Research Report: Efficacy and Safety of a Novel Aquatic Device for Children With Postural Dysfunction.

Background and Purpose: Children with postural dysfunction often enjoy aquatic activities but are limited in their ability to play and interact in the water due to limited motor control and safety concerns. The purpose of this study was to explore the benefits of postural contexts provided by a nove...

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Publicado en:Journal of Aquatic Physical Therapy Vol. 29; no. 3; pp. 65 - 73
Autores principales: Breighner, Joshua, Saavedra, Sandra, Snowdon, Donna
Formato: pictorial research tables/charts Journal Article
Publicado: American Physical Therapy Association, Aquatic Physical Therapy Section Sep-Dec2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep-Dec2021
      vid: 29
      iid: 3
      pid: 38230
      pub: American Physical Therapy Association, Aquatic Physical Therapy Section
      place: Alexandria, Virginia
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        10.1097/PXT.0000000000000008
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        atl: Research Report: Efficacy and Safety of a Novel Aquatic Device for Children With Postural Dysfunction.
      aug:
        au:
          Breighner, Joshua
          Saavedra, Sandra
          Snowdon, Donna
        affil: University of Hartford, West Hartford, Connecticut
      sug:
        subj:
          Balance, Postural In Infancy and Childhood
          Hydrotherapy
          Cerebral Palsy Rehabilitation
          Assistive Technology Devices
          Patient Safety
          Product Development
          Human
          Child, Preschool
          Child
          Videorecording
          Children with Disabilities
          Equipment Design
          Male
          Female
          Quality of Life
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: Background and Purpose: Children with postural dysfunction often enjoy aquatic activities but are limited in their ability to play and interact in the water due to limited motor control and safety concerns. The purpose of this study was to explore the benefits of postural contexts provided by a novel aquatic device (Water Strider) in children with postural dysfunction. Providing stable vertical support is hypothesized to improve overall environmental interactions/social engagement and increase safety, autonomy, and motivation for movement (kicking and reaching). Methods: The proposed device provided external support that could be modified on the basis of user-specific level of head and trunk control. Feasibility, safety, and efficacy of the device were tested for 9 children (aged 2-8 years) with postural dysfunction (7 with cerebral palsy). For this purpose, a 10-minute aquatic trial for baseline aquatic activities along with use of the Water Strider was performed for comparison with video behavior coding to quantify arm and leg movements, assistance, and hazardous events (water in eyes or water in mouth). Results: Total assistance required significantly decreased from baseline (100%) to the Water Strider (21%; F1,8= 384.4, P ≤ .001), and significantly fewer instances where children were found to have water in their mouth occurred across all participants (baseline: 12 events; Water Strider: 0 events). Significant increase in total leg movement/reciprocal kicking (F1,8 = 8.84, P < .001; F1,8 = 11.1, P = .003) and decrease in arm movements (F1,8 = 0.036, P < .001) with relation to the level of trunk control were also observed.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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