Download the Free Unbound MEDLINE PubMed App to your smartphone or tablet.
Available for iPhone, iPad, iPod touch, and Android.
aquatic rehabilitation [keywords]
- Aquatherapy for Neurodegenerative Disorders. [JOURNAL ARTICLE]
- J Huntingtons Dis 2014 Jan 1; 3(1):5-11.
Aquatherapy is used for rehabilitation and exercise; water provides a challenging, yet safe exercise environment for many special populations. We have reviewed the use of aquatherapy programs in four neurodegenerative disorders: Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis, and Huntington's disease. Results support the use of aquatherapy in Parkinson's disease and multiple sclerosis, however further evidence is required to make specific recommendations in all of the aforementioned disorders.
- The Effect of Land versus Aquatic Exercise Program on Bone Mineral Density and Physical Function in Postmenopausal Women with Osteoporosis: a Randomized Controlled Trial. [JOURNAL ARTICLE]
- Ortop Traumatol Rehabil 2014 Jul 3; 16(3):319-325.
Background. Osteoporosis is a multifactorial progressive skeletal disorder characterized by reduced bone mass. Exercise is widely recommended to reduce osteoporosis, falls and related fragility fractures. The purpose of this study was to investigate the effects of land exercise (LE) and aquatic exercise (AE) on physical function and bone mineral density (BMD). Material and methods. Fifty-eight postmenopausal women, aged 50-70 years, diagnosed with osteoporosis according to BMD measures, enrolled in this study. The subjects were randomly assigned to either the intervention group (LE group) or the control group (AE group). Physical function and BMD were assessed in all subjects in both groups before and after 10 months of intervention. Muscle strength, flexibility, balance, gait time and pain were measured to assess physical function. Bone mineral density at the lumbar spine was measured by dual energy X-ray absorptiometry (DEXA). Results. There were no significant differences between the two groups in the baseline anthropometric data. The two groups were similar with respect to age, weight, height, and body mass index (p>0.05). After the exercise program, muscle strength, flexibility, gait time, pain, and bone density (p<0.001) improved significantly with LE compared to AE. There was no significant difference between the two groups with regard to balance at the 10-month follow-up. Conclusion. Significant improvements in physical function and BMD suggest that LE is a possible alternative for postmenopausal women with OP.
- Watersport hands. [Journal Article]
- Sports Health 2014 Jul; 6(4):360-2.
Aquagenic syringeal acrokeratoderma is a newly described condition of the palms and soles characterized by hypopigmented papules and plaques, elicited after submersion in water. Symptoms include a burning pain and a tightening sensation in the palms, as well as hyperhidrosis. Initially thought to be rare, its frequent citation in the literature points to a more common entity. It is more often found in young women and has been linked to a number of medications and illnesses, including nonsteroidal anti-inflammatory drugs and cystic fibrosis. It is typically self-limiting, but certain medications such as topical aluminum chloride or salicylic acid ointment have been found to be an effective treatment option. This case details a collegiate-level coxswain who presented to the university athletic training room with a typical presentation of aquagenic syringeal acrokeratoderma. For an aquatic athlete, aquagenic syringeal acrokeratoderma can be a distressing condition that can limit training and athletic participation. As such, the sports medicine physician should be knowledgeable about aquagenic syringeal acrokeratoderma to provide effective counseling and treatment options for the athlete.
- Effects of aquatic physiotherapy on the improvement of balance and corporal symmetry in stroke survivors. [Journal Article]
- Int J Clin Exp Med 2014; 7(4):1182-7.
One of the main problems associate with hemiparesis after stroke is the decrease in balance during static and dynamic postures which can highly affect daily life activities.To assess the effects of aquatic physiotherapy on the balance and quality of life (SS-QoL) of people with pos stroke.Chronic stroke participants received at total 18 individual sessions of aquatic physiotherapy using the principle of Halliwick (2x of 40 minutes per week). The outcomes measured were: Berg Balance scale, Timed up & go test (TUG), Stroke Specific Quality of Life Scale (SS-QoL) and baropodometric analysis. These assessment were performed before and one week after intervention.Fifteen participants were included in this study. The mean age was 58.5 and 54% was male. After intervention, participants had a significant improvement on their static balance measured by Berg Balance scale and TUG. Dynamic balance had a significant trend of improvement in mediolateral domain with eyes closed and during sit-to-stand. The mobility domain of the SS-QoL questionnaire was significant higher after intervention.Our results suggest that aquatic physiotherapy using the method of Halliwick can be a useful tool during stroke rehabilitation to improve balance. However, this improvement may not have significant impact of their quality of life.
- Pediatric Aquatic Therapy on Motor Function and Enjoyment in Children Diagnosed With Cerebral Palsy of Various Motor Severities. [JOURNAL ARTICLE]
- J Child Neurol 2014 Jun 5.
This study investigates the effects of pediatric aquatic therapy on motor function, enjoyment, activities of daily living, and health-related quality of life for children with spastic cerebral palsy of various motor severities. Children with spastic cerebral palsy were assigned to a pediatric aquatic therapy group (n = 11; mean age = 85.0 ± 33.1 months; male : female = 4 : 7) or a control group (n = 13; mean age = 87.6 ± 34.0 months; male : female = 9 : 4). The statistic results indicate that the pediatric aquatic therapy group had greater average 66-item Gross Motor Function Measure following intervention than the control group (η(2) = 0.308, P = .007), even for children with Gross Motor Function Classification System level IV (5.0 vs 1.3). The pediatric aquatic therapy group had higher Physical Activity Enjoyment Scale scores than the control group at post-treatment (P = .015). These findings demonstrate that pediatric aquatic therapy can be an effective and alternative therapy for children with cerebral palsy even with poor Gross Motor Function Classification System level.
- Effect of Therapeutic Aquatic Exercise on Symptoms and Function Associated With Lower Limb Osteoarthritis: A Systematic Review With Meta-Analysis. [JOURNAL ARTICLE]
- Phys Ther 2014 Jun 5.
Current management of osteoarthritis (OA) focuses on pain control and maintaining physical function through pharmacological, non-pharmacological and surgical treatments. Exercise, including therapeutic aquatic exercise (TAE), is considered one of the most important management options. Nevertheless, there is no up-to-date systematic review describing the effect of TAE on symptoms and function associated with lower limb OA.To conduct a systematic review with meta-analysis determining the effect of TAE on symptoms and function associated with lower limb OA.Medline, Pubmed, Embase, Cinahl, PEDro, SPORTDiscus STUDY SELECTION: All randomised controlled trials with an aquatic exercise group and a non-treatment control group. In total 11 studies fulfilled the inclusion criteria and were included in the synthesis and meta-analysis.Data was extracted and checked for accuracy by 3 independent reviewers.Data was adjusted for baseline values and standardised mean difference (SMD), with 95% confidence intervals, was calculated for all outcomes. The meta-analysis showed significant TAE effect on pain with a SMD of 0.26 [95% CI 0.11 to 0.41], self-reported function 0.30 [0.18 to 0.43] and physical functioning 0.22 [0.07 to 0.38]. Additionally, a significant effect was seen on stiffness 0.20 [0.03 to 0.36] and quality of life 0.24 [0.04 to 0.45].Heterogeneity of outcome measures and small sample sizes for many of the included trials implies that conclusions based on these results should be made with caution.The results indicate that TAE is effective in managing symptoms associated with lower limb OA.
- Decision support for ecological river rehabilitation using fish habitat database. [JOURNAL ARTICLE]
- Water Sci Technol 2014 Jun; 69(11):2243-2251.
After the recent success of several river rehabilitation projects including the Cheong-gye river case, a large number of local governments have been promoting their own projects in Korea. Most of the projects are aimed at securing the soundness of aquatic ecosystems according to the guidelines presented by the Korea Ministry of Environment. However, there is no clear guidance for the management goals of water quality and quantity. In this study, we have made an attempt to construct a habitat database (DB) for each domestic freshwater fish species. The fish population, and physical and physicochemical properties of the habitat of 70 domestic freshwater fish species were investigated using field monitoring data. After the statistical processing, the inhabitable range and optimal range of each species were suggested. Furthermore, based on the DB, a decision support system for ecological river restoration and rehabilitation has been developed, and applied for field tests. It became clear that the decision support procedure based on the fish habitat DB is useful in the planning stage of river rehabilitation projects to select the flagship fish, to decide the restoration goals considering their appropriate habitat and to suggest the optimum quantitative combination of each available water resource.
- Great exercise that's easier on the joints. Aquatic therapy can reduce pain and pressure while providing an effective workout. [Journal Article]
- Harv Health Lett 2014 Apr; 39(6):4.
- Attempt toward a development of aquatic exercise device for gait disorders. [JOURNAL ARTICLE]
- Disabil Rehabil Assist Technol 2014 May 23.:1-7.
Abstract Purpose: To develop an aquatic exercise device to facilitate locomotive motor output and achieve repetitive physiological gait patterns to improve movement dysfunctions. Methods: A custom designed leg movement apparatus (LMA) consisted of closed 4-linkage mechanisms and one-length changeable link using a spring. Three-dimensional motions and electromyographic (EMG) activities were recorded in eight healthy subjects to evaluate the reproducibility of the physiological gait patterns using the LMA with or without a spring apparatus in water. Results: Using the LMA with a spring apparatus compared to walking in water, the foot trajectories and the time course of the elevation angles in each lower limb joint kinematics were preserved. The time-series of the EMG showed reciprocal modulation between agonist and antagonist muscle groups in the hip and ankle joints. However, the amplitudes of the tibialis anterior muscle in the first half and rectus femoris in the last half of the movement cycle were reduced using the LMA with a spring apparatus. Conclusion: We developed a novel aquatic exercise device to reproduce physiological gait patterns. The LMA with a spring apparatus would be particularly valuable in therapy for movement dysfunctions to facilitate locomotive motor outputs. Implications for Rehabilitation The leg movement apparatus with spring for underwater use (LMA) would be effective gait training to induce the locomotor-like EMG activities. Hydrotherapy with the LMA has advantages over the partial body weight support treadmill training on land with a robotic device; (1) the LMA is electrically and mechanically safe, and (2) the LMA would require self-effort to generate the gait pattern for movement disorders, or also enable passive gait training by the physiotherapists.
- The optimal frequency of aquatic physiotherapy for individuals with chronic musculoskeletal pain: a randomised controlled trial. [JOURNAL ARTICLE]
- Disabil Rehabil 2014 May 12.:1-8.
Abstract Purpose: To establish whether there was a difference in health-related quality of life (HRQoL) in people with chronic musculoskeletal disorders (PwCMSKD) after participating in a multimodal physiotherapy program (MPP) either two or three sessions a week. Methods: Total of 114 PwCMSKD participated in this prospective randomised controlled trial. An individualised MPP, consisting of exercises for mobility, motor-control, muscle strengthening, cardiovascular training, and health education, was implemented either twice a week (G2: n = 58) or three times a week) (G3: n = 56) for 1 year. Outcomes: HRQoL physical and mental health state (PHS/MHS), Roland Morris disability Questionnaire (RMQ), Neck-Disability-Index (NDI) and Western Ontario and McMaster Universities' Arthritis Index (WOMAC) were used to measure outcomes of MPP for people with chronic low back pain, chronic neck pain and osteoarthritis, respectively. Measures were taken at baseline, 8 weeks (8 w), 6 months (6 m), and 1 year (1 y) after starting the programme. Results: No statistically significant differences were found between the two groups (G2 and G3), except in NDI at 8 w (-3.34, (CI 95%: -6.94/0.84, p = 0.025 (scale 0-50)). All variables showed improvement reaching the following values (from baseline to 1 y) G2: PHS: 57.72 (baseline: 41.17; (improvement: 16.55%), MHS: 74.51 (baseline: 47.46, 27.05%), HRQoL 0.90 (baseline: 0.72, 18%)), HRQoL-VAS 84.29 (baseline: 58.04, 26.25%), RMQ 4.15 (baseline: 7.85, 15.42%), NDI 3.96 (baseline: 21.87, 35.82%), WOMAC 7.17 (baseline: 25.51, 19.10%). G3: PHS: 58.64 (baseline: 39.75, 18.89%), MHS: 75.50 (baseline: 45.45, (30.05%), HRQoL 0.67 (baseline: 0.88, 21%), HRQoL-VAS 86.91 (baseline: 52.64, 34.27%), RMQ 4.83 (baseline: 8.93, 17.08%), NDI 4.91 (baseline: 23.82, 37.82%), WOMAC 6.35 (baseline: 15.30, 9.32%). Conclusions: No significant differences between the two groups were found in the outcomes of a MPP except in the NDI at 8 weeks, but both groups improved in all variables during the course of 1 year under study. Implications for Rehabilitation A multimodal physiotherapy program (MPP) improves quality of life, overall health, and function in people with chronic musculoskeletal disease after an intervention of short, medium and long term. This implies that twice a week MPP for people with chronic musculoskeletal pain has comparable results to three times a week provision and therefore may have implications in saving resources and cost for patients and service providers without compromising the outcomes of treatment. These results can be considered not only for therapists, but also for managers who offer the services to optimise the balance cost-effectiveness of the proposed interventions.