Advanced SearchSearch Tips
Effect of Aquatic Ramp Exercise on Gait And Activity Of Daily Living In Child With Spinal Muscular Atrophy Type II: Single Subject Research
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
Effect of Aquatic Ramp Exercise on Gait And Activity Of Daily Living In Child With Spinal Muscular Atrophy Type II: Single Subject Research
Sung, Yun-Hee;
  PDF(new window)
The purpose of this study was to determine the effect of aquatic ramp walking exercise on the activity of the quadriceps, gait and activity of daily living in child with Spinal Muscular Atrophy (SMA) type II. A 5 years-old girl with SMA type II participated in this study. This study used single-subject reverse(A-B-A) design study. There are 12 sessions(4weeks 3 times a week) each during the baseline phase(A), the intervention phase(B), the follow up phase(A). During the baseline phase and the follow up phase performed general aquatic therapy, the intervention phase additional performed walking activity on ramp in pool (60m). Surface electromyogram, Timed Up and Go (TUG) test, ACTIVLIM were used as outcome. During the intervention phase, there were decrease on the activity of the quadriceps. In modified TUG test, gait time reduced during the intervention phase. The ACTIVLIM logit score increased during intervention phase by comparison with the baseline phase. These findings suggest that an aquatic ramp walking exercise activities have the therapeutic possibility on the quadriceps activity and gait ability for child with SMA type II.
spinal muscular atrophy;aquatic ramp walking exercise;quadriceps;gait;activities of daily living;
 Cited by
Wang CH, Finkel RS, Bertini ES, Schroth M, Simonds A, Wong B, Aloysius A, Morrison L, Main M, Crawford TO and Trela A, "Consensus statement for standard of care in spinal muscular atrophy", Journal of Child Neurology, vol. 22, 1027-1049, 2007. crossref(new window)

Dubowitz, V, "Ramblings in the history of spinal muscular atrophy", Neuromuscular Disorders, vol. 19, pp. 69-73, 2009. crossref(new window)

Whitehead SE, Jones KW, Zhang X, Cheng X, Terns RM and Terns MP, "Determinants of the interaction of the spinal muscular atrophy disease protein SMN with the demathylarginine-modified box H/ACA small nucleolar ribonucleoprotein GAR1", The Journal of Biological Chemistry, vol. 277, pp. 48087-48093, 2002. crossref(new window)

Innaccone ST, Russman BS, Browne RH, Buncher CR, White M and Samaha FJ, "Prospective analysis of strength in spinal muscular atrophy: DCN/Spinal Muscular Atrophy Group", Journal of child neurology, vol. 15, pp. 97-101, 2000. crossref(new window)

Cifuentes-Diaz C, Frugier T and Melki J, "Spinal muscular atrophy", Seminars in Pediatric Neurology, vol. 9, pp. 145-150, 2002. crossref(new window)

Antonelli-Greco C, Bozovich MS and Drnach M, Practice patterns and pediatrics. In M. Drnach (Ed.), The clinical practice of pediatric physical therapy from the NICU to independent living Baltimore, MD:Lippincott Williams & Wilkins, pp. 94-95, 2008.

Jung JH, Chung EJ, Kim K and Lee JY, "Comparison of effects of obstacle training in aqua and land on the balance of chronic stroke patients", Journal of Rehabilitation Research, vol. 17, pp. 383-399, 2013.

Salem Y and Gropack SJ, "Aquatic Therapy for a Child with Type III Spinal Muscular Atrophy: A Case Report", Physical & Occupational Therapy in Pediatrics, vol. 30, pp. 313-324, 2010. crossref(new window)

Fragala-Pinkham MA, Dumas HM, Barlow CA and Pasternak A, "An aquatic physical therapy program at a pediatric rehabilitation hospital: A case series", Pediatric Physical Therapy, vol. 21, pp. 68-78, 2009. crossref(new window)

Hutzler Y, Chacham A and Bergman U, "Effects of a movement and swimming program on vital capacity and water orientation skills of children with cerebral palsy", Developmental Medicine & Child Neurology, vol. 40, pp. 176-181, 1998.

Duval R and Robert P, "Aquatic exercise therapy: The effect on an adolescent with Waardenburg's syndrome", Physical Therapy Case Report, vol. 2, pp. 77-82, 1999.

Retarekar R, Fragala-Pinkham MA and Townsend EL, "Effects of aquatic aerobic exercise for a child with cerebral palsy: Single-subject design", Pediatric physical therapy, vol. 21, pp. 336-344, 2009. crossref(new window)

Hermie JH, Bart F, Catherine D and Gunter R, "Development of recommendations for SEMG sensors and sensor placement procedures", Journal of Electromyography and Kinesiology, vol. 10, pp. 361-374, 2000. crossref(new window)

Dunaway S, Montes J, Garber CE, Carr B, Kramer SS, Kamil-Rosenberg S, Strauss N, Sproule D and De Vivo DC, "Performance of the timed "up &go" test in spinal muscular atrophy", Muscle Nerve, vol. 50, pp. 273-277, 2014. crossref(new window)

Vandervelde L, Van den Bergh PY, Goemans N and Thonnard JL, "ACTIVLIM: a Rasch-built measure of activity limitations in children and adults with neuromuscular disorders", Neuromuscular Disorders, vol. 7, pp. 459-469, 2007.

Margaret RC. Hydrotherapy in pediatrics. Second edition. Butterworth-Heinemann Ltd. 1991.

Oliveira LC, Trócoli TO, Kanashiro MS, Braga D and Cyrillo FN. "Electromyographic analysis of rectus femoris activity during seated to standing position and walking in water and on dry land in healthy children and children with cerebral palsy", Journal of Electromyography and Kinesiology, vol. 24, pp. 855-859, 2014. crossref(new window)

Ryu IJ and Son KH, "The effects of the lower extremity muscle strengthening exercise on walking and balance of children with cerebral palsy", The Korean Academy of Physical Therapy Science, vol 18, pp. 17-28, 2011.

Nicolini-Panisson RD and Donadio MV, "Timed "Up & Go" test in children and adolescents", Revista paulista de pediatria, vol. 31, pp. 377-383, 2013. crossref(new window)

Lai CJ, Liu WY, Yang TF, Chen CL, Wu CY and Chan RC, "Pediatric aquatictherapy on motor function and enjoyment in children diagnosed with cerebral palsy of various motor severities", Journal of child neurology, vol. 30, pp. 200-208, 2014.