Is hydrokinesitherapy effective on gait and balance in patients with stroke? A clinical and baropodometric investigation

Furnari, Anna; Calabrò, Rocco Salvatore; Gervasi, Giuseppe; Fauci-Belponer, Francesca La; Marzo, A; Berbiglia, Fabio; Paladina, Giuseppe; Cola, Maria Cristina De; Bramantı, Placido

doi:10.3109/02699052.2014.910700

Cited by 34 publications

(40 citation statements)

References 21 publications

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“…31,47,59,69,79 Non-paretic limb swing time was reported in only two studies 59,73 and was not statistically significant in either.…”

Section: Resultsmentioning

confidence: 83%

“…Seven of those studies found a statistically significant change in this variable. 29,46,47,55,59,66,69 More specifically, paretic double limb support was reported and statistically significant in four other included studies. 49,50,58,64 Additionally, three of those four studies reported non-paretic double limb support, all exhibiting statistically significant changes.…”

Section: Resultsmentioning

confidence: 87%

“…Of those 30 studies, cadence was found to significantly increase in 25 of them. 29,30,39,40,43,46,47,49,50,52,54,56,58–60,62,64,66–70,75–77 …”

Section: Resultsmentioning

confidence: 99%

“…47,69 Three studies reported paretic stance time, two of which found statistically significant changes. 31,59 Lastly, non-paretic stance time was reported in two studies and was not found to have a statistically significant change in either.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

Wonsetler

Bowden

2017

Topics in Stroke Rehabilitation

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Background In walking rehabilitation trials, self-selected walking speed has emerged as the dominant outcome measure to assess walking ability. However, this measure cannot differentiate between recovery of impaired movement and compensation strategies. Spatiotemporal variables and asymmetry ratios are frequently used to quantify gait deviations and are hypothesized markers of recovery. Objectives The purpose of this review is to investigate spatiotemporal variables and asymmetry ratios as mechanistic recovery measures in physical therapy intervention studies post-stroke. Methods A systematic literature search was performed to identify physical therapy intervention studies with a statistically significant change in self-selected walking speed post intervention and concurrently collected spatiotemporal variables. Methodological quality was assessed using the Cochrane Collaboration’s tool. Walking speed, spatiotemporal, and intervention data were extracted. Results 46 studies met the inclusion criteria, 41 of which reported raw spatiotemporal measures and 19 reported asymmetry ratio calculations. Study interventions included: aerobic training (n=2), functional electrical stimulation (n=5), hippotherapy (n=2), motor dual task training (n=2), multidimensional rehabilitation (n=4), robotics (n=4), sensory stimulation training (n=8), strength/resistance training (n=4), task specific locomotor rehabilitation (n=9), and visually guided training (n=6). Conclusions Spatiotemporal variables help describe gait deviations, but scale to speed, so consequently, may not be an independent factor in describing functional recovery and gains. Therefore, these variables are limited in explaining mechanistic changes involved in improving gait speed. Use of asymmetry measures provides additional information regarding the coordinative requirements for gait and can potentially indicate recovery. Additional laboratory-based mechanistic measures may be required to truly understand how walking speed improves.

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“…31,47,59,69,79 Non-paretic limb swing time was reported in only two studies 59,73 and was not statistically significant in either.…”

Section: Resultsmentioning

confidence: 83%

Section: Resultsmentioning

confidence: 87%

“…Of those 30 studies, cadence was found to significantly increase in 25 of them. 29,30,39,40,43,46,47,49,50,52,54,56,58–60,62,64,66–70,75–77 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

Wonsetler

Bowden

2017

Topics in Stroke Rehabilitation

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“…exercícios do método Halliwick 15 e hidrocinesioterapia 16 que demonstraram os benefícios do ambiente aquático na recuperação mobilidade, do equilíbrio e do condicionamento cardiovascular em sujeitos com sequelas de AVE 10,17 .…”

Section: Discussionunclassified

Efeito da hidroterapia no condicionamento cardiovascular e na qualidade de vida de pacientes após acidente vascular encefálico

et al. 2017

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Introdução: os efeitos do treinamento cardiovascular são potencializados quando realizados na piscina terapêutica devido às propriedades físicas da água. Objetivo: avaliar os efeitos de um protocolo de hidroterapia na qualidade de vida e no condicionamento cardiovascular de pacientes pós-AVE. Métodos: dez pacientes foram divididos nos grupos: controle (exposto ao protocolo de exercícios no solo) e experimental (submetidos a 10 sessões de hidroterapia). As medidas para frequência cardíaca e respiratória, o número de voltas, saturação de oxigênio durante o teste de caminhada de seis minutos e qualidade de vida segundo a escala EQVE-AVE, foram avaliadas antes e após o programa de atividades. Resultados: houve um aumento expressivo da quantidade de voltas [12,80 ± 2,78 (p=0,01) ] em ambos os grupos e dos escores para a qualidade de vida [196,20±42,92 (p=0,046) ] apenas no grupo experimental em relação a condição inicial. Conclusão: o protocolo de hidroterapia promoveu os mesmos efeitos do treinamento no solo sobre o condicionamento cardiovascular, no entanto, foi capaz de promover um aumento dos escores para qualidade de vida.

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Physical fitness training for stroke patients

Saunders

Sanderson

Hayes

et al. 2020

Cochrane Database of Systematic Reviews

159

153

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Is hydrokinesitherapy effective on gait and balance in patients with stroke? A clinical and baropodometric investigation

Abstract: Hydrokinesytherapy may be considered a promising treatment in improving gait and balance in individuals following stroke.

Cited by 34 publications

References 21 publications

A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

Efeito da hidroterapia no condicionamento cardiovascular e na qualidade de vida de pacientes após acidente vascular encefálico

Physical fitness training for stroke patients

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