Mohammad Seyedahmadi, Ahmad Ebrahimi Atri, Hadi Akbari, Mansour Sahebozamani
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Can Water Exercise Improve Motor Function in Parkinson's Disease More Than Land Exercise? A Systematic Review and Meta-Analysis.
Background and purpose: Research findings on the effects of land-based and water-based exercises on motor performance in people with Parkinson's disease (PD) are conflicting, and despite the known beneficial effects of exercise in these individuals, it is unclear which of these exercise protocols is more beneficial. Therefore, this study aimed to systematically evaluate the effects of exercise on land and water on the performance of people with PD.
Methods: Randomized controlled clinical trials related to the motor performance of people with PD were identified by searching the Science Direct, PubMed, Scopus, and Google Scholar databases and analyzed using CMA v4 software. Of 94 studies based on the inclusion and exclusion criteria, eight English articles were included in the comprehensive review.
Results: The meta-analysis revealed a significant difference in the motor performance of people with PD between the land- and water-based exercise groups (CI 95%, -0.135 to -0.649; MD = -0.392).
Discussion: Water-based exercises may offer greater improvements in motor performance compared to land-based exercises in individuals with PD. Therefore, in addition to conventional exercises, exercising in water could help enhance the motor function of these people, and therapists can incorporate it into their exercise programs.
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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