Tor Vergata University of Rome , Rome, Italy.
Tor Vergata University of Rome and UniCamillus University of Rome , Rome, Italy.
Top Stroke Rehabil. 2021 Jan;28(1):19-32. doi: 10.1080/10749357.2020.1755816. Epub 2020 Apr 27.
: The purpose of this study was to evaluate the literature reports of qualitative and quantitative results of physical therapy treatments in the alternative aquatic setting for individuals affected by strokes. : 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 were required to: (a) have a randomized controlled trial (RCT) design of research; and (b) be published in English; (c) be published during the last 10 years (2008-2018). Only randomized controlled trials were employed in the study. The quality of the clinical trials to be included was evaluated according to the Jadad scale. The internal validity was assessed according to the PEDro scale. : Eleven RCTs were initially identified in the systematic review. Eight of these were involved in the meta-analysis comparing outcomes and follow-up. Eight studies received a Jadad score of three, indicating a high level of quality. The remaining three studies achieved a lower score which indicated lower qualitative level. Nearly all of the results of the quantitative analysis were statistically significant ( < 0,05) and most of them favored of the experimental group subject to aquatic treatment. : Aquatic physical therapy may be a valid means for the rehabilitation of people affected by stroke. The integration of this methodological approach with conventional physical therapy should be considered. However, more studies; a larger number of participants; and varying lengths of follow-up times are necessary.
: 本研究旨在评估在替代水疗环境中针对中风患者进行物理治疗的定性和定量结果的文献报告。: 采用 PRISMA 指南进行系统评价和荟萃分析。共检索了 3 个文献数据库：MEDLINE、PEDro 和 Cochrane 图书馆。纳入研究的论文必须：(a) 具有随机对照试验 (RCT) 设计的研究；(b) 以英文发表；(c) 在过去 10 年内（2008-2018 年）发表。本研究仅采用随机对照试验。根据 Jadad 量表评估纳入临床试验的质量。根据 PEDro 量表评估内部有效性。: 在系统评价中初步确定了 11 项 RCT。其中 8 项纳入比较结局和随访的荟萃分析。8 项研究的 Jadad 得分为 3 分，表明质量较高。其余 3 项研究的得分较低，表明定性水平较低。定量分析的几乎所有结果均具有统计学意义（<0.05），并且大多数结果都有利于接受水疗的实验组。: 水疗物理疗法可能是中风患者康复的有效方法。应考虑将这种方法与常规物理疗法相结合。然而，还需要更多的研究、更多的参与者和不同的随访时间长度。
