Aquatic therapy for people with persistent knee pain: A feasibility study

McIlroy, Suzanne; Sayliss, Lesley; Browning, Paul; Bearne, Lindsay

doi:10.1002/msc.1179

Cited by 3 publications

(3 citation statements)

References 44 publications

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“…Kim et al (2020) pointed out the need to offer attractive interventions which could be more interesting or enjoyable for patients to ensure long-term adherence, especially among those who experience CRF who face greater barriers to exercise (Kim et al, 2020). In this sense, some studies have shown that water-based exercise can increase adherence comparing to other interventions because it is a comfortable environment, accessible in the community and has the extra beneficial effects of water immersion such as buoyancy (Cantarero-Villanueva et al, 2012;Dionne et al, 2018;Torres-Ronda & del Alcázar, 2014) which decreases joint stress and thus can especially benefit those with shoulder-neck mobility restrictions, pain and/or overweight (Kutzner et al, 2017;McIlroy et al, 2017;Torres-Ronda & del Alcázar, 2014). Furthermore, some studies have also found that water-based exercise can be equally effective or even superior to land-based exercise in improving muscle strength, balance, flexibility, symptom control and functional exercise capacity in different clinical populations (Bergamin et al, 2013;Bocalini et al, 2008;Siqueira et al, 2020;Zoheiry et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors

Mur-Gimeno

Postigo-Martín

Cantarero‐Villanueva

et al. 2021

European J Cancer Care

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Background: Aquatic therapeutic exercise can be equally effective or even superior to land-based exercise in improving several clinical variables. However, there is still a lack of knowledge on the effects compared to land-based interventions particularly in breast cancer (BC) patients. Objective: The objective of this study is to examine the effects of aquatic therapeutic exercise on pain, shoulder mobility, lymphedema, cardiorespiratory fitness, muscle strength, body composition, pulmonary function, cancer-related fatigue (CRF) and health-related quality of life (HRQoL) and which parameters are effective compared to similar land-based interventions. Methods: The databases used were PubMed, Scopus, Web of Science, Cochrane Library and CINAHL, retrieving 145 articles. Results: Eleven studies were included. Aquatic therapeutic exercise is feasible, safe, well tolerated and achieved high percentages of adherence. As for the assessed outcomes, moderate to large improvements were found compared to usual care or to land-based physical exercise interventions in pain, shoulder range of motion, pulmonary function, HRQoL, cardiorespiratory fitness and muscle strength. Inconclusive results were found for lymphedema, body composition and CRF.Conclusions: Aquatic therapeutic exercise interventions using a combination of endurance, strength, mobility, stretching and breathing exercises resulted in improvements in common side effects of BC and its treatments. More studies on CRF, body composition and lymphedema need to be done to further evaluate the impact of the intervention on these outcomes.

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Section: Introductionmentioning

confidence: 99%

Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors

Mur-Gimeno

Postigo-Martín

Cantarero‐Villanueva

et al. 2021

European J Cancer Care

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“…Studies have noted it being useful to relieve chronic pain symptoms for fibromyalgia, knee pain, and low back pain (Keane, 2016;McIlroy, Sayliss, Browning, & Bearne, 2017;Zamuner, Andrade, Arca, & Avila, 2019). In addition to relieving chronic pain symptoms, aquatic therapy has also been noted to be effective in increasing quality of sleep while also reducing stress and pain sensitivity (Zamuner, et al, 2019).…”

Section: Occupational Therapy Interventionsmentioning

confidence: 99%

“…In addition to relieving chronic pain symptoms, aquatic therapy has also been noted to be effective in increasing quality of sleep while also reducing stress and pain sensitivity (Zamuner, et al, 2019). Aquatic therapy combines water's buoyancy, resistance, and heat to assist in exercise performance (McIlroy, et al, 2017). Aquatic therapy provides an environment where gravity's weight on the body is reduced and can in turn improve range of motion, strength, and movements (Zamuner, et al, 2019).…”

Section: Occupational Therapy Interventionsmentioning

confidence: 99%

Non-pharmaceutical Methods for Pain Management: An Occupational Therapist’s Perspective on Chronic Pain

Brown¹

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Efficacy of aquatic exercise in chronic musculoskeletal disorders: a systematic review and meta-analysis of randomized controlled trials

Wang,

Chen

et al. 2023

J Orthop Surg Res

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Background Aquatic exercise (AE) is becoming ever more popular as a physical therapy, while it is unclear what precise improvements it will produce and how effective it will be in comparison with other non-surgical therapies. The study aimed to assess whether AE positively impacts chronic musculoskeletal disorder patients in terms of pain, physical function, and quality of life. Methods PRISMA guidelines were followed, and our study protocol was published online at PROSPERO under registration number CRD42023417411. We searched PubMed, Embase, Web of Science, and Cochrane library databases for English-language articles published before April 11, 2023, including studies from all relevant randomized controlled trials (RCTs). After screening, we ultimately included 32 RCTs with a total of 2,200 participants. We also performed subgroup analyses for all included studies. This meta-analysis calculated standardized mean difference (SMD) with 95% confidence interval (CI), and the variance was estimated using a random-effects model. The quality of the included studies was assessed by using the Cochrane collaborative "risk of bias" assessment tool (version 2.0). Thus ensuring that the literature included is of high quality. Results This meta-analysis included 32 trials with 2,200 participants; these patients were all between the ages of 38–80. The study showed that compared to the no exercise (NE) group, patients in the AE group experienced a remarkable reduction in pain (SMD: -0.64, P < 0.001), a significant increase in physical function (SMD: 0.62, P < 0.001), and a statistically significant improvement in quality of life (SMD: −0.64, P < 0.001). When compared to land-based exercise (LE), AE significantly relieves patients' pain (SMD: −0.35, P = 0.03). Conclusions This is the first systematic review and meta-analysis to study whether AE could improve chronic musculoskeletal disorders. The evidence suggests that AE benefits pain, physical function, and quality of life in adults with chronic musculoskeletal conditions compared to NE. Furthermore, when compared to LE, AE continues to provide a better improvement in patient pain. More long-term clinical trials are needed to confirm AE's positive effects and improvement mechanisms and the more existential advantages compared to LE.

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Aquatic therapy for people with persistent knee pain: A feasibility study

Cited by 3 publications

References 44 publications

Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors

Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors

Non-pharmaceutical Methods for Pain Management: An Occupational Therapist’s Perspective on Chronic Pain

Efficacy of aquatic exercise in chronic musculoskeletal disorders: a systematic review and meta-analysis of randomized controlled trials

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