Effectiveness of Aquatic Exercise for Obese Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Abstract

AQE had an advantage in controlling the interference with activity because of pain. AQE may be an effective tool for patients with obesity who have difficulties with active exercise due to knee osteoarthritis.

Effectiveness of Aquatic Physiotherapy in Clinical Practice

“…Our data showed that, for most patients, pain was the predominant symptom with almost 50% experiencing a reduction consistent with the MCID. Furthermore, significant improvements in well-being, with 70% of patients meeting or exceeding the MCID, confirmed findings in experimental studies (Lim, Tchai & Jang, 2010;Tomas-Carus, Gusi, Häkkinen, Häkkinen, Raimundo, & Ortega-Alonso, 2009;Dundar, Solak, Yigit, Evcik, & Kavuncu, 2009). Given that a large number of patients also expressed a desire to continue with AP independently after completion of the intervention suggested there may be a relationship between well-being and exercise adherence, although it is recognized that we were unable to monitor adherence to continuing aquatic exercise.…”

The Effect of a Period of Physical Exercise in Water on the Knee Osteoarthritis in Old Men

“…The results showed that exercising in water as a suitable way of treatment leads to improvement of signs and severity of pain in old men who are suffering from knee osteoarthritis and by studies of Lim et al (25), in analyzing a period of exercise in water on people suffering from osteoarthritis with the BMI more than 25Km/m , and wang et al (20), in analyzing the influence of exercise in water and exercise on land in people suffering from knee osteoarthritis, by using Koos and Silva et al (21), in analysizing the effect of water therapy against usual treatments on land for managing patients, by using WOMAC and Bartels et al (26), questionnaire in analyzing the effect of treating exercise in treatment of patients suffering from knee osteoarthritis and Foley et al (27), in analyzing the effect of water therapy on severity of pain of patients, by using WOMAC questionnaire, and Wyatt and his colleagues (28), in analyzing influence of exercise therapy on water in people suffering from knee osteoarthritis is similar. Also the results showed that exercising in water causes improvement of movement performance in old men who are suffering from knee osteoarthritis, which is agree with studies of Lim et al (25) Furthermore, the results demonstrated that exercising plan in water causes improvement of quality of life for old men suffering from knee osteoarthritis which is agree with studies of Lim et al, Wang et al, and Bartels et al improvement of muscles performance through exercising leads to better absorbing entering powers into joints by muscles.…”

Which is the Best Physical Treatment for Osteoarthritis?

“…In most of the 18 clinical trials considered by us, the aquatic exercise program was used in cases of mild OA, but as reported above in some of them, the aquatic exercise program was used as post-operative treatment after arthroplasty [81][82][83]88]. Lastly, the target of patients or participants in the aquatic exercise program was different in the different trials; in fact, older adults [89,90], postmenopausal women [80], overweight and obese individuals [78,84,85,91] or even volunteer participants [87,92,93] were considered in the different trials.…”