Effects of aquatic therapy on balance in older adults: a systematic review and meta-analysis.
Aging
Aquatic therapy
Balance
Journal
European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
10
07
2021
accepted:
20
10
2021
pubmed:
25
11
2021
medline:
22
4
2022
entrez:
24
11
2021
Statut:
ppublish
Résumé
Balance is a key component of movement for daily activities, especially in older adults. Previous studies examining aquatic therapy as an effective way for improving balance have yielded inconsistent findings. The current systematic review and meta-analysis investigated the effectiveness of aquatic therapy on balance among older adults. Sources include Cochrane Central Register of Controlled Trials, Medline, ISI Web of Science, EBSCO, Embase, Cumulative Index to Nursing and Allied Health Literature, and Scopus. Randomized controlled or cross-over trials published by Feb 2020 were included following pre-determined search and selection criteria. Data extraction was performed by two researchers independently using a pre-determined data extraction form. Methodological quality was assessed by two reviewers using the PEDro scale which was used to rate trials according to criteria such as concealed allocation, blinding, and intention-to-treat analysis. Furthermore, meta-analysis was conducted where possible. This review was registered at PROSPERO CRD42018118382. Fifteen trials with 385 healthy participants aged 50 or over were included. Results showed that aquatic therapy had a significant effect on dynamic balance (SMD, - 1.13; 95% CI, [- 1.45 to (- 0.82)]; I Aquatic therapy has a positive impact on dynamic balance in older adults. However, further high-quality and appropriately powered studies are required to confirm this assertion.
Identifiants
pubmed: 34817841
doi: 10.1007/s41999-021-00577-2
pii: 10.1007/s41999-021-00577-2
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
381-393Informations de copyright
© 2021. The Author(s), under exclusive licence to European Geriatric Medicine Society.
Références
Rand D (2018) Mobility, balance and balance confidence–correlations with daily living of individuals with and without mild proprioception deficits post-stroke. NeuroRehabilitation 43(2):219–226
doi: 10.3233/NRE-172398
Williams DB, Murray NG, Powell DW (2016) Athletes who train on unstable compared to stable surfaces exhibit unique postural control strategies in response to balance perturbations. J Sport Health Sci 5(1):70–76
doi: 10.1016/j.jshs.2016.01.010
Moke L et al (2020) The transverse gravitational deviation index, a novel gravity line-related spinal parameter, relates to balance control and health-related quality of life in adults with spinal deformity. Spine 45(1):E25–E36
doi: 10.1097/BRS.0000000000003301
O’Hoski S et al (2014) Increasing the clinical utility of the BESTest, mini-BESTest, and brief-BESTest: normative values in Canadian adults who are healthy and aged 50 years or older. Phys Ther 94(3):334–342
doi: 10.2522/ptj.20130104
Downs S, Marquez J, Chiarelli P (2014) Normative scores on the Berg Balance Scale decline after age 70 years in healthy community-dwelling people: a systematic review. J Physiother 60(2):85–89
doi: 10.1016/j.jphys.2014.01.002
Brett BL et al (2020) Normative data for the sway balance system. Clin J Sport Med 30(5):458–464
Gregg EW, Pereira MA, Caspersen CJ (2000) Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc 48(8):883–893
doi: 10.1111/j.1532-5415.2000.tb06884.x
Alexander NB, Schultz AB, Warwick DN (1991) Rising from a chair: effects of age and functional ability on performance biomechanics. J Gerontol 46(3):M91–M98
doi: 10.1093/geronj/46.3.M91
Wayland L et al (2010) Reducing the patient fall rate in a rural health system. J Healthc Qual 32(2):9–15
doi: 10.1111/j.1945-1474.2009.00068.x
World Health Organization (2008) W.H.O ageing, and L.C. unit, WHO global report on falls prevention in older age. World Health Organization, Geneva
Goudarzian M et al (2017) Effects of whole body vibration training and mental training on mobility, neuromuscular performance, and muscle strength in older men. J Exerc Rehabilit 13(5):573
doi: 10.12965/jer.1735024.512
Mane AB et al (2014) Prevalence and correlates of fear of falling among elderly population in urban area of Karnataka, India. J Mid-Life Health 5(3):150
doi: 10.4103/0976-7800.141224
Aas MH et al (2020) Occupational balance and quality of life in nursing home residents. Phys Occup Therapy Geriatr 38(3):302–314
doi: 10.1080/02703181.2020.1750530
Howe TE et al (2011) Exercise for improving balance in older people. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD004963.pub3
doi: 10.1002/14651858.CD004963.pub3
Matsumoto S et al (2016) Effect of underwater exercise on lower-extremity function and quality of life in post-stroke patients: a pilot controlled clinical trial. J Altern Complement Med 22(8):635–641
doi: 10.1089/acm.2015.0387
Park H, Kim D (2021) Effects of combined exercise training on physical performance, falling risk and balance in elderly women. J Korea Acad-Ind Coop Soc 22(5):371–378
Mehrholz J, Kugler J, Pohl M (2011) Water-based exercises for improving activities of daily living after stroke. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD008186.pub2
doi: 10.1002/14651858.CD008186.pub2
Kuether CS, Smith MM (1998) A comparison of the effects of an aquatic therapy program versus a combined aquatic/land program on functional reach measurements in the elderly. Grand Valley State University, Allendale
Carayannopoulos AG, Han A, Burdenko IN (2020) The benefits of combining water and land-based therapy. J Exerc Rehabil 16(1):20
doi: 10.12965/jer.1938742.371
Hale LA, Waters D, Herbison P (2012) A randomized controlled trial to investigate the effects of water-based exercise to improve falls risk and physical function in older adults with lower-extremity osteoarthritis. Arch Phys Med Rehabil 93(1):27–34
doi: 10.1016/j.apmr.2011.08.004
Kargarfard M et al (2018) Randomized controlled trial to examine the impact of aquatic exercise training on functional capacity, balance, and perceptions of fatigue in female patients with multiple sclerosis. Arch Phys Med Rehabil 99(2):234–241
doi: 10.1016/j.apmr.2017.06.015
Turner AJ, Chander H, Knight AC (2018) Falls in geriatric populations and hydrotherapy as an intervention: a brief review. Geriatrics 3(4):71
doi: 10.3390/geriatrics3040071
Moreira NB, da Silva LP, Rodacki ALF (2020) Aquatic exercise improves functional capacity, perceptual aspects, and quality of life in older adults with musculoskeletal disorders and risk of falling: a randomized controlled trial. Exp Gerontol 142:111135
doi: 10.1016/j.exger.2020.111135
Methajarunon P et al (2016) Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson’s disease, and hemiplegia. Hong Kong Physiother J 35:12–20
doi: 10.1016/j.hkpj.2016.03.002
van Duijnhoven HJ et al (2016) Effects of exercise therapy on balance capacity in chronic stroke: systematic review and meta-analysis. Stroke 47(10):2603–2610
doi: 10.1161/STROKEAHA.116.013839
Batterham SI, Heywood S, Keating JL (2011) Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes. BMC Musculoskelet Disord 12(1):1–13
doi: 10.1186/1471-2474-12-123
Dziedzic K, Jordan JL, Foster NE (2008) Land-and water-based exercise therapies for musculoskeletal conditions. Best Pract Res Clin Rheumatol 22(3):407–418
doi: 10.1016/j.berh.2007.11.002
Foster SD (2015) A systematic review of aquatic exercise programs on balance measures in older adults. All Graduate Plan B and other Reports. 478
Guillamón EM-C et al (2019) Does aquatic exercise improve commonly reported predisposing risk factors to falls within the elderly? A systematic review. BMC Geriatr 19(1):1–16
doi: 10.1186/s12877-018-1019-5
Liberati A et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 62(10):e1–e34
doi: 10.1016/j.jclinepi.2009.06.006
Verhagen AP et al (1998) The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol 51(12):1235–1241
doi: 10.1016/S0895-4356(98)00131-0
de Morton NA (2009) The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Aust J Physiother 55(2):129–133
doi: 10.1016/S0004-9514(09)70043-1
Lakens D (2013) Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol 4:863
doi: 10.3389/fpsyg.2013.00863
Hedges LV, Vevea JL (1998) Fixed-and random-effects models in meta-analysis. Psychol Methods 3(4):486
doi: 10.1037/1082-989X.3.4.486
Lord S, Mitchell D, Williams P (1993) Effect of water exercise on balance and related factors in older people. Aust J Physiother 39(3):217–222
doi: 10.1016/S0004-9514(14)60485-2
Simmons V, Hansen PD (1996) Effectiveness of water exercise on postural mobility in the well elderly: an experimental study on balance enhancement. J Gerontol A Biol Sci Med Sci 51(5):M233–M238
doi: 10.1093/gerona/51A.5.M233
Lord SR et al (2006) The effects of water exercise on physical functioning in older people. Australas J Ageing 25(1):36–41
doi: 10.1111/j.1741-6612.2006.00138.x
Kaneda K et al (2008) A comparison of the effects of different water exercise programs on balance ability in elderly people. J Aging Phys Act 16(4):381–392
doi: 10.1123/japa.16.4.381
Katsura Y et al (2011) Effects of aquatic exercise training using new water-resistance equipment on trunk muscles, abdominal circumference, and activities of daily living in elderly women. Int J Sport Health Sci. https://doi.org/10.5432/ijshs.201112
doi: 10.5432/ijshs.201112
Avelar NC et al (2010) Effectiveness of aquatic and non-aquatic lower limb muscle endurance training in the static and dynamic balance of elderly people. Braz J Phys Ther 14:229–236
doi: 10.1590/S1413-35552010000300007
Bocalini DS et al (2010) Repercussions of training and detraining by water-based exercise on functional fitness and quality of life: a short-term follow-up in healthy older women. Clinics 65:1305–1309
doi: 10.1590/S1807-59322010001200013
Alikhajeh Y, Hosseini SRA, Moghaddam A (2012) Effects of hydrotherapy in static and dynamic balance among elderly men. Proced Soc Behav Sci 46:2220–2224
doi: 10.1016/j.sbspro.2012.05.458
Sanders ME et al (2013) Impact of the SWEAT
Kim SB, O’sullivan DM (2013) Effects of aqua aerobic therapy exercise for older adults on muscular strength, agility and balance to prevent falling during gait. J Phys Ther Sci 25(8):923–927
doi: 10.1589/jpts.25.923
Yadegaripour M et al (2013) Effects of a combined aquatic-nonaquatic training program on static and dynamic balance in elderly men. J Am Geriatr Soc 61(8):1417–1419
doi: 10.1111/jgs.12390
Araújo JP et al (2015) The effects of water-based exercise in combination with blood flow restriction on strength and functional capacity in post-menopausal women. Age 37(6):1–9
Bento PCB et al (2015) Effects of water-based training on static and dynamic balance of older women. Rejuvenation Res 18(4):326–331
doi: 10.1089/rej.2014.1650
Kim I-M et al (2015) The long-term effect of aquarobics exercise program on physical function and mental health in elderly women. Indian J Sci Technol 8(26):1–12
Covill LG, Utley C, Hochstein C (2017) Comparison of ai chi and impairment-based aquatic therapy for older adults with balance problems: a clinical study. J Geriatr Phys Therapy 40(4):204–213
doi: 10.1519/JPT.0000000000000100
Fritz CO, Morris PE, Richler JJ (2012) Effect size estimates: current use, calculations, and interpretation. J Exp Psychol 141(1):2