What areas of functioning are influenced by aquatic physiotherapy? Experiences of parents of children with cerebral palsy

Dev Neurorehabil. 2018 Nov;21(8):506-514. doi: 10.1080/17518423.2017.1368728. Epub 2017 Sep 21.

Abstract

Objectives: To explore the experiences regarding aquatic physiotherapy among parents of children with cerebral palsy and to identify a list of relevant intervention categories for aquatic physiotherapy treatments.

Methods: We conducted semi-structured interviews and focus groups using the components of the International Classification of Functioning, Disability and Health (ICF) as a frame of reference to explore and code experiences regarding aquatic physiotherapy. A non-probabilistic purposive sampling strategy was used. Content analysis methods and ICF linking processes were used to analyze data.

Results: From the parents' perspective (n = 34), both the Body Functions and Activities and Participation components were mainly influenced by aquatic physiotherapy. Also, parents described Environmental Factors acting as barriers affecting progress during therapy.

Conclusions: Parents identified a wide range of categories influenced by aquatic physiotherapy. Social and contextual aspects were highlighted, as well as a series of changes related to the illness as a result of treatment.

Keywords: Cerebral palsy; disability and health; international classification of functioning; patient preference; physical therapy modalities; qualitative research; treatment goals.

MeSH terms

  • Activities of Daily Living*
  • Cerebral Palsy / rehabilitation*
  • Child
  • Child, Preschool
  • Disability Evaluation
  • Disabled Persons
  • Female
  • Humans
  • Male
  • Parents
  • Physical Therapy Modalities*