Effect of Therapeutic Aquatic Exercise on Symptoms and Function Associated With Lower Limb Osteoarthritis: Systematic Review With Meta-Analysis

Abstract

The results indicate that TAE is effective in managing symptoms associated with lower limb OA.

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

“…Our recruitment rate was higher than in most previous studies of AT (Foley et al, ; Fransen, Nairn, Winstanley, Lam, & Edmonds, ) and implies that recruiting patients with PKP from NHS physiotherapy departments is feasible. Our study retention rates were good (93%), concurring with other work (Waller et al, ). High study retention rates are important because attrition of participants may threaten the validity of RCTs, produce bias and limit statistical validity by reducing the power to detect true between‐group differences (Zweben, Fucito, & O'Malley, ).…”

“…Key management strategies comprise self‐management advice, weight reduction and exercise (Fransen et al, ; National Institute for Health and Care Excellence, ). Aquatic therapy (AT; exercise in warm water) improves pain and function in long‐term musculoskeletal conditions (Barker et al, ; Waller et al, ). It utilizes the properties of water, including buoyancy (Harrison & Bulstrode, ), resistance (Petrick, Paulsen, & George, ; Poyhonen et al, ) and heat (optimal water temperature 34–45°C (Becker, ; Hall, Bisson, & O'Hare, ; Pool Water Treatment Advisory Group, ) to aid exercise performance.…”

“…Evidence from a recent meta‐analysis, including eight high‐ and three moderate‐quality studies (1,092 participants), suggested that AT has a short‐term, small–medium beneficial effect on self‐reported pain, joint mobility and function compared with a control group in people with lower limb osteoarthritis (OA) (Waller et al, ). When compared with land‐based exercise, evidence from meta‐analyses of six studies (five with a risk of selection bias due to poor reporting of allocation of concealment; 398 participants) suggested that AT produces similar improvements in self‐reported pain and function (Lu et al, ).…”

Physical and functional implications of aquatic exercise for nursing home residents with dementia

“…10,11 For adults without dementia, there is good evidence that with water based exercise individuals can reduced the symptoms of lower limb osteoarthritis, 12 as well as benefits extending to those with cardiovascular disease and to improved strength and balance. 13e15 For many older adults swimming activity holds significant familiarity, which for those with dementia may be an important key to the positive behavioral outcomes that follow, as well as playing an important role in the motivation to participate.…”

Integrative Health Practices Used in Individuals Diagnosed With Osteoarthritis

“…Literatürde diz OA'lı bireylere uygulanan su içi egzersiz uygulamasının hastalıkla ilişkili semptomların yönetiminde etkili olduğu bildirilmektedir [14]. Kas kuvvetlendirici egzersiz olan izotonik ve izokinetik egzersiz programlarının diz OA'lı hastaların ağrı ve tutukluk düzeyini azalttığı, fonksiyonel durum ve yaşam kalitesini arttırdığı ve kas kuvvetini arttırmada izokinetik egzersizlerin izotonik egzersizlere göre daha etkili olduğu gösterilmiştir.…”