Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
12 participants
INTERVENTIONAL
2022-06-06
2023-05-23
Brief Summary
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Twelve children participated in a crossover design. Each child received both the TOAP intervention and conventional rehabilitation exercises in two separate 16-week periods. Interventions were delivered twice per week for 40 minutes per session. Outcomes included occupational performance (COPM), participation (PODCI), and motivation (PMOT). The study aims to provide evidence on whether personalized, meaningful, task-oriented aquatic exercises can improve functional performance and participation in children with cerebral palsy, and to offer structured TOAP protocols for clinicians.
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Detailed Description
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Individualized intervention goals were determined prior to the intervention using occupations prioritized by each participant through the Canadian Occupational Performance Measure (COPM). Based on these prioritized occupations, a structured TOAP was developed for each child. The program incorporated task-oriented aquatic activities designed to support functional movement, postural control, balance and engagement while emphasizing active participation and motivation during therapy sessions.
The study consisted of two consecutive 16-week intervention periods. During the first period, one group received the TOAP intervention while the comparison group received conventional rehabilitation exercises commonly used in pediatric neurorehabilitation. Following completion of the first period, the groups crossed over and received the alternate intervention in the second period. This crossover, structure allowed each participant to serve as their own control, thereby reducing inter-individual variability.
All intervention sessions were conducted twice weekly, with each sessions lasting 40 minutes. Interventions were delivered by trained clinicians in an aquatic therapy setting. Outcome assessments were conducted at baseline and at the end of the each intervention period to evaluate changes associated with each treatment condition.
The study protocol was desinged to examine whether a personalized, task-oriented aquatic intervention grounded in meaningful occupations could enhance occupational performance, participation and motivation in children with cerebral palsy and to inform the development of structured aquatic intervention approaches applicable to clinical practice.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
TREATMENT
NONE
Study Groups
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Study Group
Receives tailored occupation-based task-oriented aquatherapy program
Task-Oriented Aquatherapy Program
A 16-week program where each child engages in activities tailored to their five most important occupations, identified via COPM. Sessions are 40 minutes, twice weekly, focused on improving occupational performance, participation, and motivation. The program is structured, individualized, and designed to enhance engagement and functional outcomes in children with CP.
Control Group
Receives conventional rehabilitation exercise program
Conventional Rehabilitation Exercise
Participants received standard rehabilitation exercises including activities to improve gross and fine motor skills, balance, coordination, muscle strength, joint range of motion, and cardiovascular capacity.
Interventions
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Task-Oriented Aquatherapy Program
A 16-week program where each child engages in activities tailored to their five most important occupations, identified via COPM. Sessions are 40 minutes, twice weekly, focused on improving occupational performance, participation, and motivation. The program is structured, individualized, and designed to enhance engagement and functional outcomes in children with CP.
Conventional Rehabilitation Exercise
Participants received standard rehabilitation exercises including activities to improve gross and fine motor skills, balance, coordination, muscle strength, joint range of motion, and cardiovascular capacity.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Children and caregivers who voluntarily agreed to participate
Exclusion Criteria
* MAS levels 3-4
* Surgery or botulinum toxin injection within the past 6 months
* Significant hearing or vision impairment interfering with assessment
* Medical conditions preventing exercise (e.g., cardiovascular failure)
* Conditions preventing aquatic exercise (e.g., infection, open wound, incontinence)
6 Years
18 Years
ALL
No
Sponsors
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Hacettepe University
OTHER
Responsible Party
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Aybike Baykan
Principal Investigator / Graduate Researcher
Principal Investigators
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Sedef Şahin, Assoc. Prof.
Role: STUDY_DIRECTOR
Hacettepe University
Aybike Baykan, PT, MSc
Role: PRINCIPAL_INVESTIGATOR
Etimesgut Belediyesi Engelsiz Yaşam Özel Eğitim ve Rehabilitasyon Merkezi
Locations
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Hacettepe University
Ankara, Altındağ, Turkey (Türkiye)
Countries
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References
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Baykan A., Serebral Palsi Tanılı Çocuklarda Görev Odaklı Su İçi Egzersizin Okupasyonel Performans ve Katılım Üzerine Etkisi, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Ergoterapi Programı Yüksek Lisans Tezi, Ankara, 2023.
Related Links
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Hacettepe University Occupational Therapy Department Thesis Collection
Other Identifiers
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AYBIKE-TOAP-CP-CROSSOVER-23
Identifier Type: -
Identifier Source: org_study_id
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