Cerebral palsy in children. Cerebral palsy
Conditions
Interventions
Intervention group: 10 individuals with cerebral palsy will be submitted to the protocol of aquatic exercises with emphasis on trunk control. The protocol consists of 16 individual aquatic physical th
Other
H02.010.625
Sponsors
Hospital e Centro de Reabilitação da AACD
Hospital e Centro de Reabilitação da AACD
Eligibility
Age
6 Years to 16 Years
Inclusion criteria
Inclusion criteria: Clinical diagnosis of spastic diparesis type of Cerebral Palsy; level II or III to the Gross Motor Function Classification System (GMFCS); aged 6 years to 15 years and 11 months.
Exclusion criteria
Exclusion criteria: Uncooperative patients; unable to understand the proposed activities; undergoing orthopedic surgery less than 12 months ago; undergoing peripheral blocks less than six months ago.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved trunk control after 16 sessions of aquatic physical therapy protocol with emphasis to the trunk, verified by the increase in the final score of Trunk Control Mensuarement Scale (TCMS), from the observation of a variation of at least 5 % in pre measurements and post intervention.;An improvement trunk control the Trunk Control Mensuarement Scale (TCMS) in total score (p= 0.012), with an average increase of 25.52% after 16 sessions of aquatic physical therapy protocol with emphasis to the trunk. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improved functionality after 16 sessions of aquatic physical therapy protocol with emphasis to the trunk, verified by the increase in the final score of the Gross Motor Function Measure (GMFM -88), greater muscle activation by surface electromyography (EMG), better test performance 6 minute walk, decreased time spent in the Time Up and Go (TUG), increase in score of Visual Analogue Scale (VAS) gait, improved scores in flexometer Wells, increase the final score of the Child Health Questionnaire (CHQ, PF-50), from the observation of a variation of at least 5 % in pre and post intervention measurements.;Improved Gross Motor Function Measure (GMFM-88) (p = 0.012), an increase of 6.8% in the final score after the intervention. Improving muscle activation by surface electromyography (EMG) to the dorsi muscle of the back, with an average increase of 9.5 micro volts (mu). Best performance in 6-minute walk test, with an increase to the total distance traveled, the average went from 305,3m to 360,6m (p= 0.012), showing an average increase of 4.9m over distance for the intervention group. Decreased time spent in the Time Up and Go (TUG) (p = 0.036). Increase in score of Visual Analogue Scale (VAS) gait (p = 0.088). There was no improvement in the score in flexometer Wells. Increase in the final score of the Child Health Questionnaire (CHQ, PF- 50) (p= 0.026). | — |
Countries
Brazil
Contacts
Public ContactLuize Araujo
Hospital e Centro de Reabilitação da AACD
Outcome results
None listed