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<b><i>Introduction:</i></b> Stroke is defined as the lack of blood supply to the brain, leading to rapid loss of brain function presenting with impairments such as muscle weakness, spasticity, lack of coordination, and proprioception loss. Both hydrotherapy and land-based therapy aim to target these aspects in the process of rehabilitation. The study aims to determine the effectiveness of water-based therapy on balance and gait of patients with stroke compared to land-based therapy. <b><i>Methods:</i></b> Data for this review were extracted from databases such as CINAHL, OTseeker, Ovid, PEDro, and PubMed (MEDLINE) and other sources such as Google Scholar. PRISMA guidelines were followed to exclude irrelevant studies. Only randomized controlled trials (RCTs) were included, and methodological quality was assessed using the PEDro scale. A meta-analysis of extracted data was conducted. <b><i>Results:</i></b> A total of 16 relevant RCTs were included for the review (<i>n</i> = 412 participants). All RCTs investigated the effect of water-based therapy compared to land-based therapy on balance and gait of patients with stroke. Meta-analysis of studies that used the Berg Balance Scale (BBS) as a primary outcome measure favored land-based therapy. Studies that used the Good Balance System (GBS) and the Biodex Balance System (BioBS) to measure the changes in anteroposterior sway and mediolateral sway favored water-based therapy. The overall pooled effect favored land-based therapy in improving gait parameters. <b><i>Conclusion:</i></b> Findings from meta-analysis support the effectiveness of land-based therapy in the improvement of balance and gait parameters of patients with stroke. However, the evidence for water-based therapy continues to be limited, and higher quality studies are required to determine the effectiveness of water-based therapy on patients with stroke, particularly on balance and gait.

Background:With the growing acceptance of web-enhanced courses, the Physical Therapy Department of the College of Rehabilitation Sciences, implemented the e-Learning Access Program (e-LeAP) of University of Santo Tomas (UST) on some major courses. Objective: To determine the acceptance and attitudes of students on web-enhancing their courses including motivating factors and impediments affecting their usage. Methodology: Third, fourth and fifth year UST-PT students in academic year 2006-2007 who satisfied the inclusion criteria were recruited for this study. A questionnaire was formulated based on existing course evaluation forms and focus group discussions and was subjected to content validity by experts in PT education and e-learning. The questionnaire was pilot-tested on five randomly selected participants from each year level. The questionnaires were then handed out during class and returned immediately upon completion. Data was analyzed using mean, frequency, percentage and Chi square test to determine association between the following variables -year level, frequency of usage, technicalities and level of satisfaction to the service delivery. Results: Of the respondents, 63.17% agreed and 13.29% strongly agreed that they are satisfied with the services provided by e-LeAP and 95% recommends its continued use for the next school year. Conclusion: E-Learning is an acceptable and useful supplement to face-to-face delivery of Physical Therapy courses but improvements need to be done for more efficient service delivery. Future studies should be done to objectively measure the direct effects of web-enhanced courses to students' actual class performance and learning. R e s e a r c h R e p o r t R e s e a r c h R e p o r t