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June 12-13, 2019 | Edinburgh, Scotland
Pediatrics and Clinical Pediatrics
2nd World Congress on
Current Pediatric Research | Volume: 23
Aquatic physical therapy protocol with emphasis on balance and gross motor
function in children with Cerebral palsy
Joyce Xavier Muzzi de Gouvêa, Brunna Santos Thomazin da Silva, Maria Fernanda Turatti de Goes,
Caio Roberto Castro, Douglas Martins Braga, Lais Cardoso Oliveira and Luciana Moreira Magalhães Oliveira
AACD (Associação de Assistência à Criança Deficiente), Brazil
Cerebral Palsy (CP) affects motor and sensory systems,
posture and balance, which generate functional
limitations. The objective of this study was to evaluate the
effects of an aquatic physiotherapy protocol on balance
and gross motor function of children with CP level III of
Gross Motor Function Classification System. Individuals
were randomly in a Control Group (CG) which performed
aquatic conventional therapies, or in Intervention Group
(IG) which performed a specific aquatic protocol. There
were 16 individual sessions of aquatic physiotherapy, twice
a week, for 35 minutes, and both groups did conventional
physiotherapy out of water once a week. The groups were
evaluated pre and post intervention with the following
outcomes: Gait Visual Analogue Scale, Gross Motor
function Measure (GMFM-88), Pediatric Balance Scale,
Dynamic Gait Index (DGI), Timed Up and Go, 10-meter walk
test (10MWT), Child Health Questionnaire (CHQPF-50).
Significant improvement was found in total GMFM in the
IG (p=0.028) post intervention, while in E dimension of
GMFM both showed significant improvement, (IG p=0.026)
and (CG p=0.046). In the 10MWT the IG decreased the
course time, with significant value (p=0.028). Significant
improvements in balance were observed in the IG
(p=0.041) post intervention in DGI scale. In quality of life
(CHQPF-50), in the domain Physical Function, (IG/CG)
the intergroup analysis post intervention shown positive
results (p=0.054), in domain Impact on Parents Time
(p=0.043) both groups improved. Aquatic physiotherapy
showed improvement in gross motor function, gait speed,
balance and quality of life in children with CP.
Speaker Biography
Joyce Xavier Muzzi de Gouvêa graduated in physiotherapy in 2005,
in Brazil. She is Master in Neuroscience and Behavior, specialist in
Physiotherapy applied to Neurology and Acupuncture. She is currently
a physiotherapist at AACD - “Associação de Assistência à Criança
Deficiente” (Association for Assistance to the Disabled Child), in the
aquatic physiotherapy sector.
e:
Joyce Xavier Muzzi de Gouvêa et al., Current Pediatric Research, Volume 23
ISSN: 0971-9032