The carry-over effect of an aquatic-based intervention in children with cerebral palsy.
The carry-over effect of an aquatic-based intervention in children with cerebral palsy.
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DOI：
10.4102/ajod.v7i0.361
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发表时间：
2018
影响因子：
1.7
通讯作者：
Naidoo R
中科院分区：
文献类型：
--
作者：
Ballington SJ;Naidoo R
脑瘫（CP）是儿童期最常见的运动障碍。患有脑瘫的儿童比同龄人的体力活动水平更有可能较低，这对他们的健康产生负面影响。然而，水上运动可用于提高脑瘫儿童的健康水平。为了确定 CP 儿童在进行水上干预后，基于水上的计划（姿势控制和平衡）对陆地（步行、跑步和跳跃）的影响。该研究采用了前测后测、随机分组、交叉设计。 8-12 岁儿童 (n = 10) 被分为干预组 (n = 5) 和对照组 (n = 5)。干预组每周参加两次每次 30 分钟的课程，而对照组则继续正常活动。使用粗大运动功能测量进行干预前和干预后测试。使用哈利威克概念的 10 点计划。结果表明，水生疗法对粗大运动功能评分有显着影响。与对照组相比，基于水上项目的组在干预后表现出运动功能增强（z = -2.803，p = 0.005）。此外，基于水的疗法提高了干预后粗大运动功能测量的平均分数。应将水上项目与传统治疗方式结合起来，并将其视为脑瘫儿童的一种重要的、持续的治疗方式，以确保长期粗大运动功能的改善。
Cerebral palsy (CP) is the most common motor disability in childhood. Children with CP are more likely to have lower levels of physical activity than their peers, which has negative implications for their health. However, aquatic exercise can be used to improve levels of fitness among children with CP. To determine the carry-over effect of an aquatic-based programme (postural control and balance) on land (walking, running and jumping) in children with CP, post aquatic intervention. The study used a pretest-post-test, randomised group, cross-over design. Children aged 8–12 years (n = 10) were divided into intervention (n = 5) and control (n = 5) groups. The intervention group participated in two 30-min sessions a week, while the control group continued with normal activities. Pre- and post-intervention testing was conducted using gross motor function measurement. The 10-point programme of the Halliwick Concept was used. Results demonstrated that the aquatic therapy had a significant effect on gross motor function scores. The aquatic programme-based group showed increased motor function following the intervention, compared to the control group (z = -2.803, p = 0.005). Furthermore, the aquatic-based therapy improved the average score for gross motor function measurement, post-intervention. Together with conventional modes of therapy, aquatic-based programmes should be integrated and considered as an essential, ongoing mode of treatment for children with CP, in order to ensure long-term gross motor function improvements.