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Archive > Year 2013, Number 2

Benefits of swimming for children with cerebral palsy: a pilot study


Authors

Declerck Marlies

Abstract

The aim of this study was to investigate the effects of a swimming program on body function, activity and Quality of Life (QOL), in children diagnosed with Cerebral Palsy. Seven children (female/male: 4/3; Median 10.2 years old; Gross Motor Function Classification Scale I to III) participated in a 6-week swimming intervention using a case series design. Outcome measures were, for body function level: handgrip strength; for activity level: unimanual speed performance, walking capacity, gross motor function and adjustment and function in the water; and QOL. There was no drop-out during the intervention. Mental adjustment in the water and swimming skills improved by 29% (p < 0.05) after the intervention. This effect remained at follow-up (p < 0.05). Subdimension D (standing) of the Gross Motor Function Measurement-88 improved significantly (3%). All other activity measurements showed trends toward improvement. QOL improved in five out of seven subdimensions of one questionnaire. To conclude, this pilot study including a small number of participants showed improvements in adjustment and function in the water and positive trends for activity level and QOL after a 6-week swimming program. Future research on a larger population could be worthwhile.

Keywords

Swimming, aquatic therapy, motor skills

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References

  1. Aidar, F. J., Silva, A. J., Reis, V. M., Careiro, A. L., Vianna, J. M. & Vovaes, G. S. (2007). Aquatic activities for severe cerebral palsy people and relation with the teach-learning process. Fitness & Performance Journal, 6 (6), 377-381.
  2. Ballaz, L., Plamondon, S. & Lemay, M. (2011). Group aquatic training improves gait efficiency in adolescents with cerebral palsy. Disability and Rehabilitation, 33 (17-18), 1616-1624.
  3. Bates, A. & Hanson, N. (Eds.) (1996). Aquatic exercise therapy. Philadelphia: W B Saunders Company.
  4. Bax, M., Goldstein, M., Rosenbaum, P., Leviton, A., Paneth, N., Dan, B., Jacobsson, B. & Damiano, D. (2005). Proposed definition and classification of cerebral palsy, April 2005. Developmental Medicine & Child Neurology, 47 (8), 571-576.
  5. Beckung, E. & Hagberg, G. (2002). Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Developmental Medicine & Child Neurology, 44 (5), 309-316.
  6. Bjornson, K. F., Belza, B., Kartin, D., Logsdon, R. & McLaughlin, J. F. (2007). Ambulatory physical activity performance in youth with cerebral palsy and youth who are developing typically. Physical Therapy, 87 (3), 248-257.
  7. Borggraefe, I., Kiwull, L., Schaefer, J. S., Koerte, I., Blaschek, A., Meyer-Heim, A. & Heinen, F. (2010). Sustainability of motor performance after robotic-assisted treadmill therapy in children: An open, non-randomized baseline-treatment study. European journal of physical and rehabilitation medicine, 46 (2), 125-131.
  8. Bottos, M. & Gericke, C. (2003). Ambulatory capacity in cerebral palsy: Prognostic criteria and consequences for intervention. Developmental Medicine & Child Neurology, 45 (11), 786-790.
  9. Casanova, J. S. (Ed.) (1992). Clinical assessment recommendations (2nd edition). Chicago: The American Society of Hand Therapists.
  10. Chrysagis, D. N., Douka, A., Nikopoulos, M., Apostolopoulou, F. & Koutsouki, D. (2009). Effects of an aquatic program on gross motor function of children with spastic cerebral palsy. Biology of Exercise, 5 (2), 13-25.
  11. Cole, A. & Becker, B. (Eds.) (2004). Comprehensive aquatic therapy (2nd edition). Butterworth-Heinemann Medical.
  12. Dimitrijević, L., Aleksandrovic, M., Madic, D., Okicic, T., Radovanovic, D. & Daly, D. (2012). The effect of aquatic intervention on the gross motor function and aquatic skills in children with cerebral palsy. Journal of Human Kinetics, 32, 167-174.
  13. Dorval, G., Tetrault, S. & Charon, C. (1996). Impact of aquatic programmes on adolescents with cerebral palsy. Occupational Therapy International, 3, 241-261.
  14. Eliasson, A. C., Krumlinde-Sundholm, L., Rosblad, B., Beckung, E., Arner, M., Ohrvall, A. M. & Rosenbaum, P. (2006). The manual ability classification system (macs) for children with cerebral palsy: Scale development and evidence of validity and reliability. Developmental Medicine & Child Neurology, 48 (7), 549-554.
  15. Figuers, C. C. (2005). Aquatic therapy intervention for a child diagnosed with spinal muscular atrophy. The Journal of Aquatic Physical Therapy, 13 (1), 6-8.
  16. Getz, M., Hutzler, Y. & Vermeer, A. (2006). Effects of aquatic interventions in children with neuromotor impairments: A systematic review of the literature. Clinical Rehabilitation, 20(11), 927-936.
  17. Getz, M., Hutzler, Y. & Vermeer, A. (2007). The effects of aquatic intervention on perceived physical competence and social acceptance in children with cerebral palsy. European Journal for Special Needs Education, 22, 217-228.
  18. Getz, M., Hutzler, Y., Vermeer, A., Yarom, Y. & Unnithan, V. (2012). The effect of aquatic and land-based training on metabolic cost of walking and motor performance in children with cerebral palsy: A pilot study. International Scholarly Research Network - ISRN Rehabilitation,1-8.
  19. Geytenbeek, J. (2008). Aquatic physiotherapy evidence-based practice guide. In: Australian Physiotherapy Association.
  20. Gorter, J. W. & Currie, S. J. (2011). Aquatic exercise programs for children and adolescents with cerebral palsy: What do we know and where do we go? International Journal of Pediatrics, Article ID 712165, doi:10.1155/2011/712165.
  21. Hutzler, Y., Chacham, A., Bergman, U. & Reches, I. (1998). Effects of a movement and swimming program on water orientation skills and self-concept of kindergarten children with cerebral palsy. Perceptual & Motor Skills, 86 (1), 111-118.
  22. Hutzler, Y., Chacham, A., Bergman, U. & Szeinberg, A. (1998). Effects of a movement and swimming program on vital capacity and water orientation skills of children with cerebral palsy. Developmental Medicine & Child Neurology, 40 (3), 176-181.
  23. Irion, J. M. (2009). Chapter 3: Aquatic properties and therapeutic interventions. In: Aquatic exercise for rehabilitation and training. Champaign: Human Kinetics.
  24. Jorgić, B., Dimitrijević, L., Aleksandrović, M., Okicic, T., Madic, D. & Radovanovic, D. (2012). The swimming program effects on the gross motor function, mental adjustment to the aquatic environment, and swimming skills in children with cerebral palsy: A pilot study. Specijalna edukacija i rehabilitacija, 11 (1), 51-66.
  25. Kelly, M. & Darrah, J. (2005). Aquatic exercise for children with cerebral palsy. Developmental Medicine & Child Neurology, 47 (12), 838-842.
  26. Klingels, K., Demeyere, I., Jaspers, E., De Cock, P., Molenaers, G., Boyd, R. & Feys, H. (2012). Upper limb impairments and their impact on activity measures in children with unilateral cerebral palsy. European Journal of Paediatric Neurology, 16(5), 475-484.
  27. Noreau, L., Lepage, C., Boissiere, L., Picard, R., Fougeyrollas, P., Mathieu, J., Desmarais, G. & Nadeau, L. (2007). Measuring participation in children with disabilities using the assessment of life habits. Developmental Medicine & Child neurology, 49 (9), 666-671.
  28. Ostensjo, S., Carlberg, E. B. & Vollestad, N. K. (2004). Motor impairments in young children with cerebral palsy: Relationship to gross motor function and everyday activities. Developmental Medicine & Child Neurology, 46 (9), 580-589.
  29. Palisano, R. J., Rosenbaum, P., Bartlett, D. & Livingston, M. H. (2008). Content validity of the expanded and revised gross motor function classification system. Developmental Medicine & Child Neurology, 50 (10), 744-750.
  30. Papavasiliou, A. S. (2009). Management of motor problems in cerebral palsy: A critical update for the clinician. European Journal of Paediatric Neurology, 13 (5), 387-396.
  31. Portney, L. G. & Watkins, M. P. (2000). Foundations of clinical research. Applications to practice. (2nd edition). New Jersey: Prentice Hall Health.
  32. Rossier, P. & Wade, D. T. (2001). Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Archives of Physical Medicine and Rehabilitation, 82 (1), 9-13.
  33. Russell, D. J., Rosenbaum, P. L., Gowland, S., Hardy, S., Lane, M., Plews, H., McGavin, H., Cadman, D. & Jarvis, S. (1993). Manual for the gross motor function measure. Hamilton: McMaster University.
  34. Smits-Engelsman, B. C. M., Klingels, K. & Declercq, A. (2008). Test-retest reliability and validity for the Dutch version of the cp qol questionnaire for children. Katholieke Universiteit Leuven.
  35. Taylor, N., Sand, P. L. & Jebsen, R. H. (1973). Evaluation of hand function in children. Archives of Physical Medicine and Rehabilitation, 54 (3), 129-135.
  36. Thorpe, D., Reilly, M. & Case, L. (2005). The effects of an aquatic resistive exercise program on ambulatory children with cerebral palsy. The Journal of Aquatic Physical Therapy, 13, 21-34.
  37. Tirosh, R., Katz-Leurer, M. & Getz, M. D. (2008). Halliwick-based aquatic assessments: Reliability and validity. International Journal of Aquatic Research & Education, 2 (3), 224.
  38. Van Den Beld, W. A., van der Sanden, G. A., Sengers, R. C., Verbeek, A. L. & Gabreels, F. J. (2006). Validity and reproducibility of the Jamar dynamometer in children aged 4-11 years. Disability and Rehabilitation, 28 (21), 1303-1309.
  39. Van Hedel, H. J., Wirz, M. & Dietz, V. (2005). Assessing walking ability in subjects with spinal cord injury: Validity and reliability of 3 walking tests. Archives of Physical Medicine and Rehabilitation, 86 (2), 190-196.
  40. World Health Organization. (2007). Icf: International classification of functioning, disability and health. Children and youth version. Geneva.
  41. World Medical Association. (2000). Declaration of Helsinki: Ethical principles for medical research involving human subjects. The Journal of the American Medical Association, 284 (23), 3043-3045.

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