the Gross Motor Function and Aquatic Skills in Children with Cerebral Palsy

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The Effect of Aquatic Intervention on the Gross Motor Function and Aquatic Skills in Children with Cerebral Palsy

The objective of this study was to investigate the effect of an aquatic intervention on the gross motor function and aquatic skills of children with cerebral palsy (CP). Twenty-nine children with CP, aged 5 to 14, were recruited. Fourteen children completed an aquatic intervention (EG), and 13 children served as controls (CG). Two participants dropped out due to events (illness) unrelated to the intervention. The aquatic intervention lasted 6 weeks (2 sessions per week at 55 minutes per session) with a follow-up period of 3 weeks. The outcome measures were the Gross Motor Function Measure (GMFM) for motor function and the Water Orientation Test Alyn 2 (WOTA 2) for aquatic skills assessment. A significant improvement was observed in the secondary assessment of GMFM and WOTA 2. In contrast to the aquatic skills improvement, the GMFM change was not maintained at follow-up. Our results indicate that children with CP can improve gross motor function on dry land and aquatic skills with a 6-week water intervention. The intervention period was too short for sustainable improvement in dry-land motor skills after intervention (followup), but time was sufficient to achieve sustainable improvements in aquatic skills.

Aidar FJ, Silva AJ, Reis VM, Carneiro AL, Vianna JM, Novaes GS. Aquatic activities for severe cerebral palsy people and relation with the teach-learning process. Fit Perf J, 2007; 6(6): 377-381

Anttila H, Autti-Rämö I, Suoranta J, Mäkelä M, Malmivaara A. Effectiveness of physical therapy interventions for children with cerebral palsy: A systematic review. BMC Pediatr, 2008, 8:14 doi:10.1186/1471-2431-8-14

Ballaz L, Plamondon S, Lemay M. Group aquatic training improves gait efficiency in adolescents with cerebral palsy. Disabil Rehabil, 2010; 33(17-18): 1616-1624

Bania T, Dodd KJ, Taylor N. Habitual physical activity can be increased in people with cerebral palsy: a systematic review Clin Rehabil, 2011; 25(4): 303-315

Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol, 2005; 47(8): 571-576

Bodkin AW, Robinson C, Perales FP. Reliability and validity of the gross motor function classification systemfor cerebral palsy. Pediatr Phys Ther, 2003; 15(4): 247-252

Chrysagis N, Douka A, Nikopoulos M, Apostolopoulou F, Koutsouki D. Effects of an aquatic program on gross motor function of children with spastic cerebral palsy. Biol Exerc, 2010; 5(2): 13-25

Cole A, Becker B., editors. Comprehensive aquatic therapy. 2nd ed. Philadelphia: Elsevier; 2004

Čoh M, Jovanović-Golubović D, Bratić M. Motor learning in sport. Facta Univ Phys Educ Sport, 2004; 2(1): 45-59

Declerck M. Effect of aquatic intervention on the gross motor function and quality of life of children with cerebral palsy. [master thesis]. Leuven: Catholic University of Leuven, Faculty of Kinesiology and Rehabilitation Sciences, 2010

Dimitrijević L, Stanković I, Živković V, Mikov A, Čolović H, Janković I. Botulinum toxin type A for the treatment of spasticity in children with cerebral palsy. Vojnosanitetski pregled, 2007; 64(8): 513-518

Dorval G, Tetreault S, Caron C. Impact of aquatic programmes on adolescents with cerebral palsy. Occup Ther Int, 1996; 3(4): 241-261

Flett PJ. Rehabilitation of spasticity and related problems in childhood cerebral palsy. J Paediatr Child Health, 2003; 39 (1): 6-14

Fragala-Pinkham M, Haley SM, O'Neil ME.; Group aquatic aerobic exercise for children with disabilities. Dev Med Child Neuro, l 2008; 50(11): 822-827

Gerter JW, Currie SJ. Aquatic exercise programs for children and adolescents with cerebral palsy: what we do know and where do we go? Int J Ped, 2011; doi: 10.1155/2011/712165

Getz MD. Aquatic Intervention in Children with Neuro-Motor Impairments. [dissertation]. Utrecht: University of Utrecht, 2006

Getz M, Hutzler Y. Vermeer A. The Effects of Aquatic Intervention on Perceived Physical Competence and Social Acceptance in Children with Cerebral Palsy. Eur J Spec Need Educ, 2007; 22 (2): 217-228

Hutzler Y, Bergman U, Szeinberg A. Effects of a movement and swimming program on vital capacity and water orientation skills of children with cerebral palsy. Dev Med Child Neurol, 1998; 40(3): 176-181

Hutzler Y, Chacham A, Bergman U, Reches I. Effects of a movement swimming program water orientation skills and self concept of kindergarten children with cerebral palsy. Percep Mot Skills, 1998; 86(1): 111-118

Kelly M, Darrah J. Aquatic exercise for children with cerebral palsy. Dev Med Child Neurol, 2005; 47(12): 838-842

Kriger KW. Cerebral Palsy: An Overview. Am Fam Physician, 2006; 73(1): 91-100.

Mackinnon K. An evaluation of the benefits of Halliwick swimming on a child with mild spastic diplegia. APCP J, 1997; Dec: 30-39

Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol, 2008; 50(10): 744-750

Rosenbaum P. Cerebral palsy: what parents and doctors want to know? BMJ, 2003; 326 (7396): 970-974

Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 and GMFM-88) User's Manual. London: MacKeith Press, 2002

Takeshima N, Rogers ME, Watanabe E, Brechue WF, Okada A, Yamada T, et al. Water-based exercise improves health-related aspects of fitness in older women. Med Sci Sports Exerc, 2002; 34(3): 544-551

Thorpe DE, Reilly M, Case L. The effects of an aquatic resistive exercise program on ambulatory children with cerebral palsy. J Aquat Phys Ther, 2005; 13(2): 21-34

Tirosh R, Katz-Leurer M, Getz MD. Halliwick-Based Aquatic Assessments: Reliability and Validity. IJARE, 2008; 2(3): 224-236

Verschuren O, Ketelaar M, Takken T, Helders PJM, Gorter JW. Exercise programs for children with cerebral palsy: a systematic review of the literature. Am J Phys Med Rehabil, 2007; 161(11): 1075-1081

World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. JAMA, 2000; 284 (23): 3043-3045

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The Journal of Academy of Physical Education in Katowice

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