Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis
Abstract Objective To determine the benefits of aquatic physical therapy as a rehabilitation strategy for knee osteoarthritis patients. Methods Electronic databases systematically searched up to July 2021. Results 580 RCTs were selected. A total of thirteen studies comprising 883 participants were i...
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-022-03069-6 |
| _version_ | 1798005797886623744 |
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| author | Ji Ma Xiaoyu Chen Juan Xin Xin Niu Zhifang Liu Qian Zhao |
| author_facet | Ji Ma Xiaoyu Chen Juan Xin Xin Niu Zhifang Liu Qian Zhao |
| author_sort | Ji Ma |
| collection | DOAJ |
| description | Abstract Objective To determine the benefits of aquatic physical therapy as a rehabilitation strategy for knee osteoarthritis patients. Methods Electronic databases systematically searched up to July 2021. Results 580 RCTs were selected. A total of thirteen studies comprising 883 participants were included in the study. For pain, meta-analyses showed that aquatic physical therapy is associated with a significant change in Western Ontario and McMaster University Osteoarthritis Index (WOMAC) pain (SMD = − 1.09, 95%CI − 1.97, − 0.21, p = 0.02) and visual analog scale (VAS) (SMD = − 0.55, 95%CI − 0.98, − 0.12, p = 0.01). In addition, for physical function, meta-analyses showed that aquatic physical therapy effectively improved WOMAC physical function (SMD = − 0.57, 95%CI − 1.14, − 0.01, p = 0.05). However, our findings showed no significant improvements in symptoms of joints, quality of life (QOL), flexibility, and body composition with knee osteoarthritis. For muscle strength, we found that aquatic physical therapy can only improve knee extension muscle strength (MD = 2.11, 95%CI 0.02, 4.20, p = 0.05). Additionally, for walking ability, we observed that aquatic physical therapy effectively reduced Timed-Up-and-Go Test (TUGT) in a large degree (MD = − 0.89, 95%CI − 1.25, − 0.53, p < 0.05). Conclusions According to the findings reported in the studies analyzed in the review, aquatic physical therapy had a positive effect on the pain, physical function, knee extension muscle strength, and walking ability among people with knee osteoarthritis. |
| first_indexed | 2024-04-11T12:44:49Z |
| format | Article |
| id | doaj.art-e8ba5ca49a0c46d3a2c0d547088f5006 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T12:44:49Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-e8ba5ca49a0c46d3a2c0d547088f50062022-12-22T04:23:24ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-03-0117111510.1186/s13018-022-03069-6Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysisJi Ma0Xiaoyu Chen1Juan Xin2Xin Niu3Zhifang Liu4Qian Zhao5The Orthopaedic Spinal Ward, Shanxi Provincial People’s HospitalSchool of Nursing, Shanxi University of Traditional Chinese MedicineThe Orthopaedic Spinal Ward, Shanxi Provincial People’s HospitalThe Orthopaedic Spinal Ward, Shanxi Provincial People’s HospitalDepartment of Nursing, Shanxi Provincial People’s HospitalDepartment of Nursing, Shanxi Provincial People’s HospitalAbstract Objective To determine the benefits of aquatic physical therapy as a rehabilitation strategy for knee osteoarthritis patients. Methods Electronic databases systematically searched up to July 2021. Results 580 RCTs were selected. A total of thirteen studies comprising 883 participants were included in the study. For pain, meta-analyses showed that aquatic physical therapy is associated with a significant change in Western Ontario and McMaster University Osteoarthritis Index (WOMAC) pain (SMD = − 1.09, 95%CI − 1.97, − 0.21, p = 0.02) and visual analog scale (VAS) (SMD = − 0.55, 95%CI − 0.98, − 0.12, p = 0.01). In addition, for physical function, meta-analyses showed that aquatic physical therapy effectively improved WOMAC physical function (SMD = − 0.57, 95%CI − 1.14, − 0.01, p = 0.05). However, our findings showed no significant improvements in symptoms of joints, quality of life (QOL), flexibility, and body composition with knee osteoarthritis. For muscle strength, we found that aquatic physical therapy can only improve knee extension muscle strength (MD = 2.11, 95%CI 0.02, 4.20, p = 0.05). Additionally, for walking ability, we observed that aquatic physical therapy effectively reduced Timed-Up-and-Go Test (TUGT) in a large degree (MD = − 0.89, 95%CI − 1.25, − 0.53, p < 0.05). Conclusions According to the findings reported in the studies analyzed in the review, aquatic physical therapy had a positive effect on the pain, physical function, knee extension muscle strength, and walking ability among people with knee osteoarthritis.https://doi.org/10.1186/s13018-022-03069-6Knee osteoarthritisAquatic physical therapyMeta-analysis |
| spellingShingle | Ji Ma Xiaoyu Chen Juan Xin Xin Niu Zhifang Liu Qian Zhao Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis Journal of Orthopaedic Surgery and Research Knee osteoarthritis Aquatic physical therapy Meta-analysis |
| title | Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis |
| title_full | Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis |
| title_fullStr | Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis |
| title_full_unstemmed | Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis |
| title_short | Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis |
| title_sort | overall treatment effects of aquatic physical therapy in knee osteoarthritis a systematic review and meta analysis |
| topic | Knee osteoarthritis Aquatic physical therapy Meta-analysis |
| url | https://doi.org/10.1186/s13018-022-03069-6 |
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