The effect of aquatic therapy on postural balance and muscle strength in stroke survivors — a randomized controlled pilot trial

Noh, Dong Koog; Lim, Jae‐Young; Shin, Hyung Ik; Paik, Nam–Jong

doi:10.1177/0269215508091434

Cited by 111 publications

(41 citation statements)

References 40 publications

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“…These exercises were investigated in three RCTs (N = 65, PEDro score range 5 [180], [181] to 6 [182]) [180]–[182], which all included patients in the chronic phase.…”

Section: Resultsmentioning

confidence: 99%

What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis

et al. 2014

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BackgroundPhysical therapy (PT) is one of the key disciplines in interdisciplinary stroke rehabilitation. The aim of this systematic review was to provide an update of the evidence for stroke rehabilitation interventions in the domain of PT.Methods and FindingsRandomized controlled trials (RCTs) regarding PT in stroke rehabilitation were retrieved through a systematic search. Outcomes were classified according to the ICF. RCTs with a low risk of bias were quantitatively analyzed. Differences between phases poststroke were explored in subgroup analyses. A best evidence synthesis was performed for neurological treatment approaches. The search yielded 467 RCTs (N = 25373; median PEDro score 6 [IQR 5–7]), identifying 53 interventions. No adverse events were reported. Strong evidence was found for significant positive effects of 13 interventions related to gait, 11 interventions related to arm-hand activities, 1 intervention for ADL, and 3 interventions for physical fitness. Summary Effect Sizes (SESs) ranged from 0.17 (95%CI 0.03–0.70; I2 = 0%) for therapeutic positioning of the paretic arm to 2.47 (95%CI 0.84–4.11; I2 = 77%) for training of sitting balance. There is strong evidence that a higher dose of practice is better, with SESs ranging from 0.21 (95%CI 0.02–0.39; I2 = 6%) for motor function of the paretic arm to 0.61 (95%CI 0.41–0.82; I2 = 41%) for muscle strength of the paretic leg. Subgroup analyses yielded significant differences with respect to timing poststroke for 10 interventions. Neurological treatment approaches to training of body functions and activities showed equal or unfavorable effects when compared to other training interventions. Main limitations of the present review are not using individual patient data for meta-analyses and absence of correction for multiple testing.ConclusionsThere is strong evidence for PT interventions favoring intensive high repetitive task-oriented and task-specific training in all phases poststroke. Effects are mostly restricted to the actually trained functions and activities. Suggestions for prioritizing PT stroke research are given.

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“…These exercises were investigated in three RCTs (N = 65, PEDro score range 5 [180], [181] to 6 [182]) [180]–[182], which all included patients in the chronic phase.…”

Section: Resultsmentioning

confidence: 99%

What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis

et al. 2014

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“…The water training group showed significant increases in static and dynamic balance compared to the land group. Noh et al11 ) reported, that compared with a conventional therapy group, an aquatic therapy group showed significant improvements in postural balance and muscle strength. The purpose of this study was to examine the effect of obstacle training in water on the static balance of chronic stroke patients.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Obstacle Training in Water on Static Balance of Chronic Stroke Patients

et al. 2014

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[Purpose] This study evaluated the effects of water and land-based obstacle training on static balance of chronic stroke patients. [Subjects] The subjects were randomly allocated to an aqua group (n=15) and a land group (n=15). [Methods] Both groups trained for 40 minutes, 3 times a week for 12 weeks. Static balance was assessed by measuring the mean velocities of mediolateral (ML) and anteroposterior (AP), and sway area with the eyes closed. [Results] Following the intervention, both groups showed significant changes in ML velocity, AP velocity, and sway area. The static balance of the aqua group was significantly better than the land group. [Conclusion] The results of this study suggest the feasibility and suitability of obstacle training in water for stroke patients.

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“…These phases have caused some changes in disease patterns, from contagious to non contagious diseases. An Aquatic physical therapy is defined as the health, fitness, prevention, and rehabilitation of stroke patients in an aquatic environment [1] [8] . A research that was conducted in 2014 proved that aquatic therapy enabled seven stroke patients to walk [2] [5] .…”

Section: Introductionmentioning

confidence: 99%

“…The water submerging exercise to the hips also improves the sensory and motor cerebral cortex [1] . Halliwicks' concept of aquatic therapy has to do with the structural learning progress and this is aimed at improving ones' self reliance in water, the ability to control ones' movement, and ones' postural balance [7] [8] . It is important to diagnosis a stroke patient, this helps to observe the patient's vascular risk factors [9] .…”

Section: Introductionmentioning

confidence: 99%

The Potentials of Spring Water in Brintik Indonesia as the Stroke Therapy Medium

Ningrum¹,

Kushartanti²

2018

Proceedings of the 2nd Yogyakarta International Seminar on Health, Physical Education, and Sport Science (YISHPESS 2018) and 1s

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Umbul Brintik (Brintik Spring Water), located at Central Java Indonesia has a therapy pool mainly for sick people. There's this long age myth about the existence of a big tree near the pool said or believed to have magical effects for heal sick people. This has attracted many people to the pool. However, the fact still remains that the pool is maximally oxygenated by the photosynthesis process that occur on the leaves of the big tree. This research work was conducted in Umbul Brintik from March to April 2018. 45 persons at the pool were randomly chosen as samples. The research used a nonparametric statistical analysis test with SPSS. The interview reveals that there are 32.5% stroke patients, 27.3% diabetic patients, 13% HNP patients, 6.4% asthmatic people, and 20.3% others. These research made use of a protocol study based on observations, interviews, and documentation. There was a therapist with 6 years' experience who trained the local people. There was one main pool that was used for therapy, two whirlpools, and two recreational pools. The facilities includes a parking lot, lockers, and canteen serving traditional food. This study concludes that Umbul Brintik is a highly potential stroke therapy center.

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The effect of aquatic therapy on postural balance and muscle strength in stroke survivors — a randomized controlled pilot trial

Abstract: Postural balance and knee flexor strength were improved after aquatic therapy based on the Halliwick and Ai Chi methods in stroke survivors. Because of limited power and a small population base, further studies with larger sample sizes are required.

Cited by 111 publications

References 40 publications

What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis

What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis

The Effect of Obstacle Training in Water on Static Balance of Chronic Stroke Patients

The Potentials of Spring Water in Brintik Indonesia as the Stroke Therapy Medium

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