Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial.

Abstract

OBJECTIVE:

To investigate the effects of hydrotherapy on walking ability and balance in patients with chronic stroke.

DESIGN:

Single-blind, randomized controlled pilot trial.

SETTING:

Outpatient rehabilitation clinic at a tertiary neurological hospital in China.

SUBJECTS:

A total of 28 participants with impairments in walking and controlling balance more than six months post-stroke.

INTERVENTION:

After baseline evaluations, participants were randomly assigned to a land-based therapy (control group, n = 14) or hydrotherapy (study group, n = 14). Participants underwent individual sessions for four weeks, five days a week, for 45 minutes per session.

MAIN MEASURES:

After four weeks of rehabilitation, all participants were evaluated by a blinded assessor. Functional assessments included the Functional Reach Test, Berg Balance Scale, 2-minute walk test, and Timed Up and Go Test.

RESULTS:

After four weeks of treatment, the Berg Balance Scale, functional reach test, 2-minute walk test, and the Timed Up and Go Test scores had improved significantly in each group (P < 0.05). The mean improvement of the functional reach test and 2-minute walk test were significantly higher in the aquatic group than in the control group (P < 0.01). The differences in the mean values of the improvements in the Berg Balance Scale and the Timed Up and Go Test were not statistically significant.

CONCLUSION:

The results of this study suggest that a relatively short programme (four weeks) of hydrotherapy exercise resulted in a large improvement in a small group (n = 14) of individuals with relatively high balance and walking function following a stroke.

• Authors: Zhizhong Zhu, Liling Cui, Miaomiao Yin, Yang Yu, Xiaona Zhou, Hongtu Wang, Hua Yan
• Journal: Clinical rehabilitation (Clin Rehabil) Vol. 30 Issue 6 Pg. 587-93 (Jun 2016) ISSN: 1477-0873 [Electronic] England
• PMID: 26130657 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: © The Author(s) 2015.

Topics

• China
• Exercise Therapy (methods)
• Female
• Gait Disorders, Neurologic (etiology, rehabilitation)
• Humans
• Hydrotherapy (methods)
• Male
• Middle Aged
• Outcome and Process Assessment, Health Care
• Outpatient Clinics, Hospital
• Postural Balance (physiology)
• Sensation Disorders (etiology, rehabilitation)
• Stroke (complications)
• Stroke Rehabilitation (methods)
• Walking (physiology)