An Aquatic Physical Therapy Program at a Pediatric Rehabilitation Hospital: A Case Series
An Aquatic Physical Therapy Program at a Pediatric Rehabilitation Hospital: A Case Series
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DOI：
10.1097/pep.0b013e318196eb37
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发表时间：
2009-03-01
影响因子：
1.6
通讯作者：
Pasternak, Amy
中科院分区：
文献类型：
--
作者：
Fragala-Pinkham, Maria A.;Dumas, Helene M.;Pasternak, Amy
目的：本系列病例的目的是描述儿科医院水上理疗计划的实施情况，并记录受试者在水上理疗干预后的能力改善。方法：4例脑性瘫痪、幼年特发性关节炎或Prader-Willi综合征患者接受水上和陆上PT干预。其中三名患者患有骨科疾病，在运动活动中需要有限的负重或低关节冲击。广泛的结果被用来评估参与度、活动度和身体功能的变化。当可用时，使用最小可检测变化和最小重要差值来解释数据。结果：所有4名患者在功能活动能力、步行耐力、活动范围、肌肉力量和/或疼痛减轻方面均有明显的临床改善。结论：水上PT作为陆上PT干预的辅助手段，可能有效地改善肢体残疾患者的预后。(《儿科医生》2009；21：68-78)
Purpose: The purpose of this case series is to describe the implementation of an aquatic physical therapy (PT) program at a pediatric hospital and to document improvements in participants' abilities after PT intervention. Methods: Four patients with cerebral palsy, juvenile idiopathic arthritis, or Prader-Willi syndrome participated in aquatic and land-based PT intervention. Three of the patients had orthopedic conditions which required limited weight-bearing or low-joint impact during motor activities. A wide range of outcomes were used to assess changes in participation, activity, and body function. When available, minimal detectable change and minimal important difference values were used to interpret data. Results: Clinically significant improvements were documented in functional mobility, walking endurance, range of motion, muscle strength, and/or pain reduction for all 4 patients. Conclusions: Aquatic PT used as an adjunct to land-based PT interventions may be effective in improving outcomes in patients with physical disabilities. (Pediatr Phys Ther 2009;21:68-78)