Marko Aleksandrović

The Effect of Aquatic Intervention on the Gross Motor Function and Aquatic Skills in Children with Cerebral Palsy

The Effect of Aquatic Intervention on the Gross Motor Function and Aquatic Skills in Children with Cerebral Palsy The objective of this study was to investigate the effect of an aquatic intervention on the gross motor function and aquatic skills of children with cerebral palsy (CP). Twenty-nine children with CP, aged 5 to 14, were recruited. Fourteen children completed an aquatic intervention (EG), and 13 children served as controls (CG). Two participants dropped out due to events (illness) unrelated to the intervention. The aquatic intervention lasted 6 weeks (2 sessions per week at 55 minutes per session) with a follow-up period of 3 weeks. The outcome measures were the Gross Motor Function Measure (GMFM) for motor function and the Water Orientation Test Alyn 2 (WOTA 2) for aquatic skills assessment. A significant improvement was observed in the secondary assessment of GMFM and WOTA 2. In contrast to the aquatic skills improvement, the GMFM change was not maintained at follow-up. Our results indicate that children with CP can improve gross motor function on dry land and aquatic skills with a 6-week water intervention. The intervention period was too short for sustainable improvement in dry-land motor skills after intervention (followup), but time was sufficient to achieve sustainable improvements in aquatic skills.

Physical Activity in Adolescent with Mental Retardation: Is Adapted Basketball Training Adequate Stimulus to Improve Cardiorespiratory Fitness and Sport Skills Performance?

Summary The purpose of the study was to examine the effects of an adapted basketball training program on the cardiorespiratory fitness and sport skills performance of adolescents with mental retardation (MR). Fifty adolescents with mild MR who participated in this study were divided in two groups. Experimental group (n = 25; mean ± SD age: 15.7 ± 0.9 years) performed the adapted training program, four times per week during eight weeks. A control group (n = 25; mean ± SD age: 15.9 ± 0.8 years) followed ordinary physical education classes and continued with their normal lifestyle. Exercise testing included the six-minute walk test (6MWT), monitoring of heart rate frequency and sport skills performance test battery. Results showed a significant difference between groups pre- and post-treatment in 6MWT distance. The experimental group experienced a 10% increase in covered distance pre- to post-testing (p < 0.05), whereas controls had no significant changes in the same period. Conducted adapted training also resulted in significant improvement in examined sport skills performance. However, this kind and duration of experimental procedure did not result in significant differences in anthropometric variables and heart rate frequency. This study demonstrated that adapted basketball training is an adequate stimulus for improvement in cardiorespiratory fitness and sport skills performance of adolescents with mild MR. The advantage of this type of adaptive training program is that it does not require a large financial input, but only the engagement of a qualified and dedicated physical education professor.