Parents identified a wide range of categories influenced by aquatic physiotherapy. Social and contextual aspects were highlighted, as well as a series of changes related to the illness as a result of treatment.
Purpose:
To report on the preliminary aquatic physical therapy core sets for children and youth with neurological disorders using the International Classification of Functioning, Disability and Health-children and youth version.
Methods:
A formal and structured consensus process was developed, integrating the findings of preparatory studies: a systematic literature review, expert survey with 69 participants, and a qualitative study with 43 participants.
Results:
Five preliminary aquatic physical therapy core sets were described: a Comprehensive Core Set (64 categories); a Common Brief (13 categories); and 3 age-specific Core Sets: infant (below 6 years, 18 categories), school-age (from 6 to <14 years, 22 categories), and youth (from 14 to 18 years, 19 categories).
Conclusions:
Consensus among aquatic physical therapists' expert opinions identified the relevant intervention categories available when treating children and youth with neurological disorders. This list of intervention categories can be used in practice, research, education, and health administration.
HighlightsDue to the unique properties of the water-based environment, a range of categories may be treated.This study reveals the areas of functioning and disability most commonly targeted by aquatic physical therapists.Prior authors have performed Delphi studies to determine the categories related to specific diagnoses, not categorizing interventions.This guide could be included in goal setting for a given condition.This may enable aquatic physical therapists to develop treatment-based classification systems and competencies for entry-level practice.
El objetivo de este estudio fue comprobar el efecto de la TBA (BOTOXâ) en la amplitud articular
del tobillo durante la marcha en pacientes afectos de PCI. La muestra estuvo formada por 9 niños
con una media de 6 años de edad distribuyéndose en 4 grupos de estudio: control, hemipléjico,
dipléjico I y dipléjico II. Las variables cuantificadas fueron la máxima flexión dorsal y plantar
realizadas durante la marcha (calzados y descalzos) así como los porcentajes del CM en el que se
alcanzaron estos máximos. La técnica instrumental utilizada fue un sistema de fotogrametría vídeo
3D con el software Kinescan-IBV. Interrelacionando las cuatro variables sometidas a estudio, los
resultados obtenidos demostraron que cada grupo evolucionó de forma distinta. Mientras que el
grupo hemipléjico alcanzó los mejores resultados entre los 3 meses y 5 meses dependiendo de la
condición, el grupo dipléjico I lo consiguió a los 5 meses y 3 semanas el dipléjico II a los 9 meses y
3 semanas. La TBA permitió una mayor movilidad en la articulación del tobillo, sin embargo para
que también mejorara la marcha fue necesario que transcurriera un cierto tiempo para reeducarla,
necesitando un incremento de este periodo y del número de dosis de TBA cuanto mayor es la
alteración de la marcha.
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