Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
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The Effect of Aquatic Exercise Therapy on Balance in Patients with Chronic Stroke : Meta-Analysis of Studies in Korea

수중운동치료가 만성 뇌졸중 환자의 균형에 미치는 효과 : 국내연구의 메타분석

  • Lee, Dongjin (Dept. of Physical Therapy, Gwangju Health University) ;
  • Cho, Sunghyoun (Dept. of Physical Therapy, Nambu University)
  • 이동진 (광주보건대학교 물리치료과) ;
  • 조성현 (남부대학교 물리치료학과)
  • Received : 2018.03.12
  • Accepted : 2018.05.04
  • Published : 2018.06.30
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Abstract

Purpose : This meta-analysis was aimed at guiding future research in stroke treatment and to provide real-world data relating to the effects of aquatic exercise therapy on balance in patients with chronic stroke. Methods : We performed a meta-analysis comprising 22 studies involving aquatic exercise therapy performed between 2006 and 2017. A meta-analysis software program was used to calculate the mean effect size, effect size by intervention, and effect size by outcome. We also performed a meta-regression analysis and an analysis of publishing bias. Results : The mean effect size was 0.563. The effect size by outcome was observed to be the largest for the functional reach test, followed by the Berg balance scale, balance equipment, the Timed Up and Go test and one leg standing. Meta-regression analysis showed that effect size increased with an increase in the duration, number, length of exercise session. Conclusion : Aquatic exercise therapy appears to show a moderate effect on balance in patients with chronic stroke. A meta-analysis is warranted for further research to determine the effects of aquatic exercise on walking, muscle strength, and range of motion.

Keywords

References

  1. 김경진, 홍해숙, 박완주 등(2016). 국내 중년기 비만 여성의 생리적 지표에 대한 복부비만관리프로그램의 효과: 메타분석. 대한비만학회지, 25(3), 138-149.
  2. 김아린, 양인숙(2017). 운동중재가 심혈관질환자의 혈관내피전구세포에 미치는 영향: 체계적 문헌고찰. 한국산학기술학회논문지, 18(4), 366-379.
  3. 김은영, 황성동, 김은주(2016). 치매 환자의 문제행동을 위한 자극지향적 중재의 효과 연구: 체계적 고찰과 메타분석. 대한간호학회지, 46(4), 475-489. https://doi.org/10.4040/jkan.2016.46.4.475
  4. 김종임, 강현숙, 최희정 등(1997). 수중 운동 프로그램이 퇴행성 관절염 환자의 통증, 신체지수, 자기효능 및 삶의 질에 미치는 영향. 류마티스 건강학회지, 4(1), 15-25.
  5. 김태열, 김계엽, Lambeck J(2000). 류마티스 관절염의 수중치료. 대한물리치료학회지, 12(3), 407-414.
  6. 김태열, 윤희종, Lambeck J(1998). 할리윅 치료. 대한물리치료사학회지, 5(3), 9-15.
  7. 박기덕, 강승호(2007). 수중재활운동 프로그램적용이 40대 Cerebro Vascular Accident (CVA)환자의 유연성과 보행시간에 미치는 영향. 한국사회체육학회지, 29, 375-385.
  8. 박완주, 박신정, 황성동(2015). 한국 학령기 ADHD 아동을 위한 인지행동중재의 효과 연구. 한국간호과학회지, 45(1), 169-182.
  9. 박진희, 배선형(2012). 유방암 환자에서 화학요법이 인지기능에 미치는 영향에 대한 메타분석. 대한간호학회지, 42(5), 644-658. https://doi.org/10.4040/jkan.2012.42.5.644
  10. 신현희, 신영희, 김가은(2016). 산전우울 임부를 위한 인지행동치료 프로그램의 효과: 체계적 문헌고찰 및 메타분석. 한국산학기술학회논문지, 17(11), 271-284. https://doi.org/10.5762/KAIS.2016.17.11.271
  11. 한미화, 이경희(2017). 간호대학생을 위한 의사소통 능력증진 프로그램의 효과: 체계적 문헌고찰 및 메타분석. 한국간호교육학회지, 23(1), 15-26. https://doi.org/10.5977/JKASNE.2017.23.1.15
  12. Bae DJ(2015). Effect of aquatic therapy for pulmonary function and balance ability in the persons with stroke. Yongin University, Master's Thesis.
  13. Bandy WD, Sanders B(2001). Therapeutic exercise: techniques for intervention. Baltimore, Lippincott Williams & Wilkins, pp.295-331.
  14. Becker BE(2009). Aquatic therapy: scientific foundation and clinical rehabilitation applications. Phys Med Rehabil, 1(9), 859-872.
  15. Borenstein M, Hedges LV, Higgins JPT, et al(2009). Introduction to meta-analysis. West Sussex, UK, John Wiley & Sons, Ltd.
  16. Brody LT, Hall CM(1999). Therapeutic exercise: Moving toward function. Philadelphia, Lippincott Willams & Wilikins, pp.286-301.
  17. Cho WJ, Cho HC(2013). Effects of 8-week aqua therapy and treadmill walking exercise on daily physical fitness and inflammatory markers in stroke hemiplegia patients. Journal of Sport and Leisure Studies, 52(2), 851-860.
  18. Cho WJ, Jung HY(2013). Effects of the aquatic rehabilitation exercise program on physical fitness and blood lipid in stroke hemiplegic. Korean J Sports Sci, 22(1), 973-983.
  19. Chon SC, Oh DW, Shim JH(2009). Watsu approach for improving spasticity and ambulatory function in hemiparetic patients with stroke. Physiother Res Int, 14(2), 128–136. https://doi.org/10.1002/pri.421
  20. Chu KS, Eng JJ, Dawson AS, et al(2004). Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil, 85(6), 870-874. https://doi.org/10.1016/j.apmr.2003.11.001
  21. Chung EJ, Lee JY, Jung JH(2014). The effect of sensory training in aqua and land on the balance of chronic stroke patients. Journal of the Korean Data Analysis Society, 16(2), 961-972.
  22. Cohen J(1988). Statistical power analysis for the behavioral sciences. 2nd ed, Hillsdale, NJ, Lawrence Erlbaum Associates.
  23. Duval S, Tweedie R(2000). A nonparametric "trim and fill" method of accounting for publication bias in meta-analysis. J Am Stati Assoc, 95(449), 89-98.
  24. Egger M, Smith GD, Schneider M, et al(1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629-634. https://doi.org/10.1136/bmj.315.7109.629
  25. Faull K(2005). A pilot study of the comparative effectiveness of two water-based treatments for fibromyalgia syndrome: Watsu and Aix massage. Journal of Bodywork and Movement Therapies, 9(3), 202–210. https://doi.org/10.1016/j.jbmt.2004.12.001
  26. Getz M, Hutzler Y, Vermeer A, et al(2012). The effect of aquatic and land-based training on the metabolic cost of walking and motor performance in children with cerebral palsy: A pilot study. International Scholarly Research Network Rehabilitation. doi:10.5402/2012/ 657979.
  27. Han SK(2012). Comparison of effects of proprioceptive exercise program in aqua and land on the balance of chronic stroke patients. Eulji University, Master's Thesis.
  28. Higgins JPT, Green S(2011). Cochrane handbook for systematic reviews of interventions version 5.1.0 [Internet]. London, The Cochrane Collaboration.
  29. Horak FB(1997). Clinical assessment of balance disorders. Gait Posture, 6(1), 76-84. https://doi.org/10.1016/S0966-6362(97)00018-0
  30. Jung JH(2016). The effects of upper.lower functional training in underwater on balance and pulmonary function of chronic stroke. Daegu University, Doctoral Thesis.
  31. Jung JH(2012). The effect of obstacle training in water for chronic stroke patients for balance. Daegu University, Master's Thesis.
  32. Kim HJ(2015). Effects of progressive underwater gait training for balance, gait and endurance in patient with stroke. Sahmyook University, Master's Thesis.
  33. Kim SH, Lee DK, Kim EK(2014). Effect of aquatic exercise on balance and depression of stroke patients, J Korean Soc Phys Ther, 26(2), 104-109.
  34. Klein DA, Stone WJ, Phillips WT, et al(2002). PNF training and physical function in assisted‐living older adults. J Aging Phys Act, 10(4), 476-488. https://doi.org/10.1123/japa.10.4.476
  35. Kwon HM(2010). The effect of balance control and vestibular function by an aquatic rotation control and the obstacle avoidance underwater with hemiplegia patients. Dongshin University, Master's Thesis.
  36. Lee DJ(2009). A study on effect of task-related training in water and on land for chronic stroke patient for a balance, functional performance and the quality of the life. Sahmyook University, Doctoral Thesis.
  37. Lee DJ, Ko TS, Cho YM(2010) Effects on static and dynamic balance of task-oriented training for patients in water or on land. J Phys Ther Sci, 22(3), 331–336. https://doi.org/10.1589/jpts.22.331
  38. Lee JD, Lee HK(2008). Effect of aquatic rehabilitation exercise on stroke patients' body composition, physical fitness and cardiorespiratory function profiles, Korean J Sports Sci, 17(3), 647-655.
  39. Lee ME, Jo GY, Do HK, et al(2017). Efficacy of aquatic treadmill training on gait symmetry and balance in subacute stroke patients. Ann Rehabil Med, 41(3), 376-386. https://doi.org/10.5535/arm.2017.41.3.376
  40. Lee TH, Kim SY, Kim JP, et al(2012). The effect of therapeutic intervention by aquatic physical therapy on stroke patient. Korean Acad Clin Electrophysiol, 10(2), 15-21.
  41. Lee YH, Kang SJ(2009). Effects of aquatic rehabilitation exercise with land rehabilitation exercise on physical fitness for activities of daily living and range of motion of low limbs in chronic hemiplegia. Journal of Adapted Physical Activity, 17(2), 121-141. https://doi.org/10.17006/kjapa.2009.17.2.121
  42. Lee YH, Kang SJ(2010). Effects of 12-week aquatic gait and land exercises on gait capacity in hemiplegia disable. Korean J Phys Educ, 49(1), 457-464.
  43. Lee YH, Kim JH(2008). The effects of aquatic rehabilitation exercise on relation factors of gait in hemiplegic male disabled after CVA. Korean Society Adapted Physical Activity and Exercise, 16(4), 39-54. https://doi.org/10.17006/kjapa.2008.16.4.39
  44. Long KA, Lee EJ, Swank SA(1996). Effects of deep water exercise on aerobic capacity in older women. Med Sci Sports Exerc, 28(5), 210-216.
  45. Nam HC(2006). Effect of aquatic therapy for functional restoration in the persons with chronic stroke. Daegu University. Doctoral Thesis.
  46. Park BS, Noh JW, Kim MY, et al(2015). The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study. J Phys Ther Sci, 27(11), 3549-3553. https://doi.org/10.1589/jpts.27.3549
  47. Park JS(2009). Comparison of the effects of exercise in water and land on the rehabilitation of chronic stroke patients. Eulji University, Master's Thesis.
  48. Park JS(2012). The effects of proprioceptive stimulation exercise in aqua on sense, motor ability and stress of hemiplegia patients. Daegu University, Doctoral Thesis.
  49. Peurala SH, Konoen P, Pitkanen K, et al(2007). Postural instability in patients with chronic stroke. Restor Neurol Neurosci, 25(2), 101-108.
  50. Rosenthal R, Rubin DB(1982). A simple, general purpose display of magnitude of experimental effect. J Educ Psychol, 74(2), 166-169. https://doi.org/10.1037/0022-0663.74.2.166
  51. Ruoti RG, Moris DM, Cole AJ(1997). Aquatic rehabilitation. Philadelphia, Lippincott Williams & Wilkins.
  52. Son NH(2013). The impact of aquatic and ground exercise on balance and walking abilities in stroke patients. Yongin University. Master's Thesis.
  53. Song JM, Kim SM(2009). The effect of aquatic exercise on the improvement of physical and pulmonary function after stroke. J Korean Soc Phys Ther, 21(2), 15-22.
  54. Yang HJ(2016). Effects of the underwater treadmill gait training on gait, balance and pulmonary function in stroke patients. Daejeon University, Master's Thesis.