Effects of Aquatic Exercise on Upper Extremity Function and Postural Control During Reaching in Children With Cerebral Palsy
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Background: Despite the fact that aquatic exercise is one of the most popular alternative treatment methods for children with cerebral palsy (CP), there are few research regarding its effectiveness. Objects: The purpose of this study was to examine the effects of aquatic exercise on upper extremity function and postural control during reaching in children with CP. Methods: Ten participants (eight males and two females; 4–10 years; Gross Motor Function Classification System levels II–IV) with spastic diplegia were recruited to this study. The aquatic exercise program consisted of four modified movements that were selected from the Halliwick 10-point program to enhance upper extremity and trunk movements. The participants attended treatment two times a week for 6 weeks, averaging 35 minutes each session. The Box and Block Test (BBT), transferring pennies in the Bruininks-Oseretsky Test (BOT), and pediatric reaching test (PRT) scores were used as clinical measures. Three-dimensional motion analysis system was used to collect and analyze kinematic data. Differences in BBT and BOT values among pre-treatment, post-treatment, and retention (after 3 weeks) were analyzed using a Friedman test. In addition, the PRT scores and variables (movement time, hand velocity, straightness ratio, and number of movement units) from the three-dimensional motion analysis were tested using a Wilcoxon signed-rank test. The significance level was established at p < 0.05. When the results appeared to be statistically significant, a post-hoc test for multiple comparisons was performed with the Wilcoxon signed-rank test. Results: All clinical measures, which included BBT, transferring pennies of BOT, and PRT, were significantly increased between pre-intervention and post-intervention scores and between pre-intervention and retention scores after treatment (p = 0.001). Three-dimensional motion analysis mostly were significantly improved after treatment (p = 0.001). Conclusion: Aquatic exercise may help to improve body function, activity, and participation in children with varying types of physical disabilities.
Abstract
Background: Despite the fact that aquatic exercise is one of the most popular alternative treatment methods for children with cerebral palsy (CP), there are few research regarding its effectiveness. Objects: The purpose of this study was to examine the effects of aquatic exercise on upper extremity function and postural control during reaching in children with CP. Methods: Ten participants (eight males and two females; 4–10 years; Gross Motor Function Classification System levels II–IV) with spastic diplegia were recruited to this study. The aquatic exercise program consisted of four modified movements that were selected from the Halliwick 10-point program to enhance upper extremity and trunk movements. The participants attended treatment two times a week for 6 weeks, averaging 35 minutes each session. The Box and Block Test (BBT), transferring pennies in the Bruininks-Oseretsky Test (BOT), and pediatric reaching test (PRT) scores were used as clinical measures. Three-dimensional motion analysis system was used to collect and analyze kinematic data. Differences in BBT and BOT values among pre-treatment, post-treatment, and retention (after 3 weeks) were analyzed using a Friedman test. In addition, the PRT scores and variables (movement time, hand velocity, straightness ratio, and number of movement units) from the three-dimensional motion analysis were tested using a Wilcoxon signed-rank test. The significance level was established at p < 0.05. When the results appeared to be statistically significant, a post-hoc test for multiple comparisons was performed with the Wilcoxon signed-rank test. Results: All clinical measures, which included BBT, transferring pennies of BOT, and PRT, were significantly increased between pre-intervention and post-intervention scores and between pre-intervention and retention scores after treatment (p = 0.001). Three-dimensional motion analysis mostly were significantly improved after treatment (p = 0.001). Conclusion: Aquatic exercise may help to improve body function, activity, and participation in children with varying types of physical disabilities.
참고문헌 (29)
- Shumway-Cook A, "Effect of balance training on recovery of stability in children with cerebral palsy", Dev Med Child Neurol, 45(9), pp.591~602 (2003)
- Gage JR, "Gait analysis in cerebral palsy" (1991), Cambridge University Press
- Chrysagis NK, "Effects of an aquatic program on gross motor function of children with spastic cerebral palsy", J Biol Exerc, 5(2), pp.13~25 (2009)
- Fragala-Pinkham MA, "An aquatic physical therapy program at a pediatric rehabilitation hospital : a case series", Pediatr Phys Ther, 21(1), pp.68~78 (2009)
- Kelly M, "Aquatic exercise for children with cerebral palsy", Dev Med Child Neurol, 47(12), pp.838~842 (2005)
- Getz M, "Effects of aquatic interventions in children with neuromotor impairments : a systematic review of the literature", Clin Rehabil, 20(11), pp.927~936 (2006)
- Akinola BI, "Effect of a 10-week aquatic exercise training program on gross motor function in children with spastic cerebral palsy", Glob Pediatr Health, 6, pp.2333794~ (2019)
- Aruin AS, "The effect of changes in the body configuration on anticipatory postural adjustments", Motor Control, 7(3), pp.264~277 (2003)
- Bigongiari A, "Anticipatory and compensatory postural adjustments in sitting in children with cerebral palsy", Hum Mov Sci, 30(3), pp.648~657 (2011)
- Westcott SL, "Postural control in children : implications for pediatric practice", Phys Occup Ther Pediatr, 24(1-2), pp.5~55 (2004)
- Girolami GL, "Anticipatory postural adjustments in children with hemiplegia and diplegia", J Electromyogr Kinesiol, 21(6), pp.988~997 (2011)
- van der Heide JC, "Kinematic characteristics of postural control during reaching in preterm children with cerebral palsy", Pediatr Res, 58(3), pp.586~593 (2005)
- Spencer JP, "Posture and the emergence of manual skills", Dev Sci, 3(2), pp.216~233 (2000)
- van der Heide JC, "Postural control during reaching in preterm children with cerebral palsy", Dev Med Child Neurol, 46(4), pp.253~266 (2004)
- Carlberg EB, "Postural dysfunction in children with cerebral palsy : some implications for therapeutic guidance", Neural Plast, 12(2-3), pp.221~228 (2005)
- Ju YH, "Effect of task constraint on reaching performance in children with spastic diplegic cerebral palsy", Res Dev Disabil, 31(5), pp.1076~1082 (2010)
- Ju YH, "Postural adjustment of children with spastic diplegic cerebral palsy during seated hand reaching in different directions", Arch Phys Med Rehabil, 93(3), pp.471~479 (2012)
- Ballington SJ, "The carry-over effect of an aquaticbased intervention in children with cerebral palsy", Afr J Disabil, 7(0), pp.361~ (2018)
- Palisano R, "Development and reliability of a system to classify gross motor function in children with cerebral palsy", Dev Med Child Neurol, 39(4), pp.214~223 (1997)
- Latham CAT, "Occupational therapy for physical dysfunction" (1989), Williams & Wilkins
- Cromwell FS, "Occupational therapist's manual for basic skills assessment or primary pre-vocational evaluation" (1976), Fair Oaks Print. Co
- Flegel J, "Predictive validity of the test of infant motor performance as measured by the Bruininks-Oseretsky test of motor proficiency at school age", Phys Ther, 82(8), pp.762~771 (2002)
- Gordon AM, "Efficacy of a hand-arm bimanual intensive therapy(HABIT)in children with hemiplegic cerebral palsy : a randomized control trial", Dev Med Child Neurol, 49(11), pp.830~838 (2007)
- Bartlett D, "Validity and reliability of a pediatric reach test", Pediatr Phys Ther, 15(2), pp.84~92 (2003)
- Lambeck J, "The Halliwick concept, part I", J Aquat Phys Ther, 8(2), pp.6~11 (2000)
- Portney LG, "Foundations of clinical research: applications to practice", pp.2009, Pearson
- Kawamura CM, "Comparison between visual and threedimensional gait analysis in patients with spastic diplegic cerebral palsy", Gait Posture, 25(1), pp.18~24 (2007)
- Wu CY, "Kinematic and clinical analyses of upper-extremity movements after constraint-induced movement therapy in patients with stroke : a randomized controlled trial", Arch Phys Med Rehabil, 88(8), pp.964~970 (2007)
- Bortolami SB, "Kinetic analysis of arm reaching movements during voluntary and passive rotation of the torso", Exp Brain Res, 187(4), pp.509~523 (2008)