Tedeschi Roberto, Giorgi Federica, Donati Danilo
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Via Zamboni 33, 40126 Bologna, Italy.
Pediatric Physical Medicine and Rehabilitation Unit, IRCCS Institute of Neurological Sciences, 40124 Bologna, Italy.
J Clin Med. 2024 Sep 28;13(19):5811. doi: 10.3390/jcm13195811.
Knee osteoarthritis (OA) is a prevalent condition that significantly impairs pain, mobility, and quality of life. Hydrokinesiotherapy, a water-based exercise therapy, is gaining traction as a potential alternative to traditional land-based rehabilitation for managing knee OA symptoms. This scoping review aimed to evaluate the effectiveness of hydrokinesiotherapy compared to standard land-based physical therapy and self-administered exercise regimens in improving pain, joint mobility, quality of life, and physical function in patients with knee OA. Five randomized controlled trials (RCTs) were included, assessing outcomes using measures such as the WOMAC score, Visual Analog Scale (VAS), and SF-12. The studies were critically appraised using the PEDro scale and the RoB-2 tool to determine the quality and risk of bias. Hydrokinesiotherapy consistently demonstrated superior outcomes in pain reduction, joint mobility, and physical function across all studies. Patients in the hydrokinesiotherapy groups reported significant improvements in pain and mobility, which were strongly associated with enhanced quality of life. The review also highlighted the potential for hydrokinesiotherapy to serve as an effective alternative or complement to land-based exercises, particularly in populations experiencing severe symptoms. Hydrokinesiotherapy is an effective intervention for managing knee OA, offering significant improvements in key clinical outcomes. Given its benefits, hydrokinesiotherapy should be considered a valuable addition to knee OA treatment protocols. However, further research is needed to confirm long-term effects and to explore ways to improve accessibility to this therapeutic option.
膝骨关节炎（OA）是一种常见病症，会严重影响疼痛、活动能力和生活质量。水中运动疗法是一种以水为基础的运动疗法，作为管理膝骨关节炎症状的传统陆地康复的潜在替代方法，正越来越受到关注。本综述旨在评估与标准陆地物理治疗和自我管理运动方案相比，水中运动疗法在改善膝骨关节炎患者的疼痛、关节活动度、生活质量和身体功能方面的有效性。纳入了五项随机对照试验（RCT），使用WOMAC评分、视觉模拟量表（VAS）和SF-12等指标评估结果。使用PEDro量表和RoB-2工具对研究进行严格评估，以确定质量和偏倚风险。在所有研究中，水中运动疗法在减轻疼痛、关节活动度和身体功能方面始终显示出更好的结果。水中运动疗法组的患者报告疼痛和活动能力有显著改善，这与生活质量的提高密切相关。该综述还强调了水中运动疗法作为陆地运动的有效替代或补充的潜力，特别是在症状严重的人群中。水中运动疗法是管理膝骨关节炎的有效干预措施，能显著改善关键临床结果。鉴于其益处，水中运动疗法应被视为膝骨关节炎治疗方案中的一项有价值的补充。然而，需要进一步研究来确认长期效果，并探索改善这种治疗选择可及性的方法。
