An Ai Chi-based aquatic group improves balance and reduces falls in community-dwelling adults: A pilot observational cohort study

Skinner, Elizabeth H; Dinh, Tammy; Hewitt, Melissa; Piper, Ross; Thwaites, Claire

doi:10.1080/09593985.2016.1227411

Cited by 15 publications

(43 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, older adults are at greater risk of premature death due to falls, which is associated with age-related declines in muscular fitness and balance. 2-5 A recent report from the Centers for Disease Control and Prevention (CDC) states that approximately one in four older (65+ years of age) US adults fall each year and deaths from falls have increased an average of 3% annually from 2007 to 2016. 6…”

Section: Introductionmentioning

confidence: 99%

The effect of resistance training on health-related quality of life in older adults: Systematic review and meta-analysis

Hart

Buck

2019

Health Promot Perspect

View full text Add to dashboard Cite

Background: Resistance training (RT) is recommended as part of our national physical activity guidelines which includes working all major muscle groups on two or more days a week.Older adults can gain many health benefits from RT, such as increased muscle strength,increased muscle mass, and maintenance of bone density. Additionally, certain dimensions of health-related quality of life (HRQOL) have been shown to improve in older adults due to RT intervention. The purpose of this study was to use systematic review and meta-analytic techniques to examine the effect of RT on HRQOL in older adults. Methods: A systematic review of current studies (2008 thru 2017) was conducted using PubMed. Studies were included if they used a randomized controlled design, had RT as an intervention, measured HRQOL using the SF-36/12 assessment, and included adults 50+ years of age. Eight dimension scores (physical functioning, bodily pain, physical role function, general health, mental health, emotional role function, social function, and vitality) and two summary scores (physical component and mental component) were extracted. Ten meta-analyses were performed using standardized mean effect sizes and random effects models. Study quality,moderator and sensitivity analyses were conducted. Results: A total of 16 studies were included in the analyses with a mean Physiotherapy Evidence Database (PEDro) score of 4.9 (SD=1.0). Among the mental health measures, RT had the greatest effect on mental health (Effect size [ES]=0.64, 95% CI: 0.30-0.99, I2=79.7). Among the physical health measures, RT had the largest effect on body pain (ES=0.81, 95% CI: 0.26-1.35, I2=85.9).Initially, RT did not significantly affect measures of emotional role function, social function or physical role function. However, after removing a single study, RT significantly increased all HRQOL measures. Conclusion: The meta-analytic evidence presented in this research clearly supports the promotion of RT in improving HRQOL in older adults.

show abstract

Section: Introductionmentioning

confidence: 99%

The effect of resistance training on health-related quality of life in older adults: Systematic review and meta-analysis

Hart

Buck

2019

Health Promot Perspect

View full text Add to dashboard Cite

show abstract

“…13,16 The LSAE was 50 min of Ai Chi. The Ai chi was modified from the routine used and well documented by Sova and Konno, 12 by adding extra diaphragmatic breathing and lymph node massage at intervals during the intervention. Ai Chi is performed in neck deep water in time with the breath.…”

Section: Interventionsmentioning

confidence: 99%

“…It is a slow, relaxing and gentle exercise regime in contrast to the slightly faster conventional program. 11,12 Therefore the interventions were designed to have similar levels of lymph clearance and diaphragmatic breathing, however substantial difference in pattern and speed in which movements were performed, along with the extended time of immersion for the LSAE in comparison to the CAE.…”

Section: Interventionsmentioning

confidence: 99%

“…11 Ai Chi is an aquatic exercise sequence with the purpose of relaxation, balance and pain management. 11,12 Tidhar et al, 13 have described another slow aquatic therapy approach of teaching women with breast cancer related lymphoedema (BCRL) a routine they term aqua lymphatic therapy (ALT) where patients do self massage in a hydrotherapy pool and this was shown to reduce affected arm oedema over the 14 month trial period. 13 ALT was also described by Letellier et al, 14 in 2014 and was shown in their study to be beneficial in the reports of pain intensity.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does the speed of aquatic therapy exercise alter arm volume in women with breast cancer related lymphoedema? A cross-over randomized controlled trial

Deacon

Noronha

Shanley

et al. 2019

Brazilian Journal of Physical Therapy

View full text Add to dashboard Cite

Objective: To identify whether slow aquatic exercise in the form of modified Ai Chi is more effective than conventional (faster pace) aquatic therapy at reducing arm volume in women with or at risk of breast cancer related lymphoedema. Methods: Randomized, cross-over controlled trial with concealed allocation and blinded assessment. Eighteen women with a history of breast cancer related lymphoedema were recruited. Participants received two intervention sessions (randomized order) with one week apart. Interventions were a 50 min conventional aquatic intervention or a 50 min modified Ai Chi. Arm volume was measured as the difference between affected and unaffected arm; bio-impedance was measured as an index of extracellular fluid; satisfaction was measured via a 12 question form. Outcomes were measured before, immediately after and one hour after intervention. Results: Comparison between interventions showed larger decreased arm volume of 140 mL (95%CI 17-263) immediately after intervention in favor of the Ai Chi intervention, however it was not sustained at 1 h follow-up. A post hoc analysis showed 72% of participants had a decrease in arm volume immediately after Ai Chi compared to 28% immediately after conventional aquatic therapy; with a number needed to treat of 3 (95%CI 1.4-6.6). There were no differences between interventions for bio-impedance. Satisfaction was good for both interventions.

show abstract

“…It is based on the concept of the application of hydrostatic forces during immersion, along with exercises in thermo-neutral water, to activate the circulatory system [11]. There are different approaches to aquatic therapy, one of which is Ai Chi, an aquatic exercise sequence and slow-pace water-based activity with an objective of relaxation, balance, and pain management [12]. Tidhar et al [13] described another slow aquatic therapy approach for BCRL.…”

Section: Introductionmentioning

confidence: 99%

Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial

2021

View full text Add to dashboard Cite

Objective To investigate the effect of aqua therapy resistance exercise on arm volume, pain, and shoulder range of movements in post-mastectomy lymphedema.Methods This was a single-blind randomized controlled trial. Fifty eligible breast cancer survivors (median, 10 years after surgery) with lymphedema (median, 21% inter-limb difference) were assigned randomly to group A (n=25) or control group B (n=25). The study group underwent 60 minutes of aqua therapy exercise comprising of warm-up for 10 minutes, 40 minutes of strengthening exercises, and 10 minutes of cooling down, three times a week for 8 weeks. The control group underwent 60 minutes of land-based exercise three times a week for 8 weeks. Arm volume calculated by measuring the arm circumference, shoulder flexion, and abduction range of motion (ROM), and pain using a visual analog scale (VAS) were assessed at baseline and after 8 weeks of treatment.Results There was a statistically significant difference in limb volume, shoulder flexion and abduction ROM, and VAS scores in favor of the study group (p<0.001) after 8 weeks of intervention. The mean±standard deviation for limb volume, shoulder flexion, abduction, and pain score were 2,108.71±200.97 mL, 169.68°±4.54°, 150.44°±3.92°, and 3.16±1.1 in the study group and 2,256.41±186.94 mL, 147.36°±5.32°, 131.32°±4.38°, and 5.68±0.94 in the control group, respectively.Conclusion Adding aqua therapy resistance exercise to routine physical therapy might be more effective in decreasing the limb volume and pain intensity and improving ROM of the shoulder in postmastectomy lymphedema.

show abstract

An Ai Chi-based aquatic group improves balance and reduces falls in community-dwelling adults: A pilot observational cohort study

Abstract: Aquabalance was safe, well-attended, and acceptable to participants. A randomized controlled assessor-blinded trial is required.

Cited by 15 publications

References 36 publications

The effect of resistance training on health-related quality of life in older adults: Systematic review and meta-analysis

The effect of resistance training on health-related quality of life in older adults: Systematic review and meta-analysis

Does the speed of aquatic therapy exercise alter arm volume in women with breast cancer related lymphoedema? A cross-over randomized controlled trial

Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial

Contact Info

Product

Resources

About