Cerebral Palsy, Hypoxia, Brain
Conditions
Brief summary
The purpose of this study is to explore the feasibility, fidelity and acceptability of an aquatic therapy assessment and intervention for children ages 3-9 with neuromotor deficits such as cerebral palsy. The intervention takes place in a warm water therapy pool, twice a week for ten weeks and targets swim safety skills, upper extremity function and self care participation and performance.
Detailed description
The purpose of this study is to explore the feasibility, fidelity and acceptability of an aquatic therapy assessment and intervention. The intervention will target swim safety skills, upper extremity function and self care participation and performance in children with neuromotor conditions such as cerebral palsy. The study includes an intake evaluation session, twenty sessions of aquatic therapy (twice a week for 10 weeks) and a post evaluation session. This takes place in Columbus, Ohio. Each session will be a combination of land-based self care training and water-based upper extremity exercise and swim skill training. The intervention structure will include the following: 1. Self Care Session: Doffing clothing, preparing for swimming 2. Motor learning aquatic activities guided by individualized goals 3. Self Care session: Towel dry, rinse off, dressing Individualized activities will be planned according to the individualized goals written for each child participant.
Interventions
BEHAVIORALAquatic therapy
Children receive aquatic occupational therapy twice a week for 10 weeks. 30 minutes of aquatic therapy in a warm water pool to increase upper extremity function and swim skills; 15 minutes of self care training to increase independence with dressing and showering.
Sponsors
Ohio State University
Franklin County Board of Developmental Disabilities
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* 3-9 years for the children, 18+ for the parents/guardians. * child with neuro-motor diagnosis (CP, hypoxia, etc.) * child impairments in upper extremity function * child deficits in performance of self care activities
Exclusion criteria
* compromised airway * uncontrolled seizures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Water Orientation Test Alyn (WOTA) | Baseline, immediately after the intervention | performance based swim skill assessment |
| Change in Pediatric Evaluation of Disability Index, Computer Adaptive Text (PEDI-CAT) | baseline, immediately after the intervention | parent reported questionnaire regarding child's self care skills |
| Change in Quality of Upper Extremity Skills Test (QUEST) | baseline, immediately after intervention | performance-based assessment of upper extremity skills |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Participation and Environment Measure (PEM-CY) | baseline, immediately after the intervention | parent reported questionnaire of participation in home, school and community |
| Change in Canadian Occupational Performance Measure (COPM) | baseline, immediately after the intervention | Parent perception of goals attained |
Countries
United States
Outcome results
None listed