Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.4, Oct. 2015, Pub. Date: Aug. 12, 2015
Impact of Aquatic Exercise Program on Muscle Tone in Spastic Hemiplegic Children with Cerebral Palsy
Pages: 138-144 Views: 1682 Downloads: 1434
[01] Khaled A. Olama, Department of Physical Therapy for Disturbance of Growth and Development in Children and its Surgery, College of Physical Therapy, Misr University for Science and Technology, Giza, Egypt.
[02] Hala I. Kassem, Department of Physical Therapy for Disturbance of Growth and Development in Children and its Surgery, College of Physical Therapy, Misr University for Science and Technology, Giza, Egypt.
[03] Shimaa N. Aboelazm, Basic Sciences Department, College of Physical Therapy, Misr University for Science and Technology, Giza, Egypt.
Cerebral palsy is one of the most common causes of serious physical disability in childhood. Exercise for children with cerebral palsy is gaining more popularity among pediatric physical therapists community as an interventional choice. Under water exercise appeals children with cerebral palsy because of the unique quality of buoyancy of water that influences poor balance and poor postural control. The purpose of this study was to investigate the effect of aquatic exercise program on muscle tone in spastic hemiplegic children. Thirty spastic hemiplegic children with cerebral palsy were enrolled in the study and were evaluated before and after treatment using Hoffman reflex and H/M ratio. They were randomly distributed into two groups of equal number; each group consisted of fifteen children. Group A received an exercise therapy program while wearing ankle foot orthosis as a home routine, two sessions per week for twenty weeks. Group B received the same exercise therapy program in addition to an aquatic exercise program for twenty weeks two sessions per week for twenty weeks. Results: The results revealed significant difference in all measured variables regarding group A and B when comparing pre and post treatment mean values ( P<0.0001) Statistically significant improvement was observed in favor of group B. Conclusion: Combination of exercise program and aquatic exercise program had significant effect on decreasing H-reflex in spastic hemiplegic cerebral palsy.
Cerebral Palsy, Spasticity, Hemiplegia, Aquatic Exercise, H-reflex
[01] Nolan K, Cole Land Liptak G (2006).Use of botulinum toxin type A in children with cerebral palsy .Phys Ther:(86): pp:573-584.
[02] Koman L, Smith B, Kalkrishnan R. (2003). Spasticity associated with cerebral palsy in children: guidelines for the use of botulinum A toxin. Paediatr Drugs (5) pp:11-23.
[03] Prosser L, Lee S, VanSant A,et al (2010).Trunk and hip muscle activation patterns are different during walking in young children with and without cerebral palsy. Phys Ther; 90(7):90–97
[04] Park S and Nottingham A (2010). Information for parents Cerebral palsy , 3rd edition pp:8
[05] Wilsdon J (1996).Cerebral palsy. In: Turner A, Foster M., Johanson S.E. and Steward. Occupational therapy and physical dysfunction (principles, skills and practice), Churchill Livingstone, New York, pp:395-431.
[06] Zhu P(2010). Design of Surface Electromyography Detection Circuit, International Conference on Future Information Technology and Management Engineering, 978-1-pp:4244-9088
[07] Voerman G,Gregoric M.&Hermens H (2005). Neurophysiological methods for the assessment of spasticity: The Hoffmann reflex, the tendon reflex, and the stretch reflex.pp.450-455.
[08] Nielsen J, Klinge K and Biering S (2006). Spasticity-assessment a review( 44) pp:708–722
[09] Katsimanis G, Evaggelinou C, Christoulas K, Kandrali I, Angelopoulou N. (2002) Using a training program to enhance the aerobic power in young individuals with spastic diplegia. In: Koskoulou M, Geladas N, Klissouras V, editors. 7th Annual Congress of the European College of Sport Science. Athens, Greece: p 153.
[10] K. S. Ondrak and D. E. Thorpe, “Physiologic responses of adolescents with CP when walking on land and in water: a case series,” Journal of Aquatic Physical Therapy, vol. 15, pp. 10–15, 2007.
[11] M. A. Fragala-Pinkham, H. M. Dumas, C. A. Barlow, and A. Pasternak, “An aquatic physical therapy program at a pediatric rehabilitation hospital: a case series,” Pediatric Physical Therapy, vol. 21, no. 1, pp. 68–78, 2009.
[12] R. Retarekar, M. A. Fragala-Pinkham, and E. L. Townsend, “Effects of aquatic aerobic exercise for a child with cerebral palsy: single-subject design,” Pediatric Physical Therapy, vol. 21, no. 4, pp. 336–344, 2009.
[13] D. E. Thorpe, M. Reilly, and L. Case, “The effects of an aquatic resistive exercise program on ambulatory children with cerebral palsy,” Journal of Aquatic Physical Therapy, vol. 13, pp. 21–35, 2005.
[14] Blundell SW, Sheperd RB, Dean CM, Adams RD, Cahill BM. (2003) Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4–8 years. Clin Rehabil 17: 48–57..4,7,17,23–29
[15] Kelly, M., & Darah, J. (2005). Aquatic exercise for children with cerebral palsy. Developmental Medicine & ChildNeurology, 47, 838–842.
[16] Bohannon R. and Smith M (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity." Physical Therapy 67(2) pp: 206.
[17] Kott, K.: Orthosis for patients with neurological disorders. Clinical decision making. In: Seymour, r., (ed.), Prosthetics and Othotics: Lower limb and spinal. Lippincott Williams and Wilkins, London. 367-426, 2002.
[18] Mayston M (2004). Physiotherapy management in cerebral palsy: an update on treatment approaches. Clinics in Developmental Medicine (161) pp : 147-160.
[19] Darrah J, Law M, Pollock N. (2001) Family-centered functional therapy – a choice for children with motor dysfunction. Infants Young Child 13: 79–87.
[20] Gormley,M E, JR., L E, Kratch, (2001): Spasticity management in the child with spastic quadriplegia. Eur J neural 8 (supply,5):127-135.
[21] Shinohara T, Suzuki N, Oba M, Kawasumi M, Kimizuka M, Mita K. (2002) Effect of exercise at the AT point for children with cerebral palsy. Bull Hosp Joint Dis 61: 63–67.
[22] Stein, J. (2004) Motor Development, the Brain, and Aquatic Therapy. American Therapy Journal, 6 (2) July 2004
[23] Thorpe DE, Reilly M. (2000) The effect of an aquatic resistive exercise program on lower extremity strength, energy expenditure, functional mobility, balance and self-perception in an adult with cerebral palsy: a retrospective case report. J Aquat PhysTher 8: 18–24.
[24] Peganoff SA. (1984) The use of aquatics with cerebral palsied adolescents. Am J Occup Ther 38: 469–473.
[25] Dorval G, Tetrault S, Caron C. (1996) Impact of aquatic programmes on adolescents with cerebral palsy. Occup Ther Int 3: 241–261.
[26] Poyhonen T, Sipila S, Keskinen KL, Hautala A, Savolainen J, Malkia E. (2002) Effects of aquatic resistance training on neuromuscular performance in healthy women. Med Sci Sports Exerc 34: 2103–2109.
[27] Ballaz L, Plamondon S, Lemay M. Group aquatic training improves gait efficiency in adolescents with cerebral palsy. Disabil Rehabil. 2011; 33 (17-18): 1616-1624.
[28] Dodd KJ, Taylor NF, Damiano DL. (2002) A systematic review of effectiveness of strength-training programs for people with cerebral palsy. Arch Phys Med Rehabil 83: 1157–1164.
[29] Dumas H, Francesconi S. (2001) Aquatic therapy in pediatrics: annotated bibliography. Phys Occup Ther Pediatr 20: 63–79.
[30] Irion, J.M. (2009). Aquatic properties and therapeutic interventions In: L. T. Brody, P.R. Geigle (Eds), Aquatic exercise for rehabilitation and training (pp. 25-34). Champaign: Human Kinetics.
[31] Prins, J.H. (2009). Aquatic rehabilitation. Serbian Journal of Sports Sciences, 3(1-4), 45-51.
[32] Lepore, M. (2005). Aquatics. In: J.P. Winnick (Ed.), Adapted Physical education and Sport (pp.435-454). Champaign: Human Kinetics.
[33] Daly, D., & Lambeck, J. (2007). New trends in adapted swimming. In Colomina R., Molina J., Valdivieso F., Ortiz E., Contreras G. (Eds.), Swimming science I (pp. 19-30). Granada, Spain: Editorial Universidad de Granada.
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