The effect of aquatic and land-based training on the metabolic cost of walking and motor performance in children with cerebral palsy: a pilot study

Miriam Getz, Yeshayahu Hutzler, Adri Vermeer, Yoni Yarom, Viswanath Unnithan

Research output: Contribution to journalArticle

Abstract

Aim. To evaluate the effects of aquatic (AQ) compared to a land-based (LB) intervention programs on metabolic cost of walking (MCW), gross motor function and locomotor performance in children with cerebral palsy (CP). Methods. Eleven children with spastic diplegic CP completed this study, six in the AQ (5.2 ± 1.45 yrs) and five in the LB group (4.1 ± 1.33 yrs).MCWderived from Oxygen uptake (VO2) measured with a Cosmed K4 device and walking speed at steady state. Additional measures included the 10-m test, Gross Motor Function Measure (GMFM), and Pediatric Evaluation Developmental Inventory (PEDI). Non-parametric statistics were used to analyze change in each group. Results. The AQ group significantly decreased MCW (Z = -2.2; P < .05) and increased steady state walking speed (Z = -2.2; P < .05). Both groups significantly increased 10-m walking speed (Z = -2.2; P < .03, and Z = -2.02; P < .05, resp.). The LB group exhibited moderate to large effect sizes in 10-m self-selected and fast walking speeds (Cohen's d = 1.07 and 0.73, resp.). Conclusion. Our findings suggest that Both AQ and LB programs were effective in improving 10-m speed, while the AQ training also improved theMCWof walking at steady state in children with spastic diplegic CP.
Original languageEnglish
Article number657979
Pages (from-to)1-8
Number of pages8
JournalInternational scholarly research notices
Volume2012
DOIs
Publication statusPublished - 2012
Externally publishedYes

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Cerebral Palsy
Walking
Costs and Cost Analysis
Equipment and Supplies
Nonparametric Statistics
Pediatrics
Oxygen
Walking Speed
Cerebral palsy, spastic, diplegic

Cite this

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title = "The effect of aquatic and land-based training on the metabolic cost of walking and motor performance in children with cerebral palsy: a pilot study",
abstract = "Aim. To evaluate the effects of aquatic (AQ) compared to a land-based (LB) intervention programs on metabolic cost of walking (MCW), gross motor function and locomotor performance in children with cerebral palsy (CP). Methods. Eleven children with spastic diplegic CP completed this study, six in the AQ (5.2 ± 1.45 yrs) and five in the LB group (4.1 ± 1.33 yrs).MCWderived from Oxygen uptake (VO2) measured with a Cosmed K4 device and walking speed at steady state. Additional measures included the 10-m test, Gross Motor Function Measure (GMFM), and Pediatric Evaluation Developmental Inventory (PEDI). Non-parametric statistics were used to analyze change in each group. Results. The AQ group significantly decreased MCW (Z = -2.2; P < .05) and increased steady state walking speed (Z = -2.2; P < .05). Both groups significantly increased 10-m walking speed (Z = -2.2; P < .03, and Z = -2.02; P < .05, resp.). The LB group exhibited moderate to large effect sizes in 10-m self-selected and fast walking speeds (Cohen's d = 1.07 and 0.73, resp.). Conclusion. Our findings suggest that Both AQ and LB programs were effective in improving 10-m speed, while the AQ training also improved theMCWof walking at steady state in children with spastic diplegic CP.",
author = "Miriam Getz and Yeshayahu Hutzler and Adri Vermeer and Yoni Yarom and Viswanath Unnithan",
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The effect of aquatic and land-based training on the metabolic cost of walking and motor performance in children with cerebral palsy : a pilot study. / Getz, Miriam; Hutzler, Yeshayahu; Vermeer, Adri; Yarom, Yoni; Unnithan, Viswanath.

In: International scholarly research notices, Vol. 2012, 657979, 2012, p. 1-8.

Research output: Contribution to journalArticle

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T1 - The effect of aquatic and land-based training on the metabolic cost of walking and motor performance in children with cerebral palsy

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AU - Getz, Miriam

AU - Hutzler, Yeshayahu

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AU - Yarom, Yoni

AU - Unnithan, Viswanath

PY - 2012

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N2 - Aim. To evaluate the effects of aquatic (AQ) compared to a land-based (LB) intervention programs on metabolic cost of walking (MCW), gross motor function and locomotor performance in children with cerebral palsy (CP). Methods. Eleven children with spastic diplegic CP completed this study, six in the AQ (5.2 ± 1.45 yrs) and five in the LB group (4.1 ± 1.33 yrs).MCWderived from Oxygen uptake (VO2) measured with a Cosmed K4 device and walking speed at steady state. Additional measures included the 10-m test, Gross Motor Function Measure (GMFM), and Pediatric Evaluation Developmental Inventory (PEDI). Non-parametric statistics were used to analyze change in each group. Results. The AQ group significantly decreased MCW (Z = -2.2; P < .05) and increased steady state walking speed (Z = -2.2; P < .05). Both groups significantly increased 10-m walking speed (Z = -2.2; P < .03, and Z = -2.02; P < .05, resp.). The LB group exhibited moderate to large effect sizes in 10-m self-selected and fast walking speeds (Cohen's d = 1.07 and 0.73, resp.). Conclusion. Our findings suggest that Both AQ and LB programs were effective in improving 10-m speed, while the AQ training also improved theMCWof walking at steady state in children with spastic diplegic CP.

AB - Aim. To evaluate the effects of aquatic (AQ) compared to a land-based (LB) intervention programs on metabolic cost of walking (MCW), gross motor function and locomotor performance in children with cerebral palsy (CP). Methods. Eleven children with spastic diplegic CP completed this study, six in the AQ (5.2 ± 1.45 yrs) and five in the LB group (4.1 ± 1.33 yrs).MCWderived from Oxygen uptake (VO2) measured with a Cosmed K4 device and walking speed at steady state. Additional measures included the 10-m test, Gross Motor Function Measure (GMFM), and Pediatric Evaluation Developmental Inventory (PEDI). Non-parametric statistics were used to analyze change in each group. Results. The AQ group significantly decreased MCW (Z = -2.2; P < .05) and increased steady state walking speed (Z = -2.2; P < .05). Both groups significantly increased 10-m walking speed (Z = -2.2; P < .03, and Z = -2.02; P < .05, resp.). The LB group exhibited moderate to large effect sizes in 10-m self-selected and fast walking speeds (Cohen's d = 1.07 and 0.73, resp.). Conclusion. Our findings suggest that Both AQ and LB programs were effective in improving 10-m speed, while the AQ training also improved theMCWof walking at steady state in children with spastic diplegic CP.

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