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Kang and Bae: Comparison between the Effect of Aquatic Exercise Program and Land Exercise Program in Spastic Cerebral Palsy on Motor Function and Balance
Clinical Article
The Korean Journal of Sports Medicine

The Korean Journal of Sports Medicine 2012; 30(2): 116-122.

Published online: 12 December 2012

DOI: https://doi.org/10.5763/kjsm.2012.30.2.116

Comparison between the Effect of Aquatic Exercise Program and Land Exercise Program in Spastic Cerebral Palsy on Motor Function and Balance

Sung-Hoon Kang, PT, MS1, Young-Hyeon Bae, PT, MS1, 2

1Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Seoul, Korea.

2Department of Physical Therapy, Sahmyook University, Seoul, Korea.

Correspondence: Young-Hyeon Bae. Derpatrment of Physical and Rehabilitation Medicine, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 139-742, Korea. Tel: +82-2-3410-2839, Fax: +82-2-3410-0011, baeyhhhh@naver.com

Received 10 July 2012       Accepted 19 October 2012

Copyright © 2012 The Korean Society of Sports Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate the efficacy of a aquatic exercise program (AEP) compared with a land exercise program (LEP) in children with spastic cerebral palsy on motor function and balance. Thirty children with spastic cerebral palsy receiving edgewise treatment were randomly assigned to two groups, a AEP and a LEP. AEP and LEP were applied to two groups of children with spastic cerebral palsy for 30 minutes, three times a week for 8 weeks. Range of motion (ROM) of ankle dorsi flexion, Modified Ashworth Scale (MAS) while ankle dorsi flexed, Pediatric Berg's Balance Scale (PBS), and Gross Motor Function Measure (GMFM) were used for pre and post comparison. There were significant differences of ROM while ankle dorsi flexed, PBS and GMFM between pre and post treatment in all the two groups (p<0.05). But as a measure of MAS while ankle dorsi flexed did not show a significant differences. And the was significant difference in the amount of change of the ROM while ankle dorsi flexion between the two groups (p<0.05). The results would suggest that both of the exercise program are equally effective.

Keywords: Aquatic exercise, Balance, Land exercise, Motor function, Spastic cerebral palsy

Figures and Tables

Table 1
General and disease-related characteristics of subjects
kjsm-30-116-i001

GMFM: Gross Motor Function Measure.

Table 2
Halliwick 10 point program
kjsm-30-116-i002
Table 3
Land exercise program
kjsm-30-116-i003
Table 4
Change of measurement fators between before and after
kjsm-30-116-i004

Values are presented as mean±standard deviation.

ROM: Range of Motion, MAS: Modified Ashworth Scale, PBS: Pediatric Berg's Balance Scale, GMFM: Gross Motor Function Measure.

*Paired t-test, p<0.05; †Two-way analysis of variance repeated measure, p<0.01.

Table 5
Comparison of between experimental and control
kjsm-30-116-i005

Values are presented as mean±standard deviation.

ROM: Range of Motion, MAS: Modified Ashworth Scale, PBS: Pediatric Berg's Balance Scale, GMFM: Gross Motor Function Measure.

*Independent t-test, p<0.05.

References

1. Kim MK. Quantitative analysis and classification of the subtalar joint in standing and walking of children with cerebral palsy [dissertation]. 2003. Seoul [KR]: Sahmyook University.
2. Brown JE, O'Hare NJ. Review of the different methods for assessing standing balance. Physiotherapy. 2001. 87:489–495.
3. Winters TF Jr, Gage JR, Hicks R. Gait patterns in spastic hemiplegia in children and young adults. J Bone Joint Surg Am. 1987. 69:437–441.
4. Jones ET, Knapp DR. Assessment and management of the lower extremity in cerebral palsy. Orthop Clin North Am. 1987. 18:725–738.
5. Gudjondottir B, Mercer VS. Hip and spine children with cerebral palsy: Muscularskeletal development and clinical implication. Pediatr Phys Ther. 1997. 9:179–185.
6. Song BH. The effect of an exercise using elastic thera-band strengthening trunk muscles on the static sitting posture for children with CP. Korean J Spec Educ. 2003. 10:301–307.
7. Kim TY, Kim KY, Lambeck J. Hydrotherapy in rheumatoid arthritis. J Korean Soc Phys Ther. 2000. 12:407–414.
8. Hutzler Y, Chacham A, Bergman U, Szeinberg A. Effects of a movement and swimming program on vital capacity and water orientation skills of children with cerebral palsy. Dev Med Child Neurol. 1998. 40:176–181.
9. Bates A, Hanson N. Aquatic exercise therapy. 1996. Philadelphia: Saunders.
10. Chon SC, Yoon SI, Oh DW, Shim JH, Lee GW, Ahn CS. The effect of submerged relaxation exercise on muscle tone in persons with hemiparesis. J Korean Acad Univ Trained Phys Ther. 2006. 13:84–91.
11. Seo SK. Quantitative evaluation of muscle tonus by pool temperature during the aquatic therapy [dissertation]. 2004. Seoul [KR]: Dongshin Universtity.
12. Kim MJ. Effects on the gross motor skills of the children with hemiplegia by aquatic rehabilitation exercise [dissertation]. 2008. Changwon [KR]: Changwon National University.
13. Chung BK. The effect of aquatic rehabilitation exercise in interventions on gait pattern in pediatric with spastic cerebral palsy. J Phys Growth Motor Dev. 2008. 16:193–198.
14. Chung BK. The effects of 16 weeks aquatic rehabilitation exercise on gross motor function in pediatric with cerebral palsy. J Korean Soc Leis Sport. 2004. 8:95–106.
15. Choi CN. The effect of aquatic rehabilitation exercise program on static balance in cerebral palsy. Seongjijaehwaryeongu. 2009. 18:58–79.
16. Kim SH, Ko YH, Yoon YB. Effect of aquatic exercise on body composition, fitness and pulmonary function of spasticity cerebral palsy. J Korea Contents Assoc. 2005. 5:37–44.
17. Ballaz L, Plamondon S, Lemay M. Group aquatic training improves gait efficiency in adolescents with cerebral palsy. Disabil Rehabil. 2011. 33:1616–1624.
18. Lambeck J, Stanat FC. The Halliwick concept. J Aquatic Phys Ther. 2000. 8:6–11.
19. Bobath K. A neurophysiological basic for the treatment of cerebral palsy. 1980. 2nd ed. Philadelphia: JB Lippincot.
20. Allison SC, Abraham LD. Sensitivity of qualitative and quantitative spasticity measures to clinical treatment with cryotherapy. Int J Rehabil Res. 2001. 24:15–24.
21. Ko MS, Lee NH, Lee JA, Jeon HS. Inter-examiner reliability of the Korean version of the pediatric balance scale. J Korean Acad Univ Trained Phys Ther. 2008. 15:86–95.
22. Yi CH, Hwang SG, Choi HS. Inter-rater reliability of the gross motor function measure. J Korean Acad Univ Trained Phys Ther. 1995. 2:1–13.
23. Geigle PR, Cheek WL, Gould ML, Hunt HC III, Shafiq B. Aquatic physical therapy for balance: the interaction of somatosensory and hydrodynamic principles. J Aquatic Phys Ther. 1997. 5:4–10.
24. Bandy WD, Sanders B. Therapeutic exercise: techniques for intervention. 2001. Philadelphia: Lippincott Williams & Wilkins.
25. Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Phys Ther. 2007. 87:32–43.
26. Chung JK, Lim SJ. The Effect of aquatic exercise on physical fitness of children with cerebral palsy. J Spec Educ:Theory Pract. 2002. 3:91–108.
27. Lim JH. The effect of auatic rehabilitation exercise on children with cerebral palsy patients in terms of body composition, physical fitness and breathing capacity. Seongjijaehwaryeongu. 2007. 15:78–109.
28. Hwang YB. The effect of stabilization exercise in children with spastic diplegia [dissertation]. 2006. Busan [KR]: Catholic University of Busan.
29. Ko MS. The effects of strength training on motor function and activity daily living with cerebral palsy. Seongjijaehwaryeongu. 2005. 13:35–53.
30. Lee JH. The effects of strengthening trunk muscles using water exercises on sitting posture and muscle tone in lower extremities for the children with cerebral palsy [dissertation]. 2006. Seoul [KR]: Dankook University.
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