The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy

Background and Study Aim. Cerebral palsy is a broad term for a variety of non-progressive, resulting in physical impairment, movement dysfunction, and poor posture. The purpose of the study was to compare the effectiveness in the Halliwick aquatic exercise versus conventional land-based therapy on g...

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Main Authors: Somaia A. Hamed, Mohamed M. ElMeligie, Efrem Kentiba
Format: Article
Language:English
Published: IP Iermakov S.S. 2022-12-01
Series:Pedagogy of Physical Culture and Sports
Subjects:
Online Access:https://sportpedagogy.org.ua/index.php/ppcs/article/view/2056
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author Somaia A. Hamed
Mohamed M. ElMeligie
Efrem Kentiba
author_facet Somaia A. Hamed
Mohamed M. ElMeligie
Efrem Kentiba
author_sort Somaia A. Hamed
collection DOAJ
description Background and Study Aim. Cerebral palsy is a broad term for a variety of non-progressive, resulting in physical impairment, movement dysfunction, and poor posture. The purpose of the study was to compare the effectiveness in the Halliwick aquatic exercise versus conventional land-based therapy on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy. Material and Methods. In this randomized controlled trial, (n=34) children diagnosed with spastic Cerebral palsy were randomly assigned into either the Halliwick concept group (n=17) or active control (conventional exercising group) (n=17). A physiotherapist performed the sessions with participants  three times a week, 45 minutes duration over 12 weeks. An independent pediatric rehabilitation specialist assessed the children’s gross motor function using the gross motor function measures (sitting, crawling and kneeling, standing, walking, running, and jumping). Results. After the intervention, both Halliwick concept group and conventional exercising group significantly improved activities of sitting, crawling & kneeling, standing and walking, running and jumping. Besides, the estimate of the effect of the Halliwick exercises on sitting, standing and walking, running & jumping activities was more clinically significant than conventional exercises, with sitting; MD = -0.06 [95%, CI; -0.19 to 0.32], standing; MD = 0.14 [95%, CI; -0.15-0.31], and walking, running & jumping activities; MD = -0.09 [95%, CI; -0.11 to 0.20]. None of the between-group differences for any remaining outcomes was significant. Conclusion. Aquatic exercises based on the Halliwick concept are better than conventional exercises to improve sitting, standing and walking, running and jumping activities in children aged 3 to 5 years with spastic cerebral palsy.
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spelling doaj.art-ae68b95629b74346b3c5123e49f189e32023-02-23T12:27:24ZengIP Iermakov S.S.Pedagogy of Physical Culture and Sports2664-98372022-12-01271243110.15561/26649837.2023.01031520The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsySomaia A. Hamed0https://orcid.org/0000-0001-9794-7353Mohamed M. ElMeligie1https://orcid.org/0000-0002-3090-5252Efrem Kentiba2https://orcid.org/0000-0001-7013-2605Ahram Canadian UniversityAhram Canadian UniversityArba Minch College of Teachers EducationBackground and Study Aim. Cerebral palsy is a broad term for a variety of non-progressive, resulting in physical impairment, movement dysfunction, and poor posture. The purpose of the study was to compare the effectiveness in the Halliwick aquatic exercise versus conventional land-based therapy on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy. Material and Methods. In this randomized controlled trial, (n=34) children diagnosed with spastic Cerebral palsy were randomly assigned into either the Halliwick concept group (n=17) or active control (conventional exercising group) (n=17). A physiotherapist performed the sessions with participants  three times a week, 45 minutes duration over 12 weeks. An independent pediatric rehabilitation specialist assessed the children’s gross motor function using the gross motor function measures (sitting, crawling and kneeling, standing, walking, running, and jumping). Results. After the intervention, both Halliwick concept group and conventional exercising group significantly improved activities of sitting, crawling & kneeling, standing and walking, running and jumping. Besides, the estimate of the effect of the Halliwick exercises on sitting, standing and walking, running & jumping activities was more clinically significant than conventional exercises, with sitting; MD = -0.06 [95%, CI; -0.19 to 0.32], standing; MD = 0.14 [95%, CI; -0.15-0.31], and walking, running & jumping activities; MD = -0.09 [95%, CI; -0.11 to 0.20]. None of the between-group differences for any remaining outcomes was significant. Conclusion. Aquatic exercises based on the Halliwick concept are better than conventional exercises to improve sitting, standing and walking, running and jumping activities in children aged 3 to 5 years with spastic cerebral palsy.https://sportpedagogy.org.ua/index.php/ppcs/article/view/2056halliwick conceptconventional exercisesspastic cerebral palsyaquatic exerciseswalking
spellingShingle Somaia A. Hamed
Mohamed M. ElMeligie
Efrem Kentiba
The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
Pedagogy of Physical Culture and Sports
halliwick concept
conventional exercises
spastic cerebral palsy
aquatic exercises
walking
title The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
title_full The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
title_fullStr The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
title_full_unstemmed The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
title_short The effects of Halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
title_sort effects of halliwick aquatic exercises on gross motor function of children aged from 3 to 5 years with spastic cerebral palsy
topic halliwick concept
conventional exercises
spastic cerebral palsy
aquatic exercises
walking
url https://sportpedagogy.org.ua/index.php/ppcs/article/view/2056
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