Halliwick and Aquatic Exercises in Spastic Cerebral Palsy

Study Overview
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Brief Summary
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The aim of this research is to find and compare the effects of halliwick exercises and aquatic exercises on gross motor function, trunk stability and hand function in spastic cerebral palsy.

Detailed Description
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Randomized controlled trials done at Dream Child institute and Children hospital complex Multan. The sample size was 32. The subjects were divided in two groups, 16 subjects in halliwick exercise group and 20 in aquatic exercise group. Study duration was of 6 months. Sampling technique applied was convenient non probability sampling technique. Only 13-16 years diagnosed spastic cerebral pals individuals were included. Tools used in the study are Gross motor function measure (GMFM-66), Trunk impairment scale (TIS) and Nine-hole peg test (NHPT). Data was being analyzed through SPSS 22.

Official Title
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Comparison of Halliwick Exercises and Aquatic Excercices on Gross Motor Function, Trunk Stability and Hand Function in Spastic CP

Conditions
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Spastic Cerebral Palsy

Intervention / Treatment
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* Other: aquatic exercises
* Other: halliwick exercise programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both genders Male & female Age 13-16 years Able to use assistive devices Diagnosed CP children Able to follow verbal commands Exclusion Criteria: Unstable seizures had a surgery for the last 12 months or receive medication for spasticity Associated cognitive issue Incontinence Persistent infection

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Aquatic exercises<br>this group receives sessions for consecutive 8 weeks and 3 days per week. warm up for 10 min, that will include walking in shallow water and stretchings of upper and lower extremities. After that APE for 30 min followed cool down period for 5 min. exercise frequency is 3 sets of each exercise with 15 repetitions. | Other: aquatic exercises<br>* aquatic polymetric exercises for 30 min including hip abduction/adduction, knee flexion/extension, hip flexion/extension, holding pool from sides, bending forward and picking up objects, shoulder flexion/extension kangroo jumpes, jumping to sides.<br>Other: halliwick exercise programme<br>* Halliwick exercise programme for 30 min include sagittal rotations, transversal rotations, longitudnal rotations and combined rotations.<br>|
| Experimental: Halliwick exercise programme<br>this group receives sessions for consecutive 8 weeks and 3 days per week. warm up for 10 min that specifically includes mental adjustments along with walking in shallow side of pool and static stretchings. After that Halliwick exercise programme for 30 min that followed by cool down period for 5 min. exercise frequency is 3 sets of each exercise with 15 repetitions. | Other: aquatic exercises<br>* aquatic polymetric exercises for 30 min including hip abduction/adduction, knee flexion/extension, hip flexion/extension, holding pool from sides, bending forward and picking up objects, shoulder flexion/extension kangroo jumpes, jumping to sides.<br>Other: halliwick exercise programme<br>* Halliwick exercise programme for 30 min include sagittal rotations, transversal rotations, longitudnal rotations and combined rotations.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| GMFM-88 | It is an observational clinical measure designed to evaluate gross motor function in children with cerebral palsy. | first reading at 0 week | 
| GMFM-88 | It is an observational clinical measure designed to evaluate gross motor function in children with cerebral palsy. | final reading at 8 week | 
| Trunk Impairment Scale | this scale measures static sitting and dynamic balance as well as trunk co-ordination. this aims to score the quality of trunk movement and to be as a guide for treatment. | First reading at 0 week | 
| Trunk Impairment Scale | this scale measures static sitting and dynamic balance as well as trunk co-ordination. this aims to score the quality of trunk movement and to be as a guide for treatment. | Final reading at 8 week | 
| Nine Hole Peg Test | it is a standerized test for measuring hand function and finger dexterity. scoring is done on the basis of average time for consecutive 4 trial with dominant hand and then by non-dominant hand. | first reading at 0 week | 
| Nine Hole Peg Test | it is a standerized test for measuring hand function and finger dexterity. scoring is done on the basis of average time for consecutive 4 trial with dominant hand and then by non-dominant hand. | final reading at 8 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Halliwick exercises, Aquatic exercises, Gross Motor Function measurment, Trunk control