Dai Shengyu, Yuan Haoteng, Wang Jiahui, Yang Yuhang, Wen Shilin
Capital University of Physical Education and Sports, Beijing, China.
Shenzhen University, Shenzhen, Guangdong, China.
Front Physiol. 2023 Feb 3;14:1066718. doi: 10.3389/fphys.2023.1066718. eCollection 2023.
To systematically evaluate the effect of aquatic exercise interventions on the improvement of lower-extremity motor function and quality of life in patients with Parkinson's disease. Two researchers independently searched the literature using the PubMed, Web of Science, Embase, and Cochrane Library databases. The search period was from the establishment of the database to December 2021. The subject heading search included "hydrotherapy," "hydro therapies," "hydro therapeutics," "water therapy," "aquatic exercise therapy," "aquatic therapy," "water-based exercise," "Parkinson," "Parkinson disease," "Parkinson's disease," "Parkinson's syndrome," "primary Parkinsonism," "paralysis agitans," and "randomized controlled trial (RCT)." A total of 698 articles were retrieved from the four databases by searching for subject headings, and 10 RCT articles were finally included. The balance ability of aquatic exercise in patients with Parkinson's disease (weighted mean differences [WMD] = 2.234, 95% CI: 1.112-3.357, Z = 3.9, < 0.01), walking ability (WMD = -0.911, 95% CI: -1.581 to -0.241, Z = 2.67, < 0.01), and quality of life (WMD = -5.057, 95% CI: -9.610 to -0.504, Z = 2.18, = 0.029) were improved, but there was no significant difference in motor function (WMD = -0.328, 95% CI: -1.781 to 1.125, Z = 0.44, = 0.658). Compared with conventional rehabilitation therapy, aquatic exercise can effectively improve balance, walking ability, and quality of life in patients with Parkinson's disease. However, it had no obvious effect on improving motor function. This study was limited by the number and quality of the included studies, and more high-quality studies are needed to verify this. https://www.crd.york.ac.uk/prospero/, identifier CRD42022365103.
系统评价水上运动干预对改善帕金森病患者下肢运动功能和生活质量的效果。两名研究人员独立使用PubMed、Web of Science、Embase和Cochrane图书馆数据库检索文献。检索期为从数据库建立至2021年12月。主题词检索包括“水疗法”“水疗”“水治疗法”“水疗法”“水上运动疗法”“水上疗法”“水上运动”“帕金森”“帕金森病”“帕金森氏病”“帕金森综合征”“原发性帕金森症”“震颤麻痹”以及“随机对照试验（RCT）”。通过主题词检索从四个数据库共检索到698篇文章，最终纳入10篇RCT文章。帕金森病患者水上运动的平衡能力（加权均数差[WMD]=2.234，95%CI：1.112 - 3.357，Z = 3.9，P<0.01）、步行能力（WMD=-0.911，95%CI：-1.581至-0.241，Z = 2.67，P<0.01）和生活质量（WMD=-5.057，95%CI：-9.610至-0.504，Z = 2.18，P = 0.029）均得到改善，但运动功能无显著差异（WMD=-0.328，95%CI：-1.781至1.125，Z = 0.44，P = 0.658）。与传统康复治疗相比，水上运动可有效改善帕金森病患者的平衡、步行能力和生活质量。然而，其对改善运动功能无明显效果。本研究受纳入研究数量和质量的限制，需要更多高质量研究来验证这一点。https://www.crd.york.ac.uk/prospero/，标识符CRD42022365103。
