DOI QR코드

DOI QR Code

Effects of Aquatic Rehabilitation Program on Gross Motor Function and Balance in Children with Cerebral Palsy

수중재활프로그램이 뇌성마비아동의 대동작 운동기능과 균형에 미치는 영향

  • Kim, Byoungook (Physical Therapist of Daedeok-gu Community Rehabilitation Center) ;
  • Lee, Hyojeong (Dept. of Physcial Therapy, Korea National University of Transportation)
  • 김병욱 (대덕구장애인종합복지관) ;
  • 이효정 (한국교통대학교 물리치료학과)
  • Received : 2015.08.31
  • Accepted : 2015.09.21
  • Published : 2015.09.30

Abstract

Purpose : The purpose of this study was to analyze the effects of aquatic rehabilitation program on gross motor function measure and balance in children with cerebral palsy. Methods : Subjects of this study, among the children who received the diagnosis cerebral palsy, for children total of 14 people have agreed to research. Cerebral palsy of 14 chilidren were applied to aquatic rehabilitation program. The training courses 30 minutes 3 times weekly, examined the changes in gross motor function ability to examine a total of 4-week course effectively. Result : The results of this study is First, 14 cerebral palsy appeared a significant difference in GMFM-C, GMFM-D and GMFM-E(p<.01). Secondly, 14 cerebral palsy appeared a significant difference appeared in the balance capability after the experiment(p<.01). Conclusion : It is possible that the application of aquatic rehabilitation program is to effective in improvement of gross motor function measure and balance ability to children with cerebral palsy.

Keywords

References

  1. 강성훈, 배영현(2012). 경직형 뇌성마비 아동에서 수중 운동 프로그램과 지상운동 프로그램이 운동기능과 균형에 미치는 영향 비교. 대한스포츠의학회지, 30(2), 116-122.
  2. 고명숙, 이남현, 이정아 등(2008). 한글판 아동 균형척도 (Pediatric Balance Scale) 의 측정자 간 신뢰도. 한국전문물리치료학회지, 15(1), 86-91.
  3. 김은석(2010). 심리운동적 신체활동 프로그램이 발달지체아동의 협응력에 미치는 영향. 한신대학교 대학원, 석사학위 논문.
  4. 김준홍(2007). 수중재활운동이 뇌성마비아동의 신체조성, 체력 및 폐활량에 미치는 영향. 경기대학교 대학원, 석사학위 논문.
  5. 박시은(2010). 수중과 지상의 트레드밀 훈련이 편마비 환자의 보행과 신체적 기능에 미치는 효과 비교. 용인대학교 대학원, 석사학위 논문.
  6. 성인영, 조성찬, 이남현(2002). 정상 발달 어린이의 월령에 따른 대동작 기능 평가. 대한재활의학회지, 26(4), 398-402.
  7. 손남희(2013). 수중운동과 지상운동이 뇌졸중환자의 균형 및 보행능력이 미치는 영향. 용인대학교 대학원, 석사학위 논문.
  8. 이재학(2007). 수중치료를 통한 체간 근력 강화 훈련이 뇌성마비아동의 앉기 자세와 하지 근 긴장도에 미치는 영향. 단국대학교 대학원, 석사학위 논문.
  9. 이창균(2009). 수중 재활 운동이 중추 신경계 손상자의 균형 및 보행 능력에 미치는 영향. 성균관대학교 대학원, 석사학위 논문.
  10. 정유선(2010). 뇌성마비인의 운동효과. 용인대학교 대학원, 석사학위 논문.
  11. 천승철(2005). 점진적 수중저항운동이 뇌졸중 성인 편부전마비 환자의 보행에 미치는 영향. 단국대학교 대학원, 석사학위 논문.
  12. 최정남(2009). 수중재활운동이 뇌성마비아동의 정적 평형성에 미치는 영향. 한국체육대학교 대학원, 석사학위 논문.
  13. Attermeier S(1983). The use of water as a modality to treat an infant with mild neurological dysfunction: a case report. Phys Occup Ther Pediatr, 3(1), 53-57.
  14. Ballaz L, Plamondon S, Lemay M(2011). Group aquatic training improves gait efficiency in adolescents with cerebral palsy. Disabil Rehabil, 33(17-18), 1616-1624. https://doi.org/10.3109/09638288.2010.541544
  15. Becker BE(2009). Aquatic therapy: scientific foundation and clinical rehabilitation applications. Phys Med Rehabil, 1(9), 859-872.
  16. Bleck EE(1975). Locomotor prognosis in cerebral palsy. Dev Med Child Neurol, 17(1), 18-25. https://doi.org/10.1111/j.1469-8749.1975.tb04952.x
  17. Bobath K(1991). A neurophysiological basis for the treatment of cerebral palsy. Cambridge University Press.
  18. Bumin G, Uyanik M, Yilmaz I, et al(2003). Hydrotherapy for Rett syndrome. J Rehabil Med, 35(1), 44-45. https://doi.org/10.1080/16501970306107
  19. Cunha MC, Oliveira AS, Labronici RHD, et al(1996). Spinal muscular atrophy type II (intermediary) and III (Kugelberg-Welander): evolution of 50 patients with physiotherapy and hydrotherapy in a swimming pool. Arq Neuropsiquiatr, 54(3), 402-406. https://doi.org/10.1590/S0004-282X1996000300007
  20. Drouin LM, Malouin F, Richards CL, et al(1996). Corelation between the gross motor function measure and gait spatio temporal measures in children with neurological impairment. Dev Med Child Neurol, 38(11), 1007-1019. https://doi.org/10.1111/j.1469-8749.1996.tb15061.x
  21. Fragala-Pinkham MA, Smith HJ, Lombard KA, et al(2014). Aquatic aerobic exercise for children with cerebral palsy: a pilot intervention study. Physiother Theor Pract, 30(2), 69-78. https://doi.org/10.3109/09593985.2013.825825
  22. Getz M, Hutzler Y, Vermeer A, et al(2012). The effect of aquatic and land-based training on the metabolic cost of walking and motor performance in children with cerebral palsy: A pilot study. ISRN Rehabilitation 2012.
  23. Gudjonsdottir B, Mercer VS(1997). Hip and spine in children with cerebral palsy: Musculoskeletal development and clinical implications. Pediatr Phys Ther, 9(4), 179-185.
  24. Hutzler Y, Chacham A, Bergman U, et al(1998). Effects of a movement and swimming program on vital capacity and water orientation skills of children with cerebral palsy. Dev Med Child Neurol, 40(3), 176-181. https://doi.org/10.1111/j.1469-8749.1998.tb15443.x
  25. Kelly M, Darrah J(2005). Aquatic exercise for children with cerebral palsy. Dev Med Child Neurol, 47(12), 838-842 https://doi.org/10.1017/S0012162205001775
  26. Kesiktas N, Paker N, Erdogan N, et al(2004). The use of hydrotherapy for the management of spasticity. Neurorehabil Neural Rep, 18(4), 268-273. https://doi.org/10.1177/1545968304270002
  27. Kisner C, Colby LA(2005). Therapeutic exercise: foundations and techniques. FA Davis.
  28. Kiphard EJ(1994). Psychomotorik in praxis und theorie.
  29. Koury JM(1996). Aquatic therapy programming: Guidelines for orthopedic rehabilitation. Human Kinetics Publishers.
  30. Mutch L, Alberman E, Hagberg B, et al(1992). Cerebral palsy epidemiology: where are we now and where are we going?. Dev Med Child Neurol, 34(6), 547-551. https://doi.org/10.1111/j.1469-8749.1992.tb11479.x
  31. Retarekar R, Fragala-Pinkham MA, Townsend EL(2009). Effects of aquatic aerobic exercise for a child with cerebral palsy: single-subject design. Pediatr Phys Ther, 21(4), 336-344. https://doi.org/10.1097/PEP.0b013e3181beb039
  32. Ruoti RG, Morris DM, Cole AJ(1997). Aquatic rehabilitation. Lippincott Williams & Wilkins.
  33. Salem Y, Jaffee Gropack S(2010). Aquatic therapy for a child with type III spinal muscular atrophy: a case report. Phys Occup Ther Pediatr, 30(4), 313-324. https://doi.org/10.3109/01942638.2010.493097
  34. Sharp SA, Brouwer BJ(1997). Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil, 78(11), 1231-1236. https://doi.org/10.1016/S0003-9993(97)90337-3
  35. Shumway-Cook A, Hutchinson S, Kartin D, et al(2003). Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child Neurol, 45(9), 591-602. https://doi.org/10.1111/j.1469-8749.2003.tb00963.x
  36. Thorpe DE, Reilly M, Case L(2005). The effects of an aquatic resistive exercise program on ambulatory children with cerebral palsy. J Aquat Phys Ther, 13(2), 21.
  37. Wiley ME, Damiano DL(1998). Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol, 40(2), 100-107. https://doi.org/10.1111/j.1469-8749.1998.tb15369.x

Cited by

  1. Effect of Water Temperature on the Cardiovascular System and Blood Lactate Concentration During Aquatic Exercise and at Re vol.18, pp.3, 2016, https://doi.org/10.15758/jkak.2016.18.3.13
  2. 국내 뇌성마비 아동의 자세조절 향상을 위한 운동 중재 효과: 체계적 고찰 vol.14, pp.2, 2016, https://doi.org/10.18064/jkasi.2016.14.2.046