Lai Chih-Jou, Liu Wen-Yu, Yang Tsui-Fen, Chen Chia-Ling, Wu Ching-Yi, Chan Rai-Chi
Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei City, Taiwan School of Medicine, National Yang-Ming University, Taiwan Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Department of Physical Therapy, Chang Gung University, Taoyuan, Taiwan.
J Child Neurol. 2015 Feb;30(2):200-8. doi: 10.1177/0883073814535491. Epub 2014 Jun 5.
This study investigates the effects of pediatric aquatic therapy on motor function, enjoyment, activities of daily living, and health-related quality of life for children with spastic cerebral palsy of various motor severities. Children with spastic cerebral palsy were assigned to a pediatric aquatic therapy group (n = 11; mean age = 85.0 ± 33.1 months; male : female = 4 : 7) or a control group (n = 13; mean age = 87.6 ± 34.0 months; male : female = 9 : 4). The statistic results indicate that the pediatric aquatic therapy group had greater average 66-item Gross Motor Function Measure following intervention than the control group (η(2) = 0.308, P = .007), even for children with Gross Motor Function Classification System level IV (5.0 vs 1.3). The pediatric aquatic therapy group had higher Physical Activity Enjoyment Scale scores than the control group at post-treatment (P = .015). These findings demonstrate that pediatric aquatic therapy can be an effective and alternative therapy for children with cerebral palsy even with poor Gross Motor Function Classification System level.
本研究调查了小儿水疗对不同运动严重程度的痉挛型脑瘫患儿运动功能、愉悦感、日常生活活动能力及健康相关生活质量的影响。痉挛型脑瘫患儿被分为小儿水疗组（n = 11；平均年龄 = 85.0 ± 33.1个月；男∶女 = 4∶7）或对照组（n = 13；平均年龄 = 87.6 ± 34.0个月；男∶女 = 9∶4）。统计结果表明，干预后小儿水疗组66项粗大运动功能测量的平均得分高于对照组（η(2)= 0.308，P = 0.007），即使是粗大运动功能分类系统为IV级的患儿（5.0对1.3）。治疗后，小儿水疗组的身体活动愉悦感量表得分高于对照组（P = 0.015）。这些发现表明，即使对于粗大运动功能分类系统水平较差的脑瘫患儿，小儿水疗也可以是一种有效的替代疗法。
