Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis
Objective: To systematically evaluate the effect of aquatic exercise interventions on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease.Methods: Two researchers independently searched the literature using the PubMed, Web of Science, Embase, an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2023.1066718/full |
| _version_ | 1811173470802804736 |
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| author | Shengyu Dai Haoteng Yuan Jiahui Wang Yuhang Yang Shilin Wen |
| author_facet | Shengyu Dai Haoteng Yuan Jiahui Wang Yuhang Yang Shilin Wen |
| author_sort | Shengyu Dai |
| collection | DOAJ |
| description | Objective: To systematically evaluate the effect of aquatic exercise interventions on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease.Methods: Two researchers independently searched the literature using the PubMed, Web of Science, Embase, and Cochrane Library databases. The search period was from the establishment of the database to December 2021. The subject heading search included “hydrotherapy,” “hydro therapies,” “hydro therapeutics,” “water therapy,” “aquatic exercise therapy,” “aquatic therapy,” “water-based exercise,” “Parkinson,” “Parkinson disease,” “Parkinson’s disease,” “Parkinson’s syndrome,” “primary Parkinsonism,” “paralysis agitans,” and “randomized controlled trial (RCT).”Result: A total of 698 articles were retrieved from the four databases by searching for subject headings, and 10 RCT articles were finally included. The balance ability of aquatic exercise in patients with Parkinson’s disease (weighted mean differences [WMD] = 2.234, 95% CI: 1.112–3.357, Z = 3.9, p < 0.01), walking ability (WMD = −0.911, 95% CI: −1.581 to −0.241, Z = 2.67, p < 0.01), and quality of life (WMD = −5.057, 95% CI: −9.610 to −0.504, Z = 2.18, p = 0.029) were improved, but there was no significant difference in motor function (WMD = −0.328, 95% CI: −1.781 to 1.125, Z = 0.44, p = 0.658).Conclusion: Compared with conventional rehabilitation therapy, aquatic exercise can effectively improve balance, walking ability, and quality of life in patients with Parkinson’s disease. However, it had no obvious effect on improving motor function. This study was limited by the number and quality of the included studies, and more high-quality studies are needed to verify this.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/, identifier CRD42022365103. |
| first_indexed | 2024-04-10T17:47:30Z |
| format | Article |
| id | doaj.art-58d1d47e337143e994187bde0aebe3ef |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-04-10T17:47:30Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-58d1d47e337143e994187bde0aebe3ef2023-02-03T04:42:50ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-02-011410.3389/fphys.2023.10667181066718Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysisShengyu Dai0Haoteng Yuan1Jiahui Wang2Yuhang Yang3Shilin Wen4Capital University of Physical Education and Sports, Beijing, ChinaCapital University of Physical Education and Sports, Beijing, ChinaShenzhen University, Shenzhen, Guangdong, ChinaCapital University of Physical Education and Sports, Beijing, ChinaCapital University of Physical Education and Sports, Beijing, ChinaObjective: To systematically evaluate the effect of aquatic exercise interventions on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease.Methods: Two researchers independently searched the literature using the PubMed, Web of Science, Embase, and Cochrane Library databases. The search period was from the establishment of the database to December 2021. The subject heading search included “hydrotherapy,” “hydro therapies,” “hydro therapeutics,” “water therapy,” “aquatic exercise therapy,” “aquatic therapy,” “water-based exercise,” “Parkinson,” “Parkinson disease,” “Parkinson’s disease,” “Parkinson’s syndrome,” “primary Parkinsonism,” “paralysis agitans,” and “randomized controlled trial (RCT).”Result: A total of 698 articles were retrieved from the four databases by searching for subject headings, and 10 RCT articles were finally included. The balance ability of aquatic exercise in patients with Parkinson’s disease (weighted mean differences [WMD] = 2.234, 95% CI: 1.112–3.357, Z = 3.9, p < 0.01), walking ability (WMD = −0.911, 95% CI: −1.581 to −0.241, Z = 2.67, p < 0.01), and quality of life (WMD = −5.057, 95% CI: −9.610 to −0.504, Z = 2.18, p = 0.029) were improved, but there was no significant difference in motor function (WMD = −0.328, 95% CI: −1.781 to 1.125, Z = 0.44, p = 0.658).Conclusion: Compared with conventional rehabilitation therapy, aquatic exercise can effectively improve balance, walking ability, and quality of life in patients with Parkinson’s disease. However, it had no obvious effect on improving motor function. This study was limited by the number and quality of the included studies, and more high-quality studies are needed to verify this.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/, identifier CRD42022365103.https://www.frontiersin.org/articles/10.3389/fphys.2023.1066718/fullaquatic exerciseParkinson’s diseaselower-extremity motor functionquality of lifemeta analysis |
| spellingShingle | Shengyu Dai Haoteng Yuan Jiahui Wang Yuhang Yang Shilin Wen Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis Frontiers in Physiology aquatic exercise Parkinson’s disease lower-extremity motor function quality of life meta analysis |
| title | Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis |
| title_full | Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis |
| title_fullStr | Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis |
| title_full_unstemmed | Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis |
| title_short | Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis |
| title_sort | effects of aquatic exercise on the improvement of lower extremity motor function and quality of life in patients with parkinson s disease a meta analysis |
| topic | aquatic exercise Parkinson’s disease lower-extremity motor function quality of life meta analysis |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2023.1066718/full |
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