Abstract Of The WEEK

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Benefits of Aquatic Therapy for Patients Post-stroke.

Abstract

OBJECTIVES:

To date, controlled clinical trials evaluating the efficacy of underwater exercise in improving the lower-extremity function and quality of life (QOL) in post-stroke patients have yet to be conducted. The purpose of the present study was to determine whether repeated underwater exercise enhances the therapeutic effect of conventional therapy for post-stroke patients.

DESIGN:

This was a pilot controlled clinical trial.

SETTING:

The study took place in a research facility attached to a rehabilitation hospital.

PATIENTS:

This prospective trial included 120 consecutive post-stroke inpatients with hemiplegic lower limbs (Brunnstrom stage 3-6). Patients were assigned to either an experimental or a control group. Patients in the experimental group received both repeated underwater exercise and conventional rehabilitation therapy.

INTERVENTIONS:

The underwater exercise consisted of 30-min training sessions in a pool with a water temperature of 30-31°C in which patients followed the directions and movements of trained staff. Training sessions were conducted once a day on 2 days of the week for a total of 24 times. Patients in the control group received only the conventional therapy.

OUTCOME MEASURES:

The 10-Minute Walk Test (10MWT), the Modified Ashworth Scale, and the 36-Item Short Form Health Survey were the outcome measures used. Lower-extremity function and QOL were assessed before and upon completion of the 12-week program.

RESULTS:

Improvements in 10MWT results and spasticity parameters were greater in the experimental group than they were in the control group (p < 0.01). Significant differences between the groups were observed in magnitudes of changes of all QOL parameters (p < 0.01).

CONCLUSIONS:

Combining conventional therapy with repeated underwater exercise may improve both lower-extremity function and QOL in post-stroke patients.

PMID: 27351560
 
DOI: 10.1089/acm.2015.0387
To read the full abstract, click here.

This Abstract was submitted by Kelly Lane, DPT ksl37259@creighton.edu

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