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http://dx.doi.org/10.15268/ksim.2019.7.3.071

Effects of Aquatic Intervention on Range of Motion, Gross Motor Function and Balance in the Children with Cerebral Palsy : Meta-Analysis  

Choi, Kibok (Dept. of Medical Sciences, Graduate School of Nambu University)
Cho, Sunghyoun (Dept. of Physical Therapy, Nambu University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.3, 2019 , pp. 71-83 More about this Journal
Abstract
Purpose: This meta-analysis aimed to analyze to the effects of aquatic exercise programs in children with cerebral palsy and identify directions for future research. Methods: A systematic search based on the PRISMA guidelines was undertaken for studies conducted between 2006 and 2018 on aquatic exercise programs in children with cerebral palsy. A total of 10 studies were selected according to the inclusion criteria. The methodological quality was assessed using the Risk of Bias Tool for Randomized Controlled Trials (RoB) and Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). A meta-analysis software (CMA 3.0) was used to calculate the mean effect size, effect size by intervention (Halliwick and Watsu Aquatic methods), and effect size by outcome. Results: The mean effect size was 0.457. The effect size by intervention was largest for the Halliwick method, followed by the Watsu method. The effect size by outcome was largest for range of motion, followed by the gross motor function measure, the Pediatric Berg Balance Scale, and the Modified Ashworth Scale. Meta-regression analysis showed effect size increased when sample size, number of sessions, and length of sessions increased. Conclusion: The results show that aquatic exercise programs have a positive effect on children with cerebral palsy. Therefore, it is necessary to develop a guideline that recommends the appropriate intervention and the identifies the direction of future studies on aquatic exercise programs.
Keywords
aquatic exercise; cerebral palsy; halliwick; meta-analysis; watsu;
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