Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial

Dias, João Marcos Domingues; Cisneros, Lígia de Loiola; Dias, Rosângela Corrêa; Fritsch, Carolina Gassen; Gomes, Wellington Fabiano; Pereira, Leani S. M.; Santos, M. L.; Ferreira, Paulo H.

doi:10.1016/j.bjpt.2017.06.012

Cited by 57 publications

(72 citation statements)

References 35 publications

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“…In general, medications [ 5 , 6 ], psychotherapy [ 7 ], counseling [ 8 ], cognitive behavior therapy [ 9 ], self-care instructions [ 10 , 11 ], and rehabilitation or therapeutic exercises [ 12 , 13 ] are recommended as treatments for FM patients. Underwater walking is a therapeutic exercise that has often been utilized for gait training for patients with painful diseases, such as osteoarthritis [ 14 ], rheumatoid arthritis [ 15 ], arthroplasty [ 16 ], and FM [ 17 – 20 ]. Although the functional activity of antigravity muscles, such as the erector spinae, gluteus maximus, quadriceps, and triceps surae, is required for walking, underwater walking appears to decrease overload on the antigravity muscles.…”

Section: Introductionmentioning

confidence: 99%

Excessive exercise induces cardiac arrhythmia in a young fibromyalgia mouse model

et al. 2020

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Background Fibromyalgia patients experience cardiovascular complications in addition to musculoskeletal pain. This study aimed to investigate the cardiac effects of a prolonged shallow water gait in a fibromyalgia-induced young mouse model. Methods To produce a fibromyalgia mouse model, wild-type mice were administered an intraperitoneal injection of reserpine once a day for three days, and two primary experiments were performed. First, three types of gait tests were performed before and after the reserpine injections as follows: (i) 5 minutes of free gait outside the water, (ii) 1 minute of free gait in shallow warm water, and (iii) 5 minutes of free gait in shallow warm water. Second, electrocardiogram recordings were taken before and after the three gait tests. The average heart rate and heart rate irregularity scores were analyzed. Results Exercise-induced cardiac arrhythmia was observed at 1-minute gait in shallow water during the acute stage of induced FM in young mice. Further, both cardiac arrhythmia and a decrease in HR have occurred at 5-minute gait in shallow water at the same mice. However, this phenomenon was not observed in the wild-type mice under any test conditions. Conclusion Although a short-term free gait in shallow warm water may be advantageous for increasing the motor activity of FM-model mice, we should be aware of the risk of prolonged and excessive exercise-induced cardiac arrhythmia. For gait exercises in shallow water as a treatment in FM patients. We suggest a gradual increase in exercise duration may be warranted.

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Section: Introductionmentioning

confidence: 99%

Excessive exercise induces cardiac arrhythmia in a young fibromyalgia mouse model

et al. 2020

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“…Water buoyancy causes the patients to move more comfortably and less painfully than on the land. In addition, warm water provides more muscle relaxation and symptom palliation [11,14,15].…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial of aquatic exercise for treatment of knee osteoarthritis in elderly people

Azizi

Dadarkhah

Rezasoltani

et al. 2020

IMAS

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Aim The aim of this study is to assess the efficacy of aquatic exercise on pain, gait, and balance among elderly patients with knee osteoarthritis. Methods We performed a randomized controlled trial at a university hospital. Overall, 32 men with knee osteoarthritis, aged ≥ 60 years, were included. Pain, balance, and gait were evaluated before and 2 months after interventions. The group control used acetaminophen and followed lifestyle recommendations. The intervention group performed the aquatic exercise three sessions per week for 8 weeks. Results At the end of the study, mean pain scores were significantly different between the groups (p = 0.010). Within-group analyses showed that group intervention experienced significant pain relief (p = 0.019), whereas group control did not show the significant change (p = 0.493). There was significant improvement in favor of aquatic exercise with regard to static (p = 0.001) and dynamic (p = 0.001) balance, step length (p = 0.038), stride length (p < 0.001), and cadence (p < 0.001). However, we did not find a significant difference in step time and width between the two groups. Conclusions Aquatic exercise would be beneficial in decreasing subjective pain of osteoarthritis. There are some recognizable improvements in patients’ gait and balance as well.

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“…These exercises are generally performed either on the ground or in water. Water-walking has often been utilized as a therapeutic exercise for painful arthritic conditions such as osteoarthritis ( Dias et al, 2017 ) and rheumatoid arthritis ( Bilberg et al, 2005 ). It has been reported that exercise in chest-high warm water decreases pain and improves cognitive function in patients with FM ( Mannerkorpi et al, 2009 ; Segura-Jiménez et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Free gait in a shallow pool accelerates recovery after exercise in model mice with fibromyalgia

Nakata¹,

Doi²,

Uta³

et al. 2020

J Exerc Rehabil

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This study aimed to determine the effect of pool gait exercise using fibromyalgia-induced model mice. The sensory threshold, locomotive behavior, electrocardiogram, and onset time after the gait test in shallow water using male C57BL/6J mice (weight, 30-35 g; n= 21) were investigated. To induce fibromyalgia in model mice, reserpine was injected intraperitoneally into wild-type mice once a day for 3 days. Subsequently, the fibromyalgia-induced model mice were randomly classified into two groups as follows: the control group (n= 11) and the pool gait group (n= 10). The mice in the pool gait group walked in the same cage containing shallow warm water 5 times per week. Both groups underwent sensory thresholds and video recordings to determine locomotive behaviors weekly. Further, both heart rate and video recordings for observation of a recovery after the gait test in shallow water were undertaken (control group; n= 5, pool gait group; n= 5). The pool gait did not affect sensory thresholds and locomotive behavior; however, in the pool gait group, both the recovery after the test, such as onset time and gait distance, were considerably better than those of the control group. Furthermore, changes in heart rate and heart rate irregularity after the test were more apparent in the control group than in the pool gait group. The free gait in a shallow pool accelerated recovery after exercise, unlike the sensory threshold.

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Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial

Abstract: HighlightsElderly women with knee osteoarthritis are at risk of developing limitations physical.Hidrotherapy improves pain, function, muscle power and strength in older women with knee osteoarthritis.Hydrotherapy is likely to be an effective treatment option for these patients.

Cited by 57 publications

References 35 publications

Excessive exercise induces cardiac arrhythmia in a young fibromyalgia mouse model

Excessive exercise induces cardiac arrhythmia in a young fibromyalgia mouse model

Randomized controlled trial of aquatic exercise for treatment of knee osteoarthritis in elderly people

Free gait in a shallow pool accelerates recovery after exercise in model mice with fibromyalgia

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