Fragala-Pinkham Maria A, Smith Hilary J, Lombard Kelly A, Barlow Carrie, O'Neil Margaret E
Research Center for Children with Special Health Care Needs and.
Physiother Theory Pract. 2014 Feb;30(2):69-78. doi: 10.3109/09593985.2013.825825. Epub 2013 Dec 16.
The primary purpose of this pilot study was to evaluate the effectiveness of a14-week aquatic exercise program on gross motor function and walking endurance in children with cerebral palsy (CP). The secondary purpose was to evaluate changes in functional strength, aerobic capacity and balance.
A prospective time series group design consisting of four measurement sessions (two baseline, one post intervention, and 1-month follow-up) was used. Eight ambulatory children ages 6-15 years with CP and classified at Gross Motor Function Classification System Level I or Level III participated in an aquatic aerobic exercise program.
Significant improvements were observed for the primary outcomes of gross motor function and walking endurance. No significant differences between any of the secondary measures were observed, although all of the measures demonstrated trends of improvement after intervention.
Ambulatory children with CP may improve their gross motor skills and walking endurance after an aquatic exercise program held twice per week for 14 weeks, utilizing moderate-to-vigorous exercise intensity and consisting of functional activities.
本初步研究的主要目的是评估一项为期14周的水上运动计划对脑瘫（CP）儿童粗大运动功能和步行耐力的有效性。次要目的是评估功能力量、有氧能力和平衡的变化。
采用前瞻性时间序列组设计，包括四个测量阶段（两个基线、一个干预后和1个月随访）。八名年龄在6至15岁、患有CP且在粗大运动功能分类系统中被归类为I级或III级的能行走儿童参加了水上有氧运动计划。
在粗大运动功能和步行耐力的主要结果方面观察到显著改善。尽管所有测量指标在干预后均显示出改善趋势，但次要测量指标之间未观察到显著差异。
患有CP的能行走儿童在每周进行两次、为期14周、采用中等至剧烈运动强度并包含功能活动的水上运动计划后，其粗大运动技能和步行耐力可能会得到改善。
