Hydrotherapy Case Study Essay

CASE STUDY:
EFFECT OF HYDROTHERAPY AND EXERCISES ON SPASTIC CEREBRAL PALSY
ABSTRACT
Purpose: To analyze the effect of exercise and hydrotherapy on spastic cerebral palsy.
Method: A six year old girl with spastic cerebral palsy participated in programme and she was given exercise therapy and hydrotherapy initially for 2 weeks and then follow up was done for 4 weeks with treatment given on alternate days.
Result:The child demonstrated improvement in ADL’S,there was marked reduction in spasticity.
Conclusion: Exercises in water is beneficial as unique quality of buoyancy of water and diminishes the effect of gravity that reduces jointloading and impact and decreases the negative influence of poor balance and poor postural control.It provides variety of benefits such as increased range of motion, and strength

INTRODUCTION
Cerebral palsy is a chronic disorder caused by static lesion to the immature brain that is characterized by deficits in movement and postural control.Because of impairments such as weaknessspasticity and in coordination,many child with cerebral palsy have difficulty with activities such as ADL’S,functional task such as gait1.Over time ,it was realized that atypical motor patterns became established through practice and experience in the competition of motor patterns2influenced by musculoskeletalcomponents3.Through the development of the sciences of motor control and motor learning,the hierarchical reflex model of motor control adopted by bobath has been replaced by more dynamic approach.4-7Improving one’s ability to walk or to perform other functional activities are often primary therapeutic goals for children with cerebral palsy. Population based studies around the world report prevalence estimates of cerebral palsy ranging from 1.5 to more than 4 per 1000 live births or children of a defined age range8,9,10,11Spasticity is a major challenge for rehabilitation of cerebral palsy.Spasticity can hamper