Cerebral Palsy
Conditions
Keywords
aquatic therapy, pediatrics, cerebral palsy, Bobath, Halliwick
Brief summary
Investigation of the effectiveness of water based therapy on children with Cerebral Palsy (CP)
Detailed description
The purpose of this randomized controlled trial was: To examine the effectiveness of the Halliwick concept intervention in water approach for people with motor deficiency and, more specifically, for children with diagnosed cerebral palsy. In a second phase, to compare the contribution of water intervention to the child's motor development against just Bobath physiotherapeutic intervention, in terms of the milestones of gross motor skills of the children over time. The aim of the research is to determine the contribution of the Halliwick Concept- Hydrotherapeutic Intervention approach in the psychomotor development in children with cerebral palsy and to explore its contribution to a comprehensive therapeutic approach for these children. It is a fact that, in recent years, parallel therapeutic approaches have gained ground, which, in combination with the physiotherapeutic treatment, contributes to the enhancement of therapeutic effects in early and follow-up intervention for children with cerebral palsy. The study resulted from the fact that there is not such a large-scale study in Greece. Also, there are few published studies in the world, trying to evaluate the therapeutic benefit of the Halliwick Concept as an hydro-therapeutic approach.
Interventions
OTHERHalliwick Concept
Halliwick Concept: Water intervention Bobath Concept: Neurodevelopmental Treatment
Sponsors
University of Thessaly
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
3 groups, 80 children with CP 1. group: Intervention in water- halliwick, 40 children 2. group: On land therapy- bobath, 40 children 3. group: No intervention
Eligibility
Sex/Gender
ALL
Age
3 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed with Cerebral Palsy * Not have some type of surgery or botulinum toxin infusion in the last year. * The children with cognitive limitations were selected, in order to be able to execute elementary commands. * Attending treatment program by the same therapist, either on water, or on land.
Exclusion criteria
* Children with autism * Children who had some scheduled surgery or botulinum toxin injection. * Children with severe vision problems * Children who could not follow the verbal instructions or reproduce a test reproduction. * Children who were absent from the treatment program either in the water or on land for over a week
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| GMFM | 9 months | GROSS MOTOR FUNCTION MEASURE (Scale for gross mobility) (scoring 0%-100%) |
| TUG | 9 months | TIMED UP AND GO (Scale to asses speed) (the minimoum time the better) |
| PEDI | 9 months | PEDIATRIC EVALUATION OF DISABILITY INVENTORY (Scale for assess the daily life activities) (scoring 0%-100%) |
| PBS | 9 months | PAEDIATRIC BALANCE SCALE (BERG BALANNCE SCALE MODIFIED) (Scale for assess the balance) (score 0-56) |
| WOTA 1 | 9 MONTHS | WATER ORIENTATION TEST ALYN 1 (Aquatic Scale to asses adaptation in water environment) (Aquatic Score 0- 52) |
| WOTA 2 | 9 months | WATER ORIENTATION TEST ALYN 12 (Aquatic Scale to asses adaptation in water environment) ( Score 0-81) |
| SWIM | 9 months | SWIM WITH INDEPENDENT MEASURE (Aquatic Scale to asses adaptation in water environment) (Score 0-71) |
| HAAR | 9 months | HUMPHRIES' ASSESSMENT OF AQUATIC READINESS (Aquatic Scale to asses adaptation in water environment)(Score 0-34) |
Countries
Greece
Outcome results
None listed