Effectiveness of aquatic exercise for musculoskeletal conditions: A meta-analysis

Journal article


Barker, Anna, Talevski, Jason, Morello, Renata, Brand, Caroline, Rahmann, Ann and Urquhart, Donna 2014. Effectiveness of aquatic exercise for musculoskeletal conditions: A meta-analysis. Archives of Physical Medicine and Rehabilitation. 95 (9), pp. 1776 - 1786. https://doi.org/10.1016/j.apmr.2014.04.005
AuthorsBarker, Anna, Talevski, Jason, Morello, Renata, Brand, Caroline, Rahmann, Ann and Urquhart, Donna
Abstract

Objective: To investigate the effectiveness of aquatic exercise in the management of musculoskeletal conditions.

Data Sources: A systematic review was conducted using Ovid MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, and The Cochrane Central Register of Controlled Trials from earliest record to May 2013.

Study: Selection We searched for randomized controlled trials (RCTs) and quasi-RCTs evaluating aquatic exercise for adults with musculoskeletal conditions compared with no exercise or land-based exercise. Outcomes of interest were pain, physical function, and quality of life. The electronic search identified 1199 potential studies. Of these, 1136 studies were excluded based on title and abstract. A further 36 studies were excluded after full text review, and the remaining 26 studies were included in this review.

Data Extraction: Two reviewers independently extracted demographic data and intervention characteristics from included trials. Outcome data, including mean scores and SDs, were also extracted.

Data Synthesis: The Physiotherapy Evidence Database (PEDro) Scale identified 20 studies with high methodologic quality (PEDro score ≥6). Compared with no exercise, aquatic exercise achieved moderate improvements in pain (standardized mean difference [SMD]=−.37; 95% confidence interval [CI], −.56 to −.18), physical function (SMD=.32; 95% CI, .13–.51), and quality of life (SMD=.39; 95% CI, .06–.73). No significant differences were observed between the effects of aquatic and land-based exercise on pain (SMD=−.11; 95% CI, −.27 to .04), physical function (SMD=−.03; 95% CI, −.19 to .12), or quality of life (SMD=−.10; 95% CI, −.29 to .09).

Conclusions: The evidence suggests that aquatic exercise has moderate beneficial effects on pain, physical function, and quality of life in adults with musculoskeletal conditions. These benefits appear comparable across conditions and with those achieved with land-based exercise. Further research is needed to understand the characteristics of aquatic exercise programs that provide the most benefit.

Keywordsarthritis; exercise; hydrotherapy; musculoskeletal diseases; osteoarthritis; rehabilitation
Year2014
JournalArchives of Physical Medicine and Rehabilitation
Journal citation95 (9), pp. 1776 - 1786
PublisherElsevier Inc.
ISSN0003-9993
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apmr.2014.04.005
Scopus EID2-s2.0-84907954172
Page range1776 - 1786
Research GroupSchool of Allied Health
Place of publicationUnited States of America
Permalink -

https://acuresearchbank.acu.edu.au/item/89qvv/effectiveness-of-aquatic-exercise-for-musculoskeletal-conditions-a-meta-analysis

  • 0
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Vestibulo-ocular dysfunction in adolescent rugby union players with and without a history of concussion
Leung, Felix T., Rahmann, Ann, Mendis, M. Dilani, Franettovich Smith, Melinda M., Sonsearay, Christine, Choy, Nancy Low and Hides, Julie A. 2019. Vestibulo-ocular dysfunction in adolescent rugby union players with and without a history of concussion. Musculoskeletal Science and Practice. 39, pp. 144 - 149. https://doi.org/10.1016/j.msksp.2018.12.007
Force during functional exercises on land and in water in older adults with and without knee osteoarthritis: Implications for rehabilitation
Heywood, Sophie, McClelland, Jodie A., Geigle, Paula, Rahmann, Ann, Villalta, Elizabeth, Mentiplay, Benjamin and Clark, Ross 2019. Force during functional exercises on land and in water in older adults with and without knee osteoarthritis: Implications for rehabilitation. The Knee. 26 (1), pp. 61 - 72. https://doi.org/10.1016/j.knee.2018.11.003
A systematic review of the reported proportions of diagnoses for dizziness and vertigo
Parker, Ian Gerard, Hartel, Gunter, Paratz, Jennifer, Choy, Nancy Low and Rahmann, Ann 2019. A systematic review of the reported proportions of diagnoses for dizziness and vertigo. Otology and Neurotology. 40 (1), pp. 6 - 15. https://doi.org/10.1097/MAO.0000000000002044
Low-cost electromyography – validation against a commercial system using both manual and automated activation timing thresholds
Heywood, Sophie, Pua, Yong Hao, McClelland, Jodie A., Geigle, Paula, Rahmann, Ann, Bower, Kelly and Clark, Ross 2018. Low-cost electromyography – validation against a commercial system using both manual and automated activation timing thresholds. Journal of Electromyography and Kinesiology. 42, pp. 74 - 80. https://doi.org/10.1016/j.jelekin.2018.05.010
Epidemiology of injuries in Australian school level rugby union
Leung, Felix, Smith, Melinda, Brown, Mark, Rahmann, Ann, Mendis, Dilani and Hides, Julie 2017. Epidemiology of injuries in Australian school level rugby union. Journal of Science and Medicine in Sport. 20 (8), pp. 740 - 744. https://doi.org/10.1016/j.jsams.2017.03.006
The effectiveness of aquatic exercise in improving lower limb strength in musculoskeletal conditions: A systematic review and meta-analysis
Heywood, Sophie, McClelland, Jodie A., Mentiplay, Benjamin, Geigle, Paula, Rahmann, Ann and Clark, Ross 2017. The effectiveness of aquatic exercise in improving lower limb strength in musculoskeletal conditions: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation. 98 (1), pp. 173 - 186. https://doi.org/10.1016/j.apmr.2016.08.472
Spatiotemporal, kinematic, force and muscle activation outcomes during gait and functional exercise in water compared to on land: A systematic review.
Heywood, Sophie, McClelland, Jodie, Geigle, Paula, Rahmann, Ann Elizabeth and Clark, Ross Allan 2016. Spatiotemporal, kinematic, force and muscle activation outcomes during gait and functional exercise in water compared to on land: A systematic review. Gait & Posture. 48, pp. 120 - 130. https://doi.org/10.1016/j.gaitpost.2016.04.033
Predictors of discharge destination in a geriatric population after undergoing rehabilitation
Lindenberg, Kirstin, Nitz, Jennifer, Rahmann, Ann and Bew, Paul 2014. Predictors of discharge destination in a geriatric population after undergoing rehabilitation. Journal of Geriatric Physical Therapy. 37 (2), pp. 92 - 98. https://doi.org/10.1519/JPT.0b013e3182abe79e
Predictors of discharge destination in a geriatric population after undergoing rehabilitation
Lindenberg, Kirstin, Nitz, Jennifer C., Rahmann, Ann and Bew, Paul 2014. Predictors of discharge destination in a geriatric population after undergoing rehabilitation. Journal of Geriatric Physical Therapy. 37 (2), pp. 92 - 98. https://doi.org/10.1519/JPT.0b013e3182abe79e
Exercise for people with hip or knee osteoarthritis : A comparison of land-based and aquatic interventions
Rahmann, Ann 2010. Exercise for people with hip or knee osteoarthritis : A comparison of land-based and aquatic interventions. Open Access Journal of Sports Medicine. 1, pp. 123 - 135. https://doi.org/10.2147/OAJSM.S6941
A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement: A randomised controlled trial
Rahmann, Ann Elizabeth, Brauer, Sandra G. and Nitz, Jennifer C. 2009. A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement: A randomised controlled trial. Archives of Physical Medicine and Rehabilitation. 90 (5), pp. 745 - 755. https://doi.org/10.1016/j.apmr.2008.12.011