Effects of aquatic exercise on muscle strength and functional performance of individuals with osteoarthritis: a systematic review

Mattos, Fernanda de; Leite, Neiva; Pitta, Arthur; Bento, Paulo César Baraúce

doi:10.1016/j.rbre.2016.09.003

Cited by 30 publications

(25 citation statements)

References 40 publications

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“…A water training program incurs a lower risk of traumatic fractures and impact on the joints when compared to land-based exercise. In recent years aqua fitness training has become popular, especially among the adult population, because water-based exercises can be an effective way to improve physical function [12,13]. Meta-analysis focused on effectiveness of water-based exercise (WBE) on bone health of middle-aged and older adults revealed significant differences between WBE and sedentary control group in favor of WBE for changes in bone mineral density (BMD) at the lumbar spine and femoral neck.…”

Section: Introductionmentioning

confidence: 99%

Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women Subjected to an Aqua Fitness Training Program

Wochna¹,

Nowak²,

Huta-Osiecka³

et al. 2019

IJERPH

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The purpose of this study was to analyze the influence of aqua fitness training in deep water on bone tissue. The study was performed with 18 postmenopausal women separated into two groups: training and control groups. Before and after the training program, the hip and spine areal bone mineral density were measured along with the biochemical parameters of serum concentration of osteocalcin (OC) and C-terminal telopeptide of type I collagen (CTX). The most significant effect was found in differences between the two groups of women in terms of femur strength index (p < 0.05) during the period of the training program. The study demonstrated that an aqua fitness training program caused favorable changes in femur strength index in postmenopausal women, and this kind of exercise could be a useful form of physical activity for postmenopausal women.

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Section: Introductionmentioning

confidence: 99%

Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women Subjected to an Aqua Fitness Training Program

Wochna¹,

Nowak²,

Huta-Osiecka³

et al. 2019

IJERPH

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“…Some studies were carried out comparing the effects of soil and water exercises, and positive results were found for both categories. However, these results refer to pain, balance, muscle strength (Mattos et al, 2016). Concerning the bone health of the patient with RA nothing was found in the literature.…”

Section: Discussionmentioning

confidence: 94%

Effects of Different Swimming Intensities on the Bone Properties of the Tibia and Femur of Wistar Rats in which Knee Rheumatoid Arthritis was Induced

et al. 2020

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Rheumatoid arthritis (RA) is a disease triggered by environmental and genetic factors. Research suggests that physical exercise has benefits such as delaying functional disability. In vivo studies using experimental models of arthritis can provide useful information about these benefits. to analyze the effects that different intensities of aquatic physical exercise have on the proprieties of the bones in induced arthritis in knees of Wistar rats. Male Wistar adults rats (n=20) were divided into 5 groups: Group Control Arthritis (GCA) n=4, Group control Placebo (GCP) n=4, Group Low Physical Activity (GB) n=4, Group Moderate Physical Activity (GM) n=4 and Group Intense Physical Activity (GI) n=4. The physical activity groups got an intra-articular injection of Zymosam on the right knee; the GCA received saline solution in the right knee; the GCP was submitted to the stress of the needle. The animals were submitted to aquatic activity for 30 minutes, 4 times a week for 5 weeks, and the intensity of the exercise was determined by a weight placed on their back: GB=1 %, GM=5 %, GI=15 % of their body weight. It was observed that the group GB, and the groups that did not exercise GCA and GCP, gained more weight compared to the group GM. In relation to the bone mineral content of the tibia, there was a decrease in the GM group when compared to the GCP group, whereas in the tibial bone mineral density there was a decrease in the GM group compared to the GCP, GCA, GB. As for the area of the femur, the GI group presented an increase of it compared to the GB and GM groups. It is concluded that the high intensity exercises promote better results in bone properties.

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“…It was also mentioned that warm temperature could decrease the activity of creatine kinase in the blood, which is associated with muscle fatigue as well as muscle damage caused by exercise. 8,19 Under warm conditions, blood flow to muscles will increase, and there will be a reduction of mediator molecules that activate nociceptors, resulting in reduction of pain, and inducing muscle relaxation. 20 Local muscle fatigue and central dyspnea are considered the two most important factors in healthy people in addition to perceived exertion.…”

Section: Effects Of Aquatic Exercise and Land-based Ex Ercise On Cardmentioning

confidence: 99%

“…This suggests that aquatic exercise might be perceived as comparatively less strenuous and might serve as an ideal method to improve the functional health status and reduce body weight of obese individuals or for elderly population who has age-related degenerative changes. [6][7][8] Based on the information above, we were encouraged to conduct a study on exercise programs for cardiorespiratory endurance and quality of life in obese patients with knee OA as the study has never been done before, especially in Indonesia. The aim was to observe whether there is a difference in cardiorespiratory endurance and quality of life improvement in patients who were given aquatic exercise compared with those who received land-based exercise.…”

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confidence: 99%

Aquatic versus land-based exercise for cardiorespiratory endurance and quality of life in obese patients with knee osteoarthritis: a randomized controlled trial

Tamin

Loekito

2018

Med J Indones

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Background: Obesity with knee osteoarthritis (OA) is related to chronic pain causing physical inactivity that leads to decreased cardiorespiratory endurance and quality of life. Aquatic and land-based exercises are effective in improving physical activity. The aim of this study is to compare between aquatic and land-based exercise to improve cardiorespiratory endurance and quality of life in obese patients with knee osteoarthritis.Methods: A single-blind, randomized, controlled trial was conducted on thirty three obese patients with knee OA who visited Obesity Clinic of Medical Rehabilitation Cipto Mangunkusumo Hospital, from October 2016 to January 2017, subjects were divided into aquatic or land-based exercise group. Aerobic and knee-strengthening exercises were given. Cardiorespiratory endurance was assessed using the Borg Scale, whereas both the BORG CR-10 and SF-36 questionnaires were used to assess quality of life.Results: After intervention, there were significant improvements in the land-based exercise group in the rating of perceived exertion (p=0.02), role limitations due to physical health (p=0.024), role limitations due to emotional problems (p=0.041), energy/fatigue (p=0.016), and the decline in pain (p=0.049) parameters. While in the aquatic exercise, there were significant improvements in leg fatigue (p=0.016), energy/fatigue (p=0.025), emotional well-being (p<0.001), and general health (p=0.045) parameters. Despite this, there were no significant differences between two groups regarding cardiorespiratory endurance and quality of life.Conclusion: This study found that patients could start aquatic exercise to reduce leg fatigue and enhanced general health and energy. After that, exercise could be continued in land-based settings to improve cardiorespiratory endurance and quality of life.

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Effects of aquatic exercise on muscle strength and functional performance of individuals with osteoarthritis: a systematic review

Cited by 30 publications

References 40 publications

Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women Subjected to an Aqua Fitness Training Program

Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women Subjected to an Aqua Fitness Training Program

Effects of Different Swimming Intensities on the Bone Properties of the Tibia and Femur of Wistar Rats in which Knee Rheumatoid Arthritis was Induced

Aquatic versus land-based exercise for cardiorespiratory endurance and quality of life in obese patients with knee osteoarthritis: a randomized controlled trial

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