K. Yogarajan (2024) Effect of aquatic physiotherapy intervention on gross motor function, functional mobility and controlled stability in children with athetoid cerebral palsy – a case report

Aquatic physiotherapy has shown promising results in children with athetoid cerebral palsy, improving gross motor function, mobility, and stability. This case study involved an 11-year-old child undergoing six weeks of therapy using the Halliwick water-specific method combined with neurodevelopmental therapy. Key improvements included better crawling, kneeling, standing, walking, running, and jumping abilities. GMFM-88 scores increased significantly, with crawling/kneeling improving from 27% to 38%, standing from 20% to 40%, and walking/running/jumping from 34% to 48%.

In addition to physical gains, water orientation scores (WOTA) rose from 20 to 45 out of 81, indicating improved mental adaptation and balance. The therapy incorporated trunk stability training, strengthening exercises for lower limbs, and activities from the Halliwick 10-point program, performed three times a week over 30-minute sessions.

This intervention effectively combined the therapeutic benefits of aquatic exercises with traditional neurodevelopmental approaches. The results demonstrated notable enhancements in gross motor function, postural control, and overall functional mobility. Aquatic therapy also provided a safe, enjoyable environment, motivating the child to participate actively.

The findings highlight the importance of aquatic physiotherapy in comprehensive care plans for children with cerebral palsy. This method fosters physical, mental, and emotional growth, offering a well-rounded approach to therapy.