Effect of aquatic exercise training in persons with poliomyelitis disability

Análise crítica de ensaios clínicos aleatórios sobre fisioterapia aquática para pacientes neurológicos

“…A maioria dos estudos apresentou grupos similares em relação aos indicadores prognósticos mais importantes [4,5,7,8] dos pacientes e, todos os estudos [4][5][6][7][8][9] apresentaram critérios de elegibilidade especificados, intenção de tratar e, foram relatadas estimativas das medidas de tendência central e variabilidade nas medidas de desfecho primário, propiciando, assim estudos de melhor qualidade.…”

Characteristics and Management of Postpolio Syndrome

“…The exact study dates were January 1, 1990 to August 31, 1993, and September 1, 1993 to December 31, 1997. Musculoskeletal pain and joint instability Decrease mechanical stress on joints and muscles with lifestyle changes 24 such as weight loss, decrease activities causing overwork, return to using assistive devices (including orthoses, 25 wheelchairs, and adaptive equipment) Prescribe anti-inflammatory medications, heat, massage Cardiopulmonary conditioning Cycle or arm ergometer exercise 28,33 Aquatic exercise training 34,35 *All of the interventions are evidence-based except for tracheostomy and permanent ventilation; and prescribing anti-inflammatory medications, heat, and massage.…”

“…28,30,33 Two studies have demonstrated that flexibility, strength, and cardiorespiratory fitness can be improved in patients with PPS through aquatic exercise programs. 34,35 Again, similar to individual musclestrengthening programs, muscle overuse must be avoided. Finally, it is important to remember that psychological symptoms related to the reemergence of a supposedly resolved problem and to the stresses of the required major lifestyle changes can be overwhelming at times.…”

Post Polio Syndrome: Report of 3 Cases and Brief Review of Literature

“…Some of the early studies 12,13 showed beneficial effects of strengthening exercises while others reported that vigorous exercise and activity were detrimental [14][15][16][17] . However, a number of recent studies on effects of muscle strengthening exercises [18][19][20][21] , general exercises or aerobic fitness training 22,23 , efficiency of movement 24 and on aquatic exercises 25 reveal that it is the individualised and judicious exercise programme that is beneficial. It is found that that antigravity muscles and/or muscles having greater strength on manual muscle testing 26 can tolerate strengthening exercises [18][19][20][21] .…”