Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial

Carroll, Louise M; Volpe, Daniele; Morris, Meg E.; Saunders, Jean; Clifford, Amanda M.

doi:10.1016/j.apmr.2016.12.006

Cited by 93 publications

(131 citation statements)

References 49 publications

(67 reference statements)

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“…Given that biofeedback allows faster and more effective recovery, with a pronounced proprioceptive nuance, the applications of wearable biofeedback suit in human rehabilitation can be envisaged in: orthopedic and rheumatic diseases [38], accompanied by general symptomatology -subacute and chronic pain syndromes, reduction of ROM, post-lesion recovery of soft tissue or bone and postoperative recovery [39]; scoliosis and pain management, especially in back pain; sports traumatology and spine trauma. With neurological diseases -where both biofeedback and the microgravity condition of water immersion (which allows movement even in the presence of significant deficits of motor units recruitment) find precise indications, wearable biofeedback suit would, for example, allow biofeedback-assisted aquatic step training in post-stroke [40] and hemiplegic patients [41], in para and tetraplegia and in Parkinson's disease [42], [43]. Patients whose residual motor capacities do not allow "dry" rehabilitation programs lose the potential advantages of biofeedback.…”

Section: Discussionmentioning

confidence: 99%

Wearable Biofeedback Suit to Promote and Monitor Aquatic Exercises: A Feasibility Study

Gandolla

Pedrocchi

Ferrante

et al. 2020

IEEE Trans. Instrum. Meas.

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Aquatic exercises have been demonstrated to benefit the facilitation of motor recovery and the enhancement of well-being in middle-aged adults and the elderly. Personalization, immersiveness, and biofeedback are key for amplifying and accelerating any rehabilitation process in neurological and orthopedic patients. However, a therapist can neither properly visualize nor monitor rehabilitation exercises executed under water, nor can he/she measure them. Therefore, the present study aims to provide adaptive biofeedback during aquatic exercises in order to enhance the training's effectiveness. A wearable biofeedback suit equipped with wearable underwater-resistant sensor nodes has been designed, produced, and tested. A dedicated algorithm for quantitatively extracting joint angles has been developed and validated against the optical tracking system. Multiple biofeedback modalities are proposed based on visual feedback: amplitude control with set target angles; velocityamplitude control with set target angles and angular velocity; and velocity tutor with set target angles, a frequency value, and a rest period. Joint angles estimated using the sensor network are compared to those estimated using an optical tracking system with the root-mean-squared angle error between the two systems ranging from 4.0° to 6.3° and a significant correlation coefficient that is always greater than 0.99. Pilot tests during aquatic exercises executed in a thermal environment demonstrate the feasibility and usability of the complete system in the final working environment. The relevant angles are correctly calculated and monitored online during the exercises, and the tested subjects understand the implemented biofeedback modalities easily and follow them well as the SUS evaluation indicates. 0018-9456 (c)

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Section: Discussionmentioning

confidence: 99%

Wearable Biofeedback Suit to Promote and Monitor Aquatic Exercises: A Feasibility Study

Gandolla

Pedrocchi

Ferrante

et al. 2020

IEEE Trans. Instrum. Meas.

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“…Data analysis and interpretation were guided by a recent study with comparable design (Carroll, Volpe, Morris, Saunders, & Clifford, 2017). When tested, certain variables within this pilot study did not conform to assumptions for normality.…”

Section: Discussionmentioning

confidence: 99%

“…Demographic characteristics were tested for between group differences for using the independent t test, the Mann–Whitney U test, and the chi‐square test. Data analysis and interpretation were guided by a recent study with comparable design (Carroll, Volpe, Morris, Saunders, & Clifford, ). When tested, certain variables within this pilot study did not conform to assumptions for normality.…”

Section: Methodsmentioning

confidence: 99%

Unilateral dorsiflexor strengthening with mirror therapy to improve motor function after stroke: A pilot randomized study

Simpson

Ehrensberger

Horgan

et al. 2019

Physiotherapy Res Intl

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Background Independently, cross‐education, the performance improvement of the untrained limb following unilateral training, and mirror therapy have shown to improve lower limb functioning poststroke. Mirror therapy has shown to augment the cross‐education effect in healthy populations. However, this concept has not yet been explored in a clinical setting. Objectives This study set out to investigate the feasibility and potential efficacy of applying cross‐education combined with mirror therapy compared with cross‐education alone for lower limb recovery poststroke. Methods Thirty‐one chronic stroke participants (age 61.7 ± 13.3) completed either a unilateral strength training (ST; n = 15) or unilateral strength training with mirror‐therapy (MST; n = 16) intervention. Both groups isometrically strength trained the less‐affected ankle dorsiflexors three times per week for 4 weeks. Only the MST group observed the mirror reflection of the training limb. Patient eligibility, compliance, treatment reliability, and outcome measures were assessed for feasibility. Maximal voluntary contraction (MVC; peak torque, rate of torque development, and average torque), 10‐m walk test, timed up and go (TUG), Modified Ashworth Scale (MAS), and the London Handicap Scale (LHS) were assessed at pretraining and posttraining. Results Treatment and assessments were well tolerated without adverse effects. No between group differences were identified for improvement in MVC, MAS, TUG, or LHS. Only the combined treatment was associated with functional improvements with the MST group showing an increase in walking velocity. Conclusion Cross‐education plus mirror therapy may have potential for improving motor function after stroke. This study demonstrates the feasibility of the combination treatment and the need for future studies with larger sample sizes to investigate the effectiveness of the treatment.

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“…The median score for methodological quality using the PEDro scale was seven out of ten (IQR 7,7). Eight of the 11 included studies scored between seven and eight implying moderate quality, [28][29][30][31][62][63][64][65] with a high risk of bias recorded for blinding of therapists and subjects, and intention to treat analysis (Table II).…”

Section: Methodological Qualitymentioning

confidence: 99%

“…[27] Preliminary reports have shown favorable results for movement slowness, dystonia, balance, pain, quality of life and physical function. [28][29][30][31][32] Immersion in water affords people with PD an alternative environment in which to exercise. [27] Water's physical properties of buoyancy, hydrostatic pressure and drags forces provide sensory feedback that may help to regulate motor output.…”

Section: Introductionmentioning

confidence: 99%

Is Aquatic Therapy Optimally Prescribed for Parkinson’s Disease? A Systematic Review and Meta-Analysis

Carroll

Morris

O’Connor

et al. 2020

JPD

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Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial

Abstract: Aquatic therapy appears feasible and safe for some people in the early stages of PD.

Cited by 93 publications

References 49 publications

Wearable Biofeedback Suit to Promote and Monitor Aquatic Exercises: A Feasibility Study

Wearable Biofeedback Suit to Promote and Monitor Aquatic Exercises: A Feasibility Study

Unilateral dorsiflexor strengthening with mirror therapy to improve motor function after stroke: A pilot randomized study

Is Aquatic Therapy Optimally Prescribed for Parkinson’s Disease? A Systematic Review and Meta-Analysis

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