Effects of Aquatic Therapeutic Exercise in Stroke Rehabilitation：an Overview of Systematic Reviews

You'll have to ask your doctor what these results mean. The therapeutic pool was ripped out in my hospital 10 years before I had my stroke. Going to the 'Y' pool was great, could practice walking and holding the floating dumbbells underwater for paretic arm control..

 

Effects of Aquatic Therapeutic Exercise in Stroke Rehabilitation：an Overview of Systematic Reviews

HU Nannan， GUO Hong* ，LIN Keke，ZHANG Ao，CHEN Shanshan School of Nursing，Beijing University of Chinese Medicine，Beijing 102488，China * Corresponding author：GUO Hong，Professor，Master supervisor；E-mail：guohong2015@163.com 

【Abstract】　

Background 

 

Aquatic therapeutic exercise is an emerging physical therapy technique，which provides new ideas for improving the motor function and quality of life of patients with stroke. However，it is not clear that the rehabilitation benefits obtained by patients with stroke from aquatic therapeutic exercise，and the levels of methodological quality and evidence quality of relevant studies. 

Objective 

 

To overview the systematic reviews of aquatic therapeutic exercise in improving the rehabilitation in patients with stroke. 

Methods 

 

In June 2021，Systematic reviews assessing the effects of aquatic therapeutic exercise in stroke rehabilitation were searched in databases of PubMed，the Cochrane Library，EmBase，CINAHL，Web of Science，CNKI，WanFang Data，CQVIP and SinoMed from inception to June 15，2021. Two researchers screened systematic reviews according to the inclusion and exclusion criteria and extracted data separately. The methodological quality was evaluated using AMSTAR 2. The reporting quality was evaluated using the PRISMA. The quality of evidence for major outcomes was evaluated using the GRADE system. 

Results 

 

A total of 9 reviews were included，2 of which were in Chinese and 7 were in English. The analysis showed that the methodological quality of 1，1，and 7 reviews were moderate，low，and extremely low

The efficacy of aquatic therapy in stroke rehabilitation

 You'll have to ask your doctor what the results are when finished. The therapeutic pool was ripped out in my hospital 10 years before I had my stroke. Going to the 'Y' pool was great, could practice walking and holding the floating dumbbells underwater for paretic arm control..

The efficacy of aquatic therapy in stroke rehabilitation

A protocol for systematic review and meta-analysis

Li, Yumei MM^∗; Zheng, Gang MB

Author Information

Medicine: December 03, 2021 - Volume 100 - Issue 48 - p e27825

doi: 10.1097/MD.0000000000027825

• Open

Abstract

Background: 

Few studies have reported the clinical effect of aquatic therapy in stroke rehabilitation. Therefore, we performed a protocol for systematic review and meta-analysis to assess the effectiveness of aquatic therapy for individuals affected by strokes.

Methods: 

This protocol of systematic review and meta-analysis has been drafted under the guidance of the preferred reporting items for systematic reviews and meta-analyses protocols. This study will use the Cochrane Library, Web of Science, PubMed, Embase, Allied and Complementary Medicine Database (AMED), China Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), Wanfang Database, and Ongoing Clinical Trials Database. Quality assessment of the included studies was evaluated using the Cochrane risk of bias assessment tool. We performed the meta-analysis by RevMan 5.4 software.

Results: 

The results of this systematic review and meta-analysis will be published in a peer-reviewed journal.

Conclusion: 

Aquatic therapy may be a valid means for the rehabilitation of people affected by stroke.

Open Science Framework registration number: https://doi.org/10.17605/OSF.IO/ZKE3Y10.17605/OSF.IO/8UDV9.

 

The Influence of Applying Additional Weight to the Affected Leg on Gait Patterns During Aquatic Treadmill Walking in People Poststroke

Massive gobbledegook, so no idea what this is trying to say. I know that when I practised walking movements in the pool I had much better movement and the resistance forced the spasticity to lessen. 

The Influence of Applying Additional Weight to the Affected Leg on Gait Patterns During Aquatic Treadmill Walking in People Poststroke

 Taeyou Jung, PhD, ATC, DoKyeong Lee, MS, Charalambos Charalambous, MS, Konstantinos Vrongistinos, PhD
ABSTRACT. Jung T, Lee D, Charalambous C, VrongistinosK. The influence of applying additional weight to the affectedleg on gait patterns during aquatic treadmill walking in people poststroke. Arch Phys Med Rehabil 2010;91:129-36.
Objective:
 To investigate how the application of additional weights to the affected leg influences gait patterns of people post stroke during aquatic treadmill walking.(Wrong objective, the only objective is to create stroke protocols. Don't you have competent mentors and senior researchers that tell you that?)
Design:
 Comparative gait analysis.
Setting:
 University-based aquatic therapy center.
Participants:
 Community-dwelling volunteers (n=22) with chronic hemiparesis caused by stroke.
Interventions:
 Not applicable.
Main Outcome Measures:
 Spatiotemporal and kinematic gait parameters.
Results:
 The use of an ankle weight showed an increase in the stance phase percentage of gait cycle (3%,
 P=.015) when compared with no weight. However, the difference was not significant after a Bonferroni adjustment was applied for a more stringent statistical analysis. No significant differences were found in cadence and stride length. The use of an ankle weight showed a significant decrease of the peak hip flexion(7.9%, P=.001) of the affected limb as compared with no weight condition. This decrease was marked as the reduction of unwanted limb flotation because people poststroke typically show excessive hip flexion of the paretic leg in the late swingphase followed by fluctuating hip movements during aquatictreadmill walking. The frontal and transverse plane hip motionsdid not show any significant differences but displayed a trendof a decrease in the peak hip abduction during the swing phasewith additional weights. The use of additional weight did notalter sagittal plane kinematics of the knee and ankle joints.
Conclusions:
 The use of applied weight on the affected limb can reduce unwanted limb flotation on the paretic side duringaquatic treadmill walking. It can also assist the stance stabilityby increasing the stance phase percentage closer to 60% of gaitcycle. Both findings can contribute to the development of moreefficient motor patterns in gait training for people poststroke.The use of a cuff weight does not seem to reduce the limbcircumduction during aquatic treadmill walking.
Key Words:
 Exercise therapy; Gait; Hemiparesis; Rehabil-itation; Stroke.©
 2010 by the American Congress of Rehabilitation Medicine

Effect of aquatic versus land motor dual task training on balance and gait of patients with chronic stroke: A randomized controlled trial

So write a protocol on this and get it distributed to all stroke doctors and hospitals. OR, you could distribute it to all 10 million yearly stroke survivors  every year. Your choice. You are not done just by writing this article.  The therapeutic pool at my hospital was closed years before due to cost. If I could have gotten to the 'Y' pool on a regular basis I could have recovered much better.

Effect of aquatic versus land motor dual task training on balance and gait of patients with chronic stroke: A randomized controlled trial

NeuroRehabilitation , Volume 44(485-492) , Pgs. 8.

NARIC Accession Number: J81709.  What's this?
ISSN: 1053-8135.
Author(s): Saleh, Marwa S. M.; Rehab, Nagwa I.; Aly, Sobhy M. A..
Publication Year: 2019.

Abstract: 

Study compared the effect of aquatic versus land motor dual-task training on balance and gait of patients with chronic stroke. Fifty patients with chronic stroke were randomly assigned to aquatic or land group. Both groups received the same motor dual-task training either in water or on land for 45 minutes, 3 days a week for six weeks. Measurement of the dynamic balance indices assessed using Biodex Balance System as well as kinematic gait parameters using Biodex Gait Trainer was performed before and after the intervention. There was a significant improvement in all outcome variables following treatment compared with that pre-treatment in both groups. There was a significant improvement in patients who received the motor dual-task training in water compared with patients treated on the land in overall stability index, anteroposterior stability index, mediolateral stability index, walking speed, step length of affected limb, step length of non-affected limb, and time of support on the affected limb. Findings suggest aquatic motor dual-task training is more effective in improving balance and gait abilities of patients with chronic stroke than land motor dual-task training.
Descriptor Terms: AMBULATION, COGNITION, EQUILIBRIUM, EXERCISE, MOTOR SKILLS, POSTURE, STROKE, THERAPEUTIC TRAINING.


Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://content.iospress.com/articles/neurorehabilitation/nre182636.

Citation: Saleh, Marwa S. M., Rehab, Nagwa I., Aly, Sobhy M. A.. (2019). Effect of aquatic versus land motor dual task training on balance and gait of patients with chronic stroke: A randomized controlled trial.  NeuroRehabilitation , 44(485-492), Pgs. 8. Retrieved 10/22/2019, from REHABDATA database.

aquatic exercises

This would probably do more for your balance than weeks of on land training. My therapy department closed their pool years before I got there.  https://www.facebook.com/aquaphysical/videos/582410351932783/

The Use of Cuff Weights for Aquatic Gait Training in People Post-Stroke with Hemiparesis

I wish these people would write this up as a stroke protocol so critiques could be made for and against it. My suspicion is that the extra weight calms down the spasticity allowing for a much more normal walk.
http://onlinelibrary.wiley.com/doi/10.1002/pri.1617/abstract;jsessionid=0B7BF36BE28C2C3D60B56BB7051316E5.f01t02?

1. Ryota Nishiyori¹,
2. Byron Lai²,
3. Do Kyeong Lee³,
4. Konstantinos Vrongistinos² and
5. Taeyou Jung^2,*

Article first published online: 22 DEC 2014

DOI: 10.1002/pri.1617

Copyright © 2014 John Wiley & Sons, Ltd.

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Physiotherapy Research International

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Keywords:

• stroke;
• exercise;
• physiotheraphy

Abstract

Background and Purpose

This study aimed to examine how spatiotemporal and kinematic gait variables are influenced by the application of a cuff weight during aquatic walking in people post-stroke. The secondary purpose was to compare the differences in gait responses between the placements of cuff weights on the proximal (knee weight) and distal end (ankle weight) of the shank.

Methods

Twenty-one participants post-stroke with hemiparesis aged 66.3 ± 11.3 years participated in a cross-sectional comparative study. Participants completed two aquatic walking trials at their self-selected maximum walking speed across an 8-m walkway under each of the three conditions: 1) walking with a knee weight; 2) walking with an ankle weight; and 3) walking with no weight. Cuff weights were worn on the paretic leg of each participant. Gait speed, cadence, step width and joint kinematics of the hip, knee and ankle joints were recorded by a customized three-dimensional underwater motion analysis system.

Results

Mean aquatic walking speeds significantly increased with the use of cuff weights when compared to walking with no weight. Changes in gait variables were found in the non-paretic leg with the addition of weight, while no significant changes were found in the paretic leg.

Conclusion

The results suggest that the use of additional weight can be helpful if the goal of gait training is to improve walking speed of people post-stroke during pool floor walking. However, it is interesting to note that changes in gait variables were not found in the paretic limb where favourable responses were expected to occur.