哈里威克水疗法对脑瘫患儿的疗效及平衡性评价:一项随机临床试验

Konstantinos Chandolias, Evangelia Zarra, A. Chalkia, A. Hristara
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引用次数: 1

摘要

背景:根据哈利威克的概念,水疗法是一种针对残疾患者和神经发育障碍儿童的物理治疗干预技术。评估脑瘫(CP)儿童的平衡是一个极其复杂的过程,对这些患者的一些治疗干预措施的结果进行评估更加困难。本研究的目的是探讨基于Halliwick的水疗法对CP患儿支持基础的影响。一些研究已经证明了水疗法对儿童呼吸系统的有益作用,但很少有研究报道水疗法对CP患儿平衡的影响。该研究涉及16名被诊断患有CP的儿童,其中10名儿童接受了为期3个月的哈利威克概念水疗计划,6名儿童接受了经典物理治疗计划。他们的平衡是用贝格、GMFM和足迹板评估的。评估在项目开始时(前测试)和3个月后(后测试)进行。结果:Τhere在BERG和GMFM工具的第一次和第二次测量之间有统计学意义的变化,并且水干预组更好。水干预组第1次和第2次测量的支持基数变化更好,但无统计学意义。结论:本研究结果显示,与传统物理疗法相比,根据哈利威克的方法进行的水疗法对CP患儿的总活动能力和平衡能力有积极的影响,并且在改变支撑基础方面也有积极的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of hydrotherapy according to Halliwick concept on children with cerebral palsy and the evaluation of their balance: a randomised clinical trial
Background: Hydrotherapy according to Halliwick concept is a physiotherapeutic intervention technique for disabled patients and for children with neurodevelopmental disorders. Assessing the balance in children with cerebral palsy (CP) is an extremely complex process and more difficult to evaluate the results of some therapeutic interventions in these patients. The purpose of this study is to investigate the effect of Halliwick based Hydrotherapy on the support base in children with CP. Several studies have proven the beneficial effects of hydrotherapy in the respiratory system of children, but few are studies that report the effect on the balance of children with CP.Methods: The study involved 16 children diagnosed with CP. The 10 children were following a Halliwick Concept hydrotherapy program and the 6 children classical physiotherapy program for 3 months. Their balance was assessed with the Berg, GMFM, and footprint plate. The assessment was performed at the start of the program (pre-test) and after 3 months (post-test).Results: Τhere is a statistically significant change between the 1st and 2nd measurement with the BERG and GMFM tools and better for the water intervention group. The change in the support base between the 1st and 2nd measurement was better in the water intervention group but not statistically significant.Conclusions: The results of the study showed that hydrotherapy according to Halliwick has positive effects on gross mobility and the balance of children with CP. It also appears to have a positive effect on changing the support base compared to classical physiotherapy.
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