The Orthopaedic Spinal Ward, Shanxi Provincial People's Hospital, 29th Shuangta Temple Street, Taiyuan, 030012, Shanxi, People's Republic of China.
School of Nursing, Shanxi University of Traditional Chinese Medicine, 121st Daxue Street, Yuci District, Jinzhong, 030619, Shanxi, People's Republic of China.
J Orthop Surg Res. 2022 Mar 28;17(1):190. doi: 10.1186/s13018-022-03069-6.
To determine the benefits of aquatic physical therapy as a rehabilitation strategy for knee osteoarthritis patients.
Electronic databases systematically searched up to July 2021.
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).
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.
确定水疗作为膝骨关节炎患者康复策略的益处。
系统检索了截至 2021 年 7 月的电子数据库。
共筛选出 580 项 RCTs，其中 13 项研究共纳入 883 名参与者。对于疼痛，Meta 分析显示，水疗与 Western Ontario and McMaster University Osteoarthritis Index（WOMAC）疼痛（SMD = -1.09，95%CI -1.97，-0.21，p = 0.02）和视觉模拟量表（VAS）（SMD = -0.55，95%CI -0.98，-0.12，p = 0.01）显著改善有关。此外，对于身体功能，Meta 分析显示，水疗可有效改善 WOMAC 身体功能（SMD = -0.57，95%CI -1.14，-0.01，p = 0.05）。然而，我们的研究结果显示，水疗对膝关节骨关节炎的关节症状、生活质量（QOL）、柔韧性和身体成分没有显著改善。对于肌肉力量，我们发现水疗仅能改善膝关节伸肌力量（MD = 2.11，95%CI 0.02，4.20，p = 0.05）。此外，对于步行能力，我们观察到水疗能有效大幅降低计时起立行走测试（TUGT）（MD = -0.89，95%CI -1.25，-0.53，p < 0.05）。
根据本综述中分析研究的结果，水疗对膝骨关节炎患者的疼痛、身体功能、膝关节伸肌力量和步行能力有积极影响。
