Effectiveness of aquatic exercise for treatment of knee osteoarthritis

Lü, Meili; Su, Youxin; Zhang, Yingjie; Zhang, Ziyi; Wang, Wenting; He, Zhen; Liu, Feiwen; Li, Yanan; Liu, Changyan; Wang, Yiru; Lu, Sheng; Zhan, Zhengxuan; Wang, Xu; Zheng, Naixi

doi:10.1007/s00393-014-1559-9

Cited by 67 publications

(51 citation statements)

References 46 publications

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“…buoyancy, which decreases loading of joints, and finally the unique characteristics of water-based exercising which may allow people to perform exercises which otherwise they would be unable to perform on land. The findings of some of the studies in the field including Alcalde et al (2017), Taglietti et al (2018), and Lu et al (2015) are in line with our findings [18,19,25]. Consistent with the results of the present study, they reported that aquatic exercises could improve pain, function, and balance in patients with KOA.…”

Section: Discussionsupporting

confidence: 93%

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The Effect of TRX vs. Aquatic Exercises on Self-Reported Knee Instability and Affected Factors in Women with Knee Osteoarthritis: A Randomized Controlled Trial

Asar

Gandomi

Mozafari

et al. 2020

Preprint

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Background: Knee Instability (KI) is described as a sense of knee buckling, shifting, or giving way during the weight bearing activities. High prevalence (60-80%) has been reported for KI amongst the patients with knee osteoarthritis (KOA). In this line, the present study targeted the effect of two interventions on self-reported KI and affected factors. Methods: In this single blind, randomized, and controlled trial, 36 patients with radiographic grading (Kellgren–Lawrence ≥ II) of KOA were selected. Patients were divided into three groups namely, aquatic (n=12), Total Resistance exercises (TRX) (n=12) and control (n=12) by random. Then both 8-week TRX and aquatic exercises were carried out by experimental groups. The following measure were taken before and after interventions: Pain by visual analog scale (VAS), balance by Berg Balance Scale (BBS), quadriceps strength by dynamometer, knee flexion range of motion (ROM) by inclinometer, knee stiffness with Western Ontario and McMaster Universities Osteoarthritis (WOMAC), and self-reported KI with Felson's questionnaire. Results: The results demonstrated that KI, VAS, BBS improved over time both in TRX and aquatic groups significantly (p<0.05), but WOMAC (stiffness) , knee flexion ROM, and quadriceps strength were significantly improved over time only for TRX (p<0.05). Post hoc test, also, showed that there were significant differences between interventions and control groups (p<0.05) for the VAS, KI, BBS, but for WOMAC (stiffness), a significant difference was observed only between TRX and control groups (p=0.05). Conclusions: Although TRX and aquatic interventions had a similar effect on the patients’ balance, pain and KI, TRX had more effect on WOMAC (stiffness) , quadriceps strength, and knee flexion ROM than aquatic exercises. Trial registration: This study was registered in the Iranian Clinical Trial Center with the number IRCT20181222042070N1, http://www.irct.ir/trial/36221 , registered 02 February 2019. Keywords: self-reported knee instability, Osteoarthritis, TRX, Aquatic Exercises.

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Section: Discussionsupporting

confidence: 93%

“…To add more, some studies have patients. They concluded that aquatic exercise was effective and safe enough to be considered as an adjuvant treatment for patients with knee OA [18,19]. Knee proprioception improvement has also been reported in patients with knee osteoarthritis following aquatic exercises.…”

Section: Introductionmentioning

confidence: 99%

The Effect of TRX vs. Aquatic Exercises on Self-Reported Knee Instability and Affected Factors in Women with Knee Osteoarthritis: A Randomized Controlled Trial

Asar

Gandomi

Mozafari

et al. 2020

Preprint

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“…Since osteoarthritis can be a barrier to physical activity (52), water-based physical activities, such as swimming, walking or running in a pool, or aquatic fitness classes have been encouraged for people with such comorbidities (53,54). While few highquality trials exist, a recent meta-analysis suggests aquatic exercise improves A1C compared to no exercise comparison groups and that the improvements are comparable to those obtained with landbased exercise (55).…”

Section: Benefits Of Other Types Of Exercisementioning

confidence: 99%

Physical Activity and Diabetes

Sigal¹,

Armstrong²,

Bacon³

et al. 2018

Canadian Journal of Diabetes

175

124

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Moderate to high levels of physical activity and cardiorespiratory fitness are associated with substantially lower morbidity and mortality in people with diabetes. • Both aerobic and resistance exercise are beneficial, and it is optimal to do both types of exercise. At least 150 minutes per week of aerobic exercise and at least 2 sessions per week of resistance exercise are recommended, though smaller amounts of activity still provide some health benefits. Conflict of interest statements can be found on page S60. Can J Diabetes 42 (2018) S54-S63 Contents lists available at ScienceDirect Canadian Journal of Diabetes j o u r n a l h o m e p a g e : w w w. c a n a d i a n j o u r n a l o f d i a b e t e s. c o m

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“…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, 2015). However, the longer-term effects of AT are not clear (Cochrane, Davey, & Matthes Edwards, 2005;Lund et al, 2008).…”

mentioning

confidence: 99%