Water- versus land-based treatment for postural control in postmenopausal osteoporotic women: a randomized, controlled trial

Aveiro, Mariana Chaves; Ávila, Mariana Arias; Baldon, Vanessa Santos Pereira; Oliveira, A Santa Barbara Ceccatto; Say, Karina Gramani; Oishi, Jorge; Driusso, Patrícia

doi:10.1080/13697137.2017.1325460

Cited by 14 publications

(28 citation statements)

References 40 publications

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“…The two-way ANOVA with repeated measures will be applied to assess the effect of interventions between groups and moments (T1 and T2) on functionality, quality of life, physical capacity, mental health, physical activity levels, life space, body composition and sedentary behavior. The effect size will be calculated by eta partial square (ηp2), and values 0.02, 0.06 and 0.14 will be considered as small, medium and large effects, respectively 38 . The results will be presented in confidence intervals and the analysis will be performed by intention to treat.…”

Section: Statistical Methods For Primary and Secondary Outcomes {20a}mentioning

confidence: 99%

Self-management strategies and multicomponent training to mitigate the effects of the physical exercise programs interruption in the pandemic context on functionality, sedentary behavior, physical capacity, mental health, body composition and quality of life in older adults: a blinded randomized controlled study protocol

Farche

Cassemiliano

Rossi

et al. 2022

Preprint

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Background: Considering the confinement recommended by the World Health Organization due to the pandemic caused by COVID-19, community physical exercise programs for older adults had their activities cancelled. In this context, proposing strategies to recover possible adverse effects of confinement period are pertinent. The use of self-management strategies associated with regular physical activity reduces the sedentary behavior and improves the physical capacity in older adults. Thus, the purpose of this study was to describe a multicomponent training program combined with self management strategies protocol to mitigate the effects of the physical exercise programs interruption on functionality, physical capacity, mental health, body composition and quality of life in older adults Methods: This will be a blinded, randomized and controlled clinical trial. Eighty older adults will be divided into two groups: multicomponent training(Multi) and multicomponent training+ self-management strategies(Multi+SM). The intervention will be performed in 16-weeks, on three alternate days of every week, with 50-min sessions. The assessment of physical capacity will be performed before the physical Page 2 of 17 exercise programs interruption (T0- initial assessment-March/2020), pre-intervention (T1- immediately after the exercise program return) and post intervention (T2). The assessments of physical activity level, quality of life, mental health, functionality and body composition will be performed in T1 and T2.Discussion: The results from this MC+SM protocol will allow to contribute with clinical support to evaluate the variables analyzed, and to guide future public health policies, aiming at minimizing the possible deleterious effects arising from the physical exercise interruption periods caused by epidemics and pandemicsTrial registration: Prospectively registered.Registry Name: Use of self-management strategies combined with multicomponent training to mitigate the effects of social distance from COVID-19 on capacity, physical capacity, mental health and quality of life in the older adults - A blind, randomized and controlled clinical trial.Registration Number: RBR-10zs97gkDate of Registration: 17Jun2021URL: https://ensaiosclinicos.gov.br/rg/RBR-10zs97gk

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Section: Statistical Methods For Primary and Secondary Outcomes {20a}mentioning

confidence: 99%

Self-management strategies and multicomponent training to mitigate the effects of the physical exercise programs interruption in the pandemic context on functionality, sedentary behavior, physical capacity, mental health, body composition and quality of life in older adults: a blinded randomized controlled study protocol

Farche

Cassemiliano

Rossi

et al. 2022

Preprint

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“…In one study, menopause was not used as a sample characteristic (Devereux et al, 2005), two studies used the inclusion criteria of at least 5 years after menopause (Arnold et al, 2008;Moreira et al, 2013), and the studies by Pernambuco et al (2013), and 2). Studies were conducted in Brazil (Aveiro et al, 2017;Moreira et al, 2013;Pernambuco et al, 2013), Australia (Devereux et al, 2005), Italy (Tolomio et al, 2010), Canada (Arnold et al, 2008), and Switzerland (Murtezani et al, 2014).…”

Section: Study Characteristics and Quality Assessmentsmentioning

confidence: 99%

“…Cool-down exercises (such as respiratory, stretching, postural and relaxation exercises) were performed in six studies (Arnold et al, 2008;Aveiro et al, 2017;Moreira et al, 2013;Murtezani et al, 2014;Pernambuco et al, 2013;Tolomio et al, 2010). The one study that did not perform cool-down interventions (Devereux et al, 2005) was also the only one to perform health education (Table 3).…”

Section: Exercise Protocolsmentioning

confidence: 99%

Effects of aquatic therapy on people with osteopenia or osteoporosis: A systematic review

Ávila

Serrão

Santos

et al. 2021

Musculoskeletal Care

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Background: Aquatic exercises have been widely used to treat people with osteopenia and osteoporosis (OP), claiming that they may improve balance; nonetheless, there is still controversy on its use for this population. Objectives:To investigate the effects of aquatic exercise (AE) on people with osteopenia or OP.Methods: Systematic review that included clinical trials, with at least one AE group and a control group. The electronic databases PubMed, EMBASE, Cochrane, Scopus and Web of Science were searched. The risk of bias assessment was performed independently by two reviewers with the Revised Cochrane risk-of-bias tool for randomized trials (RoB 2).Results: A total of 1793 articles were identified, and 7 articles were considered eligible, mostly considered as of low risk of bias. The total sample size was composed of 562 women (mean ages between 58.6 � 6.7 and 73.3 � 3.9). The interventions were supplementation, pharmacological treatment and protocols both of land-based exercises (LE) and AE. Outcomes were quality of life, functionality, balance, function, mobility, handgrip, lower limbs and trunk strength, flexibility and pain, with controversial results on all variables.Conclusions: Even though AE seem to be beneficial for people with osteopenia or OP, protocols for evaluation and treatment are heterogeneous and did not allow a meta-analysis computation. As such, it was not possible to conclude if AE are beneficial to people with osteopenia or OP.

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“…Also, buoyancy may assist in reduction of the perceived fatigue40Hydrostatic pressurePressure exerted by the fluid on submersed objectsPressure exerted by water on a submersed object is equal on all surfaces of the object, depending on the submersion depth40Fluids are driven from the extremities toward the central cavity,38 compressthe thorax, and increase respiratory load 41. This property also provides support during movement performance underwater, improving static and dynamic balance,42–46 including in women with FMS31Hydrodynamic drag forcesForce that acts in an opposite direction to the line of the movement,47 which is affected by the size and shape of the object4147Drag force is a function of the velocity squared, which means that doubling the speed quadruples the drag force41,47As the movement speed through water increases, resistance to motion increases27If a person stops movement, the resistance drops almost immediately to 0, allowing improved control of exercises considering the patient’s comfort35,47Thermal conductionWater conducts temperature 25 times faster than air and exchanges heat with the submerged objectThe aquatic environment is stable to retain cold or heat 41. The rate of temperature change depends on the mass and specific heat of the objectA submerged body adapts to the aquatic environment, quickly exchanging heat and achieving thermal balance 41.…”

Section: Clinical Implication Of Water Physicsmentioning

confidence: 99%

<p>Impact of water therapy on pain management in patients with fibromyalgia: current perspectives</p>

Zamunér

Andrade

Arca

et al. 2019

JPR

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Exercise-related interventions have been recommended as one of the main components in the management of fibromyalgia syndrome (FMS). Water therapy, which combines water's physical properties and exercise benefits, has proven effective in improving the clinical symptoms of FMS, especially pain, considered the hallmark of this syndrome. However, to our knowledge, the mechanisms underlying water therapy effects on pain are still scarcely explored in the literature. Therefore, this narrative review aimed to present the current perspectives on water therapy and the physiological basis for the mechanisms supporting its use for pain management in patients with FMS. Furthermore, the effects of water therapy on the musculoskeletal, neuromuscular, cardiovascular, respiratory, and neuroendocrine systems and inflammation are also addressed. Taking into account the aspects reviewed herein, water therapy is recommended as a nonpharmacologic therapeutic approach in the management of FMS patients, improving pain, fatigue, and quality of life. Future studies should focus on clarifying whether mechanisms and long-lasting effects are superior to other types of nonpharmacological interventions, as well as the economic and societal impacts that this intervention may present.

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Water- versus land-based treatment for postural control in postmenopausal osteoporotic women: a randomized, controlled trial

Abstract: Group-based water-based physical therapy treatment may be more effective than land-based therapy to improve postural control at one-limb stance in women with osteoporosis.

Cited by 14 publications

References 40 publications

Effects of aquatic therapy on people with osteopenia or osteoporosis: A systematic review

<p>Impact of water therapy on pain management in patients with fibromyalgia: current perspectives</p>

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