Hydrotherapy on exercise capacity, muscle strength and quality of life in patients with heart failure: A meta-analysis

Neto, Mansueto Gomes; Conceição, Cristiano Sena da; Jesus, Fabio Luciano Arcanjo de; Carvalho, Vitor Oliveira

doi:10.1016/j.ijcard.2014.10.132

Cited by 12 publications

(9 citation statements)

References 19 publications

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“…Buoyancy helps compensate for the gravity present in dry land and is, therefore, highly useful for therapy. Water viscosity is an exceptional source of natural resistance and can facilitate different motor training tasks [10] by providing resistance for muscle strengthening [11]. These characteristics of the aquatic environment allow some people with postural instability, high risk of falls, leg weakness, and gait disorders, be more successful when performing the exercise in an aquatic environment, compared to dry land [9].…”

Section: Introductionmentioning

confidence: 99%

“…Due to its ability to improve functional mobility while being enjoyable, water exercise has become a very popular form of physical training in the management of neurological disorders [10,11], being a safe environment and improving aspects of activity performance, quality of life and balance in people with brain damage [12,13]. In 2014, a systematic review on the effectiveness of aquatic therapy indicated that there is evidence that aquatic therapy improves dynamic balance and gait speed in people with neurological disorders, especially those with multiple sclerosis, Parkinson's disease, and stroke [14].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients

Cruz

2020

IJERPH

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One of the most serious and disabling problems of stroke is pain and a decrease in balance, with the consequent increased risk of falls. The aim of the randomized controlled trial study was to compare the efficacy of three different treatment proposals to improve pain, gait, and balance in chronic stroke patients. Forty patients diagnosed with stroke were divided into three groups: the dry-land therapy group (control group) received sessions that included walking exercises and trunk mobility. The experimental group received Ai Chi aquatic therapy, and the combined group received alternating dry-land therapy sessions and Ai Chi aquatic therapy. The measurement instruments used were: the Tinetti balance and gait scale, the visual analog scale (VAS), 360° turn, single leg stance, and the 30-s stand test (CS-30). After twelve weeks of treatment, the results were significantly better for the combined therapy group and the experimental group compared to the dry-land therapy group (p < 0.01) in the VAS scale, CS-30, and 360° turn, although improvements were also found in the evaluations carried out in the aquatic therapy group. In total, for the Tinetti scale and single-leg stance, the differences between the groups were evident, although not statistically significant (p = 0.001). Aquatic therapy with Ai Chi and the combination of aquatic therapy with dry-land therapy was effective in improving pain, balance, and gait in patients with chronic stroke, thus improving their functional capacity and quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients

Cruz

2020

IJERPH

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“…Twenty two [ 12 – 33 ] MAs reported on change in exercise capacity. Meta-analysis of VO 2peak was performed in 21 publications[ 12 – 16 , 18 – 33 ], 6MWD was analysed in 12 publications[ 12 – 17 , 19 , 20 , 22 , 25 , 28 , 33 ] peak power in two[ 12 , 21 ] and exercise time in one[ 26 ] publication. Analyses examined a range of exercise modalities across heart failure phenotypes, and Review Manager (Revman) was the most popular software package utilised.…”

Section: Resultsmentioning

confidence: 99%

“…Overall eleven [ 12 , 17 , 22 , 23 , 25 – 27 , 29 , 31 – 33 ] MAs failed to report anywhere within the publication any clear approach to deal with missing change SDs. Further examination of the 11 MAs revealed a range of methods were utilised in these analyses, including actual and approximate algebraic recalculations using actual or default p-values, post-intervention SDs and imputed SDs using correlation values ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

Reported methods for handling missing change standard deviations in meta-analyses of exercise therapy interventions in patients with heart failure: A systematic review

Pearson

Smart

2018

PLoS ONE

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BackgroundWell-constructed systematic reviews and meta-analyses are key tools in evidenced-based healthcare. However, a common problem with performing a meta-analysis is missing data, such as standard deviations (SD). An increasing number of methods are utilised to calculate or impute missing SDs, allowing these studies to be included in analyses. The aim of this review was to investigate the methods reported and utilised for handling missing change SDs in meta-analyses, using the topic of exercise therapy in heart failure patients as a model.MethodsA systematic search of PubMed, EMBASE and Cochrane Library from 1 January 2014 to 31st March 2018 was conducted for meta-analyses of exercise based trials in heart failure. Studies were eligible to be included if they performed a meta-analysis of change in exercise capacity in heart failure patients after a training intervention.ResultsTwenty two publications performed a meta-analysis on the effect of exercise therapy on exercise capacity in heart failure patients. Eleven (50%) publications did not directly report the approach for dealing with missing change SDs. Approaches reported and utilised to deal with missing change SDs included imputation, actual and approximate algebraic recalculation using study level summary statistics and exclusion of studies.ConclusionChange SDs are often not reported in trial papers and while in the first instance meta-analysts should attempt to obtain missing data from trial authors, this information is frequently not forthcoming. Meta-analysts are then forced to make a decision on how these trials and missing data are to be handled. Whilst not one approach is favoured for dealing with this matter, authors need to clearly report the approach to be utilised for missing change SDs. Where change SDs are imputed meta-analyst are encouraged to explore several options and have a sound rationale as to the choice, and where data is imputed, sensitivity analysis should be conducted.

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“…Cider et al 35 assessed the cardio-respiratory effects of warm water emersion in elderly patients with chronic heart failure and showed that hydrotherapy was well-tolerated and posed no danger to patients. Several reports have shown positive benefits in QOL, heart failure-related symptoms, heart rate responses, and stress hormone levels in patients with chronic heart failure treated with regular hydrotherapy regimens 36,37 .…”

Section: Cardiac Diseasementioning

confidence: 99%

Evaluation of the Role of Balneotherapy in Rehabilitation Medicine

Matsumoto

2018

J Nippon Med Sch

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Balneotherapy is a treatment with healing waters, which includes bathing and physiotherapy in thermal water, therapeutic drinks, medical massage, and water jet massage. It is based on the buoyancy, physical properties, temperature, and chemical effects of mineral water. Throughout European and Japanese medical institutions, balneology and hot spring therapy is very much a part of routine medical treatment. The mechanism of balneotherapy is not yet completely understood. Balneotherapeutic procedures are mainly performed for the prevention, treatment, and rehabilitation of musculoskeletal diseases, but they have also proven useful for various other indications such as for the treatment or rehabilitation of dermatological diseases, immuno-inflammatory diseases, chronic pain syndromes, chronic cardiac diseases, and metabolic syndromes or neurological diseases as well as in the rehabilitation of patients with psychiatric conditions. Balneotherapy works well in the case of muscle tension, as it is relieving and relaxing, and it may be associated with improvement of various diseases. However, further investigations are necessary to determine the effectiveness, safety, standard procedures, and potential side effects of balneotherapy.

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Hydrotherapy on exercise capacity, muscle strength and quality of life in patients with heart failure: A meta-analysis

Cited by 12 publications

References 19 publications

Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients

Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients

Reported methods for handling missing change standard deviations in meta-analyses of exercise therapy interventions in patients with heart failure: A systematic review

Evaluation of the Role of Balneotherapy in Rehabilitation Medicine

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