Hutzler Y, Chacham A, Bergman U, Szeinberg A
Israeli Sport Center for the Disabled and the Zinman College for Physical Education and Sport Sciences, Tel Hashomer.
Dev Med Child Neurol. 1998 Mar;40(3):176-81. doi: 10.1111/j.1469-8749.1998.tb15443.x.
Swimming and aquatic exercise are known for their effects on respiration in normal and asthmatic people. The purpose of the present study was to evaluate the effect of a 6-month movement and swimming program on the respiratory function and water orientation skills of children with cerebral palsy (CP). Forty-six kindergarten children aged 5 to 7 years were assigned either to a treatment or control group. The intervention program consisted of swimming sessions twice weekly and sessions of group physical activity in a gym once weekly, each session lasting 30 minutes, for a period of 6 months. Children in the control group were treated (30 minutes, 4 days per week) with Bobath physical therapy. The children in the treatment and control groups had comparable disability types, age, and anthropometric measurements. A 2 x 2 (group x test period) repeated measures ANOVA design confirmed a significant effect of interaction of time with group. The results also confirmed that children with CP have reduced lung function compared with normative data for children in the same age category. The treatment program improved baseline vital capacity results by 65%, while children in the control group improved by only 23%. The movement and swimming exercise program had a better effect than a physical therapy routine implemented in a previous study, consisting of respiratory exercise alone.
游泳和水上运动因其对正常人和哮喘患者呼吸的影响而闻名。本研究的目的是评估为期6个月的运动和游泳计划对脑瘫（CP）儿童呼吸功能和水中定向技能的影响。46名5至7岁的幼儿园儿童被分为治疗组或对照组。干预计划包括每周两次游泳课程和每周一次在健身房进行的集体体育活动课程，每次课程持续30分钟，为期6个月。对照组的儿童接受Bobath物理治疗（每周4天，每次30分钟）。治疗组和对照组的儿童在残疾类型、年龄和人体测量方面具有可比性。2×2（组×测试期）重复测量方差分析设计证实了时间与组的交互作用具有显著影响。结果还证实，与同年龄组儿童的标准数据相比，CP儿童的肺功能有所下降。治疗计划使基线肺活量结果提高了65%，而对照组儿童仅提高了23%。与之前一项仅由呼吸运动组成的研究中实施的物理治疗常规相比，运动和游泳锻炼计划具有更好的效果。
