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KMID : 1035420190070030071
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Journal of The Korean Society of Integrative Medicine
2019 Volume.7 No. 3 p.71 ~ p.83
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Effects of Aquatic Intervention on Range of Motion, Gross Motor Function and Balance in the Children with Cerebral Palsy : Meta-analysis
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Choi Ki-Bok
Cho Sung-Hyoun
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Abstract
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Purpose : This meta-analysis aimed to provide clinical data relating to the effects of aquatic exercise program in children with cerebral palsy, and to identify directions for future aquatic therapy research in cerebral palsy.
Methods : Based on guidelines of the PRISMA, a systematic search was undertaken for studies published on aquatic exercise program performed between 2006 and 2018, and a total of 10 studies were selected according to the inclusion criteria. Methodological quality was assessed using Risk of Bias (RoB) tool for randomized controlled trials (RCTs) and Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool for non-randomized controlled trials (NRCTs). A meta-analysis software (CMA 3.0) program was used to calculate mean effect size, effect size by intervention (Hawllick, Watsu Aquatic method), and effect size by outcome.
Results : The mean effect size was 0.457. The effect size by intervention was largest for the Halliwick method, followed by the Watsu method. The effect size by outcome was largest for range of motion(ROM), followed by Gross Motor Function Measure(GMFM), Pediatric Berg's Balance Scale(PBS), and the Modified Ashworth Scale(MAS). The meta-regression analysis showed that effect size increased when sample size, number of session, length of session were increased.
Conclusion : Based on these findings, aquatic exercise programs show a positive effect on children with cerebral palsy. Therefore, it is necessary to develop a guideline that shows the contents of the intervention and the progress of the aquatic exercise program are specified in future studies.
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KEYWORD
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aquatic exercise, cerebral palsy, halliwick, meta-analysis, watsu
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