AMBIENTUM BIOETHICA BIOLOGIA CHEMIA DIGITALIA DRAMATICA EDUCATIO ARTIS GYMNAST. ENGINEERING EPHEMERIDES EUROPAEA GEOGRAPHIA GEOLOGIA HISTORIA HISTORIA ARTIUM INFORMATICA IURISPRUDENTIA MATHEMATICA MUSICA NEGOTIA OECONOMICA PHILOLOGIA PHILOSOPHIA PHYSICA POLITICA PSYCHOLOGIA-PAEDAGOGIA SOCIOLOGIA THEOLOGIA CATHOLICA THEOLOGIA CATHOLICA LATIN THEOLOGIA GR.-CATH. VARAD THEOLOGIA ORTHODOXA THEOLOGIA REF. TRANSYLVAN
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The aim of this paper is to track the aspects and results of applying an aquatic therapy intervention program adapted and integrated in the treatment of neuromotor reeducation of children with cerebral palsy on gross motor function, spasticity and range of motion. The aquatic therapy program had duration of 6 months, 2 weekly sessions. The average duration of a session was 45 minutes. The water temperature was 36° C. Besides the aquatic therapy sessions the children participate in 2 physical therapy sessions which were included in the rehabilitation program of the institutions they belonged to. 24 children diagnosed with cerebral palsy have participated in this study. The average age was 12,5 ± 2,7 years. The assessment methods used are: Gross Motor Function Measure - GMFM-88 for the assessment of the evolution of the gross motor function, goniometer assess range of motion and the Modified Ashwort Scale for the assessment of the spasticity level. The gained results for the evaluation of the gross motor functions have shown significant statistical differences: patients with higher level of GMFCS will achieve significantly higher score of the subsection A (lying and rolling) (p=0,002), B (sitting) (p=0,002), C (crawling and kneeling), (p=0,001). Patients with a lower GMFCS level will achieve significantly higher score for the subsection E (walking, running, jumping) (p=0,001). We observed statistically significant differences between the initial and final evaluation for the achieved scores on spasticity of the left triceps sural muscle (p=0,003); for the right triceps sural muscle (p=0,001); for the adductor muscles of the hip (p=0,001). With regards to active and passive range of motion we noticed a significant statistical difference between the initial and final evaluation for the coxofemoral abduction movement and scapulohumeral flexion (p < 0,001). The results of the study have shown significant statistic differences with regards to the increase of passive and active range of motion, decrease of spasticity and improvement of gross motor functions in all studied dimensions. The aquatic therapy program is a factor which influences these parameters together with the classic rehabilitation program.
Key Words: aquatic therapy program, gross motor function, spasticity, range of motion, cerebral palsy
