Fragala-Pinkham Maria A, Dumas Helene M, Barlow Carrie A, Pasternak Amy
Research Center for Children with Special Health Care Needs, Franciscan Hospital for Children, Boston, Massachusetts 02135, USA.
Pediatr Phys Ther. 2009 Spring;21(1):68-78. doi: 10.1097/PEP.0b013e318196eb37.
The purpose of this case series is to describe the implementation of an aquatic physical therapy (PT) program at a pediatric hospital and to document improvements in participants' abilities after PT intervention.
Four patients with cerebral palsy, juvenile idiopathic arthritis, or Prader-Willi syndrome participated in aquatic and land-based PT intervention. Three of the patients had orthopedic conditions which required limited weight-bearing or low-joint impact during motor activities. A wide range of outcomes were used to assess changes in participation, activity, and body function. When available, minimal detectable change and minimal important difference values were used to interpret data.
Clinically significant improvements were documented in functional mobility, walking endurance, range of motion, muscle strength, and/or pain reduction for all 4 patients.
Aquatic PT used as an adjunct to land-based PT interventions may be effective in improving outcomes in patients with physical disabilities.
本病例系列的目的是描述一家儿童医院实施水上物理治疗（PT）计划的情况，并记录PT干预后参与者能力的改善情况。
四名患有脑瘫、幼年特发性关节炎或普拉德-威利综合征的患者参加了水上和陆地PT干预。其中三名患者患有骨科疾病，在运动活动中需要限制负重或低关节冲击。使用了广泛的结果指标来评估参与度、活动能力和身体功能的变化。如有可用数据，使用最小可检测变化值和最小重要差异值来解释数据。
记录显示所有4名患者在功能移动性、步行耐力、关节活动范围、肌肉力量和/或疼痛减轻方面都有临床显著改善。
水上PT作为陆地PT干预的辅助手段，可能对改善身体残疾患者的治疗效果有效。
