Aquatic therapy versus conventional land-based therapy for Parkinson's disease: an open-label pilot study
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Aquatic therapy versus conventional land-based therapy for Parkinson's disease: an open-label pilot studyData
2011Cita bibliográfica
Vivas J, Arias P, Cudeiro J. Aquatic therapy versus conventional land-based therapy for Parkinson's disease: an open-label pilot study. Arch Phys Med Rehab. 2011;92(8):1202-10.
Resumo
[Abstract] Objectives: To assess and compare 2 different protocols of
physiotherapy (land or water therapy) for people with Parkinson’s
disease (PD) focused on postural stability and self-movement,
and to provide methodological information regarding
progression within the program for a future larger trial.
Design: Randomized, controlled, open-label pilot trial.
Setting: Outpatients, Parkinson’s disease Center of Ferrol -
Galicia (Spain).
Participants: Individuals (N 11) with idiopathic PD in
stages 2 or 3 according to the Hoehn and Yahr Scale completed
the investigation (intervention period plus follow-up).
Interventions: After baseline evaluations, participants were
randomly assigned to a land-based therapy (active control
group) or a water-based therapy (experimental group). Participants
underwent individual sessions for 4 weeks, twice a
week, for 45 minutes per session. Both interventions were
matched in terms of exercise features, which were structured in
stages with clear objectives and progression criteria to pass to
the next phase.
Main Outcome Measures: Participants underwent a first
baseline assessment, a posttest immediately after 4 weeks of
intervention, and a follow-up assessment after 17 days. Evaluations
were performed OFF-dose after withholding medication
for 12 hours. Functional assessments included the Functional
Reach Test (FRT), the Berg Balance Scale (BBS), the
UPDRS, the 5-m walk test, and the Timed Up and Go test.
Results: A main effect of both therapies was seen for the
FRT. Only the aquatic therapy group improved in the BBS and
the UPDRS.
Conclusions: In this pilot study, physiotherapy protocols
produced improvement in postural stability in PD that was
significantly larger after aquatic therapy. The intervention protocols
are shown to be feasible and seem to be of value in
amelioration of postural stability–related impairments in PD.
Some of the methodological aspects detailed here can be used
to design larger controlled trials.
Palabras chave
Hydrotherapy
Parkinson's disease
Physical therapy modalities
Rehabilitation
Parkinson's disease
Physical therapy modalities
Rehabilitation
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Dereitos
This is the author's version of a work that was accepted for publication in "Archives of Physical Medicine and Rehabilitation". Changes resulting the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanism may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Elsevier.