A bicentric controlled study on the effects of aquatic Ai Chi in Parkinson disease

Cruz, Sagrario Pérez de la

doi:10.1016/j.ctim.2017.12.001

Cited by 29 publications

(67 citation statements)

References 35 publications

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“…Six studies were included in the meta-analysis for the Berg Figure V). Total scores for the PDQ-39 were not available for one study, [69] with no significant differences between aquatic therapy and land-based physiotherapy.…”

Section: Balancementioning

confidence: 98%

“…Variances in aquatic therapy outcomes could contribute to some of the equivocal findings of this review, which may be explained by the wide range of aquatic therapy exercise components adopted across trials. For example, aquatic therapy comprising of "perturbation-based balance training," [28] for future trials, researchers provide a theory driven rationale for the development of interventions and clearly define the specific characteristics of aquatic therapy, [69] which are optimal for targeting varying movement disorders associated with Parkinson's disease (Table IV).…”

Section: Content Of Physiotherapy Interventionsmentioning

confidence: 99%

“…Firstly, reporting bias was identified in five studies that failed to indicate time periods over which participants were recruited. [30,60,61,65,69] Relevant data such as loss of patients to follow-up and the inclusion of intention-to-treat analysis was omitted in six trials [29,60,62,[65][66][67] thus, outcome reporting bias in these studies may have founded misleading, positive results of the effectiveness of aquatic therapy. Trials included were small with only seven studies [30-32, 62, 66-68] including a power and sample size calculation, while five studies were documented pilot studies.…”

mentioning

confidence: 99%

“…Trials included were small with only seven studies [30-32, 62, 66-68] including a power and sample size calculation, while five studies were documented pilot studies. [60,61,65,68,69] The limited effects of aquatic therapy over land-based physiotherapy for gait variables such as gait variability, step amplitude, turn time and cadence may have been associated with an insufficiently powered trial. [29,60] Only one low quality study, [60] which conducted testing during the "OFF" medication phase was suitable for inclusion in the meta-analysis making it difficult to establish if there was an overall difference in results when comparing to "ON" medication testing.…”

mentioning

confidence: 99%

“…The frequency of intervention is described as the number of aquatic therapy sessions completed per week [70]. The majority of studies provided either two sessions[29,30,60,67,68,69] or five sessions per week [28,[63][64][65]. Intensity The intensity of interventions were heterogeneous across the studies with eight failing to clearly define or objectively measure the intensity levels of participants.…”

mentioning

confidence: 99%

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Is Aquatic Therapy Optimally Prescribed for Parkinson’s Disease? A Systematic Review and Meta-Analysis

Carroll

Morris

O’Connor

et al. 2019

Journal of Parkinson’s Disease

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Section: Balancementioning

confidence: 98%

Section: Content Of Physiotherapy Interventionsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Is Aquatic Therapy Optimally Prescribed for Parkinson’s Disease? A Systematic Review and Meta-Analysis

Carroll

Morris

O’Connor

et al. 2019

Journal of Parkinson’s Disease

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Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease

El Hayek,

Lobo Jofili Lopes,

LeLaurin

et al. 2023

JAMA Netw Open

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ImportanceParkinson disease (PD) is a neurodegenerative syndrome affecting approximately 1% of the population older than 60 years, and a major goal of treatment is preservation of physical function through physical therapy (PT). Although PT outcomes for PD are well documented, aggregate information on the parameters of PT are needed to guide implementation.ObjectiveTo evaluate current evidence on the types, timing, frequency, duration, and outcomes of PT regimens applied for PD.Data SourcesPubMed, Embase, Medline, and the Web of Science Core Collection were searched for articles published from January 1, 2000, to August 10, 2022. Search terms included terms related to Parkinson disease, PT interventions, and PT-related outcomes.Study SelectionIncluded studies were peer-reviewed randomized clinical trials available in English of any PT intervention for patients with PD that included PT-related outcomes. The Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline was followed.Data Extraction and SynthesisTwo reviewers extracted data and assessed quality using the Cochrane Risk of Bias Tool. Data were analyzed using a random-effects model.Main Outcomes and MeasuresA meta-analysis compared outcomes of nonstandard PT vs standard PT and standard PT vs no intervention for Unified Parkinson’s Disease Rating Scale (UPDRS) score and measures of gait and balance.ResultsA total of 46 trials with 3905 patients were included (range of mean ages, 61-77 years). Ten trials (22%) compared 2 types of nonstandard PT interventions; 26 (57%), nonstandard PT vs standard PT; and 10 (22%), PT vs no intervention. The most common nonconventional PT intervention was aquatic physiotherapy (5 trials [11%]). Durations of PT regimen ranged from 2 to 12 weeks in 39 trials (85%), and PT was most commonly performed with frequencies of either twice or 3 times weekly (27 [59%]). In most trials (39 [85%]), PT session length ranged from 30 to 60 minutes. Across trials, PT outcomes were reported for gait (14 trials [30%]), balance (10 [22%]), quality of life (3 [9%]), and cognition (1 [2%]). Approximately half of the trials (22 [48%]) documented durability of some level of benefit after completion of the prescribed regimen. Meta-analysis showed no significant difference for PT vs no intervention in UPDRS scores (standardized mean difference [SMD], −1.09; 95% CI, −2.50 to 0.33) or for nonstandard PT vs standard PT in measures of gait (SMD, 0.03; 95% CI, −0.53 to 0.59), balance (SMD, 0.54; 95% CI, −0.03 to 1.12), and UPDRS score (SMD, −0.49; 95% CI, −1.04 to 0.06). Meta-analytic regression of moderators revealed no significant differences in outcomes by frequency of PT per week (SMD, 0.17; 95% CI, –0.03 to 0.36).Conclusions and RelevanceThe findings suggest that although a wide range of types and regimens of PT for PD have been tested, comparative effectiveness of different models of care and implementation strategies as well as long-term durability of their outcomes remain undetermined.

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Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis

Ernst

Folkerts

Gollan

et al. 2023

Cochrane Database of Systematic Reviews

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A bicentric controlled study on the effects of aquatic Ai Chi in Parkinson disease

Cited by 29 publications

References 35 publications

Is Aquatic Therapy Optimally Prescribed for Parkinson’s Disease? A Systematic Review and Meta-Analysis

Is Aquatic Therapy Optimally Prescribed for Parkinson’s Disease? A Systematic Review and Meta-Analysis

Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease

Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis

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