Influence of water depth on energy expenditure during aquatic walking in people post stroke

Lim, Hyosok; Azurdia, Daniel; Jeng, Brenda; Jung, Taeyou

doi:10.1002/pri.1717

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…There are systematic reviews that have considered the benefit of fitness training in the gym by combining or comparing rolling tape training or body weight support tape [28,29]. According to some recent research, the post stroke patients consume less energy in chest-depth water, which may allow them to perform the training for a prolonged duration [30].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Feasibility of a Two-Week Course of Aquatic Therapy and Thalassotherapy in a Mild Post-Stroke Population

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Michán-Doña

Álvarez-Badillo

et al. 2020

IJERPH

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Strokes are a leading cause of disability in developed countries. Patients with disabilities need rehabilitation to improve their physical functioning, mental status, and quality of life. Currently, no high-quality evidence can be found attesting the benefits of any of the interventions that are nowadays used. Water-based exercise may improve the physical conditions and quality of life of people in the post-stroke phase. The objective of this study is to test whether aquatic therapy in an enriched environment at the seaside (a thalassotherapy center) could play a role in this condition. A quasi-experimental prospective study consisting of a specific program assessed 62 patients with a mild–moderate disability pre- and post-2 weeks of intensive treatment. They followed a thalassotherapy regimen including aquatic therapy in a sea water pool at 32–34 °C for 45 min daily five times a week. The outcomes measured were the Berg Balance scale, the Timed Up and Go test, the 10-meter walking test, the 6-min walking test, the Pain Visual Analogue Scale, the WHO Well-being index, EuroQoL VAS and EuroQoL 5D. We observed a significant improvement in all outcomes measured (p < 0.001, except mobility EuroQoL p < 0.05), except in the other four dimensions of the EuroQoL 5D and 10-metre walking test (NS). Conclusion: A two-week intensive course of aquatic therapy and thalassotherapy may be beneficial in the short term by reducing pain and improving the functional status and overall well-being of post-stroke patients.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Feasibility of a Two-Week Course of Aquatic Therapy and Thalassotherapy in a Mild Post-Stroke Population

Morer

Michán-Doña

Álvarez-Badillo

et al. 2020

IJERPH

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“…respect to walking on a hard surface, to an extent that largely depends on the specific conditions. Similarly, walking in water results in a significant increase of energy expenditure, which depends on water depth [108]. Deliberate modification of walking patterns can be of interest in physical activity programs.…”

Section: Walking Session Managementmentioning

confidence: 99%

Walking for subjects with type 2 diabetes: A systematic review and joint AMD/SID/SISMES evidence-based practical guideline

Moghetti

Balducci

Guidetti

et al. 2020

Nutrition, Metabolism and Cardiovascular Diseases

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Regular exercise is considered a cornerstone in the management of type 2 diabetes mellitus (T2DM). It improves glucose control and cardiovascular risk factors, contributes to weight loss, and also improves general well-being, likely playing a role in the prevention of chronic complications of diabetes. However, compliance to exercise recommendations is generally inadequate in subjects with T2DM. Walking is the most ancestral form of physical activity in humans, easily applicable in daily life. It may represent, in many patients, a first simple step towards lifestyle changes. Nevertheless, while most diabetic patients do not engage in any weekly walking, exercise guidelines do not generally detail how to improve its use. The aims of this document are to conduct a systematic review of available literature on walking as a therapeutic tool for people with T2DM, and to provide practical, evidence-based clinical recommendations regarding its utilization in these subjects. Data synthesis: Analysis of available RCTs proved that regular walking training, especially when supervised, improves glucose control in subjects with T2DM, with favorable effects also on cardiorespiratory fitness, body weight and blood pressure. Moreover, some recent studies have shown that even short bouts of walking, used for breaking prolonged sitting, can ameliorate glucose profiles in diabetic patients with sedentary behavior. Conclusions: There is sufficient evidence to recognize that walking is a useful therapeutic tool for people with T2DM. This document discusses theoretical and practical issues for improving its use. This article is co-published in the journals Sport Sciences for Health and Nutrition, Metabolism and Cardiovascular Diseases. * Systematic Review registration: PROSPERO (CRD42020171515).

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“…A study assessing the impact of water depth to assess energy expenditure found chest-depth water immersion to decrease the energy costs of ambulation, allowing longer treatment durations, whereas shallower water increased energy costs, more closely approximating land-based energy demands. 19 In chest-depth water, for stroke patients the energy expenditure of walking in water was essentially equivalent to that of land ambulation, whereas a comparable group of healthy adults required more energy to ambulate in water, probably because of ambulation speed differences. 20 The use of lower extremity ankle flotation devices has been studied to assess gait kinematics, finding that the knee flexion angle of the affected leg in midswing was significantly improved (20 increase) along with an increase in step length, whereas ankle weights facilitated total and single leg support duration.…”

Section: Aquatic Immersion and Exercise Effects On The Central Nervoumentioning

confidence: 95%

“…Studies found have assessed the impact of water depth on energy expenditure during ambulation using underwater mechanized treadmills, using flotation gear, and assessing various therapeutic techniques. A study assessing the impact of water depth to assess energy expenditure found chest‐depth water immersion to decrease the energy costs of ambulation, allowing longer treatment durations, whereas shallower water increased energy costs, more closely approximating land‐based energy demands 19 . In chest‐depth water, for stroke patients the energy expenditure of walking in water was essentially equivalent to that of land ambulation, whereas a comparable group of healthy adults required more energy to ambulate in water, probably because of ambulation speed differences 20 .…”

Section: Aquatic Therapy Use In Stroke Carementioning

confidence: 99%

Aquatic Therapy in Contemporary Neurorehabilitation: An Update

Becker

2020

PM&R

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Aquatic therapy has been used extensively in a number of neurologic diseases and pathologies. This review describes disease-specific rehabilitative applications for this population. Recent research has offered scientific support for use in common neurological diseases that are part of rehabilitative practice, and very recent findings may create even firmer support for its use in these as well as other conditions. Stroke, Parkinsonism, and multiple sclerosis are areas that have recently received a significant number of published studies. Dementia is another area that has been more recently studied and received basic science support. Cerebral palsy has also had recent supportive evidence published. Available literature is reviewed to create a more evidence-based support for the use of aquatic therapy in neurorehabilitation.

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Influence of water depth on energy expenditure during aquatic walking in people post stroke

Cited by 4 publications

References 22 publications

Evaluation of the Feasibility of a Two-Week Course of Aquatic Therapy and Thalassotherapy in a Mild Post-Stroke Population

Evaluation of the Feasibility of a Two-Week Course of Aquatic Therapy and Thalassotherapy in a Mild Post-Stroke Population

Walking for subjects with type 2 diabetes: A systematic review and joint AMD/SID/SISMES evidence-based practical guideline

Aquatic Therapy in Contemporary Neurorehabilitation: An Update

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