Aquatic Exercise Program for Individuals With Osteoarthritis: Pain, Stiffness, Physical Function, Self-Efficacy

Fertelli, Tülay Kars; Mollaoğlu, Mukadder; Şahin, Özlem

doi:10.1097/rnj.0000000000000142

Cited by 13 publications

(17 citation statements)

References 23 publications

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“…Eleven studies were included in the meta-analysis with outcome assessed pain. WOMAC pain [ 24 , 28 , 31 , 33 , 34 ], VAS score [ 12 , 29 – 31 , 34 ], and KOOS pain [ 12 , 23 , 26 , 27 ] were used to measure pain. Studies which used WOMAC pain and VAS showed high heterogeneity (WOMAC pain: p < 0.1, I 2 = 93%, VAS: p < 0.1, I 2 = 73%), whereas KOOS pain showed low heterogeneity ( p = 0.85, I 2 = 0%).…”

Section: Resultsmentioning

confidence: 99%

Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis

Chen

Xin

et al. 2022

J Orthop Surg Res

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Objective To determine the benefits of aquatic physical therapy as a rehabilitation strategy for knee osteoarthritis patients. Methods Electronic databases systematically searched up to July 2021. Results 580 RCTs were selected. A total of thirteen studies comprising 883 participants were included in the study. For pain, meta-analyses showed that aquatic physical therapy is associated with a significant change in Western Ontario and McMaster University Osteoarthritis Index (WOMAC) pain (SMD = − 1.09, 95%CI − 1.97, − 0.21, p = 0.02) and visual analog scale (VAS) (SMD = − 0.55, 95%CI − 0.98, − 0.12, p = 0.01). In addition, for physical function, meta-analyses showed that aquatic physical therapy effectively improved WOMAC physical function (SMD = − 0.57, 95%CI − 1.14, − 0.01, p = 0.05). However, our findings showed no significant improvements in symptoms of joints, quality of life (QOL), flexibility, and body composition with knee osteoarthritis. For muscle strength, we found that aquatic physical therapy can only improve knee extension muscle strength (MD = 2.11, 95%CI 0.02, 4.20, p = 0.05). Additionally, for walking ability, we observed that aquatic physical therapy effectively reduced Timed-Up-and-Go Test (TUGT) in a large degree (MD = − 0.89, 95%CI − 1.25, − 0.53, p < 0.05). Conclusions According to the findings reported in the studies analyzed in the review, aquatic physical therapy had a positive effect on the pain, physical function, knee extension muscle strength, and walking ability among people with knee osteoarthritis.

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Section: Resultsmentioning

confidence: 99%

Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis

Chen

Xin

et al. 2022

J Orthop Surg Res

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“…3 Specifically, the properties of water provide unique opportunities for rehabilitation through the hydrostatic and hydrodynamic principles of buoyancy and resistance, 28 which consequently contributes to the reduction of pain, stiffness and difficulty in physical functions, as well as to the increase in the self-efficacy of motor movements in people with reduced mobility. 29 Consequently, physically active older adults throughout life have higher levels in terms of physical and cognitive function, mobility, less musculoskeletal pain, lower risk of falls and fractures, depression, better quality of life, 1 so the results of this systematization suggest the inclusion of aquatic exercises in programs for older adults to improve their functional capacity. Although, this study has some limitations, since the search for information was performed in only one database and covered 5 years (2017 to 2021), so future studies should expand the search for information not only in other databases, but also the range of years.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of aquatic physical exercise programs on functional fitness in older adults

et al. 2021

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The practice of physical exercise is recommended in the prevention of the deterioration of neuromuscular functions in aging. The objectives of this systematic review were to describe the protocols used and the functional fitness indicators evaluated in aquatic exercise programs in adults aged 50 to 80 years. The Pubmed database was used. The keywords were: 1) Physical exercise program or protocols or duration or type of exercise or aquatic exercise, frequency or intensity or indicators; 2) Adults or older adults; 3) Training or indicators, functional fitness, physical fitness. The search strategy considered the components of the Population, Interventions, Comparators, Outcomes, and Study design (PICOS) tool. Nine experimental studies were identified. These studies developed protocols to improve functional fitness in adults aged 50 to 80 years. They were based on sessions of 2 to 5 per week, the work time per session was 30 to 60min, intensities varied between 50 to 95% and totaled between 4 to 24 weeks of intervention. The activities were based on aquatic gymnastic exercises aimed at muscular strengthening of the upper and lower extremities, as well as coordination, balance, agility, cycling and walking exercises submerged in water. The protocols developed to improve functional fitness in adults aged 50 to 80 years were based on general physical exercise prescription guidelines (frequency, duration, intensity and type of activity). The application of aquatic exercises based on gymnastic exercises can provoke positive responses on functional fitness if worked at least 2 to 5 times per week, 30 to 60min/day and at intensities of 50 to 95%. These systematized indicators can be used by professionals working with adults to create and promote aquatic programs to improve functional fitness.

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“…The purpose of this exploratory study was to evaluate the immediate effects of one aquatic therapy session in a patient’s group older than 55 years, following a wash-out period of no aquatic therapy after the summer vacation. Many studies look for improvements due to longer interventions [ 6 , 8 , 25 , 30 , 33 , 36 , 37 ], but in this study, the key point was to find what changes occur immediately after a single training session. The literature showed significant benefits in several patient groups [ 47 ], however, the outcome measures used in previous studies were not consistent.…”

Section: Discussionmentioning

confidence: 99%

“…The literature showed significant benefits in several patient groups [ 47 ], however, the outcome measures used in previous studies were not consistent. Due to the limited time for assessment, researchers chose measures relevant to the health problems of the participants, as well as valid, reliable, and sensitive to training [ 6 , 17 , 38 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

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Immediate Effects of Aquatic Therapy on Balance in Older Adults with Upper Limb Dysfunction: An Exploratory Study

Graça

Alvarelhão

Costa

et al. 2020

IJERPH

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Background: Aquatic physiotherapy has been shown to be effective in developing balance, strength, and functional reach over time. When dealing with immediate effects, the literature has concentrated more on the body’s physiological response to the physical and mechanical properties of water during passive immersion. The purpose of this study was to evaluate the effects of a single 45-min active aquatic physiotherapy session on standing balance and strength, and its relationship with functional reach in persons 55 years and older with upper limb dysfunction. Methods: The intervention group (n = 12) was assessed before and after a single aquatic physiotherapy session, while the control group (n = 10) was evaluated before and after 45 min of sitting rest. Functional assessment was made using the visual analogue pain scale (points), step test (repetitions), functional reach test (cm), and global balance-standing test on a force platform (% time). A two-way repeated-measures ANOVA was applied (p < 0.05). Results: The intervention group showed non-significant improvements between measurement before and after the intervention: Pain: 6.2 ± 1.9 vs. 5.2 ± 2.3 cm, steps: 7.0 ± 2.0 vs. 7.4 ± 1.8 repetitions, reach: 9.1 ± 2.8 vs. 10.4 ± 3.8 cm, and balance: 61.7 ± 5.9 vs. 71.3 ± 18.2% time in balance on the platform. The control group showed fewer changes but had better baseline values. A comparison between groups with time showed no significant differences in these changes. Conclusions: No significant immediate effects were found for one session of aquatic physiotherapy applied to patients older than 55 years with upper limb dysfunction.

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Aquatic Exercise Program for Individuals With Osteoarthritis: Pain, Stiffness, Physical Function, Self-Efficacy

Abstract: The aquatic exercise program can be used by nurses as a reference in the management of osteoarthritic patients' health status.

Cited by 13 publications

References 23 publications

Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis

Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis

Systematic review of aquatic physical exercise programs on functional fitness in older adults

Immediate Effects of Aquatic Therapy on Balance in Older Adults with Upper Limb Dysfunction: An Exploratory Study

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