Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, Italy.
Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, Italy.
Mult Scler Relat Disord. 2020 Jun;41:102022. doi: 10.1016/j.msard.2020.102022. Epub 2020 Feb 22.
The aquatic environment has unique properties, such a buoyancy, turbulence, hydrostatic pressure, and resistance, which can be used to gain a range of exercise benefits. During the last decade, hydrotherapy has spread in a very heterogeneous rehabilitation field. However, the efficacy of this kind of rehabilitation is not clear in scientific literature. The purpose of this study is to conduct a systematic review with meta-analysis to evaluate the qualitative and quantitative results of physical therapy treatments in an aquatic setting for individuals with Multiple Sclerosis.
PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three bibliographic databases were searched: MEDLINE, PEDro, and the Cochrane Library. Papers included in the study have the following characteristics: (a) a randomized controlled trial design of research and (b) published in English. The quality of the clinical trials included were evaluated according to a Jadad score and through meta-analysis.
After the elimination of duplicates, 116 records were screened. Among these, 11 Randomized Controlled Trials (RCTs) were included in the systematic review. Ten of these were involved in the meta-analysis. From the qualitative analysis, a larger number of studies were found with a high level of quality. Most of the results of the quantitative analysis were statistically significant (p< 0.05).
Aquatic physical therapy is a valid means of rehabilitation for people with Multiple Sclerosis. The integration of this methodological approach with conventional physical therapy is recommended. Nevertheless, more studies, a larger number of participants, and short-, medium-, and long-term follow-up are required to confirm current results.
水的环境具有独特的特性，如浮力、湍流、静水压力和阻力，可用于获得一系列的运动益处。在过去的十年中，水疗在非常多样化的康复领域中得到了广泛应用。然而，这种康复方式的疗效在科学文献中并不明确。本研究的目的是进行系统评价和荟萃分析，以评估在水疗环境中对多发性硬化症患者进行物理治疗的定性和定量结果。
采用 PRISMA 指南进行系统评价和荟萃分析。检索了三个文献数据库：MEDLINE、PEDro 和 Cochrane 图书馆。纳入研究的论文具有以下特征：（a）研究采用随机对照试验设计，（b）以英文发表。根据 Jadad 评分和荟萃分析评估纳入临床试验的质量。
消除重复项后，筛选出 116 条记录。其中，有 11 项随机对照试验（RCT）被纳入系统评价。其中 10 项纳入荟萃分析。从定性分析中，发现了更多高质量的研究。定量分析的大多数结果具有统计学意义（p<0.05）。
水疗是多发性硬化症患者康复的有效手段。建议将这种方法与常规物理疗法相结合。然而，需要更多的研究、更多的参与者以及短期、中期和长期随访，以确认当前的结果。
