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Specijalna edukacija i rehabilitacija
2012, vol. 11, br. 1, str. 51-66
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.5937/specedreh1201051J


Efekti programa plivanja na grubu motoričku funkciju, psihičku prilagodljivost na vodenu sredinu i plivačke veštine kod dece sa cerebralnom paralizom - pilot studija
aUniverzitet u Nišu, Fakultet fizičke kulture
bKlinički centar Niš

e-adresa: jorgicb5@yahoo.com

Sažetak

Cilj ovog istraživanja je utvrđivanje efekata programa plivanja na grubu motoričku funkciju, prilagodljivost na vodenu sredinu i sposobnost kretanja u vodi i plivanja kod dece sa cerebralnom paralizom. Uzorak ispitanika je činilo sedmoro dece (4 dečaka i 3 devojčice) sa spastičnim oblikom cerebralne paralize, prosečne starosti od 9 god. i 5 meseci ± 1god. i 3 meseca (Mean±SD). Program plivanja je trajao 6 nedelja sa učestalošću od dva puta nedeljno. Svaki čas vežbanja je trajao 45 minuta. Program plivanja je podrazumevao primenu Halliwick metode i vežbi plivanja koje se primenjuju kod zdrave populacije. Za procenu grube motoričke funkcije korišćen je GMFM test. Za procenu psihičke prilagodljivosti na vodenu sredinu i plivačkih veština korišćen je WOTA2 test. Za utvrđivanje statistički značajnih razlika između inicijalnog i finalnog merenja u primenjenim testovima korišćen je Wilcoxon matched pairs test. Rezultati su pokazali da je došlo do statistički značajnih razlika u dimenziji E (p=0.04) i u totalnom rezultatu T (p=0.03) GMFM testa, zatim u mentalnoj prilagodljivost na vodenu sredinu WMA (p=0.02), sposobnosti kretanja u vodi i plivanja WSW (p=0.03) i u ukupnom rezultatu WTO (p=0.02) WOTA2 testa. Primenjeni program plivanja je imao značajne pozitivne efekte na poboljšanje sposobnosti hodanja, trčanja, skakanja i ukupne grube motoričke funkcije kod dece sa cerebralnom paralizom. Doprineo je i značajnom povećanju psihičke prilagodljivosti na vodenu sredinu i poboljšanju sposobnosti kretanja u vodi i plivanja.

Ključne reči

Halliwick metoda; plivački program; cerebralna paraliza; gruba motorička funkcija

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