Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis
BackgroundHydrotherapy can improve the motor and non-motor symptoms of Parkinson’s disease (PD), but the long-term effects of hydrotherapy on PD are still unclear.ObjectiveThe purpose of this systematic evaluation and meta-analysis was to explore the long-term effects of hydrotherapy on balance func...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Aging Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1320240/full |
| _version_ | 1797392975994552320 |
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| author | Zicai Liu Miao Huang Ya Liao Xiuying Xie Pingan Zhu Yangyou Liu Cheng Tan |
| author_facet | Zicai Liu Miao Huang Ya Liao Xiuying Xie Pingan Zhu Yangyou Liu Cheng Tan |
| author_sort | Zicai Liu |
| collection | DOAJ |
| description | BackgroundHydrotherapy can improve the motor and non-motor symptoms of Parkinson’s disease (PD), but the long-term effects of hydrotherapy on PD are still unclear.ObjectiveThe purpose of this systematic evaluation and meta-analysis was to explore the long-term effects of hydrotherapy on balance function in PD patients.MethodsA systematic search of five databases was conducted to identify appropriate randomized controlled trials (RCTs) according to the established inclusion and exclusion criteria. The general characteristics and outcome data (balance, exercise, mobility, quality of life, etc.) of the included studies were extracted, and the quality of the included studies was evaluated using the Cochrane risk of bias assessment tool. Finally, the outcome data were integrated for meta-analysis.ResultsA total of 149 articles were screened, and 5 high-quality RCTs involving 135 PD patients were included. The results of the meta-analysis showed positive long-term effects of hydrotherapy on balance function compared to the control group (SMD = 0.69; 95% CI = 0.21, 1.17; p = 0.005; I2 = 44%), However, there were no significant long-term effects of hydrotherapy on motor function (SMD = 0.06; 95% CI = −0.33, 0.44; p = 0.77; I2 = 0%), mobility and quality of life (SMD = −0.21; 95% CI = −0.98, 0.57; p = 0.6; I2 = 71%). Interestingly, the results of the sensitivity analysis performed on mobility showed a clear continuation effect of hydrotherapy on mobility compared to the control group (SMD = −0.80; 95% CI = −1.23, −0.37; p < 0.001; I2 = 0%).ConclusionThe long-term effects of hydrotherapy on PD patients mainly focus on balance function, and the continuous effects on motor function, mobility, and quality of life are not obvious. |
| first_indexed | 2024-03-08T23:55:26Z |
| format | Article |
| id | doaj.art-18a2ffe1dd454c3ba78af857d6e276a0 |
| institution | Directory Open Access Journal |
| issn | 1663-4365 |
| language | English |
| last_indexed | 2024-03-08T23:55:26Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj.art-18a2ffe1dd454c3ba78af857d6e276a02023-12-13T04:43:20ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652023-12-011510.3389/fnagi.2023.13202401320240Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysisZicai Liu0Miao Huang1Ya Liao2Xiuying Xie3Pingan Zhu4Yangyou Liu5Cheng Tan6Department of Rehabilitation Medicine, Shaoguan First People’s Hospital, Shaoguan, ChinaSchool of Rehabilitation Medicine Gannan Medical University, Ganzhou, ChinaDepartment of Rehabilitation Medicine, Shaoguan First People’s Hospital, Shaoguan, ChinaDepartment of Rehabilitation Medicine, Shaoguan First People’s Hospital, Shaoguan, ChinaDepartment of Rehabilitation Medicine, Shaoguan First People’s Hospital, Shaoguan, ChinaDepartment of Rehabilitation Medicine, Shaoguan First People’s Hospital, Shaoguan, ChinaDepartment of Rehabilitation Medicine, Shaoguan First People’s Hospital, Shaoguan, ChinaBackgroundHydrotherapy can improve the motor and non-motor symptoms of Parkinson’s disease (PD), but the long-term effects of hydrotherapy on PD are still unclear.ObjectiveThe purpose of this systematic evaluation and meta-analysis was to explore the long-term effects of hydrotherapy on balance function in PD patients.MethodsA systematic search of five databases was conducted to identify appropriate randomized controlled trials (RCTs) according to the established inclusion and exclusion criteria. The general characteristics and outcome data (balance, exercise, mobility, quality of life, etc.) of the included studies were extracted, and the quality of the included studies was evaluated using the Cochrane risk of bias assessment tool. Finally, the outcome data were integrated for meta-analysis.ResultsA total of 149 articles were screened, and 5 high-quality RCTs involving 135 PD patients were included. The results of the meta-analysis showed positive long-term effects of hydrotherapy on balance function compared to the control group (SMD = 0.69; 95% CI = 0.21, 1.17; p = 0.005; I2 = 44%), However, there were no significant long-term effects of hydrotherapy on motor function (SMD = 0.06; 95% CI = −0.33, 0.44; p = 0.77; I2 = 0%), mobility and quality of life (SMD = −0.21; 95% CI = −0.98, 0.57; p = 0.6; I2 = 71%). Interestingly, the results of the sensitivity analysis performed on mobility showed a clear continuation effect of hydrotherapy on mobility compared to the control group (SMD = −0.80; 95% CI = −1.23, −0.37; p < 0.001; I2 = 0%).ConclusionThe long-term effects of hydrotherapy on PD patients mainly focus on balance function, and the continuous effects on motor function, mobility, and quality of life are not obvious.https://www.frontiersin.org/articles/10.3389/fnagi.2023.1320240/fullhydrotherapyParkinson’s diseasebalancemeta-analysisPD |
| spellingShingle | Zicai Liu Miao Huang Ya Liao Xiuying Xie Pingan Zhu Yangyou Liu Cheng Tan Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis Frontiers in Aging Neuroscience hydrotherapy Parkinson’s disease balance meta-analysis PD |
| title | Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis |
| title_full | Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis |
| title_fullStr | Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis |
| title_full_unstemmed | Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis |
| title_short | Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis |
| title_sort | long term efficacy of hydrotherapy on balance function in patients with parkinson s disease a systematic review and meta analysis |
| topic | hydrotherapy Parkinson’s disease balance meta-analysis PD |
| url | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1320240/full |
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