Stanciu Liliana Elena, Iliescu Madalina Gabriela, Vlădăreanu Liliana, Ciota Alexandra Ecaterina, Ionescu Elena-Valentina, Mihailov Claudia Ileana
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, "Ovidius" University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania.
Department of Reumatology, Faculty of Medicine, "Ovidius" University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania.
Biomedicines. 2023 Jan 21;11(2):302. doi: 10.3390/biomedicines11020302.
Spinal cord injury (SCI) is a devastating problem for modern society, whether it affects young people in the most productive period of their lives or the elderly. The spinal cord injury is currently without curative treatment and the therapeutic intervention aims to minimize secondary complications and maximize residual function through rehabilitation medicine. The main objective of this scientific paper is to determine whether there is evidence in the literature regarding the importance and/or use of hydrotherapy, as part of the therapeutic management of the SCI patient, in order to decrease the degree of spasticity, of pain symptoms, increase or maintain range of motion, improve respiratory, cardiovascular, and metabolic status, as well as improve function and psychological benefits.
Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) procedures, the following databases were analyzed between 2000 and 2021: Pub Med, Pub Med Central, Science Direct, Scopus, and SpringerLink. Initial keywords: rehabilitation treatment, spinal cord injury. Additional keywords: hydrotherapy, aqua therapy, spasticity, human. For the scientific quality of the included articles, risk of bias was assessed using the Downs and Black Appraisal Modified Scale.
Our research used only four publications as per PRISMA protocol, assessed with Downs and Black Scale. The study models used in the individual studies included in the research are the following: two systematic reviews, one experimental non-randomized control, and one individual semi-structured interview. Due to the low number of studies, despite two of them being reviews, there is the necessity for a more standardized methodology to prove the benefits hydrotherapy for SCI patients for the improvement of lower limb functioning.
Hydrotherapy is an important component of the treatment of an SCI patient, despite the limited number of scientific studies that support this aspect. Clinical trials in the future are required.
脊髓损伤（SCI）对现代社会而言是一个极具破坏性的问题，无论它影响的是处于人生最具生产力阶段的年轻人还是老年人。目前脊髓损伤尚无治愈方法，治疗干预旨在通过康复医学将继发性并发症降至最低，并使残余功能最大化。本科学论文的主要目的是确定文献中是否有证据表明水疗作为脊髓损伤患者治疗管理的一部分，在减轻痉挛程度、缓解疼痛症状、增加或维持关节活动范围、改善呼吸、心血管和代谢状况以及改善功能和心理效益方面的重要性和/或应用情况。
采用系统评价和荟萃分析的首选报告项目（PRISMA）程序，对2000年至2021年期间的以下数据库进行了分析：PubMed、PubMed Central、ScienceDirect、Scopus和SpringerLink。初始关键词：康复治疗、脊髓损伤。附加关键词：水疗、水疗法、痉挛、人类。对于纳入文章的科学质量，使用唐斯和布莱克改良评估量表评估偏倚风险。
根据PRISMA协议，我们的研究仅使用了四篇出版物，并采用唐斯和布莱克量表进行评估。该研究纳入的个体研究中使用的研究模型如下：两项系统评价、一项非随机对照实验和一项个体半结构化访谈。由于研究数量较少，尽管其中两项是综述，但仍需要更标准化的方法来证明水疗对脊髓损伤患者改善下肢功能的益处。
尽管支持这一方面的科学研究数量有限，但水疗仍是脊髓损伤患者治疗的重要组成部分。未来需要进行临床试验。
