The major findings of this study were as follows: (i) Both aquatic exercise and land-based exercise equally improved all scores for lower extremity MAS, TUG, GMFM (in all dimensions and total score), and total and motor WeeFIM in the children with CP; (ii) post-treatment results showed a higher improvement in the USG compressibility ratio, most subparts of child self-report-PedsQL, and parent proxy-report-PedsQL in the aquatic exercise group, compared to the land-based exercise group; and (iii) the MAS scores of spastic gastrocnemius muscle of the patients with CP showed a negative and weak-to-moderate correlation with the compressibility ratio based on the USG findings.
The authors assessed the outcome of a 10-week aquatic therapy program on the leg strength, gait velocity, functional mobility, and balance, and reported a statistically significant increase in the GMFM part E and TUG after 10 weeks of aquatic therapy in their non-randomized and non-controlled study.
6 GMFM 210 45-261 WeeFIM motor 82 27-91 WeeFIM cognitive 34 22-35 WeeFIM total 115 53-126 Gastrocnemius thickness (mm) 10.
Electrophysiological monitoring during selective dorsal rhizotomy, and spasticity and GMFM performance.
Marois and Significant increases in the GMFM Vanasse.
The controversy regarding this study will undoubtedly take a long time to resolve, because Collet (the Canadian Government's hand picked PI had a negative agenda); nevertheless, both groups of children improved with gains in function that were far greater and in a shorter period of time than has been seen before with just spontaneous changes in GMFM
-15 times greater
The assessor did not know the students and was experienced in the use of the GMFM.
The GMFM is designed to evaluate change over time in gross motor function in children with cerebral palsy.
As it was anticipated that many of the ambulatory students would score at the top of the GMFM assessment, it was thought useful to examine functional improvement in these students with a more appropriate measure and contrast this with their able-bodied peers.
The GMFM has five dimensions, testing functions such as rolling, sitting, standing and walking, running and jumping.
2] max testing and the GMFM undertaken on the second day.
The GMFM was assessed with the subject performing all tasks of dimension E, the walking, running and jumping section.