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Academia Mexicana de Neurología, A.C.

2012, Number 2

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Rev Mex Neuroci 2012; 13 (2)

Efficacy of the aquatic program with hydrokinesitherapy and Halliwick techniques in children with meningomyelocele with functional level L3 or lower

Calderón-Porras SE, Mancilla-Ramírez A, Rolón-Lacarriere OG

Language: Spanish
References: 22
Page: 86-92
PDF size: 183.24 Kb.


ABSTRACT

Introduction: The main therapeutic effects of aquatic exercise and physical therapy programs are improvement and preservation of joint range of motion, muscle endurance and strength, gait training and improvement of emotional state. The Halliwick method consists of obtaining a balanced posture by progressive organized movement requiring a major rotational component to obtain the patient’s conscientious control of movement. Objective: To evaluate the efficacy of an aquatic program in children aged 2 to 10 years with meningomyelocele and functional level L3 or lower. Methods: This is an open-label experimental study. Muscle contractures, strength and lordotic index were evaluated by means of validated clinical scales. Results: A total of 20 children (13 boys and 7 girls) were studied, 16 had an L3 functional level and the rest in functional levels L4 and L5. Compared with baseline clinical evaluation, a statistical significant improvement was observed in muscle contractures (p = 0.015), muscle strength (p = 0.001) and posture (lordotic index) (p = 0.02). Conclusion: The hydrokinesitherapy and Halliwick programs impact positively on patients with meningomyelocele and functional level L3 or lower, as is shown by improvements in muscle contractures, lordotic index and muscle strength.


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