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Nobuyoshi Shiozawa - One of the best experts on this subject based on the ideXlab platform.
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A systematic review of nonrandomized controlled trials on the curative effects of Aquatic Exercise.
International journal of general medicine, 2011Co-Authors: Hiroharu Kamioka, Kiichiro Tsutani, Yoshiteru Mutoh, Miho Ohta, Shuichi Handa, Shinpei Okada, Jun Kitayuguchi, Masamitsu Kamada, Hiroyasu Okuizum, Nobuyoshi ShiozawaAbstract:BACKGROUND: The objectives of this review were to integrate the evidence of curative effects through Aquatic Exercise and assess the quality of studies based on a review of nonrandomized controlled trials (nRCTs). METHODS: Study design was a systematic review of nonrandomized controlled trials. Trials were eligible if they were nonrandomized clinical trials. Studies included one treatment group in which Aquatic Exercise was applied. We searched the following databases from 2000 up to July 20, 2009: MEDLINE via PubMed, CINAHL, and Ichushi-Web. RESULTS: Twenty-one trials met all inclusion criteria. Languages included were English (N = 9), Japanese (N = 11), and Korean (N = 1). Target diseases were knee and/or hip osteoarthritis, poliomyelitis, chronic kidney disease, discomforts of pregnancy, cardiovascular diseases, and rotator cuff tears. Many studies on nonspecific disease (healthy participants) were included. All studies reported significant effectiveness in at least one or more outcomes. However results of evaluations with the TREND and CLEAR-NPT checklists generally showed a remarkable lack of description in the studies. Furthermore, there was the problem of heterogeneity, and we were therefore not able to perform a meta-analysis. CONCLUSION: Because there was insufficient evidence on Aquatic Exercise due to poor methodological and reporting quality and heterogeneity of nRCTs, we were unable to offer any conclusions about the effects of this intervention. However, we were able to identify problems with current nRCTs of Aquatic Exercise, and propose a strategy of strengthening study quality, stressing the importance of study feasibility as a future research agenda objective.
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effectiveness of Aquatic Exercise and balneotherapy a summary of systematic reviews based on randomized controlled trials of water immersion therapies
Journal of Epidemiology, 2010Co-Authors: Hiroharu Kamioka, Kiichiro Tsutani, Hiroyasu Okuizumi, Yoshiteru Mutoh, Miho Ohta, Shuichi Handa, Shinpei Okada, Jun Kitayuguchi, Masamitsu Kamada, Nobuyoshi ShiozawaAbstract:Background: The objective of this review was to summarize findings on Aquatic Exercise and balneotherapy and to assess the quality of systematic reviews based on randomized controlled trials. Methods: Studies were eligible if they were systematic reviews based on randomized clinical trials (with or without a meta-analysis) that included at least 1 treatment group that received Aquatic Exercise or balneotherapy. We searched the following databases: Cochrane Database Systematic Review, MEDLINE, CINAHL, Web of Science, JDream II, and Ichushi-Web for articles published from the year 1990 to August 17, 2008. Results: We found evidence that Aquatic Exercise had small but statistically significant effects on pain relief and related outcome measures of locomotor diseases (eg, arthritis, rheumatoid diseases, and low back pain). However, long-term effectiveness was unclear. Because evidence was lacking due to the poor methodological quality of balneotherapy studies, we were unable to make any conclusions on the effects of intervention. There were frequent flaws regarding the description of excluded RCTs and the assessment of publication bias in several trials. Two of the present authors independently assessed the quality of articles using the AMSTAR checklist. Conclusions: Aquatic Exercise had a small but statistically significant short-term effect on locomotor diseases. However, the effectiveness of balneotherapy in curing disease or improving health remains unclear.
Mehdi Kargarfard - One of the best experts on this subject based on the ideXlab platform.
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Aquatic Exercise training increases serum brain-derived neurotrophic factor in patients with multiple sclerosis: A randomized controlled study
Annals of Physical and Rehabilitation Medicine, 2018Co-Authors: Mehdi Kargarfard, Ardalan ShariatAbstract:Background and aims Brain-derived neurotrophic factor (BDNF) is neurotrophic factor for MS pathogenesis. However, the impact of acute Exercise on BDNF factor is less clear in patients with MS and no study to date has examined this assumption. The purpose of this study was to examine the effects of 12-weeks supervised Aquatic Exercise on serum concentration BDNF, balance, functional Exercise capacity, and fatigue in patients with multiple sclerosis. Methods Twenty-eight patients MS (mean age X ¯ ± SD = 37 ± 9 years) were randomly assigned to either Aquatic Exercise group (EX: n = 13), or the control group (CON: n = 15). The patients Ex group Exercised 3 times per week, 30 to 60 minutes per session for 12 weeks and included aerobic Exercises, strength, flexibility, balance Exercise training and walking activities, and the subjects in CON group were asked to maintain normal daily life pattern for the duration of the study. Balance, functional Exercise capacity, fatigue, and BDNF serum concentration were measured at before and after intervention. Results The results showed that 12 weeks of Aquatic Exercise increased BDNF and improved balance, functional Exercise capacity, and fatigue in the EX group. In CON group, the serum BDNF level slightly decreased, and fatigue level increased significantly after 12 weeks, but balance and functional Exercise capacity did not change. Also, there were significantly differences in serum BDNF, balance, functional Exercise capacity, and fatigue between Ex and CON groups after intervention ( P Conclusions The study showed that Aquatic Exercise more effective than treatment in increase BNDF levels of the subjects with MS. This type of activity is a beneficial training method to maintain functional parameters and also to increase the rate of BDNF in the MS.
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the effect of Aquatic Exercise therapy on muscle strength and joint s range of motion in hemophilia patients
International Journal of Preventive Medicine, 2013Co-Authors: Mehdi Kargarfard, Mehdi Dehghadani, Reza GhiasAbstract:Background: This study was to evaluate the effect of a period of Aquatic Exercise therapy on muscle strength, joints range of motion and the factor VIII coagulant in hemophilia patients. Methods: This was a semiexperimental, pretest, post‑test study with a control group. This semi-experimental study comprised twenty men suffering moderate hemophilia were selected by convenience sampling method from patients of a referral hospital. They were randomly assigned to intervention and control groups of equal number. The hemophilia patients who were referred to Sayedo‑Shohada Hospital enrolled in this study. Twenty men suffering moderate hemophilia were selected using convenience sampling method and then divided randomly into intervention and control groups (10 patients in each group). Subjects of Aquatic Exercise therapy group underwent activity in water in three sessions (45‑60 minutes) per week for 8 weeks, while the control group was only under follow‑up and during this period did not experience any effective physical activity. The patients’ muscle strength and joint range of motion were evaluated through standard laboratory tools, using an isokinetic dynamometer (Biodex, Systems III) and a standard goniometer in the beginning and at end of the study. Finally, data was analyzed using analysis of covariance (ANCOVA). Results: The strength of the muscles around the knee joint (to perform extension and flexion movements) increased significantly in the case group while the control group experienced a significant reduction of strength in left leg, but in right leg remarkable change was observed. Range of motion in all joints was improved in the case group, while the control group did not improve significantly. Conclusion: The results showed that Aquatic Exercise therapy can be a useful method to improve joints’ strength and range of motion in hemophilia patients in order to improve their daily functioning and quality of life. Keywords: Aquatic Exercise therapy, hemophilia, joint range of motion, muscle strength
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The Effect of Aquatic Exercise Therapy on Muscle Strength and Joint’s Range of Motion in Hemophilia Patients
International journal of preventive medicine, 2013Co-Authors: Mehdi Kargarfard, Mehdi Dehghadani, Reza GhiasAbstract:Background: This study was to evaluate the effect of a period of Aquatic Exercise therapy on muscle strength, joints range of motion and the factor VIII coagulant in hemophilia patients. Methods: This was a semiexperimental, pretest, post‑test study with a control group. This semi-experimental study comprised twenty men suffering moderate hemophilia were selected by convenience sampling method from patients of a referral hospital. They were randomly assigned to intervention and control groups of equal number. The hemophilia patients who were referred to Sayedo‑Shohada Hospital enrolled in this study. Twenty men suffering moderate hemophilia were selected using convenience sampling method and then divided randomly into intervention and control groups (10 patients in each group). Subjects of Aquatic Exercise therapy group underwent activity in water in three sessions (45‑60 minutes) per week for 8 weeks, while the control group was only under follow‑up and during this period did not experience any effective physical activity. The patients’ muscle strength and joint range of motion were evaluated through standard laboratory tools, using an isokinetic dynamometer (Biodex, Systems III) and a standard goniometer in the beginning and at end of the study. Finally, data was analyzed using analysis of covariance (ANCOVA). Results: The strength of the muscles around the knee joint (to perform extension and flexion movements) increased significantly in the case group while the control group experienced a significant reduction of strength in left leg, but in right leg remarkable change was observed. Range of motion in all joints was improved in the case group, while the control group did not improve significantly. Conclusion: The results showed that Aquatic Exercise therapy can be a useful method to improve joints’ strength and range of motion in hemophilia patients in order to improve their daily functioning and quality of life. Keywords: Aquatic Exercise therapy, hemophilia, joint range of motion, muscle strength
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Effect of Aquatic Exercise Training on Fatigue and Health-Related Quality of Life in Patients With Multiple Sclerosis
Archives of physical medicine and rehabilitation, 2012Co-Authors: Mehdi Kargarfard, Masoud Etemadifar, Peter Baker, Maryam Mehrabi, Reza HayatbakhshAbstract:Abstract Kargarfard M, Etemadifar M, Baker P, Mehrabi M, Hayatbakhsh R. Effect of Aquatic Exercise training on fatigue and health-related quality of life in patients with multiple sclerosis. Objective To examine the effectiveness of Aquatic Exercise training on fatigue and health-related quality of life (HRQOL) in women with multiple sclerosis (MS). Design Randomized controlled trial, 4-week and 8-week follow-up. Setting Referral center of a multiple sclerosis society. Participants Women (N=32) diagnosed with relapsing-remitting MS (mean age ± SD, 32.6±8.0y) were recruited into this study. After undergoing baseline testing by a neurologist, participants were randomly assigned to either an intervention (Aquatic Exercise) or a control group. Interventions The intervention consisted of 8 weeks supervised Aquatic Exercise in a swimming pool (3 times a week, each session lasting 60min). Main Outcome Measures At baseline, 4 weeks, and 8 weeks, fatigue and HRQOL were assessed by a blind assessor using the Modified Fatigue Impact Scale and the Multiple Sclerosis Quality of Life-54 questionnaire, respectively. A mixed-model approach to repeated-measures analysis of variance was used to detect within- and between-subject effects. Results Findings are based on 21 patients (10 from the Exercise group and 11 from the control group) who had data available on outcomes. There was no significant difference between the 2 groups at the baseline. Patients in the Aquatic Exercise group showed significant improvements in fatigue and subscores of HRQOL after 4 and 8 weeks compared with the control group. Results obtained from the intention-to-treat analysis were consistent with those of per-protocol analysis. Conclusions The findings suggest that Aquatic Exercise training can effectively improve fatigue and HRQOL of patients with MS and should be considered in the management of this relatively common public health problem.
Yoshie Nogami - One of the best experts on this subject based on the ideXlab platform.
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The effect of regular Aquatic Exercise on blood pressure: A meta-analysis of randomized controlled trials.
European journal of preventive cardiology, 2017Co-Authors: Yutaka Igarashi, Yoshie NogamiAbstract:BackgroundNo meta-analysis has examined the effect of regular Aquatic Exercise on blood pressure. The purpose of this study was to perform a meta-analysis to evaluate the effects of regular Aquatic Exercise on blood pressure.DesignA meta-analysis of randomized controlled trials.MethodsDatabases were searched for literature published up to April 2017. The randomized controlled trials analysed involved healthy adults, an intervention group that only performed Aquatic Exercise and a control group that did not Exercise, no other intervention, and trials indicated mean systolic blood pressure or diastolic blood pressure. The net change in blood pressure was calculated from each trial, and the changes in blood pressure were pooled by a random effects model, and the risk of heterogeneity was evaluated. Subgroup analysis of subjects with hypertension, subjects who performed endurance Exercise (or not), and subjects who only swam (or not) was performed, and the net changes in blood pressure were pooled.ResultsThe ...
Hiroharu Kamioka - One of the best experts on this subject based on the ideXlab platform.
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Curative and health enhancement effects of Aquatic Exercise: evidence based on interventional studies
Open access journal of sports medicine, 2012Co-Authors: Takuya Honda, Hiroharu KamiokaAbstract:BACKGROUND The purpose of this study was to report on the health benefits and curative effects of Aquatic Exercise. METHODS We adopted the results of high-grade study designs (ie, randomized controlled trials and nonrandomized controlled trials), for which there were many studies on Aquatic Exercise. Aquatic Exercise, in this study, means walking in all directions, stretching, and various Exercises and conditioning performed with the feet grounded on the floor of a swimming pool. We excluded swimming. We decided to treat Aquatic Exercise, underwater Exercise, hydrotherapy, and pool Exercise as all having the same meaning. RESULTS Aquatic Exercise had significant effects on pain relief and related outcome measurements for locomotor diseases. CONCLUSION Patients may become more active, and improve their quality of life, as a result of Aquatic Exercise.
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A systematic review of nonrandomized controlled trials on the curative effects of Aquatic Exercise.
International journal of general medicine, 2011Co-Authors: Hiroharu Kamioka, Kiichiro Tsutani, Yoshiteru Mutoh, Miho Ohta, Shuichi Handa, Shinpei Okada, Jun Kitayuguchi, Masamitsu Kamada, Hiroyasu Okuizum, Nobuyoshi ShiozawaAbstract:BACKGROUND: The objectives of this review were to integrate the evidence of curative effects through Aquatic Exercise and assess the quality of studies based on a review of nonrandomized controlled trials (nRCTs). METHODS: Study design was a systematic review of nonrandomized controlled trials. Trials were eligible if they were nonrandomized clinical trials. Studies included one treatment group in which Aquatic Exercise was applied. We searched the following databases from 2000 up to July 20, 2009: MEDLINE via PubMed, CINAHL, and Ichushi-Web. RESULTS: Twenty-one trials met all inclusion criteria. Languages included were English (N = 9), Japanese (N = 11), and Korean (N = 1). Target diseases were knee and/or hip osteoarthritis, poliomyelitis, chronic kidney disease, discomforts of pregnancy, cardiovascular diseases, and rotator cuff tears. Many studies on nonspecific disease (healthy participants) were included. All studies reported significant effectiveness in at least one or more outcomes. However results of evaluations with the TREND and CLEAR-NPT checklists generally showed a remarkable lack of description in the studies. Furthermore, there was the problem of heterogeneity, and we were therefore not able to perform a meta-analysis. CONCLUSION: Because there was insufficient evidence on Aquatic Exercise due to poor methodological and reporting quality and heterogeneity of nRCTs, we were unable to offer any conclusions about the effects of this intervention. However, we were able to identify problems with current nRCTs of Aquatic Exercise, and propose a strategy of strengthening study quality, stressing the importance of study feasibility as a future research agenda objective.
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effectiveness of Aquatic Exercise and balneotherapy a summary of systematic reviews based on randomized controlled trials of water immersion therapies
Journal of Epidemiology, 2010Co-Authors: Hiroharu Kamioka, Kiichiro Tsutani, Hiroyasu Okuizumi, Yoshiteru Mutoh, Miho Ohta, Shuichi Handa, Shinpei Okada, Jun Kitayuguchi, Masamitsu Kamada, Nobuyoshi ShiozawaAbstract:Background: The objective of this review was to summarize findings on Aquatic Exercise and balneotherapy and to assess the quality of systematic reviews based on randomized controlled trials. Methods: Studies were eligible if they were systematic reviews based on randomized clinical trials (with or without a meta-analysis) that included at least 1 treatment group that received Aquatic Exercise or balneotherapy. We searched the following databases: Cochrane Database Systematic Review, MEDLINE, CINAHL, Web of Science, JDream II, and Ichushi-Web for articles published from the year 1990 to August 17, 2008. Results: We found evidence that Aquatic Exercise had small but statistically significant effects on pain relief and related outcome measures of locomotor diseases (eg, arthritis, rheumatoid diseases, and low back pain). However, long-term effectiveness was unclear. Because evidence was lacking due to the poor methodological quality of balneotherapy studies, we were unable to make any conclusions on the effects of intervention. There were frequent flaws regarding the description of excluded RCTs and the assessment of publication bias in several trials. Two of the present authors independently assessed the quality of articles using the AMSTAR checklist. Conclusions: Aquatic Exercise had a small but statistically significant short-term effect on locomotor diseases. However, the effectiveness of balneotherapy in curing disease or improving health remains unclear.
Vural Kavuncu - One of the best experts on this subject based on the ideXlab platform.
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Effect of Aquatic Exercise on ankylosing spondylitis: a randomized controlled trial
Rheumatology International, 2014Co-Authors: Umit Dundar, Özlem Solak, Vural Kavuncu, H. Toktas, U. S. Demirdal, V. Subasi, Deniz EvcikAbstract:Ankylosing spondylitis (AS) is a chronic systemic inflammatory disease that affects mainly the axial skeleton and causes significant pain and disability. Aquatic (water-based) Exercise may have a beneficial effect in various musculoskeletal conditions. The aim of this study was to compare the effectiveness of Aquatic Exercise interventions with land-based Exercises (home-based Exercise) in the treatment of AS. Patients with AS were randomly assigned to receive either home-based Exercise or Aquatic Exercise treatment protocol. Home-based Exercise program was demonstrated by a physiotherapist on one occasion and then, Exercise manual booklet was given to all patients in this group. Aquatic Exercise program consisted of 20 sessions, 5× per week for 4 weeks in a swimming pool at 32–33 °C. All the patients in both groups were assessed for pain, spinal mobility, disease activity, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12). The baseline and mean values of the percentage changes calculated for both groups were compared using independent sample t test. Paired t test was used for comparison of pre- and posttreatment values within groups. A total of 69 patients with AS were included in this study. We observed significant improvements for all parameters [pain score (VAS) visual analog scale, lumbar flexion/extension, modified Schober test, chest expansion, bath AS functional index, bath AS metrology index, bath AS disease activity index, and short form-36 (SF-36)] in both groups after treatment at week 4 and week 12 ( p
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Effect of Aquatic Exercise on ankylosing spondylitis: a randomized controlled trial.
Rheumatology international, 2014Co-Authors: Umit Dundar, Özlem Solak, Vural Kavuncu, H. Toktas, U. S. Demirdal, V. Subasi, Deniz EvcikAbstract:Ankylosing spondylitis (AS) is a chronic systemic inflammatory disease that affects mainly the axial skeleton and causes significant pain and disability. Aquatic (water-based) Exercise may have a beneficial effect in various musculoskeletal conditions. The aim of this study was to compare the effectiveness of Aquatic Exercise interventions with land-based Exercises (home-based Exercise) in the treatment of AS. Patients with AS were randomly assigned to receive either home-based Exercise or Aquatic Exercise treatment protocol. Home-based Exercise program was demonstrated by a physiotherapist on one occasion and then, Exercise manual booklet was given to all patients in this group. Aquatic Exercise program consisted of 20 sessions, 5× per week for 4 weeks in a swimming pool at 32–33 °C. All the patients in both groups were assessed for pain, spinal mobility, disease activity, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12). The baseline and mean values of the percentage changes calculated for both groups were compared using independent sample t test. Paired t test was used for comparison of pre- and posttreatment values within groups. A total of 69 patients with AS were included in this study. We observed significant improvements for all parameters [pain score (VAS) visual analog scale, lumbar flexion/extension, modified Schober test, chest expansion, bath AS functional index, bath AS metrology index, bath AS disease activity index, and short form-36 (SF-36)] in both groups after treatment at week 4 and week 12 (p < 0.05). Comparison of the percentage changes of parameters both at week 4 and week 12 relative to pretreatment values showed that improvement in VAS (p < 0.001) and bodily pain (p < 0.001), general health (p < 0.001), vitality (p < 0.001), social functioning (p < 0.001), role limitations due to emotional problems (p < 0.001), and general mental health (p < 0.001) subparts of SF-36 were better in Aquatic Exercise group. It is concluded that a water-based Exercises produced better improvement in pain score and quality of life of the patients with AS compared with home-based Exercise.
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Clinical effectiveness of Aquatic Exercise to treat chronic low back pain: a randomized controlled trial.
Spine, 2009Co-Authors: Umit Dundar, Özlem Solak, Ilknur Yigit, Deniz Evcik, Vural KavuncuAbstract:Study design This study was a prospective, randomized, controlled study. Objective To compare the effectiveness of Aquatic Exercise interventions with land-based Exercises in the treatment of chronic low back pain (CLBP). Summary of background data Land-based Exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience indicates that Aquatic Exercise may have advantages for patients with musculoskeletal disorders. Methods A total of 65 patients with CLBP were included in this study. Patients were randomly assigned to receive Aquatic Exercise or land-based Exercise treatment protocol. Aquatic Exercise program consisted of 20 sessions, 5 x per week for 4 weeks in a swimming pool at 33 degrees C. Land-based Exercise (home-based Exercise) program were demonstrated by a physiotherapist on one occasion and then they were given written advice The patients were assessed for spinal mobility, pain, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12). Results In both groups, statistically significant improvements were detected in all outcome measures (except modified Schober test) compared with baseline. However, improvement in modified Oswestry Low Back Pain Disability questionnaire and physical function and role limitations due to physical functioning subpart of Short-Form 36 Health Survey were better in Aquatic Exercise group (P Conclusion It is concluded that a water-based Exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based Exercise.