Meysam Roostaei1,2, Hamzeh Baharlouei2,3, Hamidreza Azadi1,2, Maria A Fragala-Pinkham4. 1. a Department of Occupational Therapy , School of Rehabilitation Sciences, Isfahan University of Medical Sciences , Isfahan , Iran. 2. b Musculoskeletal Research Center , Isfahan University of Medical Sciences , Isfahan , Iran. 3. c Department of Physiotherapy , School of Rehabilitation, Isfahan University of Medical Sciences , Isfahan , Iran. 4. d Research Center for Children with Special Health Care Needs , Franciscan Hospital for Children , Boston , Massachusetts , USA.
Abstract
AIMS: To review the literature on the effects of aquatic intervention on gross motor skills for children with cerebral palsy (CP). DATA SOURCES: Six databases were searched from inception to January 2016. REVIEW METHODS: Aquatic studies for children aged 1-21 years with any type or CP classification and at least one outcome measuring gross motor skills were included. Information was extracted on study design, outcomes, and aquatic program type, frequency, duration, and intensity. Quality was rated using the Centre of Evidence-Based Medicine: Levels of Evidence and the PEDro scale. RESULTS: Of the 11 studies which met inclusion criteria, only two used randomized control trial design, and the results were mixed. Quality of evidence was rated as moderate to high for only one study. Most studies used quasi-experimental designs and reported improvements in gross motor skills for within group analyses after aquatic programs were held for two to three times per week and lasting for 6-16 weeks. Participants were classified according to the Gross Motor Function Classification System (GMFCS) levels I-V, and were aged 3-21 years. Mild to no adverse reactions were reported. CONCLUSIONS: Evidence on aquatic interventions for ambulatory children with CP is limited. Aquatic exercise is feasible and adverse effects are minimal; however, dosing parameters are unclear. Further research is needed to determine aquatic intervention effectiveness and exercise dosing across age categories and GMFCS levels.
AIMS: To review the literature on the effects of aquatic intervention on gross motor skills for children with cerebral palsy (CP). DATA SOURCES: Six databases were searched from inception to January 2016. REVIEW METHODS: Aquatic studies for children aged 1-21 years with any type or CP classification and at least one outcome measuring gross motor skills were included. Information was extracted on study design, outcomes, and aquatic program type, frequency, duration, and intensity. Quality was rated using the Centre of Evidence-Based Medicine: Levels of Evidence and the PEDro scale. RESULTS: Of the 11 studies which met inclusion criteria, only two used randomized control trial design, and the results were mixed. Quality of evidence was rated as moderate to high for only one study. Most studies used quasi-experimental designs and reported improvements in gross motor skills for within group analyses after aquatic programs were held for two to three times per week and lasting for 6-16 weeks. Participants were classified according to the Gross Motor Function Classification System (GMFCS) levels I-V, and were aged 3-21 years. Mild to no adverse reactions were reported. CONCLUSIONS: Evidence on aquatic interventions for ambulatory children with CP is limited. Aquatic exercise is feasible and adverse effects are minimal; however, dosing parameters are unclear. Further research is needed to determine aquatic intervention effectiveness and exercise dosing across age categories and GMFCS levels.
Authors: Elisa Muñoz-Blanco; Javier Merino-Andrés; Beatriz Aguilar-Soto; Yolanda Castillo García; Marta Puente-Villalba; Jorge Pérez-Corrales; Javier Güeita-Rodríguez Journal: Int J Environ Res Public Health Date: 2020-05-23 Impact factor: 3.390
Authors: Javier Güeita-Rodríguez; Lidiane Lima Florencio; José Luis Arias-Buría; Johan Lambeck; Cesar Fernández-de-Las-Peñas; Domingo Palacios-Ceña Journal: Int J Environ Res Public Health Date: 2019-11-02 Impact factor: 3.390
Authors: Anna Ogonowska-Slodownik; Ana Angélica R de Lima; Luciana Cordeiro; Natalia Morgulec-Adamowicz; María Alonso-Fraile; Javier Güeita-Rodríguez Journal: J Neuromuscul Dis Date: 2022