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Giuseppe Frazzitta - One of the best experts on this subject based on the ideXlab platform.
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land plus Aquatic Therapy versus land based rehabilitation alone for the treatment of freezing of gait in parkinson disease a randomized controlled trial
Physical Therapy, 2019Co-Authors: Ilaria Clerici, Roberto Maestri, Francesca Bonetti, Paola Ortelli, Daniele Volpe, Davide Ferrazzoli, Giuseppe FrazzittaAbstract:Background Freezing of gait (FOG) is one of the most disabling symptoms of Parkinson disease (PD). Different land-based rehabilitation approaches based on motor and cognitive strategies can be effective in treating FOG. Although there are data about the efficacy of Aquatic Therapy in ameliorating this phenomenon, no study has explored the combined effect of land-based therapies plus Aquatic Therapy in patients with PD who have FOG. Objective The objective was to investigate the effectiveness of a multidisciplinary, intensive, motor-cognitive rehabilitation treatment (MIRT) in improving FOG and whether implementation with Aquatic Therapy (MIRT-AT) adds further benefits. Design The design consisted of a single-blind, parallel-group, 1:1 allocation ratio, randomized trial. Setting The Department of Parkinson Disease, Movement Disorders and Brain Injury Rehabilitation at "Moriggia-Pelascini" Hospital (Gravedona ed Uniti, Como, Italy) was used as the setting. Participants Sixty hospitalized patients with PD who had FOG in Hoehn and Yahr stage 2 or 5-3 were included. Intervention Sixty patients with PD + FOG were randomly assigned to 2 groups: 30 underwent a 4-week MIRT and 30 underwent a 4-week MIRT-AT. Measurements The primary outcome measure was the Freezing of Gait Questionnaire; secondary outcome measures were total Unified Parkinson Disease Rating Scale (UPDRS), UPDRS II, UPDRS III, Berg Balance Scale, Timed Up and Go Test, and 6-Minute Walk Test. These measures were assessed both at admission and discharge. Results Participants in the 2 groups had similar age, sex distribution, Hoehn and Yahr stage, and most-affected side. At baseline, no difference in outcome measures was observed between the 2 groups. After treatment, a significant time effect was observed for all variables in both groups. No significant time × group interaction was observed. A between-group analysis showed nonsignificant differences between values at T1 and values at T0 for all variables. Limitations The limitations were the lack of a control group and follow-up. Conclusions We showed that a multidisciplinary, intensive, and goal-based rehabilitation treatment, such as MIRT, improves FOG in patients with PD. Although Aquatic Therapy could be considered a useful approach for treating FOG, it does not add further benefits to this kind of motor-cognitive rehabilitation.
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Land Plus Aquatic Therapy Versus Land-Based Rehabilitation Alone for the Treatment of Freezing of Gait in Parkinson Disease: A Randomized Controlled Trial.
Physical Therapy, 2019Co-Authors: Ilaria Clerici, Roberto Maestri, Francesca Bonetti, Paola Ortelli, Daniele Volpe, Davide Ferrazzoli, Giuseppe FrazzittaAbstract:BACKGROUND: Freezing of gait (FOG) is one of the most disabling symptoms of Parkinson disease (PD). Different land-based rehabilitation approaches based on motor and cognitive strategies can be effective in treating FOG. Although there are data about the efficacy of Aquatic Therapy in ameliorating this phenomenon, no study has explored the combined effect of land-based therapies plus Aquatic Therapy in patients with PD who have FOG. OBJECTIVE: The objective was to investigate the effectiveness of a multidisciplinary, intensive, motor-cognitive rehabilitation treatment (MIRT) in improving FOG and whether implementation with Aquatic Therapy (MIRT-AT) adds further benefits. DESIGN: The design consisted of a single-blind, parallel-group, 1:1 allocation ratio, randomized trial. SETTING: The Department of Parkinson Disease, Movement Disorders and Brain Injury Rehabilitation at "Moriggia-Pelascini" Hospital (Gravedona ed Uniti, Como, Italy) was used as the setting. PARTICIPANTS: Sixty hospitalized patients with PD who had FOG in Hoehn and Yahr stage 2 or 5-3 were included. INTERVENTION: Sixty patients with PD + FOG were randomly assigned to 2 groups: 30 underwent a 4-week MIRT and 30 underwent a 4-week MIRT-AT. MEASUREMENTS: The primary outcome measure was the Freezing of Gait Questionnaire; secondary outcome measures were total Unified Parkinson Disease Rating Scale (UPDRS), UPDRS II, UPDRS III, Berg Balance Scale, Timed Up and Go Test, and 6-Minute Walk Test. These measures were assessed both at admission and discharge. RESULTS: Participants in the 2 groups had similar age, sex distribution, Hoehn and Yahr stage, and most-affected side. At baseline, no difference in outcome measures was observed between the 2 groups. After treatment, a significant time effect was observed for all variables in both groups. No significant time × group interaction was observed. A between-group analysis showed nonsignificant differences between values at T1 and values at T0 for all variables. LIMITATIONS: The limitations were the lack of a control group and follow-up. CONCLUSIONS: We showed that a multidisciplinary, intensive, and goal-based rehabilitation treatment, such as MIRT, improves FOG in patients with PD. Although Aquatic Therapy could be considered a useful approach for treating FOG, it does not add further benefits to this kind of motor-cognitive rehabilitation.
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land plus Aquatic Therapy versus land based rehabilitation alone for the treatment of balance dysfunction in parkinson disease a randomized controlled study with 6 month follow up
Archives of Physical Medicine and Rehabilitation, 2017Co-Authors: Grazia Palamara, Roberto Maestri, Daniele Volpe, Davide Ferrazzoli, Francesco Gotti, Rossana Bera, Roberto Gargantini, Fabiola Bossio, Ilaria Zivi, Giuseppe FrazzittaAbstract:Abstract Objectives To assess whether a specific land-based physical intervention with the inclusion of Aquatic Therapy is more effective than land-based rehabilitation alone for the treatment of balance dysfunction in patients with Parkinson disease (PD), immediately after Therapy and at 6 months' follow-up. Design Randomized controlled study with 6-month follow-up. Setting A PD and brain injury rehabilitation department in a general hospital. Participants Patients (N=34) with moderate-stage PD. Intervention Seventeen patients underwent a land-based rehabilitation protocol called multidisciplinary intensive rehabilitation treatment (MIRT), and 17 underwent MIRT plus Aquatic Therapy (MIRT-AT). Main Outcome Measures The primary outcome measure was the Berg Balance Scale (BBS); secondary outcome measures were the Unified Parkinson Disease Rating Scale parts II and III (UPDRS II/III) and the Timed Up and Go (TUG) test. These measures were assessed in both groups at admission, at discharge, and after 6 months. Results BBS improved after treatment in both groups. Even though no statistically significant difference between groups was observed at each observation time, BBS scores at follow-up were significantly higher than at baseline in MIRT-AT patients. Both groups also showed an improvement in UPDRS II/III and TUG at the end of treatment compared with baseline, but these findings were lost at the 6-month follow-up. Conclusions Aquatic Therapy added to land-based rehabilitation could provide a contribution to the treatment of balance dysfunction in patients with moderate-stage PD.
Sagrario Perezde La Cruz - One of the best experts on this subject based on the ideXlab platform.
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influence of an Aquatic Therapy program on perceived pain stress and quality of life in chronic stroke patients a randomized trial
International Journal of Environmental Research and Public Health, 2020Co-Authors: Sagrario Perezde La CruzAbstract:Pain and depressive states may have a negative impact on the quality of life of individuals with stroke. The aim of this study was to evaluate the effects of a program of Ai Chi Aquatic Therapy on pain, depression, and quality of life in a sample of people with stroke. Forty-five participants received physioTherapy treatment on dry land (control group), an experimental group received Aquatic Ai Chi Therapy, and a combined Therapy group received alternating sessions of physioTherapy on dry land and Aquatic Ai Chi Therapy. The Visual Analog Scale (VAS) scale for pain, the resilience scale, and the SF-36 quality of life scale were used as outcome measures. Statistically significant differences were found in the experimental group and the combined intervention group for post treatment pain and resilience (p < 0.001). Concerning the SF-36, statistically significant changes (p < 0.01) were found in the experimental group and the combined Therapy group for all items except general health, vitality, and social function, where no between group differences were observed (p = 0.001). In conclusion, physical exercise performed in water has positive effects on several factors that contribute towards improving the mood and quality of life of people with acquired brain injury.
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comparison of Aquatic Therapy vs dry land Therapy to improve mobility of chronic stroke patients
International Journal of Environmental Research and Public Health, 2020Co-Authors: Sagrario Perezde La CruzAbstract:One of the most serious and disabling problems of stroke is pain and a decrease in balance, with the consequent increased risk of falls. The aim of the randomized controlled trial study was to compare the efficacy of three different treatment proposals to improve pain, gait, and balance in chronic stroke patients. Forty patients diagnosed with stroke were divided into three groups: the dry-land Therapy group (control group) received sessions that included walking exercises and trunk mobility. The experimental group received Ai Chi Aquatic Therapy, and the combined group received alternating dry-land Therapy sessions and Ai Chi Aquatic Therapy. The measurement instruments used were: the Tinetti balance and gait scale, the visual analog scale (VAS), 360° turn, single leg stance, and the 30-s stand test (CS-30). After twelve weeks of treatment, the results were significantly better for the combined Therapy group and the experimental group compared to the dry-land Therapy group (p < 0.01) in the VAS scale, CS-30, and 360° turn, although improvements were also found in the evaluations carried out in the Aquatic Therapy group. In total, for the Tinetti scale and single-leg stance, the differences between the groups were evident, although not statistically significant (p = 0.001). Aquatic Therapy with Ai Chi and the combination of Aquatic Therapy with dry-land Therapy was effective in improving pain, balance, and gait in patients with chronic stroke, thus improving their functional capacity and quality of life.
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mental health in parkinson s disease after receiving Aquatic Therapy a clinical trial
Acta Neurologica Belgica, 2019Co-Authors: Sagrario Perezde La CruzAbstract:: Depression is a major determinant of quality of life in individuals with Parkinson's disease. The aim of this study was to evaluate the effects of a program of Ai Chi Aquatic Therapy on pain, depression and quality of life in people with Parkinson's disease. Participants were randomized to receive dry land physioTherapy treatment (control group) or Aquatic Ai Chi sessions in the pool (experimental group). The outcome measures used included the VAS pain scale, the Geriatric Depression Scale and the SF-36 quality of life scale. In the experimental group treated with Aquatic Therapy, significant differences were found in the pain, depression and quality of life variables post-treatment (p < 0.001). In the control group, improvements were only observed in the VAS pain scale, and these were less significant than the changes found in the experimental group (p = 0.006). The significant changes registered in the experimental group at the post-treatment assessment were maintained 1 month after completing the experimental intervention program. In conclusion, these findings indicate that physical exercise performed in water has positive effects on some of the factors that influence mood and quality of life in people with Parkinson's disease.
Francisco Maraver - One of the best experts on this subject based on the ideXlab platform.
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Multiple sclerosis and Aquatic Therapy: A systematic review
2020Co-Authors: Iluminada Corvillo, Carla Morer, Enrique Varela, Francisco Armijo, Antonio Álvarez-badillo, Onica Armijo, Francisco MaraverAbstract:Introduction: Multiple sclerosis (MS) is a chronic, inflammatory, progressive, disabling autoimmune disease affecting the central nervous system. Symptoms and signs of MS vary widely and patients may lose their ability to walk. To date the benefits of Aquatic Therapy often used for rehabilitation in MS patients have not been reviewed. Objective: To systematically review the current state of Aquatic treatment for persons with MS (hydroTherapy, Aquatic Therapy, Aquatic exercises, spa Therapy) and to evaluate the scientific evidence supporting the benefits of this therapeutic option.
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Efficacy of Aquatic Therapy for neck pain: a systematic review
International Journal of Biometeorology, 2019Co-Authors: Iluminada Corvillo, Enrique Varela, Francisco Armijo, Antonio Álvarez-badillo, Onica Armijo, Francisco MaraverAbstract:This study systematically reviews the current state of Aquatic treatment of neck pain and assesses the scientific evidence of its benefits. The databases PubMed, Scopus, Web of Science and PEDro were searched for relevant reports published from January 1, 2008, to November 7, 2017, using the keywords “neck pain” in addition to “balneoTherapy”, “spa treatment”, “spa”, “thalassoTherapy”, “hydroTherapy”, “Aquatic Therapy” or “Aquatic”. Inclusion criteria were full-text articles published in journals included in Journal Citation Reports in English and Spanish describing human studies. Case studies, letters to the editor and meeting presentations or other contributions were excluded. Of 367 articles identified, only 13 fulfilled the inclusion criteria: 5 randomized trials, 1 single blind controlled study, 2 pilot studies, 2 observational retrospective studies, 1 prospective study, 1 clinical study and 1 not specified. Participants were 658 subjects with chronic neck pain. Main symptoms and signs treated were neck pain, disability, cervical disc herniation and compromised quality of life. Evidence that Aquatic treatment improves quality of life in affected individuals was good in four studies, fair in eight and weak in one. Treatment of neck pain using different waters and techniques reduced pain and disability, and improved functional capacity, quality of life, joint mobility, balance, relaxation and mood.
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effects of an intensive thalassoTherapy and Aquatic Therapy program in stroke patients a pilot study
Revista De Neurologia, 2017Co-Authors: Carla Morer, Antonio Alvarezbadillo, Cecilia Boestad, Pilar Zuluaga, Francisco MaraverAbstract:TITLE: Efectos de un programa intensivo de talasoterapia y terapia acuatica en pacientes con ictus. Estudio piloto. : Introduccion. El ictus es la principal causa de discapacidad adquirida. Su planificacion y gestion (sanitaria y social) varia y, aunque la prevencion resulta crucial, no es menos importante disponer de mejores tratamientos y estrategias para reducir la discapacidad. Objetivo. Analizar la eficacia de un programa intensivo de talasoterapia y terapia acuatica en pacientes con ictus, valorando parametros clinicos y escalas funcionales validadas. Pacientes y metodos. Se realizo un estudio prospectivo cuasi experimental con 26 pacientes con discapacidad leve-moderada postictus. Los pacientes fueron evaluados con las siguientes escalas: equilibrio de Berg, equilibrio dinamico/Timed Up and Go, marcha de 10 metros, seis minutos de marcha y escala visual analogica del dolor, antes y despues de realizar tres semanas de tratamiento. Resultados. Finalizado el tratamiento programado, se obtuvieron diferencias significativas para todas las variables estudiadas. Conclusion. Un programa intensivo de talasoterapia y terapia acuatica contribuye a mejorar el equilibrio, la marcha y la percepcion del dolor en estos pacientes. PATIENTS AND METHODS: A quasi-experimental prospective study consisting of a specific program assessed pre- and post- 3 weeks treatment to 26 stroke patients with a mild-moderate disability. The outcomes measured were: Berg Balance scale, Timed Up and Go test, 10-meter walking test, 6-minute walking test and pain Visual Analogue Scale. RESULTS: After intervention, participants had a significant improvement in all outcomes measured. CONCLUSIONS: Our results suggest that an intensive program of thalassoTherapy and Aquatic Therapy could be useful during stroke rehabilitation to improve balance, gait and pain.
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efficacy of Aquatic Therapy for multiple sclerosis a systematic review
European Journal of Physical and Rehabilitation Medicine, 2017Co-Authors: Iluminada Corvillo, Enrique Varela, Francisco Armijo, Onica Armijo, Antonio Alvarezbadillo, Francisco MaraverAbstract:Introduction Multiple sclerosis (MS) is a chronic, inflammatory, progressive, disabling autoimmune disease affecting the central nervous system. Symptoms and signs of MS vary widely and patients may lose their ability to walk. To date the benefits of Aquatic Therapy often used for rehabilitation in MS patients have not been reviewed. The aim of this study was to systematically review the current state of Aquatic treatment for persons with MS (hydroTherapy, Aquatic Therapy, Aquatic exercises, spa Therapy) and to evaluate the scientific evidence supporting the benefits of this therapeutic option. Evidence acquisition The databases PubMed, Scopus, WoS and PEDro were searched to identify relevant reports published from January 1, 2011 to April 30, 2016. Evidence synthesis Of 306 articles identified, only 10 fulfilled the inclusion criteria: 5 randomized controlled, 2 simple randomized quasi-experimental, 1 semi-experimental, 1 blind controlled pilot and 1 pilot. Conclusions Evidence that Aquatic treatment improves quality of life in affected patients was very good in two studies, good in four, fair in two and weak in two.
John M Solomon - One of the best experts on this subject based on the ideXlab platform.
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effect of Aquatic Therapy on balance and gait in stroke survivors a systematic review and meta analysis
Complementary Therapies in Clinical Practice, 2020Co-Authors: Pradeepa Nayak, Amreen Mahmood, Manikandan Natarajan, Aditi Hombali, C G Prashanth, John M SolomonAbstract:Abstract Background The evidence on Aquatic Therapy (AT) for improving balance and gait deficits post-stroke is unclear. Therefore, this study aimed to determine the effect of AT on balance and gait in stroke survivors. Methods We searched CINAHL, PubMed, Web of Science, Aqua4balance, Ewac, Cochrane, and EMBASE databases from inception to 1st November 2019. Results Eleven studies with 455 participants were included for the review. Meta-analysis showed that AT was effective for improving balance (MD 3.23, 95% CI 1.06, 5.39; p = 0.004; I2 = 61%) and gait speed (MD 0.77, 95% CI 0.25, 1.29; p = 0.004; I2 = 0%) when delivered alone. AT was effective in improving cadence (MD 4.41, 95% CI 0.82, 8.00; p = 0.02; I2 = 68%) when delivered as an adjunct to land-based Therapy. Conclusion AT may be used to improve balance and gait after stroke; however, the evidence to support its use is still low.
Robert Teasell - One of the best experts on this subject based on the ideXlab platform.
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evaluating the effectiveness of Aquatic Therapy on mobility balance and level of functional independence in stroke rehabilitation a systematic review and meta analysis
Clinical Rehabilitation, 2020Co-Authors: Alice Mary Iliescu, Amanda Mcintyre, Joshua Wiener, Jerome Iruthayarajah, Sarah Caughlin, Robert TeasellAbstract:Objective:To meta-analyze and systematically review the effectiveness of Aquatic Therapy in improving mobility, balance, and functional independence after stroke.Data Sources:Articles published in ...
