Ogonowska-Slodownik Anna, Jakobowicz Oliwia, Alexander Lyndsay, Marinho-Buzelli Andresa R, Devion Catherine, Morgulec-Adamowicz Natalia
Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw, 00-968 Warszawa, Poland.
KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.
Children (Basel). 2024 Nov 20;11(11):1404. doi: 10.3390/children11111404.
Globally, around 1 in 10 children aged 0-17 years have moderate-to-severe disabilities. The aquatic environment provides hydrostatic and hydrodynamic characteristics that make exercise and therapy feasible for children and adolescents with disabilities. The objective of this scoping review is to understand the extent and type of evidence in relation to the use of aquatic therapy in children and adolescents with disabilities. The eligibility criteria were as follows: participants-children and/or adolescents with disabilities aged from 6 to 18 years old; concept-aquatic therapy interventions; context-any available setting. The databases searched included MEDLINE, CINAHL, EMBASE, PsycINFO, AMED, Eric, Scopus, Web of Science, Epistemonikos, and one register, Cochrane Central Register of Controlled Trials. In total, 52 reports met the inclusion criteria. Most of the studies included children/adolescents with autism spectrum disorder (ASD; 46.7%)-442 participants in 21 studies in total. The majority of interventions were based on aquatic exercise (35%). Most often, interventions were conducted for 8 weeks, with 2 sessions a week lasting 60 min. The most common type of intervention for children and adolescents with ASD and Down syndrome was swimming. Participants with attention deficit hyperactivity disorder, neuromuscular disorders, and cerebral palsy were more often treated with aquatic exercises. This scoping review could guide practitioners, clinicians, and researchers on what type, setting, and content of aquatic therapy interventions, including exercise types, intervention duration, number of sessions, frequency, facility, and provider, are used with children and adolescents with disabilities.
在全球范围内，每10名0至17岁的儿童中约有1人患有中度至重度残疾。水环境具有流体静力学和流体动力学特性，这使得残疾儿童和青少年能够进行运动和治疗。本范围综述的目的是了解与残疾儿童和青少年使用水疗相关的证据的范围和类型。纳入标准如下：参与者——6至18岁的残疾儿童和/或青少年；概念——水疗干预；背景——任何可用的环境。检索的数据库包括MEDLINE、CINAHL、EMBASE、PsycINFO、AMED、Eric、Scopus、Web of Science、Epistemonikos以及一个注册库Cochrane对照试验中央注册库。共有52份报告符合纳入标准。大多数研究纳入了患有自闭症谱系障碍（ASD）的儿童/青少年（46.7%）——21项研究中共有442名参与者。大多数干预措施基于水上运动（35%）。干预通常持续8周，每周进行2次，每次持续60分钟。对患有ASD和唐氏综合征的儿童和青少年最常见的干预类型是游泳。患有注意力缺陷多动障碍、神经肌肉疾病和脑瘫的参与者更多地接受水上运动治疗。本范围综述可为从业者、临床医生和研究人员提供指导，了解针对残疾儿童和青少年使用的水疗干预措施的类型、环境和内容，包括运动类型、干预持续时间、疗程数量、频率、设施和提供者等。
