Document Detail


The effect of aquatic therapy on postural balance and muscle strength in stroke survivors--a randomized controlled pilot trial.
MedLine Citation:
PMID:  18955428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effect of an aquatic therapy programme designed to increase balance in stroke survivors. DESIGN: A randomized, controlled pilot trial. SETTING: Rehabilitation department of a university hospital. SUBJECTS: Ambulatory chronic stroke patients (n = 25):13 in an aquatic therapy group and 12 in a conventional therapy group. INTERVENTIONS: The aquatic therapy group participated in a programme consisting of Ai Chi and Halliwick methods, which focused on balance and weight-bearing exercises. The conventional therapy group performed gym exercises. In both groups, the interventions occurred for 1 hour, three times per week, for eight weeks. MAIN MEASURES: The primary outcome measures were Berg Balance Scale score and weight-bearing ability, as measured by vertical ground reaction force during four standing tasks (rising from a chair and weight-shifting forward, backward and laterally). Secondary measures were muscle strength and gait. RESULTS: Compared with the conventional therapy group, the aquatic therapy group attained significant improvements in Berg Balance Scale scores, forward and backward weight-bearing abilities of the affected limbs, and knee flexor strength (P < 0.05), with effect sizes of 1.03, 1.14, 0.72 and 1.13 standard deviation units and powers of 75, 81, 70 and 26%, respectively. There were no significant changes in the other measures between the two groups. CONCLUSIONS: 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.
Authors:
Dong Koog Noh; Jae-Young Lim; Hyung-Ik Shin; Nam-Jong Paik
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical rehabilitation     Volume:  22     ISSN:  0269-2155     ISO Abbreviation:  Clin Rehabil     Publication Date:    2008 Oct-Nov
Date Detail:
Created Date:  2008-10-28     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  966-76     Citation Subset:  IM    
Affiliation:
Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Korea.
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MeSH Terms
Descriptor/Qualifier:
Aged
Exercise Therapy / methods*
Female
Hospitals, University
Humans
Male
Middle Aged
Muscle Strength / physiology*
Pilot Projects
Postural Balance / physiology*
Stroke / physiopathology,  rehabilitation*,  therapy
Survivors
Swimming Pools
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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