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Castro CRADP, da Silva RSF, da Silva KM, Nishida MH, Rios CVV, Braga DM. Comparison of energy expenditure of individuals with Duchenne muscular dystrophy in the sitting posture on the ground and in water. Neuromuscul Disord 2024; 38:20-25. [PMID: 38552411 DOI: 10.1016/j.nmd.2024.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 03/06/2024] [Accepted: 03/11/2024] [Indexed: 05/03/2024]
Abstract
Duchenne Muscular Dystrophy (DMD) is one of the most frequent childhood dystrophies, affecting cardiopulmonary functions and walking ability. One of the main symptoms is fatigue, which is caused by altered muscle metabolism related to energy expenditure (EE). Aquatic physiotherapy is a therapeutic modality that facilitates the maintenance of this posture because of immersion on the body. This cross-sectional observational study aimed to compare the EE on the ground and water of individuals with DMD through oxygen consumption in the maintenance of sitting posture. The individuals were in a sitting position on the ground and in the water for 20 min for the assessments. The variables peripheral oxygen saturation, heart rate, maximum expiratory pressure, maximum inspiratory pressure, forced vital capacity, respiratory quotient (RQ), and oxygen consumption per kilogram of body weight (VO2 /kg) were compared, adopting a significance of 5 %. No difference was found between medians and quartiles of RQ when comparing the two environments. The same was observed for VO2 /Kg values on the ground and in water. The data from this study demonstrate that the EE of individuals with DMD did not change when maintaining a sitting posture on the ground and in water.
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Affiliation(s)
- Caio Roberto Aparecido de Paschoal Castro
- Department of Aquatic Physical Therapy of the Associação de Assistência à Criança Deficiente (AACD), Avenida Professor Ascendino Reis, 724, CEP 04027-000, Vila Clementino, São Paulo, SP, Brazil.
| | - Rafael Santos Ferreira da Silva
- Department of Aquatic Physical Therapy of the Associação de Assistência à Criança Deficiente (AACD), Avenida Professor Ascendino Reis, 724, CEP 04027-000, Vila Clementino, São Paulo, SP, Brazil
| | - Kaitiana Martins da Silva
- Department of Aquatic Physical Therapy of the Associação de Assistência à Criança Deficiente (AACD), Avenida Professor Ascendino Reis, 724, CEP 04027-000, Vila Clementino, São Paulo, SP, Brazil
| | - Márjory Harumi Nishida
- Department of Aquatic Physical Therapy of the Associação de Assistência à Criança Deficiente (AACD), Avenida Professor Ascendino Reis, 724, CEP 04027-000, Vila Clementino, São Paulo, SP, Brazil
| | - Carolina Vasquez Valenci Rios
- Department of Aquatic Physical Therapy of the Associação de Assistência à Criança Deficiente (AACD), Avenida Professor Ascendino Reis, 724, CEP 04027-000, Vila Clementino, São Paulo, SP, Brazil
| | - Douglas Martins Braga
- Department of Aquatic Physical Therapy of the Associação de Assistência à Criança Deficiente (AACD), Avenida Professor Ascendino Reis, 724, CEP 04027-000, Vila Clementino, São Paulo, SP, Brazil
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Horgan BG, West NP, Tee N, Halson SL, Drinkwater EJ, Chapman DW, Haff GG. Effect of repeated post-resistance exercise cold or hot water immersion on in-season inflammatory responses in academy rugby players: a randomised controlled cross-over design. Eur J Appl Physiol 2024:10.1007/s00421-024-05424-3. [PMID: 38613679 DOI: 10.1007/s00421-024-05424-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 01/25/2024] [Indexed: 04/15/2024]
Abstract
PURPOSE Uncertainty exists if post-resistance exercise hydrotherapy attenuates chronic inflammatory and hormone responses. The effects of repeated post-resistance exercise water immersion on inflammatory and hormone responses in athletes were investigated. METHODS Male, academy Super Rugby players (n = 18, 19.9 ± 1.5 y, 1.85 ± 0.06 m, 98.3 ± 10.7 kg) participated in a 12-week programme divided into 3 × 4-week blocks of post-resistance exercise water immersion (either, no immersion control [CON]; cold [CWI]; or hot [HWI] water immersion), utilising a randomised cross-over pre-post design. Fasted, morning blood measures were collected prior to commencement of first intervention block, and every fourth week thereafter. Linear mixed-effects models were used to analyse main (treatment, time) and interaction effects. RESULTS Repeated CWI (p = 0.025, g = 0.05) and HWI (p < 0.001, g = 0.62) reduced creatine kinase (CK), compared to CON. HWI decreased (p = 0.013, g = 0.59) interleukin (IL)-1ra, compared to CON. HWI increased (p < 0.001-0.026, g = 0.06-0.17) growth factors (PDGF-BB, IGF-1), compared to CON and CWI. CWI increased (p = 0.004, g = 0.46) heat shock protein-72 (HSP-72), compared to HWI. CONCLUSION Post-resistance exercise CWI or HWI resulted in trivial and moderate reductions in CK, respectively, which may be partly due to hydrostatic effects of water immersion. Post-resistance exercise HWI moderately decreased IL-1ra, which may be associated with post-resistance exercise skeletal muscle inflammation influencing chronic resistance exercise adaptive responses. Following post-resistance exercise water immersion, CWI increased HSP-72 suggesting a thermoregulatory response indicating improved adaptive inflammatory responses to temperature changes, while HWI increased growth factors (PDGF-BB, IGF-1) indicating different systematic signalling pathway activation. Our data supports the continued use of post-resistance exercise water immersion recovery strategies of any temperature during in-season competition phases for improved inflammatory adaptive responses in athletes.
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Affiliation(s)
- Barry G Horgan
- Australian Institute of Sport (AIS), Australian Sports Commission, Bruce, ACT, 2617, Australia.
- School of Medical and Health Sciences, Edith Cowan University (ECU), Joondalup, WA, Australia.
- Brumbies Rugby, Bruce, ACT, Australia.
| | - Nicholas P West
- School of Medical Science, Menzies Health Institute QLD, Griffith University, Gold coast, Queensland, Australia
| | - Nicolin Tee
- Australian Institute of Sport (AIS), Australian Sports Commission, Bruce, ACT, 2617, Australia
- Mary MacKillop Institute of Health Research, Australian Catholic University, Melbourne, VIC, Australia
| | - Shona L Halson
- Australian Institute of Sport (AIS), Australian Sports Commission, Bruce, ACT, 2617, Australia
- School of Behavioural and Health Sciences, Australian Catholic University, Banyo, Queensland, Australia
| | - Eric J Drinkwater
- School of Medical and Health Sciences, Edith Cowan University (ECU), Joondalup, WA, Australia
- Centre for Sport Research, School of Exercise & Nutrition Sciences, Deakin University, Geelong, VIC, Australia
| | - Dale W Chapman
- Australian Institute of Sport (AIS), Australian Sports Commission, Bruce, ACT, 2617, Australia
- School of Medical and Health Sciences, Edith Cowan University (ECU), Joondalup, WA, Australia
- Curtin University, Bentley, WA, 6102, Australia
| | - G Gregory Haff
- School of Medical and Health Sciences, Edith Cowan University (ECU), Joondalup, WA, Australia
- Directorate of Psychology and Sport, University of Salford, Greater Manchester, Salford, UK
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Sousa APD, Almeida LA, Lourenço BP, Alvares LD, Avila MA. Pain neuroscience education improves quality of life when added to aquatic exercise therapy for women with fibromyalgia: randomized controlled clinical trial. Disabil Rehabil 2024; 46:1559-1569. [PMID: 37070715 DOI: 10.1080/09638288.2023.2201510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 04/06/2023] [Indexed: 04/19/2023]
Abstract
PURPOSE The aim of the present study was to investigate the effects of adding Pain Neuroscience Education (PNE) to an aquatic therapy protocol on pain, fibromyalgia (FMS) impact, quality of life and sleep. MATERIALS AND METHODS Seventy-five women were randomly allocated into two groups: aquatic exercises (AEG, n = 36) and aquatic exercises + PNE (PNG, n = 39). The primary outcome was pain, and the secondary outcomes were FMS impact, quality of life, sleep and pain sensitivity (pressure pain thresholds - PPTs). Participants performed 45-min sessions of aquatic exercises, twice a week, for 12 weeks. PNG also received 4 PNE sessions during this period. Participants were assessed four times: initial (before treatment), after 6 weeks (intermediate) and 12 weeks (final) of treatment and after 12 weeks after the end of treatment (follow-up). RESULTS Both groups improved pain after treatment, with no difference between them (p > 0.05, partial ƞ2 0.10). FMS impact and PPTs improved after treatment with no difference between groups, and sleep did not change. Quality of life improved several domains for both groups, with slightly better results for the PNG, with low effect sizes between groups. CONCLUSIONS The present results show that the addition of PNE to an aquatic exercise intervention did not provide larger effects than aquatic exercises alone for people with FMS concerning pain intensity, but provided benefit for health-related quality of life for this population. TRIAL REGISTRATION ClinicalTrials.gov (NCT03073642, version 2, April 1st, 2019). PERSPECTIVE The addition of 4 Pain Neuroscience Education sessions to an aquatic exercises protocol did not add benefits for women with fibromyalgia syndrome on pain, fibromyalgia impact, and sleep, but improved quality of life and pain sensitivity.IMPLICATIONS FOR REHABILITATIONAquatic exercises are commonly prescribed, but patient education is crucial for the treatment.The addition of Pain Neuroscience Education to an aquatic exercises protocol did not add benefits for women with fibromyalgia syndrome.The positive changes on quality of life and pain sensitivity that this combination led to had small effect sizes and did not achieve minimal important clinical difference.
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Affiliation(s)
- Ana Paula de Sousa
- Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, Brazil
- Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Physical Therapy Department, Universidade Federal de São Carlos (UFSCar), São Carlos, Brazil
| | - Lucas Araújo Almeida
- Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, Brazil
| | | | - Luiza Duarte Alvares
- Physical Therapy Department, Federal University of São Carlos, São Carlos, Brazil
| | - Mariana Arias Avila
- Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, Brazil
- Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Physical Therapy Department, Universidade Federal de São Carlos (UFSCar), São Carlos, Brazil
- Physical Therapy Department, Federal University of São Carlos, São Carlos, Brazil
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Fleishhacker Z, Pedroza A, Ong JE, Ronkar N, Weigel I, Janecek T, Wellsandt SA, Galet C, Wibbenmeyer L. Optimizing burn wound procedural pain control, efficiency, and satisfaction through integrated nurse and physician education. Burns 2024; 50:702-708. [PMID: 38114378 PMCID: PMC10999346 DOI: 10.1016/j.burns.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 08/29/2023] [Accepted: 12/06/2023] [Indexed: 12/21/2023]
Abstract
Herein, we report the results of a quality improvement project (QI). Following a review of the burn unit practices, a nursing-led, physician supported educational intervention regarding optimal timing, dosage, and indication for medications used during hydrotherapy, including midazolam and opioids, was implemented. We hypothesized that such intervention would support improvement in both nurse and patient satisfaction with pain control management. Patients undergoing hydrotherapy were surveyed. Demographics, opioid dose prescribed (oral morphine equivalents), midazolam use, timing of administration, and adverse events were collected. Patient pain scores (1-10) before and after hydrotherapy and patient and nurse satisfaction scores (1-10) after hydrotherapy were collected. The pre- and post-education populations were compared. P < 0.05 was considered significant. Post-education, administration of opioids (59.1% v. 0%, p < 0.001) and midazolam (59.1% vs. 10.4%; p < 0.001) prior to hydrotherapy significantly improved, leading to fewer patients requiring rescue opioids during hydrotherapy (25% vs. 74%, p < 0.001). Hydrotherapy duration significantly decreased post-education (19 [13.3-30] min vs. 32 [18-43] min, p = 0.003). Nurses' ratings of their patient's pain control (9 [7.3-10] vs. 7.5 [6-9], p = 0.004) and ease of procedure (10 [9,10] vs. 9 [7.8-10], p = 0.037) significantly improved. Patients' pain management satisfaction rating did not change, but the number of subjects rating their pain management as excellent tended to increase (36.4% vs. 20%, p = 0.077). Nursing led, physician supported, education can improve medication administration prior to and during hydrotherapy, increasing the ease of the procedure as well as staff satisfaction.
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Affiliation(s)
- Zachary Fleishhacker
- Carver College of Medicine, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Albert Pedroza
- Carver College of Medicine, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Jia Ern Ong
- Acute Care Surgery Division, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Nicolas Ronkar
- Carver College of Medicine, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Isaac Weigel
- Acute Care Surgery Division, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Trinity Janecek
- Acute Care Surgery Division, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Sarah A Wellsandt
- Acute Care Surgery Division, Department of Surgery University of Iowa, Iowa City, IA, USA
| | - Colette Galet
- Acute Care Surgery Division, Department of Surgery University of Iowa, Iowa City, IA, USA.
| | - Lucy Wibbenmeyer
- Acute Care Surgery Division, Department of Surgery University of Iowa, Iowa City, IA, USA
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Angle PJ, Ashok V, Liu G, Trenholm M, Montbriand J. Severe back labor pain masks a scald caused by shower hydrotherapy: a case report. Int J Obstet Anesth 2024:103992. [PMID: 38632014 DOI: 10.1016/j.ijoa.2024.103992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 03/17/2024] [Indexed: 04/19/2024]
Abstract
Shower hydrotherapy is generally considered benign during labor. We report a case of extensive scalds in a primigravida who used shower hydrotherapy to treat severe back labor pain from fetal malposition. Interestingly, her back pain was so severe that she felt no pain as her scald developed, describing the hot water from the showerhead as the only measure which "soothed" her pain. Her scald was diagnosed presumptively during assessment for epidural analgesia. The nature of her back labor pain, associated with occiput posterior fetal head position and her management are described. Severe pain from persistent fetal malposition may alter somatic pain perception during labor, increasing burn risks during shower hydrotherapy. These women are also at increased risk of operative delivery and infection risks from inadvertent neuraxial blockade after burns. Improved prevention strategies and vigilance for scalds are warranted in women with severe back labor undergoing shower hydrotherapy, including by anesthesiologists assessing them for neuraxial blockade.
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Affiliation(s)
- P J Angle
- Department of Anesthesia, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario, Canada; Institute for Health Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Obstetrical Anesthesia Research Unit (OARU), Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
| | - V Ashok
- Department of Anesthesia, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario, Canada
| | - G Liu
- Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - M Trenholm
- Labor & Delivery Unit, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - J Montbriand
- Obstetrical Anesthesia Research Unit (OARU), Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
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Gálvez I, Hinchado MD, Otero E, Navarro MC, Ortega-Collazos E, Martín-Cordero L, Torres-Piles ST, Ortega E. Circulating serotonin and dopamine concentrations in osteoarthritis patients: a pilot study on the effect of pelotherapy. Int J Biometeorol 2024; 68:69-77. [PMID: 37962646 PMCID: PMC10752847 DOI: 10.1007/s00484-023-02571-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 10/17/2023] [Accepted: 10/19/2023] [Indexed: 11/15/2023]
Abstract
Balneotherapy has demonstrated clinical efficacy in the management of pathologies involving low-grade inflammation and stress. In rheumatic conditions such as osteoarthritis (OA), this therapy presents anti-inflammatory properties and potential to improve psychological well-being. Although the neurohormones serotonin and dopamine are known to be involved in these processes, surprisingly they have not been studied in this context. The objective was to evaluate the effect of a cycle of balneotherapy with peloids (pelotherapy) on circulating serotonin and dopamine concentrations in a group of aged individuals with OA, after comparing their basal state to that of an age-matched control group. In our pilot study, a pelotherapy program (10 days) was carried out in a group of 16 elderly patients with OA, evaluating its effects on circulating serotonin and dopamine concentrations (measured by ELISA). Individuals with OA showed higher levels of serotonin and lower dopamine levels, in line with the inflammatory roles of these mediators. After pelotherapy, serotonin concentrations significantly decreased, potentially contributing to the previously reported anti-inflammatory effects of balneotherapy.
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Affiliation(s)
- Isabel Gálvez
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain
- Departamento de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de Extremadura, 06006, Badajoz, Spain
| | - María Dolores Hinchado
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain.
- Departamento de Fisiología, Facultad de Ciencias, Universidad de Extremadura, 06071, Badajoz, Spain.
| | - Eduardo Otero
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain
- Departamento de Fisiología, Facultad de Ciencias, Universidad de Extremadura, 06071, Badajoz, Spain
| | - María Carmen Navarro
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain
- Departamento de Fisiología, Facultad de Ciencias, Universidad de Extremadura, 06071, Badajoz, Spain
| | | | - Leticia Martín-Cordero
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain
- Departamento de Enfermería, Centro Universitario de Plasencia, Universidad de Extremadura, 10600, Plasencia, Spain
| | - Silvia Teresa Torres-Piles
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain.
- Departamento de Terapéutica Médico-Quirúrgica, Facultad de Medicina y Ciencias de la Salud, Universidad de Extremadura, 06006, Badajoz, Spain.
| | - Eduardo Ortega
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain.
- Departamento de Fisiología, Facultad de Ciencias, Universidad de Extremadura, 06071, Badajoz, Spain.
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Cooper M, Briley A. Sense of coherence as facilitated by water immersion during labour and birth: A concept analysis and synthesis. Midwifery 2023; 126:103824. [PMID: 37714044 DOI: 10.1016/j.midw.2023.103824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 07/22/2023] [Accepted: 09/07/2023] [Indexed: 09/17/2023]
Abstract
OBJECTIVE To explore the concept of sense of coherence as facilitated by water immersion during labour and/or birth. DESIGN A concept analysis and synthesis. A literature search of CINAHL, Medline, PubMed, PsycINFO and Emcare was undertaken in February 2022. Results were cross-checked with Google Scholar. No timeframe was specified, and results were restricted to research papers written in English. Overall, 2768 papers were retrieved and after removal of duplicates and unrelated papers, abstracts were screened to ensure the paper met the inclusion criteria i.e. women's experiences of water immersion for labour and/or birth. This process yielded a total of 37 articles and two theses, these were used for the concept analysis. Attributes were described and an exemplar case developed after mapping and charting of the data set. FINDINGS Three attributes were identified; agency, holistic and complete and more than pain relief which align with the three sense of coherence components: comprehensible, meaningfulness and manageability. KEY CONCLUSION There is a growing evidence base regarding the use of intrapartum water immersion. The literature exploring women's experiences and views of water immersion, appears to consistently report that women experience physiological, physical and psychological benefits and that these benefits complement each other to facilitate greater self-efficacy and a more holistic experience. This combination of benefits afforded by water immersion facilitates a sense of coherence and subsequently, increases the likelihood of the woman experiencing labour and birth as both positive and satisfying. IMPLICATIONS FOR PRACTICE A greater understanding of women's experiences of water immersion will provide rationale and reason for making the option a real choice while revealing the positive impacts that it can have on all outcomes beyond just the physical.
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Affiliation(s)
- Megan Cooper
- College of Nursing and Health Sciences, Flinders University, Sturt Campus Bedford Park, South Australia, Australia.
| | - Annette Briley
- College of Nursing and Health Sciences, Flinders University, Sturt Campus Bedford Park, South Australia, Australia
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Bravo C, Rubí-Carnacea F, Colomo I, Sánchez-de-la-Torre M, Fernández-Lago H, Climent-Sanz C. Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis. Sleep Breath 2023:10.1007/s11325-023-02933-x. [PMID: 37847348 DOI: 10.1007/s11325-023-02933-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 09/26/2023] [Accepted: 09/29/2023] [Indexed: 10/18/2023]
Abstract
BACKGROUND This systematic review and meta-analysis aimed to evaluate the effectiveness of aquatic therapy on pain, sleep quality, psychological symptoms, quality of life, and health status in people diagnosed with fibromyalgia. METHODS We searched PubMed, CINAHL, The Cochrane Library, PEDro and Scopus databases. Articles were eligible if they were randomised controlled trials (RCTs) analysing the effects of aquatic therapy in adult people diagnosed with fibromyalgia, and published by October of 2022 in English or Spanish. The Cochrane Risk of Bias tool was employed to conduct the methodological quality assessment of the encompassed studies, and the overall quality of evidence for each comparison was determined using the GRADE approach. RESULTS Of 375 articles found, 22 met the inclusion criteria. Forest plot analysis of Pittsburgh sleep quality index at short- and mid-term follow-up showed a trend in favour of aquatic therapy, although not statistically significant, with weighted mean difference (WMD) = -1.71 (95% CI: -4.17 to -0.75, p = 0.17). Heterogeneity was substantial (χ2 = 8.74, df = 5 (p < 0.000001; I2 = 95%). Relating the pain outcome by fibromyalgia impact questionnaire (FIQ) short term showed a trend in favour of the aquatic therapy group with WMD = -5.04 (95% CI: - 9.26 to - 0.82, p = = 0.02) with heterogeneity χ2 = 11.07, df = 4 (p = 0.03; I2 = 64%). Great heterogeneity was found between trials in medium term. CONCLUSION This systematic review and meta-analysis demonstrated the effectiveness of aquatic therapy as an adjunct treatment to usual care in people suffering from fibromyalgia. Aquatic therapeutic exercise improves the symptomats of sleep quality, pain, and quality of life of adults with fibromyalgia. Further research on long-term outcomes may contribute to the currently available evidence.
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Affiliation(s)
- Cristina Bravo
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. n2 P.C, 25198, Lleida, Spain
- Health Care Research Group, GRECS, Biomedical Research Institute of Lleida, Lleida, Spain
- Grup d'Estudis Societat, Salut, Educació i Cultura, GESEC, University of Lleida, Lleida, Spain
- Group of Salut&Genesis, Lleida Institute for Biomedical Research Dr. Pifarré Foundation, 25198, Lleida, Spain
| | - Francesc Rubí-Carnacea
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. n2 P.C, 25198, Lleida, Spain
- Health Care Research Group, GRECS, Biomedical Research Institute of Lleida, Lleida, Spain
- Grup d'Estudis Societat, Salut, Educació i Cultura, GESEC, University of Lleida, Lleida, Spain
| | - Iolanda Colomo
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. n2 P.C, 25198, Lleida, Spain
| | - Manuel Sánchez-de-la-Torre
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. n2 P.C, 25198, Lleida, Spain
- Group of Precision Medicine in Chronic Diseases, Hospital Arnau de Vilanova-Santa Maria, IRBLleida, Lleida, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Helena Fernández-Lago
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. n2 P.C, 25198, Lleida, Spain.
- Health Care Research Group, GRECS, Biomedical Research Institute of Lleida, Lleida, Spain.
- Grup d'Estudis Societat, Salut, Educació i Cultura, GESEC, University of Lleida, Lleida, Spain.
| | - Carolina Climent-Sanz
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. n2 P.C, 25198, Lleida, Spain
- Health Care Research Group, GRECS, Biomedical Research Institute of Lleida, Lleida, Spain
- Grup d'Estudis Societat, Salut, Educació i Cultura, GESEC, University of Lleida, Lleida, Spain
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Nankervis KJ, Tranquille CA, Chojnacka K, Tacey JB, Deckers I, Newton JR, Murray RC. Effect of speed and water depth on limb and back kinematics in Thoroughbred horses walking on a water treadmill. Vet J 2023; 300-302:106033. [PMID: 37783310 DOI: 10.1016/j.tvjl.2023.106033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 09/03/2023] [Accepted: 09/27/2023] [Indexed: 10/04/2023]
Abstract
Water treadmill (WT) exercise may induce limb and back kinematics that meet specific training and rehabilitation goals. The study aimed to investigate the effects of walk speed, at different water depths (WDs), on limb and back kinematics of six Thoroughbreds exercising on a WT. Horses walked at 2.8/4.3/5.5/6.0 km/h (i.e. 0.8/1.2/1.5/1.7 m/s) at dry, metacarpophalangeal and carpal WD. Videography captured limb movement in the sagittal plane. Motion-capture measured thoracolumbosacral flexion-extension (FE), and lateral bend (LB) ranges of movement (ROM) using skin surface markers on the sixth, tenth, thirteenth, eighteenth thoracic, third and fifth lumbar, and third sacral spinous processes. Inertial-motion-sensors measured poll, withers and pelvic displacements. Following preliminary univariable analyses, multivariable mixed-effects linear-regression analyses were used to examine the relationship between speed, WD and each outcome variable (P < 0.05). Peak metacarpophalangeal, carpal and tarsal joint flexion increased with speed (P ≤ 0.002) and depth combined (P 0.001) while peak metatarsophalangeal flexion increased with WD only (P 0.001). Thoracolumbar FE-ROM between T10 and L3 and hindlimb retraction was increased by speed and WD combined (P 0.001). Hindlimb protraction was increased by speed (P 0.001) while hindlimb retraction was increased by speed and WD combined (P 0.001). Dorsoventral poll displacement was increased by speed (P 0.001) and carpal WD (P = 0.013), craniocaudal poll displacement was increased by speed and WD combined (P 0.001). Pelvic (tubera coxae and sacrum) dorsoventral displacements increased with speed and WD combined (P 0.001). Understanding the effects of speed and WD on limb, back and pelvic kinematics will improve decision making relating to dry and WT exercise within training.
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Affiliation(s)
- K J Nankervis
- Hartpury University, Hartpury, Gloucestershire, GL19 3BE, UK.
| | - C A Tranquille
- Hartpury University, Hartpury, Gloucestershire, GL19 3BE, UK; Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 7UU, UK
| | - K Chojnacka
- Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 7UU, UK; Engelhard Road, Newmarket, Suffolk CB8 0SA, UK
| | - J B Tacey
- Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 7UU, UK; JBT Veterinary Physiotherapy, Bostocks Lane, Nottingham NG10 4EH, UK
| | - I Deckers
- Hartpury University, Hartpury, Gloucestershire, GL19 3BE, UK
| | - J R Newton
- Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 7UU, UK; Cambridge Veterinary School, Madingley Road, Cambridge, Cambridgeshire CB3 0ES, UK
| | - R C Murray
- Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 7UU, UK; Rossdales Diagnostic Centre, Cotton End Lane, Exning, Suffolk CB8 7NN, UK
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10
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Moini Jazani A, Nasimi Doost Azgomi H, Nasimi Doost Azgomi A, Nasimi Doost Azgomi R. Effect of hydrotherapy, balneotherapy, and spa therapy on blood pressure: a mini-review. Int J Biometeorol 2023; 67:1387-1396. [PMID: 37438576 DOI: 10.1007/s00484-023-02512-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 02/27/2023] [Accepted: 06/24/2023] [Indexed: 07/14/2023]
Abstract
Hypertension (high blood pressure) is one of the most common health conditions. When your blood pressure is high for a long term, it can cause health problems, such as heart disease. In addition to the main methods of treatment, there are various methods of adjuvant therapy, one of the most common of which is hydrotherapy. In this review study, we examined the effects of hydrotherapy, balneotherapy, and spa therapy on blood pressure. We searched the PubMed/MEDLINE, Web of Science, Scopus, and Science Direct databases until April 2022 using related keywords. In summary, the current study shows that different hydrotherapy methods may improve blood pressure. Hydrotherapy as one of the adjunctive therapy methods can be effective in lowering blood pressure. Blood circulation is smoothed by the warmth of the water. This improvement may be achieved by regulating heart rate, releasing hormones that control blood pressure, or regulating the activity of baroreceptors or chemoreceptors. In addition to using medications, hypertension patients also use non-pharmacological approaches in their care, including hydrotherapy, balneotherapy, and warm water foot soaks performed at home. Although several lines of evidence show the potential effects of hydrotherapy, balneotherapy, and spa therapy on blood pressure, many clinical trials are needed.
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Affiliation(s)
- Arezoo Moini Jazani
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University Of Medical Sciences, Ardabil, 5618985991, Iran
| | - Hamidreza Nasimi Doost Azgomi
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University Of Medical Sciences, Ardabil, 5618985991, Iran
- Students Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Alireza Nasimi Doost Azgomi
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University Of Medical Sciences, Ardabil, 5618985991, Iran
- Students Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Ramin Nasimi Doost Azgomi
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University Of Medical Sciences, Ardabil, 5618985991, Iran.
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Miyata T, Kawai S, Yasuki A, Ishioka K. Changes in physiological parameters in healthy dogs on an underwater treadmill when the water level is set at the hip joint. Res Vet Sci 2023; 161:20-22. [PMID: 37301050 DOI: 10.1016/j.rvsc.2023.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 05/25/2023] [Accepted: 05/27/2023] [Indexed: 06/12/2023]
Abstract
Understanding internal and external loading in exercise is important for safe rehabilitation. The physiological parameters of dogs have been studied in swimming, but those of dogs walking on an underwater treadmill have not been documented. In this study, four healthy beagle dogs were examined for changes in physiological parameters before and after walking in water for 20 min at a speed of 4 km/h with the water level set at the height of the hip joint as an external load. Statistical analysis of the results was performed using paired sample t-tests. Results indicated that heart rate (125 ± 11.8 beat/min to 163 ± 9.5 beat/min) and lactate levels (2 ± 0.1 mmol/L to 2.4 ± 0.2 mmol/ L) significantly increased from before to after walking on an underwater treadmill. Additional research is needed on internal loading when using underwater treadmills, which would further contribute to the safety of rehabilitation.
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Affiliation(s)
- Takuma Miyata
- School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan.
| | - Saya Kawai
- School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Aoi Yasuki
- School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Katsumi Ishioka
- School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan
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12
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Moini Jazani A, Nasimi Doost Azgomi H, Nasimi Doost Azgomi A, Hossein Ayati M, Nasimi Doost Azgomi R. Efficacy of hydrotherapy, spa therapy, and balneotherapy on sleep quality: a systematic review. Int J Biometeorol 2023; 67:975-991. [PMID: 37145200 DOI: 10.1007/s00484-023-02471-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 04/01/2023] [Accepted: 04/04/2023] [Indexed: 05/06/2023]
Abstract
The purpose of this article was to review and assess the results obtained from human studies on the effects of hydrotherapy, balneotherapy, and spa therapy on sleep disorders. In this study, databases such as Pubmed, Embase, Web of Science, Google Scholar, Cochrane, Scopus, and sciences direct database were searched from the beginning to September 2022. All human studies that examined the effect of hydrotherapy, balneotherapy, and spa therapy on sleep disorders were published in the form of a full article in English. In the end, only 18 of the 189 articles met the criteria for analysis. Most studies have shown that balneotherapy, spa therapy, and hydrotherapy may by affecting some hormones such as histamine, serotonin, sympathetic nerves, and regulating body temperature led to increased quality and quantity of sleep. Also, the results obtained from Downs and Black show that 3 studies were rated as very good, 7 studies as good, 7 studies as fair, and 1 study as weak. The results of studies also showed that hydrotherapy leads to an improvement in the PSQI score index. Nevertheless, more clinical trials are needed to determine the mechanism of action of hydrotherapy on sleep disorders.
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Affiliation(s)
- Arezoo Moini Jazani
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Hamidreza Nasimi Doost Azgomi
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
- Students Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Alireza Nasimi Doost Azgomi
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
- Students Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Mohammad Hossein Ayati
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
- Departman of Medical History, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Ramin Nasimi Doost Azgomi
- Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
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Calles Plata I, Ortiz-Rubio A, Torres Sánchez I, Cabrera Martos I, Calvache Mateo A, Heredia-Ciuró A, Valenza MC. Effectiveness of aquatic therapy on sleep in persons with fibromyalgia. A meta-analysis. Sleep Med 2023; 102:76-83. [PMID: 36603514 DOI: 10.1016/j.sleep.2022.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 12/12/2022] [Accepted: 12/20/2022] [Indexed: 12/28/2022]
Abstract
CONTEXT Fibromyalgia syndrome (FMS) is a chronic musculoskeletal condition characterized by persistent, widespread pain, myofascial tenderness, negative affect, fatigue, memory problems and sleep disturbances. OBJECTIVE To summarize the evidence of the effects of aquatic therapy on sleep quality in patients with FMS. METHODS This systematic review and meta-analysis was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2020 (PRISMA) guidelines and registered in the International Prospective Register of Systematic Reviews (PROSPERO), whit the registration number CRD42021249982. Cochrane library, Medline (PubMed), Science Direct Web of Science (WOS), Scopus, and PEDro were searched from inception until September 2021. The search included only randomized clinical trials. RESULTS Of the 7711 studies identified in the initial search, a total of 7 trials (361 participants) satisfied the eligibility criteria. Finally, a meta-analysis was conducted with 6 studies (311 participants). The overall pooled effect favored aquatic therapy interventions in improving sleep quality in patients with FMS (pooled MD, -2.05; 95% CI, -4.35 to 0.25). CONCLUSIONS The results of this systematic review and meta-analysis provide evidence that aquatic therapy improved sleep quality in patients with FMS. This study highlights the importance of aquatic therapy for sleep. Nonetheless, although an aquatic therapy intervention may represent a good option to improve sleep, given the low number of studies the evidence should be taken with caution.
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Horgan BG, Halson SL, Drinkwater EJ, West NP, Tee N, Alcock RD, Chapman DW, Haff GG. No effect of repeated post-resistance exercise cold or hot water immersion on in-season body composition and performance responses in academy rugby players: a randomised controlled cross-over design. Eur J Appl Physiol 2023; 123:351-9. [PMID: 36284024 DOI: 10.1007/s00421-022-05075-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 10/08/2022] [Indexed: 02/06/2023]
Abstract
PURPOSE Following resistance exercise, uncertainty exists as to whether the regular application of cold water immersion attenuates lean muscle mass increases in athletes. The effects of repeated post-resistance exercise cold versus hot water immersion on body composition and neuromuscular jump performance responses in athletes were investigated. METHODS Male, academy Super Rugby players (n = 18, 19.9 ± 1.5 y, 1.85 ± 0.06 m, 98.3 ± 10.7 kg) participated in a 12-week (4-week × 3-intervention, i.e., control [CON], cold [CWI] or hot [HWI] water immersion) resistance exercise programme, utilising a randomised cross-over pre-post-design. Body composition measures were collected using dual-energy X-ray absorptiometry prior to commencement and every fourth week thereafter. Neuromuscular squat (SJ) and counter-movement jump (CMJ) performance were measured weekly. Linear mixed-effects models were used to analyse main (treatment, time) and interaction effects. RESULTS There were no changes in lean (p = 0.960) nor fat mass (p = 0.801) between interventions. CON (p = 0.004) and CWI (p = 0.003) increased (g = 0.08-0.19) SJ height, compared to HWI. There were no changes in CMJ height (p = 0.482) between interventions. CONCLUSION Repeated post-resistance exercise whole-body CWI or HWI does not attenuate (nor promote) increases in lean muscle mass in athletes. Post-resistance exercise CON or CWI results in trivial increases in SJ height, compared to HWI. During an in-season competition phase, our data support the continued use of post-resistance exercise whole-body CWI by athletes as a recovery strategy which does not attenuate body composition increases in lean muscle mass, while promoting trivial increases in neuromuscular concentric-only squat jump performance.
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Vinardell T, David F, Galezowski AM, Ali M, Qasim M, Massie SL, McCrae P, Filho S, Leguillette R. Free Swimming and Exercise-Induced Pulmonary Hemorrhage in Endurance Horses: A Preliminary Study. J Equine Vet Sci 2023; 120:104182. [PMID: 36464029 DOI: 10.1016/j.jevs.2022.104182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/28/2022] [Accepted: 11/29/2022] [Indexed: 12/03/2022]
Abstract
Swimming is used for rehabilitation of musculoskeletal injuries and for conditioning to improve equine fitness. However, there are anecdotal reports that suggest that tethered swimming can induce epistaxis, likely secondary to exercise-induced pulmonary hemorrhage (EIPH). The objective of this observational, prospective study was to investigate if EIPH occurs during intensive free-swimming training sessions (5 × 70m) using 15 endurance horses. On tracheo-bronchoscopic evaluations following swimming, low grade mucus scores were observed, but no tracheal blood was observed. Bronchoalveolar lavage fluid analysis revealed a low cellularity, and the median red blood cell count (RBCs) was 271 cells/μL (interquartile range 150-363 cells/μL), which is much lower than the threshold of RBCs >1,000 cells/μL for horses to be considered positive for EIPH. Therefore, free swimming does not seem to predispose endurance horses to EIPH following a typical free-swimming training session.
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Affiliation(s)
- Tatiana Vinardell
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar; College of Health and Life Sciences, Member of Qatar Foundation, Hamad Bin Khalifa University, Doha, Qatar
| | - Florent David
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar; Equine Care Group, Lummen, Belgium.
| | | | - Mohammad Ali
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | - Muhammad Qasim
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | - Shannon L Massie
- Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Persephone McCrae
- Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Silvio Filho
- Al Shaqab's Endurance Department, Member of Qatar Foundation, Doha, Qatar
| | - Renaud Leguillette
- Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.
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Abstract
Kneipp therapy comprises the five naturopathic elements of water, exercise, nutrition, medicinal herbs and order of life. As a traditional method, it has been proven in self-treatment at home, but as a holistic therapy concept it is also used in many medical practices both for the prevention and therapy of functional disorders and in the treatment of organic diseases and ailments. While naturopathic and complementary medical procedures are highly accepted by the population and the medical profession, and exercise and nutrition therapy in particular are already largely integrated into conventional medicine, the implementation of evidence-based medicine (EbM) in internal medicine practice represents a major challenge for Kneipp therapy. This is especially true for Kneipp hydrotherapy. Unlike in the 1980s and 1990s, when Kneipp therapy was scientifically recognized due to numerous preclinical, human physiological and some clinical studies, the change of perspective in medicine towards EbM has resulted in a research deficit in the field of clinical trials. The demand for scientific evidence is contrasted by a lack of reliable data and an overall heterogeneous study situation or study quality; however, existing studies point to positive or significant effects, so that further research activities are urgently necessary. Some of these studies are presented in this article.
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Affiliation(s)
- Lutz Ehnert
- Gemeinschaftspraxis für hausärztliche und internistische Versorgung, Ärztehaus am Park, Bad Nauheim, Deutschland
| | - Caroline Geiser
- Kneipp-Bund e. V., Berliner Büro, Axel-Springer-Str. 54B, 10117, Berlin, Deutschland.
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Psycharakis SG, Coleman SGS, Linton L, Valentin S. The WATER study: Which AquaTic ExeRcises increase muscle activity and limit pain for people with low back pain? Physiotherapy 2022; 116:108-118. [PMID: 35709587 DOI: 10.1016/j.physio.2022.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 02/22/2022] [Accepted: 03/17/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Aquatic exercise therapy is used for the treatment and management of chronic low back pain (CLBP). However, to the authors' knowledge, no studies to date have compared muscle activity between different aquatic exercises performed by people with CLBP. As such, this study assessed and compared muscle activity, pain, perceived exertion and exercise intensity between different rehabilitative aquatic exercises. DESIGN Cross-sectional. SETTING A 25-m indoor swimming pool within a university building. PARTICIPANTS Twenty participants with non-specific CLBP. ASSESSMENT Twenty-six aquatic exercises in shallow water (1.25-m depth). Muscle activity was quantified bilaterally for the erector spinae, multifidus, gluteus maximus and medius, rectus abdominis, and external and internal obliques. MAIN OUTCOMES Mean and peak muscle activity, pain (visual analogue scale), perceived exertion (Borg scale) and exercise intensity (heart rate). RESULTS Hip abduction/adduction and extension/flexion exercises produced higher activity for gluteal muscles. Variations of squat exercises increased the activity of back extensors. Higher abdominal muscle activity was produced with exercises that made use of buoyancy equipment and included leg and trunk movements while floating on the back, and with some proprioceptive and dynamic lower limb exercises. Pain occurrence and intensity were very low, with 17 exercises being pain free. CONCLUSIONS This study provides evidence on trunk and gluteal muscle activity, pain, intensity and perceived exertion for people with CLBP performing aquatic exercises. The findings may be useful when prescribing exercises for rehabilitation, as physiotherapists seek to implement progression in effort and muscle activity, variation in exercise type, and may wish to target or avoid particular muscles. CONTRIBUTION OF THE PAPER.
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Affiliation(s)
- Stelios G Psycharakis
- Institute of Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK.
| | - Simon G S Coleman
- Institute of Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK
| | - Linda Linton
- Fitness Assessment and Sports Injuries Centre, University of Edinburgh, Edinburgh, UK
| | - Stephanie Valentin
- Institute of Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK; Institute for Clinical Exercise and Health Science, University of the West of Scotland, Hamilton, UK
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Kuderer S, Vagedes K, Szöke H, Kohl M, Joos S, Gündling PW, Vagedes J. Do ginger footbaths improve symptoms of insomnia more than footbaths with warm water only? - A randomized controlled study. Complement Ther Med 2022; 67:102834. [PMID: 35439548 DOI: 10.1016/j.ctim.2022.102834] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 04/13/2022] [Accepted: 04/15/2022] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES To compare the effects between warm water (WW) and ginger footbaths (WW+ginger) on sleep quality and warmth regulation in adults with self-reported insomnia symptoms. METHODS A prospective randomized-controlled study in which 28 participants (mean age 50.9 years, 64.3% women, insomnia symptom duration 11.4 years) were randomized to receive WW (n = 13) or WW+ginger (n = 15) daily for 2 weeks. Treatment involved nightly footbaths (12 liters of 38-42 °C warm tap water, maximum duration 20 min) with and without topical ginger (80 g of powdered ginger rhizomes). MAIN OUTCOME MEASURES The primary outcome measure was self-reported sleep quality (global score from Pittsburgh Sleep Quality Index, PSQI) at 2 weeks. Secondary outcomes included measures of insomnia severity (Insomnia Severity Index, ISI) and warmth regulation (Herdecke Warmth Perception Questionnaire, HWPQ and 24-hour distal-proximal skin temperature gradient, DPG). RESULTS WW+ginger had no greater effect on PSQI (mean between-difference 0.0 [95% CI -3.0 to 2.9], Cohen's d=0.0) or ISI (-0.2 [-3.9 to 3.4], 0.0) than WW. Nor were there any significant differences in HWPQ perceived warmth (0.1 ≥d≥0.5) or DPG (0.1 ≥d≥0.4) between WW and WW+ginger. Both groups improved over time in PSQI (WW+ginger: d=0.7, WW: d=1.3) and ISI (WW+ginger: d=0.8, WW: d=1.0). Perceived warmth of the feet increased only in WW+ginger over time (d=0.6, WW: d=0.0). CONCLUSIONS This dose of ginger (6.67 g/liter) did not have greater effects on sleep quality, insomnia severity or warmth regulation than WW. Considering effect sizes, costs and risks, the use of WW would be recommended over WW+ginger in this patient population.
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Affiliation(s)
- Silja Kuderer
- Research Department, ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Im Haberschlai 7, 70794 Filderstadt, Germany
| | - Katrin Vagedes
- Research Department, ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Im Haberschlai 7, 70794 Filderstadt, Germany
| | - Henrik Szöke
- Department of Integrative Medicine, University of Pécs, Vörösmarty utca 3, 7623 Pécs, Hungary
| | - Matthias Kohl
- Institute of Precision Medicine, University Furtwangen, Jakob-Kienzle-Straße 17, 78054 VS-Schwenningen, Germany
| | - Stefanie Joos
- Institute for General Practice and Interprofessional Care, University Hospital Tübingen, Osianderstraße 5, 72076 Tübingen, Germany
| | - Peter W Gündling
- Hochschule Fresenius, University of Applied Sciences, Limburger Str. 2, 65510 Idstein, Germany
| | - Jan Vagedes
- Research Department, ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Im Haberschlai 7, 70794 Filderstadt, Germany; Department of Neonatology, University Hospital Tübingen, Calwerstraße 7, 72076 Tübingen, Germany; Department of Pediatrics, Filderklinik, Im Haberschlai 7, 70794 Filderstadt, Germany.
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19
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Saquetto MB, Dos Santos MR, Alves IGN, Queiroz RS, Machado RM, Neto MG. Effects of water-based exercises on functioning of postmenopausal women: A systematic review with meta-analysis. Exp Gerontol 2022; 166:111875. [PMID: 35764204 DOI: 10.1016/j.exger.2022.111875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 06/08/2022] [Accepted: 06/22/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of the present study was to compare the efficacy of Water-Based Exercise (WBE) versus Land-Based Exercise (LBE) and of WBE versus Non-Exercise in postmenopausal women on muscle strength, agility, flexibility, bone mineral density and aerobic capacity. METHODS We systematically searched in MEDLINE, PEDro, SciELO and the Cochrane Library RCT published until May 2022. Only randomized controlled trials were included. We analyzed the pooled results using weighted mean differences, standardized mean difference, and 95%CI were calculated. RESULTS Twenty studies met the inclusion criteria; although, sixteen studies were included in the meta-analyses. The studies presented low methodological quality. WBE was more effective than NE for improving muscle strength of knee extension (3.34), knee flexion (2.51), arm curl (6.78 repetitions), VO2Max (4.12 ml/kg), and flexibility (6.38 cm) When comparing WBE with LBE, no significant statistical difference was found regarding muscular strength of lower limbs (1.00), muscular strength of upper limbs (0.47), flexibility (1.95 cm), aerobic capacity (0.82 ml/kg) and lumbar bone mineral density (0.04 g/cm2). CONCLUSIONS WBE promotes significant benefits in muscle strength, aerobic capacity, and flexibility, when compared to no intervention. However, WBE was similar to the LBE for improving muscle strength, aerobic capacity, flexibility, agility, and bone mineral density - lumbar in postmenopausal women.
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Affiliation(s)
- Micheli Bernardone Saquetto
- Departamento de Fisioterapia, Curso de Fisioterapia da Universidade Federal da Bahia - UFBA, Salvador, BA, Brazil.; Grupo de Pesquisa em Fisioterapia - UFBA, Salvador, BA, Brazil.; Programa de Pós-Graduação em Medicina e Saúde - UFBA, Salvador, BA, Brazil..
| | | | - Iura Gonzalez Nogueira Alves
- Grupo de Pesquisa em Fisioterapia - UFBA, Salvador, BA, Brazil.; Escola Bahiana de Medicina e Saúde Pública, Brazil
| | - Rodrigo Santos Queiroz
- Grupo de Pesquisa em Fisioterapia - UFBA, Salvador, BA, Brazil.; Universidade Federal do Sudoeste da Bahia, Brazil
| | - Roberto Mathias Machado
- Grupo de Pesquisa em Fisioterapia - UFBA, Salvador, BA, Brazil.; Escola Bahiana de Medicina e Saúde Pública, Brazil
| | - Mansueto Gomes Neto
- Departamento de Fisioterapia, Curso de Fisioterapia da Universidade Federal da Bahia - UFBA, Salvador, BA, Brazil.; Grupo de Pesquisa em Fisioterapia - UFBA, Salvador, BA, Brazil.; Programa de Pós-Graduação em Medicina e Saúde - UFBA, Salvador, BA, Brazil
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Solt Kirca A, Kanza Gul D. Effects of acupressure and shower applied in the delivery on the intensity of labor pain and postpartum comfort. Eur J Obstet Gynecol Reprod Biol 2022; 273:98-104. [PMID: 35552080 DOI: 10.1016/j.ejogrb.2022.04.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 04/13/2022] [Accepted: 04/19/2022] [Indexed: 11/20/2022]
Abstract
BACKGROUND AND PURPOSE Labour pain is a constantly increasing pain. This study thus aims to determine the effects of acupressure and shower on labour pain and postpartum comfort. METHODS In this randomized controlled trial (RCT), the control group consisted of 40 pregnant women, while the experimental groups consisted of 80 pregnant women in total. The experimental groups received routine labour care and either acupressure or showers upon reaching three cervical dilations (4-5, 6-7 and 8-10 cm). The control group only received routine labour care. A maternal information form (MIF), the Visual Analog Scale (VAS) and the Postpartum Comfort Questionnaire (PPCQ) were used to collect data. RESULTS Pain was significantly reduced in both of the experimental groups, in contrast to the control group, in all periods of the study (p < 0.001). Postpartum comfort also significantly increased in the experimental groups compared to the control group (p < 0.05). CONCLUSION Acupressure and showering are effective in reducing labour pain and increasing postpartum comfort. Midwives and nurses can therefore apply them as inexpensive and easy to administer methods for labour pain relief.
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Ferreira DL, Christofoletti G, Campos DM, Janducci AL, Candanedo MJBL, Ansai JH. Effects of Aquatic Physical Exercise on Motor Risk Factors for Falls in Older People During the COVID-19 Pandemic: A Randomized Controlled Trial. J Manipulative Physiol Ther 2022; 45:378-388. [PMID: 36175314 PMCID: PMC9372189 DOI: 10.1016/j.jmpt.2022.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 07/15/2022] [Accepted: 08/07/2022] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The aim of this study was to assess the effects of aquatic training on motor risk factors for falls in older people during the COVID-19 pandemic. METHODS A randomized controlled trial was carried out with older people, divided into an aquatic training group (ATG) (n = 24) and a control group (CG) (n = 25). Muscle strength was assessed by the 5-Times Sit-to-Stand Test, mobility by the simple and dual-task Timed Up and Go Test, and postural stability through stabilometric data (force platform). The CG received monthly calls to monitor general health. The ATG carried out training lasting 16 weeks, with two 1-hour sessions per week. RESULTS Both groups improved muscular strength and cognitive-motor tasks, and they performed a dual task with fewer errors in the secondary task after 16 weeks regardless of the pandemic and COVID-19 diagnosis. There was a significant decrease in the area of center of pressure displacement in the tandem posture with eyes closed in the CG. When analyzing participants who adhered at least 50% to the intervention, the ATG significantly reduced the number of steps on the Timed Up and Go Test performance. Both groups improved muscular strength and cognitive-motor tasks and increased the cognitive task cost. In the CG, there was a significant decrease in the mean amplitude of the anteroposterior center of pressure displacement in the feet together with eyes open. CONCLUSION We found that aquatic physical exercise presented positive effects on some potentially modifiable motor risk factors for falls (mobility and muscle strength) regardless of the COVID-19 pandemic and COVID-19 diagnosis, especially among people who adhered to the intervention.
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Affiliation(s)
- Daniela Lemes Ferreira
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso Do Sul, Brazil
| | - Gustavo Christofoletti
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso Do Sul, Brazil; Physical Therapy Course, University Of Mato Grosso Do Sul, Campo Grande, Mato Grosso Do Sul, Brazil
| | - Dayane Melo Campos
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso Do Sul, Brazil
| | - Ana Luísa Janducci
- Department of Gerontology, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | | | - Juliana Hotta Ansai
- Department of Gerontology, Federal University of São Carlos, São Carlos, São Paulo, Brazil.
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22
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Medrado LN, Mendonça MLM, Budib MB, Oliveira-Junior SA, Martinez PF. Effectiveness of aquatic exercise in the treatment of inflammatory arthritis: systematic review. Rheumatol Int 2022; 42:1681-1691. [PMID: 35633390 DOI: 10.1007/s00296-022-05145-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 05/05/2022] [Indexed: 01/01/2023]
Abstract
Spondyloarthritis and rheumatoid arthritis are classified as inflammatory arthritis and represent a significant source of pain and disability. Non-pharmacological intervention with physical exercise is among the therapeutic approaches most used by health professionals. This study aimed to investigate the effectiveness of aquatic exercise in the treatment of inflammatory arthritis. The review was registered on the PROSPERO (CRD42020189602). The databases (PubMed, PEDro, Web of Science, and SciELO) were searched for studies involving adults with inflammatory arthritis and subjected to rehabilitation with aquatic exercise compared to any other control group, from the year 2010 to March 2022. Pain, disease activity, and physical function were regarded as primary outcomes. Two reviewers completed the eligibility screening and data extraction, and disagreements were resolved by a third reviewer. The methodological quality was assessed using the PEDro scale. A total of 5254 studies were identified, and nine articles were included, totalling 604 participants. Regarding pain, two studies showed that aquatic exercise was superior to home exercise. One study showed that disease activity was significantly improved in the aquatic group compared to the land-based exercise and the control groups (no exercise). Two studies reported that therapy containing aquatic exercise was able to improve physical function. Overall, the studies included in this review indicate that aquatic exercise is effective in treating pain, disease activity, and physical function in individuals with inflammatory arthritis. However, further studies carrying stronger evidence should be conducted to determine whether the treatment with aquatic exercise is superior to other types of therapies.
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Affiliation(s)
- Larissa Nakahata Medrado
- Striated Muscle Study Laboratory, Integrated Institute of Health, Federal University of Mato Grosso do Sul (UFMS), Av. Costa e Silva, s/n‑Cidade Universitária, Universitário, 79070‑900, Campo Grande, MS, Brazil
| | - Maria Lua Marques Mendonça
- Striated Muscle Study Laboratory, Integrated Institute of Health, Federal University of Mato Grosso do Sul (UFMS), Av. Costa e Silva, s/n‑Cidade Universitária, Universitário, 79070‑900, Campo Grande, MS, Brazil
| | - Mariana Bogoni Budib
- Striated Muscle Study Laboratory, Integrated Institute of Health, Federal University of Mato Grosso do Sul (UFMS), Av. Costa e Silva, s/n‑Cidade Universitária, Universitário, 79070‑900, Campo Grande, MS, Brazil
| | - Silvio Assis Oliveira-Junior
- Striated Muscle Study Laboratory, Integrated Institute of Health, Federal University of Mato Grosso do Sul (UFMS), Av. Costa e Silva, s/n‑Cidade Universitária, Universitário, 79070‑900, Campo Grande, MS, Brazil
| | - Paula Felippe Martinez
- Striated Muscle Study Laboratory, Integrated Institute of Health, Federal University of Mato Grosso do Sul (UFMS), Av. Costa e Silva, s/n‑Cidade Universitária, Universitário, 79070‑900, Campo Grande, MS, Brazil.
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Abstract
Physical rehabilitation incorporates several elements, including but not limited to therapeutic exercises, manual therapy, and physical modalities. Understanding of the effects, indications, contraindications, and precautions is essential for proper use, while understanding of the diagnosis, assessment of the stage of tissue healing and repair, and accurate clinical assessment of the functional limitations are essential when establishing a physical rehabilitation plan.
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Affiliation(s)
- Lauri-Jo Gamble
- Sports Medicine and Rehabilitation Service, Ottawa Animal Emergency and Specialty Hospital, 1155 Lola Street, Suite 201, Ottawa K1K 4C1, Canada.
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24
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Terrens AF, Soh SE, Morgan P. What web-based information is available for people with Parkinson's disease interested in aquatic physiotherapy? A social listening study. BMC Neurol 2022; 22:170. [PMID: 35513789 PMCID: PMC9069763 DOI: 10.1186/s12883-022-02669-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 04/08/2022] [Indexed: 11/29/2022] Open
Abstract
Background Aquatic physiotherapy is becoming a more frequently utilised treatment for people with Parkinson’s Disease (PD). Consumers are increasingly accessing information regarding health choices online, and it is not known what type or quality of information regarding aquatic physiotherapy is available. Methods Web-based platforms (Facebook™, Twitter™, YouTube™, Instagram™, blogs and the web) were searched using the Awario© social listening software. Webpages had to be in English, mention PD, aquatic physiotherapy and its effects. Quality of webpages was assessed using a modified DISCERN tool and content analysis summarised reported effects. Results Awario© identified 2992 entries, with 133 assessed using the modified DISCERN tool. A small number (n = 31, 24%) described the effects of aquatic physiotherapy for people with PD. Quality of webpages was low, with many lacking information regarding clear sources of information, contraindications to aquatic physiotherapy and descriptions of the therapeutic environment. Content analysis showed several themes; general physical, PD-specific and psychosocial effects. More than a third of webpages indicated that aquatic physiotherapy would improve strength, balance, pain and aid relaxation. A large number (n = 96, 72%) described at least one hydrodynamic or hydrostatic property of water, most commonly buoyancy (n-83, 62%). Conclusions Overall quality of information was poor, and it is recommended that webpages list all potential contraindications to aquatic physiotherapy and direct consumers to discuss potential participation with their healthcare professionals. Webpages also should include information regarding the therapeutic environment, disclose sources of information and focus on enablers to exercise to improve engagement of people with PD in aquatic physiotherapy. Supplementary Information The online version contains supplementary material available at 10.1186/s12883-022-02669-3.
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Affiliation(s)
- Aan Fleur Terrens
- Movement Disorder Program, Peninsula Health, VIC, Australia. .,Department of Physiotherapy, Monash University, VIC, Australia.
| | - Sze-Ee Soh
- Department of Physiotherapy, Monash University, VIC, Australia.,Department of Epidemiology and Preventative Medicine, Monash University, VIC, Australia
| | - Prue Morgan
- Department of Physiotherapy, Monash University, VIC, Australia
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Bailly M, Evrard B, Coudeyre E, Rochette C, Meriade L, Blavignac C, Fournier AC, Bignon YJ, Dutheil F, Duclos M, Thivel D. Health management of patients with COVID-19: is there a room for hydrotherapeutic approaches? Int J Biometeorol 2022; 66:1031-1038. [PMID: 35079866 PMCID: PMC8789204 DOI: 10.1007/s00484-022-02246-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 01/18/2022] [Accepted: 01/19/2022] [Indexed: 05/05/2023]
Abstract
With highly variable types of coronavirus disease 2019 (COVID-19) symptoms in both severity and duration, there is today an important need for early, individualized, and multidisciplinary strategies of rehabilitation. Some patients present persistent affections of the respiratory function, digestive system, cardiovascular function, locomotor system, mental health, sleep, nervous system, immune system, taste, smell, metabolism, inflammation, and skin. In this context, we highlight here that hydrothermal centers should be considered today as medically and economically relevant alternatives to face the urgent need for interventions among COVID-19 patients. We raise the potential benefits of hydrotherapy programs already existing which combine alternative medicine with respiratory care, physical activity, nutritional advice, psychological support, and physiotherapy, in relaxing environments and under medical supervision. Beyond the virtues of thermal waters, many studies reported medical benefits of natural mineral waters through compressing, buoyancy, resistance, temperature changes, hydrostatic pressure, inhalations, or drinking. Thermal institutions might offer individualized follow-up helping to unclog hospitals while ensuring the continuity of health care for the different clinical manifestations of COVID-19 in both post-acute and chronic COVID-19 patients. Our present review underlines the need to further explore the medical effectiveness, clinical and territorial feasibility, and medico-economic impacts of the implementation of post-COVID-19 patient management in hydrotherapeutic establishments.
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Affiliation(s)
- Mélina Bailly
- Université Clermont Auvergne, CRNH, AME2P, F-63000 Clermont-Ferrand, France
| | - Bertrand Evrard
- CHU Clermont-Ferrand, Service d’Immunologie, CHU Gabriel-Montpied, Clermont-Ferrand, France
- Université Clermont Auvergne, INRA, UMR 1019, Clermont-Ferrand, France
| | - Emmanuel Coudeyre
- Service de Médecine Physique Et de Réadaptation, INRAE, UNH, CHU Clermont-Ferrand, Université Clermont Auvergne, 63000 Clermont-Ferrand, France
| | - Corinne Rochette
- Université Clermont Auvergne, Health and Terrirory Chair, CleRMa, 63000 Clermont-Ferrand, France
| | - Laurent Meriade
- Université Clermont Auvergne, Health and Terrirory Chair, CleRMa, 63000 Clermont-Ferrand, France
| | - Christelle Blavignac
- Centre Imagerie Cellulaire Santé, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Anne-Cécile Fournier
- Cluster Auvergne-Rhône-Alpes Innovation Innovatherm, 63000 Clermont-Ferrand, France
| | - Yves-Jean Bignon
- Université Clermont Auvergne, INSERM, U1240 Imagerie Moléculaire et Stratégies Théranostiques, Clermont-Ferrand, France
- Département d’Oncogénétique, Centre Jean Perrin, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Preventive and Occupational Medicine, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Witty Fit, 63000 Clermont-Ferrand, France
| | - Martine Duclos
- Service de Médecine du Sport Et Des Explorations Fonctionnelles, CHU de Clermont-Ferrand, Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - David Thivel
- Université Clermont Auvergne, CRNH, AME2P, F-63000 Clermont-Ferrand, France
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26
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Dos Anjos FR, Nakato AM, Hembecker PK, Nohama P, Sarquis ALF. Effects of hydrotherapy and tactile-kinesthetic stimulation on weight gain of preterm infants admitted in the Neonatal Intensive Care Unit. J Pediatr (Rio J) 2022; 98:155-160. [PMID: 34181888 PMCID: PMC9432265 DOI: 10.1016/j.jped.2021.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 04/23/2021] [Accepted: 04/29/2021] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE The present study aimed to evaluate the effects of hydrotherapy and tactile-kinesthetic stimulation on the birth weight of preterm infants admitted in the Neonatal Intensive Care Unit. METHOD It was a randomized controlled trial, without blinding, in which 44 preterm infants of both sexes with gestational age between 32 and 34 weeks were included into two groups: hydrotherapy group (n = = 22) and tactile-kinesthetic stimulation group (n = 22). Weight gain was the parameter assessed daily. RESULTS In the tactile-kinesthetic stimulation group there was a variation in weight gain, but without significant difference (p = 0,43). However, in the hydrotherapy group, it was observed that increased weight gain started from the 2nd day (p < 0,001). CONCLUSIONS Hydrotherapy group presented significantly increased weight after the interventions, indicating that this technique can interfere with weight gain in preterm infants.
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Affiliation(s)
- Franciane R Dos Anjos
- Universidade Federal do Paraná (UFPR), Hospital de Clínicas (HC), Departamento de Pediatria, Curitiba, PR, Brazil; Hospital do Rocio, Serviços Neonatais, Campo Largo, PR, Brazil.
| | - Adriane M Nakato
- Universidade Tecnológica Federal do Paraná, Programa de Pós-Graduação em Engenharia Biomédica, Curitiba, PR, Brazil
| | - Paula Karina Hembecker
- Universidade Tecnológica Federal do Paraná, Programa de Pós-Graduação em Engenharia Biomédica, Curitiba, PR, Brazil
| | - Percy Nohama
- Universidade Tecnológica Federal do Paraná, Programa de Pós-Graduação em Engenharia Biomédica, Curitiba, PR, Brazil
| | - Ana Lúcia F Sarquis
- Universidade Federal do Paraná (UFPR), Hospital de Clínicas (HC), Departamento de Pediatria, Curitiba, PR, Brazil
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Reger M, Kutschan S, Freuding M, Schmidt T, Josfeld L, Huebner J. Water therapies ( hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review. J Cancer Res Clin Oncol 2022. [PMID: 35171330 DOI: 10.1007/s00432-022-03947-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 02/04/2022] [Indexed: 11/27/2022]
Abstract
Background Water therapies as hydrotherapy, balneotherapy or aqua therapy are often used in the relief of disease- and treatment-associated symptoms of cancer patients. Yet, a systematic review for the evidence of water therapy including all cancer entities has not been conducted to date. Purpose Oncological patients often suffer from symptoms which in patients with other diseases are successfully treated with water therapy. We want to gather more information about the benefits and risks of water therapy for cancer patients. Method In May 2020, a systematic search was conducted searching five electronic databases (Embase, Cochrane, PsychInfo, CINAHL and PubMed) to find studies concerning the use, effectiveness and potential harm of water therapy on cancer patients. Results Of 3165 search results, 10 publications concerning 12 studies with 430 patients were included in this systematic review. The patients treated with water therapy were mainly diagnosed with breast cancer. The therapy concepts included aqua lymphatic therapy, aquatic exercises, foot bathes and whole-body bathes. Outcomes were state of lymphedema, quality of life, fatigue, BMI, vital parameters, anxiety and pain. The quality of the studies was assessed with the AMSTAR2-instrument, the SIGN-checklist and the IHE-Instruments. The studies had moderate quality and reported heterogeneous results. Some studies reported significantly improved quality of life, extent of lymphedema, neck and shoulder pain, fatigue and BMI while other studies did not find any changes concerning these endpoints. Conclusion Due to the very heterogeneous results and methodical limitations of the included studies, a clear statement regarding the effectiveness of water therapy on cancer patients is not possible.
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Ogonowska-Slodownik A, de Lima AAR, Cordeiro L, Morgulec-Adamowicz N, Alonso-Fraile MRI, Güeita-Rodríguez J. Aquatic Therapy for Persons with Neuromuscular Diseases - A Scoping Review. J Neuromuscul Dis 2022; 9:237-256. [PMID: 35034909 PMCID: PMC9028638 DOI: 10.3233/jnd-210749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Background: Aquatic exercise is among the most common physical activity modalities performed by people with disabilities. Objective: The present paper reviews currently-available research on aquatic therapy (AT) for persons with neuromuscular diseases (NMD). Methods: A scoping review of the existing literature was conducted on PubMed, Embase, Medline, Scopus, Web of Science, SPORTdiscus, CINAHL and Lilacs from the earliest date available until October 2020. It follows the methodological framework for conducting a scoping review proposed by the Joanna Briggs Institute. Results: A total of 28 articles were analyzed and the study parameters grouped by the topography of NMD; most of the studies (n = 16) addressed myopathies. A considerable increase in the number of studies was found over time, and heterogeneity was identified across and within AT interventions for persons with NMD; hence, to allow more effective interpretation of study results, there is a need to standardize the fundamental parameters and procedures for AT. Conclusions: This scoping review provides a comprehensive outline of available literature; the findings could serve as a starting point for clinical studies on the effects of AT on persons with NMD, and encourage a more coherent approach to their design.
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Affiliation(s)
- Anna Ogonowska-Slodownik
- Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Luciana Cordeiro
- Occupational Therapy Graduation Course, Faculty of Medicine of Federal University of Pelotas, Brazil
| | | | | | - Javier Güeita-Rodríguez
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Madrid, Spain
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Odabasi E, Turan M. The importance of body core temperature evaluation in balneotherapy. Int J Biometeorol 2022; 66:25-33. [PMID: 34623501 DOI: 10.1007/s00484-021-02201-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 09/17/2021] [Accepted: 10/04/2021] [Indexed: 06/13/2023]
Abstract
It is not wrong to say that there are no application standards or best practices in balneotherapy considering traditional applications. There is not enough information about how changes in body temperature, duration, and frequency of exposure to heat affect therapeutic outcomes of balneotherapeutic applications. Body core temperature (BCT) is probably the best parameter for expressing the heat load of the body and can be used to describe the causal relationship between heat exposure and its effects. There are several reasons to take BCT changes into account; for example, it can be used for individualized treatment planning, defining the consequences of thermal effects, developing disease-specific approaches, avoiding adverse effects, and designing clinical trials. The reasons why BCT changes should be considered instead of conventional measures will be discussed while explaining the effects of balneotherapy in this article, along with a discussion of BCT measurement in balneotherapy practice.
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Affiliation(s)
- Ersin Odabasi
- Department of Medical Ecology and Hydroclimatology, Gulhane Faculty of Medicine, University of Health Science, Gulhane EAH, 06018, Etlik, Ankara, Turkey.
| | - Mustafa Turan
- Department of Medical Education and Informatics, TOBB Faculty of Medicine, TOBB University of Economics and Technology, Ankara, Turkey
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Forestier R, Fioravanti A, Bender T, Santos I, Erol Forestier FB, Muela Garcia A, Françon A. Crenobalneotherapy for low back pain: systematic review of clinical trials. Int J Biometeorol 2022; 66:13-23. [PMID: 34625843 DOI: 10.1007/s00484-021-02188-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 07/25/2021] [Accepted: 08/30/2021] [Indexed: 06/13/2023]
Abstract
Crenobalneotherapy is a treatment commonly used in Europe and Middle East. It uses mineral water sometimes combined with different hydrotherapy techniques. Most patients treated in spa centers suffer from low back pain. The purpose of this work is to identify clinical trials on crenobalneotherapy for low back pain. Publication research was performed on Medline, Cochrane, and PEDRO databases. Clinical trials were analyzed for internal validity, external validity, quality of statistical analysis, and quality of collection of adverse events. We present the best level of evidence. Bibliographic research identified 21 clinical trials and the coauthors added 5 references. The 26 trials represent 2695 patients. Some have good methodological quality and allow considering crenobalneotherapy as a potential treatment for low back pain, even if the role of mineral water remains uncertain. The methodological quality of therapeutic trials should be improved. These trials should be analyzed in the future guidelines on low back pain.
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Affiliation(s)
- R Forestier
- Centre de Recherche Rhumatologique Et Thermal, 15, Av Charles de Gaulle, 73100, Aix Les Bains, France.
| | - A Fioravanti
- Rheumatology Unit, Department of Medicine, Surgery and Neurosciences, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - T Bender
- Polyclinic, Hospital of the Hospitaller, Brothers of St. John of God, Budapest, Hungary
| | | | - F B Erol Forestier
- Centre de Recherche Rhumatologique Et Thermal, 15, Av Charles de Gaulle, 73100, Aix Les Bains, France
| | - A Muela Garcia
- Centre de Recherche Rhumatologique Et Thermal, 15, Av Charles de Gaulle, 73100, Aix Les Bains, France
| | - A Françon
- Centre de Recherche Rhumatologique Et Thermal, 15, Av Charles de Gaulle, 73100, Aix Les Bains, France
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Loureiro APC, Burkot J, Oliveira J, Barbosa JM. WATSU therapy for individuals with Parkinson's disease to improve quality of sleep and quality of life: A randomized controlled study. Complement Ther Clin Pract 2021; 46:101523. [PMID: 34923216 DOI: 10.1016/j.ctcp.2021.101523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 11/22/2021] [Accepted: 12/12/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND and Purpose: Sleep disorders are one of the most frequent non-motor symptoms of Parkinson's disease (PD). This study aimed to verify whether adding WATSU to land-based therapy leads to additional beneficial therapeutic effects regarding quality of sleep and quality of life (QOL) in individuals with PD. MATERIALS & METHODS A randomized control trial design was used. Participants completed nine-week interventions. The control group (CG) received land-based therapy, while the intervention group (IG) received the same land-based therapy and additionally WATSU. Sleep quality and QOL were measured at baseline and post-interventions by Pittsburgh Sleep Quality Index and Nottingham Health Profile, respectively. RESULTS Twenty-eight participants completed the study. In contrast to CG, the IG presented with significant improvements in both, quality of sleep and QOL (p < 0.001). CONCLUSION WATSU has the potential to be an attractive adjunct therapy for producing positive health impacts regarding sleep quality, which may translate to an overall improvement in QOL of individuals with PD.
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Yolgösteren E, Külekçioğlu S. The effectiveness of balneotherapy and thermal aquatic exercise in postoperative persistent lumbar pain syndrome. Int J Biometeorol 2021; 65:2137-2145. [PMID: 34398312 DOI: 10.1007/s00484-021-02176-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 07/17/2021] [Accepted: 07/22/2021] [Indexed: 06/13/2023]
Abstract
In our study, we aimed to investigate the effectiveness of balneotherapy and aquatic exercises in patients with postoperative chronic low back pain. Forty-three patients over the age of 18 who had been operated on for herniated disc and who had at least 6 months of back and/or leg pain were included in the study. The patients have been distributed randomly into 2 groups prior to the treatment. The program comprising aquatic exercises distributed into 5 days a week for 2 weeks and 20 min (min) a day, in a 33 °C spa pool was applied to the first group. After the first group's treatment was completed, a program consisting of walking out of the pool and strengthening and stretching exercises for the hip, abdominal, back, and waist muscles was distributed into 5 days a week for 2 weeks for a total duration of 20 min per day was applied to both groups. The patients subjected to the study were evaluated before treatment, after treatment (2nd week), and at 1st and 6th months after treatment. The Visual Analogue Scale, Modified Schober Test, Finger-to-Floor Distance, Sorensen Test, Progressive Iso-inertial Lifting Evaluation, Rolland Morris Disability Index, Leeds Disability Scale, Beck Depression Inventory, Nottingham Health Profile, and Short Form 36 Health Survey parameters were evaluated. We detected a significant improvement in all parameters except for the Sorensen test, in both groups. We observed that the changes in VAS, Sorensen, NHP, and SF 36 tests in the aquatic exercise group were significantly better than those in the non-aquatic exercise group.
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Affiliation(s)
- Elif Yolgösteren
- Bursa Yüksek Ýhtisas Eðitim Ve Araþtýrma Hastanesi, Bursa Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Çamlýca Mah, Bursa, Turkey
| | - Sevinç Külekçioğlu
- Bursa Yüksek Ýhtisas Eðitim Ve Araþtýrma Hastanesi, Bursa Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Çamlýca Mah, Bursa, Turkey.
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Vitger AD, Bruhn-Rasmussen T, Pedersen EO, Fuglsang-Damgaard LH, Harrison AP. The impact of water depth and speed on muscle fiber activation of healthy dogs walking in a water treadmill. Acta Vet Scand 2021; 63:46. [PMID: 34819127 PMCID: PMC8611859 DOI: 10.1186/s13028-021-00612-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 11/03/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Water treadmills are frequently used in the rehabilitation of dogs, for example with the purpose of re-building muscular strength after surgery. However, little is known about how different water depths and velocities affect the muscular workload during aquatic locomotion. This study used acoustic myography to assess hind limb muscle fiber activation in 25 healthy large-breed dogs walking in a water treadmill. Acoustic myography sensors were attached to the skin over the vastus lateralis of the quadriceps and the biceps femoris muscles. The dogs walked at two velocities (30 and 50 m/min) and four water depths: bottom of the pads, hock, stifle and mid-femur. Acoustic myograph signals were analyzed for changes in three muscle function parameters: efficiency/coordination (E-score) and spatial (S-score) and temporal (T-score) summation. RESULTS Differences between E, S, and T were statistically significant compared across different speeds (30, 50) and water levels (0, 1, 2, 3) using a one-way ANOVA with multiple comparisons (Tukey; Geisser-Greenhouse correction) as well as a two-tailed one sample t-test. At 50 m/min in water at the mid-femur, the biceps femoris was less efficient (P < 0.001) and recruited more fibers (P = 0.01) at a higher firing rate (P = 0.03) compared to working in shallower water, while the vastus lateralis was also less efficient (P < 0.01), but spatial and temporal summation did not change significantly. At 30 m/min, biceps efficiency was reduced (P < 0.01) when water was at the mid-femur compared to the bottom of the pads level. Walking in stifle- or hock-deep water did not show increased muscle activation for either muscle compared to walking in water at the bottom of the pads. CONCLUSION More muscle activation was required to walk in water at a depth at the level of the mid-femur compared to shallower water, and this exercise was more demanding for the biceps femoris, a muscle engaged in propulsion, than for vastus lateralis. These findings may help practitioners towards making more precise rehabilitation protocols.
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Schitter AM, Radlinger L, Kurpiers N, Frei P. Application areas and effects of aquatic therapy WATSU - A survey among practitioners. Complement Ther Clin Pract 2021; 46:101513. [PMID: 34844068 DOI: 10.1016/j.ctcp.2021.101513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 11/01/2021] [Accepted: 11/12/2021] [Indexed: 11/22/2022]
Abstract
INTRODUCTION WATSU (WaterShiatsu) is a treatment administered in warm water. The present study investigated if and how frequently scientifically studied application areas and effects of WATSU occur in practice, whether similar effectiveness of WATSU is observed in trials and practice, and whether practitioners can contribute additional application areas and effects of WATSU. METHODS Application areas and effects of WATSU reported in a recent systematic review were extracted verbatim to be assessed in a worldwide multilingual cross section online survey, generating quantitative and qualitative data. A pre-test and retest were conducted to ensure quality and evaluate the questionnaire's psychometric properties. RESULTS Answers of 191 respondents were processed. All proposed 26 application areas and 20 effects were confirmed, each with relatively high ratings of observed effectiveness of WATSU. WATSU was frequently applied in healthy individuals (including during pregnancy), and individuals in various pain- (e.g., low back pain, neck pain, myofascial pain, fibromyalgia) and stress-related (e.g., stress, depression, sleep disorders, fatigue, anxiety disorders) conditions. Frequently confirmed effects were physical relaxation, relief of physical tension, pain relief, increased mobility and flexibility, improved quality of life, spiritual experiences, and increased psychological health. Respondents contributed 73 additional application areas and effects (both, mental and physical) of WATSU. CONCLUSIONS Application areas and effects of WATSU are consistently employed practically and scientifically. Respondents' ratings of effectiveness of WATSU match tentative research efforts. WATSU is cautiously recommended for the use in pain- and stress-related conditions. Short- and long-term effectiveness of WATSU need to be evaluated in high level intervention studies.
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Scheer A, Shah A, Ito Ramos de Oliveira B, Moreno-Suarez I, Jacques A, Green D, Maiorana A. Twelve weeks of water-based circuit training exercise improves fitness, body fat and leg strength in people with stable coronary heart disease: a randomised trial. J Physiother 2021; 67:284-290. [PMID: 34518147 DOI: 10.1016/j.jphys.2021.08.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 08/17/2021] [Accepted: 08/31/2021] [Indexed: 12/31/2022] Open
Abstract
QUESTION In people with stable coronary heart disease, what are the effects of water-based circuit training exercise on aerobic capacity, strength and body composition? How do these effects compare with those of gym-based exercise? DESIGN Parallel group, randomised controlled trial with concealed allocation and intention-to-treat analysis. PARTICIPANTS Fifty-two participants with stable coronary heart disease. INTERVENTIONS Twelve weeks of: three 1-hour sessions per week of moderate-intensity water-based circuit training exercise with alternating aerobic and resistance stations (WEX); three 1-hour sessions per week of moderate-intensity gym-based circuit training exercise (GEX); or continuing usual activities (control). OUTCOME MEASURES Aerobic capacity (VO2peak), upper and lower limb one repetition maximum strength (biceps curl, latissimus dorsi pulldown, hamstring curl and leg press), anthropometry (weight, body mass index and girth) and dual energy x-ray absorptiometry. RESULTS Forty-five participants completed the study (WEX n = 15, GEX n = 18, control n = 12). Both training groups significantly improved VO2peak compared with control: WEX by 2.5 ml/kg/min (95% CI 0.6 to 4.4) and GEX by 2.3 ml/kg/min (95% CI 0.6 to 4.0). WEX and GEX improved hamstring strength compared with control: WEX by 6.3 kg (95% CI 1.2 to 11.3) and GEX by 7.6 kg (95% CI 2.9 to 12.2). Compared with control, GEX increased leg press strength by 15.5 kg (95% CI 5.7 to 25.3), whereas the effect of WEX was less clear (MD 7.1 kg, 95% CI -3.5 to 17.7). Only GEX improved latissimus dorsi pulldown strength. Compared with control, total body fat was reduced with WEX (-1.1 kg, 95% CI -2.3 to 0.0) and GEX (-1.2 kg, 95% CI -2.3 to -0.1). There were negligible between-group differences in weight or waist circumference. CONCLUSION WEX was well tolerated and improved aerobic capacity, leg strength and body fat to a similar degree as GEX in people with coronary heart disease. These findings suggest that WEX is an effective exercise training alternative to GEX for people with coronary heart disease. TRIAL REGISTRATION ANZCTR12616000102471.
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Affiliation(s)
- Anna Scheer
- School of Allied Health, Curtin University, Perth, Australia
| | - Amit Shah
- Advanced Heart Failure and Cardiac Transplant Service, Fiona Stanley Hospital, Perth, Australia
| | | | - Ignacio Moreno-Suarez
- School of Allied Health, Curtin University, Perth, Australia; The Hong Kong Polytechnic University, Department of Rehabilitation Sciences, Hong Kong
| | - Angela Jacques
- School of Allied Health, Curtin University, Perth, Australia
| | - Daniel Green
- School of Human Sciences, The University of Western Australia, Perth, Australia
| | - Andrew Maiorana
- School of Allied Health, Curtin University, Perth, Australia; Advanced Heart Failure and Cardiac Transplant Service, Fiona Stanley Hospital, Perth, Australia; Allied Health Department, Fiona Stanley Hospital, Perth, Australia.
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Hajouj E, Hadian MR, Mir SM, Talebian S, Ghazi S. Effects of Innovative Aquatic Proprioceptive Training on Knee Proprioception in Athletes with Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial. Arch Bone Jt Surg 2021; 9:519-526. [PMID: 34692934 PMCID: PMC8503762 DOI: 10.22038/abjs.2020.50106.2485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 11/19/2020] [Indexed: 11/06/2022]
Abstract
BACKGROUND Proprioceptive training in the aquatic environment is more beneficial owing to water properties. The primary goal of the present study was to investigate the effectiveness of the incorporation of innovative aquatic proprioceptive training into conventional accelerated land-based rehabilitation protocol in knee function and joint position sense in male athletes after anterior cruciate ligament reconstruction (ACLR). METHODS A total of 38 athlete male athletes with ACLR were randomly assigned to two rehabilitation groups. The conventional therapy group (CT) (n=19) received conventional rehabilitation for 6 weeks, while the hydrotherapy group (HT) (n=19) received the same conventional rehabilitation, in addition to 12 sessions of innovative aquatic proprioceptive training. The outcomes included the joint position sense (JPS) errors, visual analog scale (VAS), and international knee documentation committee (IKDC). Repeated measures analysis of variance (ANOVA) was used to compare the means between the two groups. Cohen's d from an independent t-test was used to calculate the effect sizes for all variables after the intervention for both groups. RESULTS Base on the results, there were a significant difference in absolute errors (AE) (FAE=56.231, P<0.001) and variable errors (VE) (FVE=60.245, P<0.001) between the two groups. No significant differences were detected in constant error (CE), VAS, and IKDC between the two groups (P>0.05). Both groups displayed a significant difference in terms of AE, VE, VAS, and IKDC after the intervention (P<0.05). Percent changes after the intervention for AE(69.19%), VE (68.20%), CE (65.20%), VAS37.50%, and IKDC (38.61%) were greater in the HT group, compared to the CT group. CONCLUSION As evidenced by the obtained results, innovative aquatic proprioceptive training incorporate into the conventional rehabilitation accelerated protocol offers the improvement of proprioception efficiency for individuals with ACL reconstruction. Therefore, it could be useful to clinicians when designing rehabilitation protocol to ensure the optimal engagement of proprioception.
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Affiliation(s)
- Elie Hajouj
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Mohammad Reza Hadian
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
- Brain and Spinal Cord Injury Research Center, Institute of Neuroscience, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Seyed Mohsen Mir
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Saeed Talebian
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Salah Ghazi
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
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Yücesoy H, Dönmez A, Atmaca-Aydın E, Yentür SP, Saruhan-Direskeneli G, Ankaralı H, Erdoğan N, Karagülle MZ. Effects of balneological outpatient treatment on clinical parameters and serum cytokine levels in patients with chronic low back pain: a single-blind randomized controlled trial. Int J Biometeorol 2021; 65:1367-1376. [PMID: 33712909 DOI: 10.1007/s00484-021-02109-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 02/27/2021] [Accepted: 03/01/2021] [Indexed: 05/25/2023]
Abstract
This study aimed to investigate the effects of balneological outpatient treatment (hydrotherapy and peloidotherapy) on clinical status and serum cytokine levels in patients with chronic low back pain (CLBP). Seventy-four patients with CLBP who accepted to participate to the study were randomly divided into two groups. The study group was given ten sessions (in 2 weeks) of hydrotherapy, peloidotherapy, and home exercise, while the control group was given only home exercise. All patients were assessed before and at the end of therapy, at the 1st and 3rd months. The primary outcomes were pain intensity on the visual analog scale (VAS) (VAS-pain, VAS-rest, VAS-exercise) and Oswestry Disability Index (ODI). The secondary outcome measures included patient's and physician's global assessment (VAS-PGA), (VAS-DGA), finger-to-floor distance (FFD), modified Schober test, Short Form-36 (SF-36), and the use of analgesic drug. Venous blood samples were drawn from all patients before/1st day and after therapy/12th day to measure serum interleukin (IL)-6 and IL-10 levels. Significant improvement was observed in the study group in VAS-pain, VAS-rest, VAS-exercise, VAS-PGA, VAS-DGA, ODI, and SF-36 parameters after treatment and improvement maintained for 3 months. In the control group, significant improvement was observed in VAS-pain, VAS-exercise, VAS-PGA, VAS-DGA, and ODI scores on the 12th day and continued for 3 months. Decrease in pain, pain during rest and exercise, modified Schober test, VAS-PGA, VAS-DGA, ODI scores, and the increase in SF-36 pain and general health scores showed superiority in favor of the study group in all evaluations. There was a significant increase in IL-10 values from baseline at the end of treatment in the study group. The use of non-steroidal anti-inflammatory drug (NSAID) was significantly lower in the study group compared with the use of NSAID in the control group in the 3rd month. Balneological outpatient treatment improved clinical status in CLBP patients. Although no significant correlation was clearly determined between IL-10 levels and pain score, this effect might be related to the observed increase in the anti-inflammatory cytokine IL-10 levels that was observed only in the study group.
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Affiliation(s)
- H Yücesoy
- Department of Medical Ecology and Hydroclimatology, Antalya Education and Research Hospital, University of Health Sciences, Varlık Mh. Kazım Karabekir Cd., 07100 Muratpaşa, Antalya, Turkey.
| | - A Dönmez
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Çapa, Istanbul, Turkey
| | - E Atmaca-Aydın
- Department of Medical Ecology and Hydroclimatology, Antalya Education and Research Hospital, University of Health Sciences, Varlık Mh. Kazım Karabekir Cd., 07100 Muratpaşa, Antalya, Turkey
| | - S P Yentür
- Department of Physiology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Çapa, 34093, Istanbul, Turkey
| | - G Saruhan-Direskeneli
- Department of Physiology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Çapa, 34093, Istanbul, Turkey
| | - H Ankaralı
- Department of Biostatistics and Medical Informatics, Istanbul Medeniyet University Medical Faculty, 34093, Kadıköy, Turkey
| | - N Erdoğan
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Çapa, Istanbul, Turkey
| | - M Z Karagülle
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Çapa, Istanbul, Turkey
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Abstract
The goal of rehabilitation is to restore function and mobility and reduce pain associated with chronic disease. In human medicine, physical therapy is standard of care for acute and chronic injuries and an integral component of postoperative recovery. Although there is a dearth of evidence-based veterinary medical studies in rehabilitation therapy and modalities for forelimb injuries in dogs, some extrapolation from human medicine can be made and applied. When developing a rehabilitation and therapeutic plan, the biomechanics of the affected limb and timeline of tissue healing of the target tissue and/or joint are important to consider.
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Affiliation(s)
- Jennifer A Brown
- Florida Veterinary Rehabilitation and Sports Medicine, 11016 North Dale Mabry Highway, #202, Tampa, FL 33618, USA.
| | - Julia Tomlinson
- Twin Cities Animal Rehabilitation & Sports Medicine Clinic, 12010 Riverwood Drive, Burnsville, MN 55337, USA
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Zughbor N, Alwahshi A, Abdelrahman R, Elnekiti Z, Elkareish H, Gabor MG, Ramakrishnan S. The Effect of Water-Based Therapy Compared to Land-Based Therapy on Balance and Gait Parameters of Patients with Stroke: A Systematic Review. Eur Neurol 2021; 84:409-417. [PMID: 34274928 DOI: 10.1159/000517377] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 05/23/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Stroke is defined as the lack of blood supply to the brain, leading to rapid loss of brain function presenting with impairments such as muscle weakness, spasticity, lack of coordination, and proprioception loss. Both hydrotherapy and land-based therapy aim to target these aspects in the process of rehabilitation. The study aims to determine the effectiveness of water-based therapy on balance and gait of patients with stroke compared to land-based therapy. METHODS Data for this review were extracted from databases such as CINAHL, OTseeker, Ovid, PEDro, and PubMed (MEDLINE) and other sources such as Google Scholar. PRISMA guidelines were followed to exclude irrelevant studies. Only randomized controlled trials (RCTs) were included, and methodological quality was assessed using the PEDro scale. A meta-analysis of extracted data was conducted. RESULTS A total of 16 relevant RCTs were included for the review (n = 412 participants). All RCTs investigated the effect of water-based therapy compared to land-based therapy on balance and gait of patients with stroke. Meta-analysis of studies that used the Berg Balance Scale (BBS) as a primary outcome measure favored land-based therapy. Studies that used the Good Balance System (GBS) and the Biodex Balance System (BioBS) to measure the changes in anteroposterior sway and mediolateral sway favored water-based therapy. The overall pooled effect favored land-based therapy in improving gait parameters. CONCLUSION Findings from meta-analysis support the effectiveness of land-based therapy in the improvement of balance and gait parameters of patients with stroke. However, the evidence for water-based therapy continues to be limited, and higher quality studies are required to determine the effectiveness of water-based therapy on patients with stroke, particularly on balance and gait.
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Affiliation(s)
- Nour Zughbor
- Physiotherapy Department, Fatima College of Health Sciences, Al Ain, United Arab Emirates
| | - Aisha Alwahshi
- Physiotherapy Department, Fatima College of Health Sciences, Al Ain, United Arab Emirates
| | - Rahaf Abdelrahman
- Physiotherapy Department, Fatima College of Health Sciences, Al Ain, United Arab Emirates
| | - Zeina Elnekiti
- Physiotherapy Department, Fatima College of Health Sciences, Al Ain, United Arab Emirates
| | - Hoda Elkareish
- Physiotherapy Department, Fatima College of Health Sciences, Al Ain, United Arab Emirates
| | - Marian Grace Gabor
- Physiotherapy Department, Fatima College of Health Sciences, Abu Dhabi, United Arab Emirates
| | - Senthilnathan Ramakrishnan
- Physiotherapy Department, Fatima College of Health Sciences, Al Ain, United Arab Emirates.,Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom
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Ghayour Najafabadi M, Shariat A, Dommerholt J, Hakakzadeh A, Nakhostin-Ansari A, Selk-Ghaffari M, Ingle L, Cleland JA. Aquatic Therapy for improving Lower Limbs Function in Post-stroke Survivors: A Systematic Review with Meta-Analysis. Top Stroke Rehabil 2021; 29:473-489. [PMID: 34151744 DOI: 10.1080/10749357.2021.1929011] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Lower limb disability is common in chronic stroke patients, and aquatic therapy is one of the modalities used for the rehabilitation of these patients. OBJECTIVES To summarize the evidence of the effects of aquatic therapy on lower limb disability compared to land-based exercises in post-stroke patients. METHODS MEDLINE, PsycInfo, CENTRAL, SPORTDiscus, PEDro, PsycBITE, and OT Seeker were searched from inception to January 2019. The search included only randomized clinical trials. Two reviewers independently examined the full text and conducted study selection, data extraction, and quality assessment. Data synthesis was applied to summarize information from the included studies. The quantitative analysis incorporated fixed-effect models. RESULTS Of the 150 studies identified in the initial search, 17 trials (629 participants) satisfied the eligibility criteria. Aquatic therapy improved balance based on the Berg Balance Scale (BBS) (standardized mean difference [SMD], 0.72; 95% confidence interval [CI], 0.50-0.94; I2 = 67%) compared with land-based exercises (control). Also, aquatic therapy had a small positive effect on walking speed (SMD, -0.45; 95% CI {-0.71 - (-0.19)}; I2 = 57%), based on the results of the 10-m walking test, compared to controls. Aquatic therapy had a small positive effect on mobility (based on Timed Up and Go), (SMD, -0.43; 95% CI {-0.7-(- 0.17)}; I2 = 71%) compared to land-based exercise (control). CONCLUSIONS Aquatic therapy had a more positive effect on walking speed, balance, and mobility than land-based exercises. Further research is needed to confirm the clinical utility of aquatic therapy for patients following stroke in the long term.
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Affiliation(s)
- Mahboubeh Ghayour Najafabadi
- Department of Motor Behaviour, Faculty of Physical Education and Sport Science, University of Tehran, Tehran, Iran
| | - Ardalan Shariat
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Azadeh Hakakzadeh
- Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amin Nakhostin-Ansari
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Selk-Ghaffari
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Lee Ingle
- Department of Sport, Health & Exercise Science, University of Hull, Kingston-upon-Hull, UK
| | - Joshua A Cleland
- Department of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, USA
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Tedesco NM, Nascimento ALF, Mallmann GDS, Merey LSF, Raniero EP, Gonçalves-Ferri WA, Soares-Marangoni D. Bucket hydrokinesiotherapy in hospitalized preterm newborns: a randomized controlled trial. Physiother Theory Pract 2021; 38:2452-2461. [PMID: 34100691 DOI: 10.1080/09593985.2021.1926025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objective: To examine the effects of hydrokinesiotherapy in a bucket on physiological parameters and clinical outcomes of hospitalized preterm newborns. Methods: In this randomized controlled trial, 34 preterm newborns with low birth weight were randomly allocated into experimental (EG) or control (CG) groups and were assessed four times on two alternate days: pre-intervention, post-intervention, 15 min after the intervention, 30 min after post-intervention. On both days, between pre-and post-intervention, the EG underwent hydrokinesiotherapy in a bucket for 10 min and the CG only had the diaper changed. Physiological parameters and body weight gain were considered primary outcomes. Behavioral state and degree of respiratory distress were secondary outcomes. Results: Newborns in the EG presented transitory changes in heart and respiratory rates after the intervention. Oxygen saturation was higher in the EG compared to the CG at post-intervention and up to at least 15 min after post-intervention on both days. The EG was in a more active state than the CG at post-intervention on both days. These changes occurred within normal ranges. Body temperature, degree of respiratory distress, and body weight gain did not differ between groups. Conclusion: The hydrokinesiotherapy caused isolated changes in the physiological parameters and led to a more active behavioral state in hospitalized preterm newborns with low birth weight. These changes did not affect the newborns' clinical conditions. The technique was safe, but clinical outcomes, including body weight gain, were not improved.
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Affiliation(s)
- Natália Matos Tedesco
- Faculty of Medicine, INISA, Federal University of Mato Grosso do Sul, Graduate Program of Health and Development, Campo Grande, MS, Brazil
| | - Andressa Lagoa França Nascimento
- Faculty of Medicine, INISA, Federal University of Mato Grosso do Sul, Graduate Program of Health and Development, Campo Grande, MS, Brazil
| | - Geruza de Souza Mallmann
- Federal University of Mato Grosso do Sul, Graduate Program of Movement Sciences, Institute of Health, INISA, Campo Grande, MS, Brazil
| | - Leila Simone Foerster Merey
- Federal University of Mato Grosso do Sul, Physical Therapy School, Health Institute, INISA, Campo Grande, MS, Brazil
| | - Elaine Pereira Raniero
- Graduate Program of Child and Adolescent HealthRibeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Walusa Assad Gonçalves-Ferri
- Graduate Program of Child and Adolescent HealthRibeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Daniele Soares-Marangoni
- Faculty of Medicine, INISA, Federal University of Mato Grosso do Sul, Graduate Program of Health and Development, Campo Grande, MS, Brazil.,Federal University of Mato Grosso do Sul, Graduate Program of Movement Sciences, Institute of Health, INISA, Campo Grande, MS, Brazil.,Federal University of Mato Grosso do Sul, Physical Therapy School, Health Institute, INISA, Campo Grande, MS, Brazil
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Kardeş S. Public interest in spa therapy during the COVID-19 pandemic: analysis of Google Trends data among Turkey. Int J Biometeorol 2021; 65:945-950. [PMID: 33442780 PMCID: PMC7805426 DOI: 10.1007/s00484-021-02077-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 12/28/2020] [Accepted: 01/05/2021] [Indexed: 05/03/2023]
Abstract
In Turkey, spas are widely used and preferred by patients who are seeking relief from their disability and pain. The spa therapy program is partly reimbursed by the national health insurance system. The objective of the present study was to leverage Google Trends to elucidate the public interest in spas in Turkey during the COVID-19 pandemic. Google Trends was queried to analyze search trends within Turkey for the Turkish term representing a spa (i.e., kaplıca) from January 01, 2016, to September 30, 2020. The relative search volume of "kaplıca" was statistically significantly decreased in the March 15-May 30, 2020 (- 73.04%; p < 0.001); May 31-July 25, 2020 (- 41.38%; p < 0.001); and July 26-September 19, 2020 (- 29.98%; p < 0.001) periods compared to similar periods of preceding 4 years (2016-2019). After June 1, 2020, the relative search volume was shown to have a moderate recovery, without reaching the level of 2016-2019. Public interest in spas showed an initial sharp decline between mid-March and May, with a moderate increase during the June-August period. This finding might be indicative of public preference in undertaking spa therapy during the COVID-19 period. In Turkey, spas might be used to increase places providing rehabilitation for both non-COVID-19 patients and survivors of COVID-19 with long-term symptoms during the pandemic.
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Affiliation(s)
- Sinan Kardeş
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
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Campos DM, Ferreira DL, Gonçalves GH, Farche ACS, de Oliveira JC, Ansai JH. Effects of aquatic physical exercise on neuropsychological factors in older people: A systematic review. Arch Gerontol Geriatr 2021; 96:104435. [PMID: 34030045 DOI: 10.1016/j.archger.2021.104435] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 05/05/2021] [Accepted: 05/08/2021] [Indexed: 11/24/2022]
Abstract
BACKGROUND . There is a lack of standardized protocols and clinical trials for older adults involving neuropsychological factors in the literature. Furthermore, no systematic review has been published investigating this theme. PURPOSE . The purpose of this systematic review was to analyze the effects of aquatic physical exercise on neuropsychological factors in older adults. METHODS . A systematic review (CRD42020176899) was conducted, using articles from Pubmed, Web of Science, Scopus, Cochrane Library, Science Direct and Medline published until March 2020 (without limit of previous year). Eligibility criteria for selecting studies were: clinical trials; samples with a mean age of 65 years old and over; articles involving aquatic physical exercise; and presenting neuropsychological outcomes (behavior, cognition, psychological, mental health). RESULTS AND DISCUSSION . The search yielded 801 records and 16 studies were included, totaling: 1707 older adults, with a mean age of 71.3 years old (range of mean ages in the studies: 65.3 to 88.4 years old) and a predominance of women. Aquatic physical exercise showed positive results in the mental component of quality of life, fear of falling, mood, anxiety and internal health locus of control in healthy sedentary older adults. Only one study out of 5 carried out with older adults with osteoarthritis showed improvements in psychological well-being after aquatic intervention. Older women with osteopenia or osteoporosis showed improvements in the mental component of quality of life. Studies on dementia showed a significant improvement in behavioral and psychological symptoms after aquatic intervention and no effect on depressive symptoms. CONCLUSION . Based on the results of this systematic review, aquatic physical exercise has positive effects on quality of life, fear of falling, cognitive functions, mood, anxiety and internal health locus of control in sedentary community-dwelling older people. It can be a great resource for carrying out physical activities in this population.
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Affiliation(s)
- Dayane Melo Campos
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Brazil
| | - Daniela Lemes Ferreira
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Brazil
| | - Glaucia Helena Gonçalves
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Brazil; Department of Physical Therapy, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Brazil
| | | | - Jéssica Cerutti de Oliveira
- Department of Physical Therapy, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Brazil
| | - Juliana Hotta Ansai
- Movement Science Graduate Program, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Brazil; Department of Gerontology, Federal University of São Carlos, Brazil.
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Siega J, Iucksch DD, Da Silva AZ, Zotz TGG, Israel VL. Parkinson's disease and multicomponent aquatic exercise: Effects on motor aspects, functional mobility, muscle function and aquatic motor skills. J Bodyw Mov Ther 2021; 27:314-321. [PMID: 34391251 DOI: 10.1016/j.jbmt.2021.03.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 03/10/2021] [Accepted: 03/29/2021] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Analyze the effects of a multicomponent aquatic exercise program on motor aspects, functional mobility, muscle function and aquatic motor skills of people with PD. METHODS Eighteen people with a PD diagnosis were assessed before and after a 12-week multicomponent aquatic exercise program, twice a week, with each session lasting 50 min. The terrestrial variables analyzed were motor aspects, through the Unified Parkinson Disease Rating Scale (UPDRS); functional mobility, through the Five Times Sit to Stand Test (FTSST); Peak Torque (PT) and Mean Power (MP) of hip, knee and ankle flexors and extensors, assessed using an isokinetic dynamometer. In water, aquatic motor skill levels were assessed by means of the Aquatic Functional Assessment Scale (AFAS). RESULTS Significant improvements were found after the intervention in the following outcomes: motor aspects (p = 0.038, Δ = 5-61); MP of knee flexors at 90°/s on the most affected side (p = 0.026, Δ = 5.14), MP of knee extensors at 90°/s on the most affected side (p = 0.008, Δ = 8.69), MP of knee extensors at 120°/s on the most affected side (p = 0.005, Δ = 8.35), and AFAS in the domain of specialized therapeutic exercises (p = 0.014, Δ = 1.28). CONCLUSIONS The completed multicomponent aquatic exercise program promoted changes in muscle function and terrestrial and aquatic functional outcomes in people with PD.
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Khruakhorn S, Chiwarakranon S. Effects of hydrotherapy and land-based exercise on mobility and quality of life in patients with knee osteoarthritis: a randomized control trial. J Phys Ther Sci 2021; 33:375-383. [PMID: 33935364 PMCID: PMC8079887 DOI: 10.1589/jpts.33.375] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 01/30/2021] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To determine the effects of hydrotherapy and land-based exercises on functional mobility and quality of life among patients with knee osteoarthritis. [Participants and Methods] We conducted a randomized controlled trial with knee osteoarthritis patients randomly allocated into land-based (n=17) and hydrotherapy groups (n=17). The Time-Up and Go (TUG), Five Times Sit-to-Stand (5STS), Stair Climbing Test (SCT), and Quality of Life by questionnaires including the Modified Western Ontario and McMaster Universities Osteoarthritis Index questionnaire Thai version (Thai WOMAC) were assessed at baseline and 6 weeks. The World Health Organization Quality of Life BREF Thai version (WHOQOL-BREF-THAI) questionnaire were assessed at baseline and six weeks and 6 months. [Results] There was no significant difference in outcomes between the groups after 6-weeks and 6-months of follow-up. After 6 weeks, Thai WOMAC score improved in both groups. Only 5STS was improved in the land-based group, while the hydrotherapy group showed significant TUG, 5STS, and SCT improvement. Furthermore, only hydrotherapy showed significant improvement in WHOQOL-BREF-THAI scores in the mental, social, quality of health, and total domains after six months. [Conclusion] Both exercises equally improved functional mobility and quality of life. Hydrotherapy and land-based exercise could improve functional mobility and quality of life in patients with knee osteoarthritis.
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Affiliation(s)
- Santhanee Khruakhorn
- Department of Physical Therapy, Faculty of Allied Health
Sciences, Thammasat University Rangsit Campus: 99 Moo.18 Phahonyothin Road, Khlong Nueng,
Khlong Luang, Pathum Thani 12120, Thailand
| | - Sanon Chiwarakranon
- Department of Physical Therapy, Faculty of Allied Health
Sciences, Thammasat University Rangsit Campus: 99 Moo.18 Phahonyothin Road, Khlong Nueng,
Khlong Luang, Pathum Thani 12120, Thailand
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Ramirez FE, Sanchez A, Pirskanen AT. Hydrothermotherapy in prevention and treatment of mild to moderate cases of COVID-19. Med Hypotheses 2021; 146:110363. [PMID: 33303302 PMCID: PMC7668174 DOI: 10.1016/j.mehy.2020.110363] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 10/02/2020] [Accepted: 10/21/2020] [Indexed: 01/04/2023]
Abstract
COVID-19 is a new contagious disease caused by a new coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 is a disease that has reached every continent in the world; it has overloaded the medical system worldwide and it has been declared a pandemic by the World Health Organization. Currently there is no definite treatment for COVID-19. We realize that host immunity is a critical factor in the outcome of coronavirus 2 infection. Here, however, we review the pathophysiology of the disease with a focus on searching for what we can do to combat this new disease. From this, we find that coronavirus is sensitive to heat. We have thus focused on this area of vulnerability of the virus. The emphasis of this hypothesis is on the action of body heat-internal (fever) and external (heat treatment)-in activating the immune system and its antiviral activities, and specifically related to the coronavirus. We hypothesize from this review that heat treatments has the potential to prevent COVID-19 and to decrease the severity of mild and moderate cases of Coronavirus. We propose heat treatments for this uncontrolled worldwide coronavirus pandemic while studies are being done to test the effectiveness of heat treatments in the prevention and treatment of COVID-19.
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Affiliation(s)
| | - Albert Sanchez
- Weimar Institute, 20601 West Paoli Lane, Weimar, CA 95736, United States
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Gravelier C, Kanny G, Adetu S, Goffinet L. Spa therapy and burn scar treatment: a systematic review of the literature. Int J Biometeorol 2020; 64:2195-2203. [PMID: 32875343 DOI: 10.1007/s00484-020-01988-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 08/03/2020] [Accepted: 08/04/2020] [Indexed: 06/11/2023]
Abstract
Spa therapy is an integral part of the treatment of burn scars. The objective of this systematic review is to provide an overview of the spa therapy used in the treatment of burn scars and analyze its effects reported in clinical studies. We used the PRISMA checklist and queried 8 scientific databases from August 2019 to July 2020 for articles referenced with the specific key words: (burn) AND ((spa) OR (crenotherap*) OR (sulfur bath) OR (balneo*) OR (hydrotherap*) OR (mineral water) OR (thermal water) OR (spring water) OR (health resort medicine)). We used the EPHPP-QAT to assess the quality of the studies. Out of 10,050 publications identified in our database searches, 3 studies were selected: 2 clinical trials and 1 descriptive multicenter study that polled surgeons for their opinion on spa therapy for burn patients. All of the articles concluded that spa therapy is positive in burn scar recovery. No strong study on the effectiveness of spa therapy for burn scars care according to the EPHPP-QAT was identified. Spa therapy in the Saint Gervais spa center appears to be the only spa technique to have been evaluated for burn scar care. This review underscores the need to perform clinical studies to evaluate the effects and benefits of spa therapy for burn scars on patient's quality of life, and improve our understanding of the mechanisms of action of physiotherapy. Care programs should be harmonized in order to conduct multicenter studies.
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Affiliation(s)
- Camille Gravelier
- Research team INTERPSY EA 4432, axe PRISME, Medical School of Nancy, University of Lorraine, Interregional Burn Treatment Center for Adults, Mercy Regional Hospital (Metz-Thionville), 1 allée du château, 57530, Ars-Laquenexy, France.
| | - Gisèle Kanny
- Internal Medicine, Clinical Immunology and Allergology, Laboratory of Medical Hydrology and Climatology, Faculté de Médecine, University Hospital of Nancy - Research Team INTERPSY, axe PRISME, University of Lorraine, 9 rue de la Forêt de Haye, 54505, Vandœuvre-lès-Nancy, France
| | - Sorin Adetu
- Interregional Burn Treatment Center for Children, Nancy University Hospital (CHU), rue du Morvan, 54511, Vandœuvre-lès-Nancy, France
| | - Laetitia Goffinet
- Interregional Burn Treatment Center for Children, Nancy University Hospital (CHU), rue du Morvan, 54511, Vandœuvre-lès-Nancy, France
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Carvalho RGS, Silva MF, Dias JM, Olkoski MM, Dela Bela LF, Pelegrinelli ARM, Barreto MST, Campos RR, Guenka LC, Facci LM, Cardoso JR. Response to the Letter to the editor "Effectiveness of additional deep-water running for disability, lumbar pain intensity, and functional capacity in patients with chronic low back pain: A randomised controlled trial with 3-month follow-up". Musculoskelet Sci Pract 2020; 50:102228. [PMID: 32839108 DOI: 10.1016/j.msksp.2020.102228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 07/24/2020] [Indexed: 11/21/2022]
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Schulte K, Blakeslee SB, Stritter W, Eidenschink C, Gündling PW, Baumann A, Seifert G. The effect of Kneipp treatment hydrotherapy on secretory IgA in young children: A controlled, non-randomized clinical pilot study. Complement Ther Med 2020; 57:102637. [PMID: 33259910 DOI: 10.1016/j.ctim.2020.102637] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 11/17/2020] [Accepted: 11/22/2020] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVES This pilot study analyses the effect and feasibility of hydrotherapeutic Kneipp arm affusions on secretory immunoglobulin A (sIgA) and classic cold symptoms in children 3-6 years of age. STUDY DESIGN A controlled, non-randomized, clinical pilot study was undertaken. INTERVENTION This descriptive hydrotherapeutic intervention treated children aged 3-6 with Kneipp arm affusions over four weeks. The control group received no intervention. At baseline and after the intervention, secretory IgA was measured, cold symptoms were assessed by means of the Common Cold Questionnaire (CCQ), and a semi-structured follow-up qualitative interview of the parents in the intervention group was conducted on acceptance and susceptibility to infection of the respiratory tract. RESULTS Fifteen participants were included in the intervention group and 15 were in the control group. The Kneipp arm affusions intervention was conducted at home and well-accepted by the children. No differences developed between the groups regarding sIgA. Comparing the symptoms by means of CCQ did not show symptoms of respiratory tract infections. In the intervention group, rhinitis occurred less frequently (26.7 % vs. 66.7 %, p = 0.057). In the qualitative analysis, 9/13 parents described an improvement in susceptibility to infections of the respiratory tract. CONCLUSION Due to the pilot character of this study, home hydrotherapy (Kneipp arm affusions) in healthy children is feasible but did not influence sIgA levels. The influence on infections of the respiratory tract after the intervention phase should be interpreted carefully. In qualitative interviews, parents described less susceptibility to infections of the respiratory tract by their children.
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Affiliation(s)
- Klaudia Schulte
- Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Sarah B Blakeslee
- Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Wiebke Stritter
- Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Christine Eidenschink
- Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Peter W Gündling
- Dean of Studies Naturopathy and Complementary Medicine, Carl Remigius Medical School, Idstein, Germany
| | - Andrea Baumann
- Chair of Medical Theory, Integrative and Anthroposophic Medicine, Faculty of Health, Witten/Herdecke University, Germany
| | - Georg Seifert
- Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany; University of São Paulo, Faculty of Medicine, Department of Pediatrics São Paulo, Estado de Sao Paulo, Brazil
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Silva MF, Dias JM, Dela Bela LF, Pelegrinelli ARM, Lima TB, Carvalho RGDS, Taglietti M, Batista Júnior JP, Facci LM, McVeigh JG, Cardoso JR. A review on muscle activation behaviour during gait in shallow water and deep-water running and surface electromyography procedures. J Bodyw Mov Ther 2020; 24:432-41. [PMID: 33218545 DOI: 10.1016/j.jbmt.2020.06.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 05/27/2020] [Accepted: 06/13/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND Surface electromyography (sEMG) can provide information on muscle activation patterns during gait. OBJECTIVES To characterize electromyographic activity during gait in shallow water and during deep-water running compare to on land and to review and analyse underwater surface-electromyographic (sEMG) procedures. SEARCH METHODS Eight databases (MEDLINE, EMBASE, WEB OF SCIENCE, SPORT Discus, CINAHL, SCOPUS, SCIELO, and LILACS) were searched from their inception to the December of 2019. SELECTION CRITERIA The selected studies had to be related to electromyographic analysis of gait in an aquatic environment. DATA COLLECTION AND ANALYSIS The studies that met the inclusion criteria were reviewed by two independent reviewers and divided into four groups. RESULTS Ten studies met the inclusion criteria. Lower muscle activation was found with treadmill water walking compared to treadmill land walking. With deep-water running, the leg muscles (tibialis anterior and gastrocnemius lateralis) have lower muscle activation when compared to on land running, but the trunk and thigh muscles have higher activation. CONCLUSION If gait is performed on an aquatic treadmill, the muscles assessed had lower muscle activation when compared to land. During deep-water running activities, lower activation of the distal leg muscles and a higher activation thigh muscles were found when compared to on land. Studies did not follow standard processes in sEMG procedures.
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