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

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
• treatment goals
• patient preference
• physical therapy modalities
• qualitative research
• international classification of functioning
• disability and health

Acknowledgements

The authors thank all parents involved in this study, and the managers of the aquatic physiotherapy units included. We also extend a special thanks to Dr. Alarcos Cieza for her support throughout the research and to Isabel Quintero for her assistance with the write up and review of this study.

Funding

This study was supported by a research award grant from the Colegio Profesional de Fisioterapeutas de Madrid, no financial benefits are derived to the authors from this study. Data from this study have not been presented in any other form. Scientific writing assistance (Isabel Quintero, freelance writer) was used.

Declaration of interest

The authors report no declarations of interest.

Additional information

Funding

This study was supported by a research award grant from the Colegio Profesional de Fisioterapeutas de Madrid, no financial benefits are derived to the authors from this study. Data from this study have not been presented in any other form. Scientific writing assistance (Isabel Quintero, freelance writer) was used.