Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil; Physical Therapy Research Group, Federal University of Bahia, Salvador, Bahia, Brazil; Post Graduate Program Medicine and Health, Federal University of Bahia, Salvador, Bahia, Brazil.
Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil; Physical Therapy Research Group, Federal University of Bahia, Salvador, Bahia, Brazil.
J Stroke Cerebrovasc Dis. 2019 Nov;28(11):104341. doi: 10.1016/j.jstrokecerebrovasdis.2019.104341. Epub 2019 Sep 18.
To investigate the effects of water-based exercise on functioning and quality of life in poststroke persons.
We searched the following electronic database: MEDLINE, PeDro, Scielo, and the Cochrane Central Register of Controlled Trials up to September 2018 Study Selection: Only randomized controlled trials were included. Two review authors screened the titles and abstracts and selected the trials independently.
Two review authors independently extracted data of the included trials, using standard data-extraction model. We analyzed the pooled results using weighted mean differences, and standardized mean difference and 95% confidence intervals (CIs) were calculated.
Twenty-four studies met the study criteria, but only 15 studies were included on meta-analyses. The studies presented moderate methodological quality, due to the lack of blinding of subjects and therapists and the nonperformance of the intention-to-treat analysis. Water-based exercise compared with land exercise had a positive impact on: muscle strength balance gait speed and mobility aerobic capacity and functional reach. Combined water-based exercise and land exercise was more effective than land exercise for improving balance, gait speed, and functional reach. The meta-analysis showed significant improvement in role limitations due to physical functioning and emotional problems, in vitality general mental health, social functioning, and bodily pain for participants in the water-based exercise and land exercise group versus land exercise group.
Water-based exercise may improve muscle strength, balance, mobility, aerobic capacity, functional reach, joint position sense, and quality of life in poststroke persons and could be considered for inclusion in rehabilitation programs.
探讨水中运动对脑卒中患者功能和生活质量的影响。
我们检索了以下电子数据库：MEDLINE、PeDro、Scielo 和 Cochrane 对照试验中心注册库，检索截至 2018 年 9 月。研究选择：仅纳入随机对照试验。两位综述作者独立筛选标题和摘要并选择试验。
两位综述作者独立提取纳入试验的数据，使用标准的数据提取模型。我们使用加权均数差、标准化均数差和 95%置信区间（CI）进行合并结果分析。
24 项研究符合研究标准，但只有 15 项研究进行了荟萃分析。由于缺乏对受试者和治疗师的盲法以及未进行意向治疗分析，这些研究的方法学质量为中等。与陆地运动相比，水中运动对以下方面有积极影响：肌肉力量、平衡、步态速度和移动性、有氧能力和功能伸展。与陆地运动相比，结合水中运动和陆地运动比单纯陆地运动更有效地改善平衡、步态速度和功能伸展。荟萃分析显示，水中运动和陆地运动组的参与者在身体机能受限所致角色受限、情感问题、活力、一般心理健康、社会功能和身体疼痛方面的评分显著改善。
水中运动可能改善脑卒中患者的肌肉力量、平衡、移动性、有氧能力、功能伸展、关节位置感和生活质量，可考虑将其纳入康复计划。
