Table of Contents
ISRN Rehabilitation
Volume 2012, Article ID 657979, 8 pages
Clinical Study

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

1Department of Physical Education, Kibbutzim College of Education Technology & Arts, 149 Namir Road, Tel Aviv 62507, Israel
2Israel Sports Center for the Disabled, 123 Rokach Street, Ramat-Gan 52535, Israel
3Zinman College of Physical Education and Sport Sciences, Netanya, Israel
4Faculty of Social Sciences, University of Utrecht, P.O. Box 80125, 3508 TC Utracht, The Netherlands
5Department of Sport Medicine, Medical Center, Medix Life, Shitrit Street, Hadar Yosef, Tel Aviv 69482, Israel
6Centre for Sport, Health and Exercise Research, Faculty of Health, Staffordshire University, Brindley Building Leek Road, Stoke-on-Trent ST4 2DF, UK

Received 2 January 2012; Accepted 4 March 2012

Academic Editors: A. Danielsson, A. Lewis, K. Masani, A. Ozcan Edeer, A. M. Siu, and S. P. Tokmakidis

Copyright © 2012 Miriam Getz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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). MCW derived 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 = βˆ’ 2 . 2 ; 𝑃 < . 0 5 ) and increased steady state walking speed ( 𝑍 = βˆ’ 2 . 2 ; 𝑃 < . 0 5 ). Both groups significantly increased 10-m walking speed ( 𝑍 = βˆ’ 2 . 2 ; 𝑃 < . 0 3 , and 𝑍 = βˆ’ 2 . 0 2 ; 𝑃 < . 0 5 , resp.). The LB group exhibited moderate to large effect sizes in 10-m self-selected and fast walking speeds (Cohen's 𝑑 = 1 . 0 7 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 the MCW of walking at steady state in children with spastic diplegic CP.