An interventional study of aquatic therapy in Spastic Cerebral Palsy, sponsored by Chang Gung Memorial Hospital. Completed at 1 site in Taiwan. Open to participants aged 4 Years to 12 Years. Per ClinicalTrials.gov, last updated 2015-02-11.
Sponsored by Chang Gung Memorial Hospital · Not applicable, Interventional, and Treatment
Aquatic intervention had been applied in children with neuromotor impairment for years, yet there has been little progress toward objective identifications of therapy goals, interventions, and outcomes. Thus, we attempt to design aquatic intervention activity for children with cerebral palsy to evaluate the effect of hydrotherapy.
Purpose:
To evaluate the effects of pediatric aquatic therapy on motor performance, daily activity and social participation in children with spastic cerebral palsy.
Method:
The study enrolled 27 children with spastic cerebral palsy aged from 4 to 12 years old.These children were dived into two groups: traditional rehabilitation therapy (control group), and hospital based pediatric aquatic therapy program. We evaluate the motor performance, daily activity and social participation before and after the intervention and compared the difference in improvement between groups. The measurements include modified Ashworth score, Gross Motor Function Measure (GMFM -66), Vineland Adaptive Behavior Scale (VABS) , and Cerebral Palsy Quality of Life Questionnaire for Children (CPQOL).
Expect effect:
We suppose pediatric aquatic therapy in spastic cerebral palsy children could improve motor function and daily activity.Children could improve self-esteem and we hypothesize this could improve social participation.
704 studies on the registry are indexed under Muscle Spasticity; 149 are open to participants now.
This study's enrollment of 27 is below the median of 36 across 525 interventional studies indexed under Muscle Spasticity.
Browse Muscle Spasticity studies →Chang Gung Memorial Hospital is the lead sponsor of 1,064 studies on the registry; 235 are open to participants now.
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Exclusion Criteria:
The children of the PAT group participated in a 1 hour/time, twice-per-week, 12-week, PAT program in addition to conventional rehabilitation programs
Procedure: aquatic therapy
The children included in the control group continued with their original rehabilitation programs
two hours per week, one hour per time, total 12 weeks
Also known as: physical therapy
Unit on Gross Motor Function Measure Scale (GMFM)
The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. It is imperative that the guidelines contained in the manual be used for scoring each item. The score ranges from 0 to 100 and the higher represent the better gross motor function in children with cerebral palsy
Time frame: 3 months
Daily Living Subscale of Vineland Adaptive Behavior Scale
Vineland Adaptive Behavior scale was developed by Sara et al at 1984 and was used to measure adaptive and maladaptive behavior in children age form 3-12 years-old. The daily living subscale range from 0 to 198 and the higher the score represent the better captive behavior.
Time frame: 3 months
Subscale on Cerebral Palsy Quality of Life Questionnaire for Children
This questionnaire was developed for Children and was a condition-specific quality of life (QOL) questionnaire for children with cerebral palsy aged 4 to 12 years. It contains social , functioning, participation , emotional ,access, pain and disability, and family health components. Participation is the main component in this study. This sub score ranges from 0 to 81 , higher scores represent better participation
Time frame: 3months
A convenience sample of 27 children was recruited for the study from the outpatient clinics of the Department of Physical Medicine and Rehabilitation of two tertiary hospitals: Chang Gung Memorial Hospital and Taipei Veterans General Hospital.
| Milestone | Pediatric Aquatic Therapy Group | Conventional Therapy Group |
|---|---|---|
| Started | 13 | 14 |
| Completed | 11 | 13 |
| Not completed | 2 | 1 |
| Withdrew: Lost to follow-up | 2 | 1 |
The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. It is imperative that the guidelines contained in the manual be used for scoring each item. The score ranges from 0 to 100 and the higher represent the better gross motor function in children with cerebral palsy
| units on a scale | Pediatric Aquatic Therapy | Conventional Therapy |
|---|---|---|
| Unit on Gross Motor Function Measure Scale (GMFM) | 5.12 ± 4.5 | 2.00 ± 2.7 |
Vineland Adaptive Behavior scale was developed by Sara et al at 1984 and was used to measure adaptive and maladaptive behavior in children age form 3-12 years-old. The daily living subscale range from 0 to 198 and the higher the score represent the better captive behavior.
| units on a scale | Pediatric Aquatic Therapy | Conventional Therapy |
|---|---|---|
| Daily Living Subscale of Vineland Adaptive Behavior Scale | 81.8 ± 48.9 | 92.1 ± 38.5 |
This questionnaire was developed for Children and was a condition-specific quality of life (QOL) questionnaire for children with cerebral palsy aged 4 to 12 years. It contains social , functioning, participation , emotional ,access, pain and disability, and family health components. Participation is the main component in this study. This sub score ranges from 0 to 81 , higher scores represent better participation
| units on a scale | Pediatric Aquatic Therapy | Conventional Therapy |
|---|---|---|
| Subscale on Cerebral Palsy Quality of Life Questionnaire for Children | 69.6 ± 8.3 | 68.5 ± 14.6 |
Collected over 3 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Effects of Pediatric Aquatic Therapy on Motor Performance | — | 0/27 (0%) | — |
| Age, Categorical(Participants) | Pediatric Aquatic Therapy Group | Conventional Therapy Group | Total |
|---|---|---|---|
| <=18 years | 13 | 14 | 27 |
| Between 18 and 65 years | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 |
| Age, Continuous(years) | Pediatric Aquatic Therapy Group | Conventional Therapy Group | Total |
|---|---|---|---|
| Mean | 7 ± 3 | 6 ± 2.5 | 7 ± 0.25 |
| Sex: Female, Male(Participants) | Pediatric Aquatic Therapy Group | Conventional Therapy Group | Total |
|---|---|---|---|
| Female | 8 | 4 | 12 |
| Male | 5 | 10 | 15 |
| Region of Enrollment(participants) | Pediatric Aquatic Therapy Group | Conventional Therapy Group | Total |
|---|---|---|---|
| Taiwan | 13 | 14 | 27 |
This study is completed, as verified in Feb 2010. You cannot join it, but the record below documents what was studied.
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Chang Gung Memorial Hospital