Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

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

  • Kim, Kyung Ho (Department of Physical Therapy, College of Bio and Medical Science, Daegu Catholic University) ;
  • Shin, Hwa Kyung (Department of Physical Therapy, College of Bio and Medical Science, Daegu Catholic University)
  • Received : 2017.05.18
  • Accepted : 2017.06.14
  • Published : 2017.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. Rose J, Wolff DR, Jones VK, Bloch DA, Oehlert JW, Gamble JG. Postural balance in children with cerebral palsy. Dev Med Child Neurol 2002;44:58-63. https://doi.org/10.1017/S0012162201001669
  2. Salem Y, Gropack SJ. Aquatic therapy for a child with type III spinal muscular atrophy: a case report. Phys Occup Ther Pediatr 2010;30:313-24. https://doi.org/10.3109/01942638.2010.493097
  3. Retarekar R, Fragala-Pinkham MA, Townsend EL. Effects of aquatic aerobic exercise for a child with cerebral palsy: single-subject design. Pediatr Phys Ther 2009;21:336-44. https://doi.org/10.1097/PEP.0b013e3181beb039
  4. Gorter JW, Currie SJ. Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go? Int J Pediatr 2011;2011:712165.
  5. Ballaz L, Plamondon S, Lemay M. Group aquatic training improves gait efficiency in adolescents with cerebral palsy. Disabil Rehabil 2011;33:1616-24. https://doi.org/10.3109/09638288.2010.541544
  6. Kelly M, Darrah J. Aquatic exercise for children with cerebral palsy. Dev Med Child Neurol 2005;47:838-42. https://doi.org/10.1017/S0012162205001775
  7. Pham HP, Eidem A, Hansen G, Nyquist A, Vik T, Sæther R. Validity and responsiveness of the trunk impairment scale and trunk control measurement scale in young individuals with cerebral palsy. Phys Occup Ther Pediatr 2016;36:440-52. https://doi.org/10.3109/01942638.2015.1127867
  8. Mitteregger E, Marsico P, Balzer J, van Hedel HJ. Translation and construct validity of the Trunk Control Measurement Scale in children and youths with brain lesions. Res Dev Disabil 2015; 45-46:343-52. https://doi.org/10.1016/j.ridd.2015.08.007
  9. Sæther R, Jorgensen L. Intra- and inter-observer reliability of the trunk impairment scale for children with cerebral palsy. Res Dev Disabil 2011;32:727-39. https://doi.org/10.1016/j.ridd.2010.11.007
  10. Sæther R, Helbostad JL, Adde L, Braendvik S, Lydersen S, Vik T. The relationship between trunk control in sitting and during gait in children and adolescents with cerebral palsy. Dev Med Child Neurol 2015;57:344-50. https://doi.org/10.1111/dmcn.12628
  11. Fragala-Pinkham MA, Smith HJ, Lombard KA, Barlow C, O'Neil ME. Aquatic aerobic exercise for children with cerebral palsy: a pilot intervention study. Physiother Theory Pract 2014; 30:69-78. https://doi.org/10.3109/09593985.2013.825825
  12. Dimitrijevic L, Bjelakovic B, Lazovic M, Stankovic I, Colovic H, Kocic M, et al. [Aquatic exercise in the treatment of children with cerebral palsy]. Srp Arh Celok Lek 2012;140:746-50. Serbian. https://doi.org/10.2298/SARH1212746D
  13. Kenis-Coskun O, Giray E, Eren B, Ozkok O, Karadag-Saygi E. Evaluation of postural stability in children with hemiplegic cerebral palsy. J Phys Ther Sci 2016;28:1398-402. https://doi.org/10.1589/jpts.28.1398
  14. Han HK, Chung YJ. Effects of task-oriented training for gross motor function measure, balance and gait function in persons with cerebral palsy. Phys Ther Rehabil Sci 2016;5:9-14. https://doi.org/10.14474/ptrs.2016.5.1.9
  15. Yun CK. Relationship between the quality of life of the caregiver and motor function of children with cerebral palsy. Phys Ther Rehabil Sci 2017;6:26-32. https://doi.org/10.14474/ptrs.2017.6.1.26
  16. Lee JW, Hwang SJ. Effects of balance imagery of semi-tandem stance on a flat floor and balance beam for postural control: a comparison between older and younger adults. Phys Ther Rehabil Sci 2015;4:87-93. https://doi.org/10.14474/ptrs.2015.4.2.87
  17. Jung JH, Ko SE, Lee SW. Immediate effects of single-leg stance exercise on dynamic balance, weight bearing and gait cycle in stroke patients. Phys Ther Rehabil Sci 2014;3:49-54. https://doi.org/10.14474/ptrs.2014.3.1.49