Aquatic Therapy for Persons with Neuromuscular Diseases – A Scoping Review

Background: Aquatic exercise is among the most common physical activity modalities performed by people with disabilities. Objective: The present paper reviews currently-available research on aquatic therapy (AT) for persons with neuromuscular diseases (NMD). Methods: A scoping review of the existing literature was conducted on PubMed, Embase, Medline, Scopus, Web of Science, SPORTdiscus, CINAHL and Lilacs from the earliest date available until October 2020. It follows the methodological framework for conducting a scoping review proposed by the Joanna Briggs Institute. Results: A total of 28 articles were analyzed and the study parameters grouped by the topography of NMD; most of the studies (n = 16) addressed myopathies. A considerable increase in the number of studies was found over time, and heterogeneity was identified across and within AT interventions for persons with NMD; hence, to allow more effective interpretation of study results, there is a need to standardize the fundamental parameters and procedures for aquatic therapy. Conclusions: This scoping review provides a comprehensive outline of available literature; the findings could serve as a starting point for clinical studies on the effects of AT on persons with NMD, and encourage a more coherent approach to their design.

Study to Find the Effect in Combined Protocol of Aquatic Therapy and Play Therapy in Attention Deficit Hyperactive Disorder in School Going Children from 7 – 10 Years to Improve the Quality of Life

The Objective of the Study: The aim of this study is to see the effect of combined protocol on aquatic and play therapy for children with ADHD based on inattention, hyperactivity, impulsivity, and anxiety. Background: Attention Deficit Hyperactivity Disorder (ADHD) is a severe threat to public health that affects a huge number of children and typically continues into adulthood. It is characterized by persistent lack of attention, hyperactivity, and impulsivity that impairs growth and performance. Children with ADHD are usually treated with a combination of pharmacological and non - pharmacological treatments, including academic, psycho-social, and behavioral aid, as well as aquatic therapy and play therapy. Aquatic therapy and play therapy, on the other hand, are ways in which the kid is provided the chance to undergo growth in the most optimum conditions. The goal of this study is to see how effective aquatic therapy and play therapy are in raising the standard of living of children aged 7 to 10 who have attention deficit hyperactivity disorder. Methods: The design of the present study is quasi-experimental. Tools used for the study: Data were collected through Conner’s parent’s rating scale, pediatric balance scale, and hand-eye coordination scale as pre and post-test and the treatment group received aquatic therapy and play therapy for eight sessions. Results: Conner's parent rating scale, pediatric balance scale, and hand-eye coordination test were used to compare before and after results. Conner's parent rating scale had a difference between the means of 21, a standard deviation of 4.79, and a paired-t-test value of 23.98. The pediatric balance scale's mean difference was 19, the standard deviation was 3.82, and the paired-t significance level was 27.20. The average difference in the hand-eye coordination test was 11, with a standard deviation of 1.67 and a paired-t-test score of 36.02. Conclusion: According to the findings, using aquatic therapy and play therapy to help children with ADHD pay close attention, reduce hyperactivity, and manage impulsive behavior was beneficial. Play therapy and aquatic therapy are also good ways to have some exercise. This increased energy utilization causes them to be less impulsive and hyperactive over the rest of the day.

Evidence-Based Aquatic Therapy Guidelines for Parkinson’s Disease: An International Consensus Stud

Background: Aquatic therapy is one therapy option for people living with Parkinson’s disease (PD). However, the optimal prescription, dosage, and delivery remain unclear. Objective: i) To generate consensus statements, ii) to establish evidence-based clinical practice aquatic therapy guidelines for PD. Methods: Seventy-three international experts were invited to participate in a 3-step modified Delphi study. Gaps in the aquatic therapy evidence, patient preferences, and stakeholder engagement were considered when developing the initial list of 43-statements identified by the research development group. Practice experts rated each statement on an 11-point Likert scale. Consensus for inclusion was set at a priori of ≥70%of respondents scoring an item ≥7. Two rounds of Delphi questionnaires were completed online, and the expert comments were analyzed using content analysis. An online consensus meeting with an expert subgroup (n = 10) then advised on the guideline’s acceptability and debated items until consensus for inclusion was reached. Results: Fifty experts participated in the Delphi round one (83%response rate) and 45 in round two (90%response rate), representing 15 countries. In round one, 35 statements met the criteria for consensus. Content analysis informed the revised statements in round two, where 12 of the remaining 16 statements met consensus. The final agreed aquatic therapy guidelines include key information about dosage, content, safety, contraindications, and the optimal aquatic therapy delivery throughout the disease course. Conclusion: Stakeholders, including international practice experts, informed a rigorous evidence-based approach to integrate the best available evidence, patient preferences, and practice expertise to inform these guidelines.

Effects of aquatic therapy on the physiological knee varus deformity and osteoarthritis through radiographic findings in post menopausal obese women- A case report

Obesity is strongly linked to osteoarthritis (OA) at the knee. Varus malalignment intensifies the effect of excess body weight on the medial tibio femoral compartment. Aquatic therapies are beneficial in the management of patients with musculoskeletal problems, however management specific of osteoarthritis has shown to be effective in reducing Pain, Stiffness and has a high compliance of the patient to the Therapy. Aquatic exercises seems to offer the safest and most protective environment for obese individuals due to the buoyancy effects of immersion, which minimizes the risk of joint injury. Although Aquatic therapy is widely used all over the world, literature on the correcting Physiological knee Varus in Indian population is lacking. This case report is first from India (Mumbai) which shows the beneficial effects of Aquatic therapy on Obese female with OA knee, correction of the physiological Varus and its evidence on a Visual radiographic increased in joint space in knee varus deformity with reduction in Pain and improving her gait pattern & her quality of life.

The application of carbon dioxide baths and aquatic therapy in preventive programs for persons with circu latory illnesses risk factors

Due to the fact that cardiovascular diseases (CVD) are the leading cause of death worldwide, reducing risk factors and maintaining a healthy lifestyle play an important role in primary and secondary prevention of CVD development and improving prognosis. The purpose of the study. To study the eff ectiveness of carbon dioxide baths and water training in the primary prevention program for people with CVD risk factors. Material and methods. 60 patients (43 women and 17 men) with CVD risk factors were examined before and after a course of carbon dioxide baths and aquatic therapy. The hardware and software complex «Physiocontrol-R» was used. It includes, in addition to psychological testing (Spielberger, SAN, Lüscher tests, сardiointervalography (CIG) for the study of the autonomic regulation of the cardiovascular system, the study of the state of central and peripheral hemodynamics, Bioelectrical impedance analysis (BIA) for the study of body composition. Results. In the group of patients who took a complex of carbon dioxide baths and water training, in contrast to the control group, there was an improvement in the clinical condition, hemodynamic parameters, normalization of sympathicovagal balance and body composition. Conclusion. The aquatic therapy program in the pool and the use of HCV led to an improvement in the patients ‘ psychoemotional state, improvement of central and peripheral hemodynamics, and sympathico-vagal balance, which is associated with a reduced risk of developing CVD.