Gambaran Peningkatan Motorik Kasar Setelah Dilakukan Latihan Akuatik Pada Anak Cerebral Palsy : Literatur Review

Background: Cerebral Palsy is a heterogeneous group of disorders of neuromotor function disorders in early birth, non-progressive, affecting the fetal or developing brain and characterized by changes in muscle tone (especially spasticity or stiffness), muscle weakness, involuntary movements, ataxia, or a combination. the abnormality. Objective: The literature review study aims to determine the description of aquatic exercise to improve gross motor skills in CP children. Methods: The selection of articles in this study used the PICO mnemonic design. 35 reviewed articles via Z-library articles, PubMed. Inclusion and exclusion criteria according to keywords, published in 2010-2021. Results: The results of the analysis of the literature review of 5 articles showed that aquatic exercise can improve gross motor skills with an average value before the intervention of 50,1 and before the intervention of 52,7. Conclusion: aquatic exercise can improve children's motor skills in cerebral palsy. Suggestion: As a basic action in performing physiotherapy management on gross motor problems in children with cerebral palsy, physiotherapy can handle using aquatic exercise modalities.Keywords:Cerebral Palsy, Aquatic, gross motor AbstrakCerebral Palsy kelaian heterogen dari gangguan fungsi neuromotor pada masa awal kelahiran, Permasalahan pada anak cerebral palsy yaitu gangguan pada motorik dan postur tubuh yang biasanya terlihat pada masa bayi atau pada anak usia dini, Latihan akuatik dapat memperbaiki motorik kasar pada anak karena sensoris motoris anak penting untuk mengembangkan otot-otot dan aktivitas sesnorik motorik merupakan komponen yang paling besar pada anak-anak. Cp sering terjadi pada anak laki-laki dibandingkan anak perempuan. Penelitian literatur review bertujuan untuk mengetahui Gambaran meningkatkan motorik kasar setelah dilakukan latihan akuatik pada anak CP. Pemilihan artikel pada penelitian ini menggunakan desain mnemonic PICO. Artikel yang di review melalui Z-library artikel berjumlah 2, PubMed berjumlah 3. Kreteria insklusi dan ekslusi sesuai dengan kata kunci, dipublikasi rentang waktu 2010-2021. Hasil analisis literature review 5 artikel menunjukan bahwa latihan akuatik dapat meningatkan motorik kasar dengan rata-rata usia 4-12 tahun, dan GMFCS yang didaptkan leve II lebih unggul sebesar 31 anak, untuk nilai rata-rata sebelum intervensi 50,1 dan sesudah intervensi 52,7. latihan akuatik dapat meningkatkan motorik anak pada Cerebral palsy. Sebagai dasar tindakan dalam melakukan management fisioterapi pada masalah motorik kasar pada anak cerebral palsy, fisioterapi dapat melakukan penanganan dengan menggunakan modalitas latihan akuatikKata kunci: Cerebral Palsy, Akuatik, Motorik kasar

Efeito de intervenções aquáticas sobre os sintomas da fibromialgia: uma revisão

Introdução: Síndrome da fibromialgia é uma condição idiopática crônica de dor musculoesquelética generalizada que afeta principalmente as mulheres. Objetivo deste estudo é investigar na literatura os efeitos de intervenções aquáticas na fibromialgia em relação a parâmetros físicos e psicológicos, e os principais métodos de avaliação. Métodos: Foi realizada uma pesquisa bibliográfica nos bancos de dados Embase, PubMed e Scielo com os descritores: Fibromyalgia, Fibromyalgia Syndrome, Aquatic exercise e Water exercise, totalizando 23 artigos. Resultados: Terapias aquáticas são recomendadas como tratamento pelos seus benefícios. A imersão na água permite a reprodução de movimentos de maneira segura e variada minimizando os impactos quando comparados aos exercícios no solo. Pacientes com fibromialgia relatam a sensação de relaxamento e alívio dos sintomas, após a prática de atividade em meio aquático. Conclusão: Intervenções aquáticas apresentam-se como recursos terapêuticos eficientes para o tratamento da dor e melhora da qualidade de vida de pessoas com fibromialgia.

Effect of Aquatic Exercise Training on Aortic Hemodynamics in Middle-Aged and Elderly Adults

Aquatic exercise is an attractive form of exercise that utilizes the various properties of water to improve physical health, including arterial stiffness. However, it is unclear whether regular head-out aquatic exercise affects aortic hemodynamics, the emerging risk factors for future cardiovascular disease. The purpose of this study was to investigate whether head-out aquatic exercise training improves aortic hemodynamics in middle-aged and elderly people. In addition, to shed light on the underlying mechanisms, we determined the contribution of change in arterial stiffness to the hypothesized changes in aortic hemodynamics. Twenty-three middle-aged and elderly subjects (62 ± 9 years) underwent a weekly aquatic exercise course for 15 weeks. Aortic hemodynamics were evaluated by pulse wave analysis via the general transfer function method. Using a polar coordinate description, companion metrics of aortic pulse pressure (PPC = √{(systolic blood pressure)2 + (diastolic blood pressure)2}) and augmentation index (AIxC = √{(augmentation pressure)2 + (pulse pressure)2}) were calculated as measures of arterial load. Brachial-ankle (baPWV, reflecting stiffness of the abdominal aorta and leg artery) and heart-ankle (haPWV, reflecting stiffness of the whole aortic and leg artery) pulse wave velocities were also measured. The rate of participation in the aquatic training program was 83.5 ± 13.0%. Aortic systolic blood pressure, pulse pressure, PPC, AIxC, baPWV, and haPWV decreased after the training (P < 0.05 for all), whereas augmentation index remained unchanged. Changes in aortic SBP were correlated with changes in haPWV (r = 0.613, P = 0.002) but not baPWV (r = 0.296, P = 0.170). These findings suggest that head-out aquatic exercise training may improve aortic hemodynamics in middle-aged and elderly people, with the particular benefits for reducing aortic SBP which is associated with proximal aortic stiffness.