Vpliv Halliwickovega koncepta učenja plavanja na grobo gibalno funkcijo otrok in mladostnikov s cerebralno paralizo - pregled literature : diplomsko delo

Rakar, Larisa (author), Palma, Polona (mentor), Kovačič, Tine (reviewer)

Uvod: Cerebralna paraliza je skupni izraz za nenapredujoče motnje, ki so se pojavile pri razvoju ploda ali dojenčkovih možganov in vplivajo na gibalno funkcijo. Terapija v vodi je dopolnilna terapija pri zdravljenju otrok in mladostnikov s cerebralno paralizo. Ena od posebnih oblik terapij v vodi je Halliwickov koncept učenja plavanja, ki temelji na 10 točkovnem programu, oblikovanem v preprosto in logično strukturo. Namen: Namen diplomskega dela je s pregledom literature ugotoviti vpliv Halliwickovega koncepta učenja plavanja na grobo gibalno funkcijo, ravnotežje in hojo pri otrocih in mladostnikih s cerebralno paralizo. Metode dela: Iskanje literature je potekalo preko oddaljenega dostopa digitalne knjižnice Univerze v Ljubljani v podatkovni zbirki PubMed in Scopus in s pomočjo internetnega brskalnika Google scholar. Samostojno ali v kombinaciji smo uporabili naslednje ključne besede in besedne zveze v angleškem jeziku: cerebral palsy AND halliwick concept OR aquatic exercise AND gross motor function. Rezultati: Na podlagi vključitvenih in izključitvenih kriterijev je bilo v analizo vključenih 6 raziskav. V raziskavah je bilo vključenih od 10 do 54 otrok in mladostnikov s cerebralno paralizo. Terapevtski vadbeni programi so trajali od 8 tednov do 1 leta. V vseh eksperimentalnih skupinah je bil uporabljen 10-točkovni Halliwickov koncept učenja plavanja, kontrolno skupino so imele štiri raziskave, ki so uporabljale standardno fizioterapevtsko obravnavo oziroma so otroci nadaljevali z običajnimi aktivnostmi. V šestih raziskavah so ugotovili statistično pomembno razliko v eksperimentalni skupini pri skupni oceni GMFM. V eni raziskavi je do statistično pomembnih razlik prišlo pri oceni ravnotežja in hoje. V eni raziskavi je po 12 tednih prišlo med skupinama do statistično pomembne razlike pri skupni oceni GMFM. Prav tako so statistično pomembno razliko med skupinama ugotovili v eni raziskavi pri sedenju, stoji ter hoji. Razprava in zaključek: V vseh pregledanih raziskavah so ugotovili pomembno izboljšanje grobe gibalne funkcije pri otrocih in mladostnikih s cerebralno paralizo po uporabi Halliwickovega koncepta učenja plavanja. Izboljšali sta se tudi ravnotežje in hoja. V prihodnje bi bilo smiselno v raziskave vključiti večje število otrok ter ugotavljati dolgoročne učinke Halliwickovega koncepta učenja plavanja na grobo gibalno funkcijo.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, cerebralna paraliza, otroci in mladostniki, Halliwickov koncept učenja plavanja, groba gibalna funkcija
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [L. Rakar]
• Year: 2024
• Number of pages: 26 str.
• PID: 20.500.12556/RUL-158948
• UDC: 615.8
• COBISS.SI-ID: 199765251
• Publication date in RUL: 23.06.2024

Secondary language

• Language: English
• Title: The effect of Halliwick concept of swimming learning on gross motor function of children and youth with cerebral palsy - literature review : diploma work

Abstract

Introduction: Cerebral palsy is a collective term for non-progressive disorders that occur during fetal or infant brain development and affect motor function. Water therapy is a complementary therapy in the treatment of children and youth with cerebral palsy. One of the particular forms of water therapy is the Halliwick concept of learning to swim, based on a 10-point program designed in a simple and logical structure. Purpose: The purpose of the thesis is to determine the impact of the Halliwick concept of learning to swim on gross motor function, balance and walking in children and youth with cerebral palsy through a literature review. Methods: The literature search was conducted through remote access to the digital library of the University of Ljubljana in the PubMed and Scopus databases and with the help of the Google Scholar internet browser. We used the following keywords and phrases in the English language alone or in combination: cerebral palsy AND halliwick concept OR aquatic exercise AND gross motor function. Results: Based on the inclusion and exclusion criteria, six studies were included in the analysis. In the research were included from 10 to 54 children and youth with cerebral palsy. Therapeutic exercise programs lasted from 8 weeks to 1 year. In all experimental groups, the 10-point Halliwick concept of learning to swim was used, and in the control groups, which had four studies, standard physiotherapy treatment was used, or the children continued their usual activities. Six studies showed a statistically significant difference in the experimental groups total GMFM score. In one study, statistically significant differences occurred in balance and walking assessment. One study showed a statistically significant difference between the groups in the total GMFM score after 12 weeks. Furthermore, a statistically significant difference between the groups was found in one study in sitting, standing and walking. Discussion and conclusion: All reviewed studies found a significant improvement in gross motor function in children and youth with cerebral palsy after using the Halliwick concept of learning to swim. Balance and walking also improved. In the future, it would make sense to include more children in research and determine the long-term effects of the Halliwick concept of learning to swim on gross motor function.

• Keywords: diploma theses, physiotherapy, cerebral palsy, children and youth, Halliwick concept of learning to swim, gross motor function