36 Participants Needed

Aquatic Therapy for Cerebral Palsy

Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: Ohio State University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the effectiveness and practicality of aquatic therapy (also known as hydrotherapy or water therapy) for children with neuromotor issues such as cerebral palsy. The therapy aims to improve swim safety, arm function, and self-care skills through warm water sessions twice a week for ten weeks. It suits children aged 3 to 9 who face challenges using their arms and performing self-care activities. Children with severe breathing issues or uncontrolled seizures cannot participate. As an unphased trial, this study offers a unique opportunity for children to potentially enhance their daily living skills through innovative therapy.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that aquatic therapy is safe for children with cerebral palsy?

Research has shown that water-based therapy is generally well-received by children with cerebral palsy. Studies have found that this therapy can improve movement, balance, and social skills. Importantly, no major reports of negative effects have emerged from participation in water-based therapy.

For example, one study found that children who engaged in water-based therapy developed stronger muscles and improved mobility. Another study suggested that this therapy might be safer than other common treatments. Overall, water-based therapy appears to be a safe and helpful option for children with cerebral palsy.12345

Why are researchers excited about this trial?

Researchers are excited about aquatic therapy for cerebral palsy because it offers a unique approach compared to traditional land-based therapies. While standard treatments often involve physical therapy and medication, aquatic therapy provides a low-impact environment that can enhance movement and reduce discomfort. The buoyancy of water supports the body, allowing for greater freedom of movement, which can improve muscle strength and coordination. Additionally, the resistance of water can help build endurance and balance, making it a versatile and potentially more enjoyable option for patients. This innovative method could lead to improved quality of life for those with cerebral palsy.

What evidence suggests that aquatic therapy might be an effective treatment for cerebral palsy?

Research shows that water-based therapy, provided in this trial as aquatic occupational therapy, can benefit children with cerebral palsy. Studies have found that it reduces muscle stiffness, improves movement range, and builds muscle strength. Water therapy also aids in large movements like crawling and walking. One study even suggested that it might outperform regular treatments in enhancing these skills. Overall, water therapy is considered an effective method to enhance physical abilities in children with cerebral palsy.45678

Are You a Good Fit for This Trial?

This trial is for children aged 3-9 with neuromotor issues like cerebral palsy or brain hypoxia, who have trouble using their arms and doing self-care tasks. Their parents or guardians must be over 18. Kids can't join if they have breathing problems or seizures that aren't under control.

Inclusion Criteria

My child has a diagnosis affecting their brain and muscle function.
My child has difficulty using their arms or hands.
My child struggles with daily self-care activities.

Exclusion Criteria

I have trouble breathing due to a blocked airway.
I have seizures that are not controlled by medication.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intake Evaluation

Initial evaluation session to assess baseline skills and set individualized goals

1 session
1 visit (in-person)

Treatment

Aquatic therapy sessions focusing on swim safety skills, upper extremity function, and self-care participation

10 weeks
20 visits (in-person)

Post Evaluation

Evaluation session to assess changes in skills and performance after intervention

1 session
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Aquatic therapy
Trial Overview The study tests aquatic therapy in a warm pool, focusing on swim safety, improving arm use, and helping kids do everyday activities by themselves. It involves going to the pool twice a week for ten weeks.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Intervention: aquatic occupational therapy (AquOTic-NM)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ohio State University

Lead Sponsor

Trials
891
Recruited
2,659,000+

Franklin County Board of Developmental Disabilities

Collaborator

Trials
2
Recruited
100+

Published Research Related to This Trial

Many aquatic therapy practitioners lack knowledge about safety regulations and emergency protocols, which poses risks as they often work alone in pools without proper rescue equipment or lifeguards.
As the field of aquatic therapy grows, it is crucial to educate practitioners on safety standards and environmental assessments to prevent accidents, and organizations like ATRI are available to provide support and training.
Safety first.Wykle, MO.[2005]
Aquatic interventions for children with cerebral palsy (CP) show potential for improving gross motor skills, particularly when conducted 2-3 times per week over 6-16 weeks, although the evidence is limited and mixed across studies.
Most studies reported minimal adverse effects, indicating that aquatic exercise is a safe option for children with CP, but further research is needed to clarify the optimal frequency and duration of these interventions.
Effects of Aquatic Intervention on Gross Motor Skills in Children with Cerebral Palsy: A Systematic Review.Roostaei, M., Baharlouei, H., Azadi, H., et al.[2018]
A case series involving four pediatric patients with conditions like cerebral palsy and juvenile idiopathic arthritis showed significant improvements in functional mobility, walking endurance, range of motion, muscle strength, and pain reduction after participating in an aquatic physical therapy program.
The study suggests that aquatic physical therapy, when combined with traditional land-based therapy, can effectively enhance physical abilities in children with disabilities, particularly those needing low-impact activities.
An aquatic physical therapy program at a pediatric rehabilitation hospital: a case series.Fragala-Pinkham, MA., Dumas, HM., Barlow, CA., et al.[2022]

Citations

Effectiveness of aquatic interventions for children with cerebral ...The review concluded that the evidence suggested aquatic interventions were beneficial for children and adolescents with cerebral palsy.
Aquatic therapy for spastic cerebral palsy: a scoping reviewAs a specific treatment, aquatic therapy (AT) can improve spasticity, increase range of motion, and increase muscle strength due to its particular properties.
The effects of hydrotherapy on athletic ability in children with ...The results indicate that hydrotherapy is more effective than conventional treatment in improving gross motor functions in children and adolescents with ...
The Effectiveness of Aquatic Therapy on Children with ...Conclusion(s): Aquatic therapy is an effective treatment option for increasing gross motor function in children with cerebral palsy, however it may not be ...
Aquatic exercise for adolescents and adults with cerebral ...Aquatic exercise may be an effective and lifelong physical activity for people with CP, particularly those with more complex disability who are at greatest ...
Aquatic Therapy in Children and Adolescents with DisabilitiesThe effect of aquatic therapy at different levels of water depth on functional balance and walking capacity in children with cerebral palsy.
The effects of hydrotherapy on athletic ability in children with ...The results indicate that hydrotherapy is more effective than conventional treatment in improving gross motor functions in children and adolescents with ...
Aquatic Exercise for Children With Cerebral PalsyThe evidence suggests that aquatic exercise programs may be effective in the short term for improving gross motor function, gait parameters, social function, ...
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