This article gives an overview of the author’s research into the integration of movement oriented aspects of rehabilitation activities used with physically disabled children: physical therapy, occupational therapy, speech therapy, physical education, swimming instruction, movement activities in daily life, and recreational sport. The investigation was carried out in an observation and rehabilitation center in The Netherlands. The research comprised three parts: (a) a situational analysis, (b) the development of a model for starting points and aims of movement rehabilitation, and (c) the development of an intervention model for movement rehabilitation. The design, methods, and results of the research are reported.
Miriam Getz, Yeshayahu Hutzler and Adri Vermeer
The purpose of this study was to investigate the relationship between motor performance in the aquatic setting as measured by the Aquatic Independence Measure (AIM) to motor performance on land as measured by the Gross Motor Function Measure (GMFM) and the Pediatric Evaluation of Disability Inventory (PEDI). Fourty- nine children with neuro-motor impairments ages 3 to 7 participated in the study. Pearson correlations were applied to determine the relationships between the AIM and the GMFM, PEDI, and Gross Motor Function Classification System (GMFCS). Significant correlations were found between the total AIM and GMFM scores (r = 69, p < .01) and PEDI self-care sub-scale (r = .79, p < .01) as well as the PEDI mobility sub-scale scores (r = .35, p < .05). The water adjustment sub-scale as measured by the AIM showed the strongest relationship to motor performance on land as measured by the GMFM and PEDI in our sample of 49 children.
Nicolette H.M.J. van Veldhoven, Lex Wijnroks, Jan M. Bogaard and Adri Vermeer
To establish the feasibility of a comprehensive exercise program (PEP) a pilot study was conducted on 7 children with asthma (8 to 13 years). The program was comprised of regular group exercises and home exercises for a period of 3 months. It was based on a theoretical model describing the relationships between physical competence, perceived physical competence, self-esteem, and coping behavior. The results showed that after the program, the children’s heart rate response had improved significantly at a workload of 60 W. Although exercise indices, such as endurance time at treadmill running and maximum workload on a cycle ergometer, had improved too, they were not significant. Further, the training had a positive and significant effect on the children’s expectations of physical competence in sports and on coping with asthma. As expected, no significant changes of lung function indices were found. In conclusion, our approach seemed to be feasible, especially for coping and perceived competence in children with asthma.