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The Effects of Water-Based Exercise on Muscle activity and Gait Ability in Stroke Patients  

Park, Seung-Kyu (Department of Physical Therapy, School of Public Health, Sehan University)
Yang, Dae-Jung (Department of Physical Therapy, School of Public Health, Sehan University)
Kang, Jung-Il (Department of Physical Therapy, School of Public Health, Sehan University)
Kim, Je-Ho (Department of Physical Therapy, School of Public Health, Sehan University)
Park, Sam-Heon (Department of Physical Therapy, Graduate School, Sehan University)
Publication Information
The Journal of Korean Physical Therapy / v.27, no.5, 2015 , pp. 369-374 More about this Journal
Abstract
Purpose: This study attempts to determine the effects of water-based exercise performed on stroke patients in their muscle activity of lower extremity and gait ability tests. Methods: The subjects were 20 stroke patients, who were randomly divided into a water-based exercise group and a land-based exercise group, each including 10 patients. Both exercises were performed 3 days per week, for 40 minutes a day, for a period of eight weeks. Results: The water-based exercise group showed a greater increase in muscle activity of lower extremity compared to the land-based exercise group. The water-based exercise group showed a greater increase in gait ability than the land-based group, showing a significant difference and better efficiency of water-based exercise when compared to land-based exercise. Conclusion: From the result of this study, we found that water-based exercises are more effective in improving muscle activity of lower extremity and gait ability. The patient is considered to be used by itself to involve the treatment and the risk of falling from the lowered state into the treatment method for the intensive treatment of stroke patients to be useful in improving the strength and ability to walk.
Keywords
Water-based exercise; Muscle activity; Gait; Stroke;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Peurala SH, Kononen P, Pitkanen K et al. Postural instability in patients with chronic stroke. Restorative neurology and neuroscience. 2007;25(2):101-8.
2 Lamb SE, Ferrucci L, Volapto S et al. Risk Factors for Falling in Home-Dwelling Older Women With Stroke The Women's Health and Aging Study. Stroke. 2003;34(2):494-501.   DOI
3 Leroux A, Pinet H, Nadeau S. Task-oriented intervention in chronic stroke: changes in clinical and laboratory measures of balance and mobility. Am J Phys Med Rehabil. 2006;85(10):820-30.   DOI
4 Hausdorff JM, Ring H. Effects of a new radio frequency-controlled neuroprosthesis on gait symmetry and rhythmicity in patients with chronic hemiparesis. Am J Phys Med Rehabil. 2008;87(1):4-13.   DOI
5 Hornby TG, Campbell DD, Kahn JH et al. Enhanced gait-related improvements after therapist-versus robotic-assisted locomotor training in subjects with chronic stroke a randomized controlled study. Stroke. 2008;39(6):1786-92.   DOI
6 Hsu AL, Tang PF, Jan MH. Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke. Arch Phys Med Rehabil. 2003;84(8):1185-93.   DOI
7 Campbell FM, Ashburn AM, Pickering RM et al. Head and pelvic movements during a dynamic reaching task in sitting: Implications for physical therapists. Arch Phys Med Rehabil. 2001;82(12):1655-60.   DOI
8 Maeshima S, Osawa A, Miyazaki Y et al. Functional outcome in patients with pontine infarction after acute rehabilitation. Neurological Sciences. 2012;33(4):759-64.   DOI
9 Dickstein R, Abulaffin N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparesis patients. Arch Phys Med Rehabil. 2000;81(3):364-7.   DOI
10 Cho YM. The effect of hydrotherapy on the balance in stroke patient. Chonnam National University. Dissertation of Master's Degree. 2009.
11 Melzer I, Elbar O, Tsedek I et al. A water-based training program that include perturbation exercises to improve stepping responses in older adults: study protocol for a randomized controlled cross-over trial. BMC geriatrics. 2008;8(1):19.   DOI
12 Barela AM, Duarte M. Biomechanical characteristics of elderly individuals walking on land and in water. J Electromyogr and Kinesiol. 2008;18(3):446-54.   DOI
13 Park J, Lee D, Lee S et al. Comparison of the effects of exercise by chronic stroke patients in aquatic and land environments. J Kor Phys Ther. 2011;23(5):821-4.   DOI
14 Hauer K, Specht N, Schuler M et al. Intensive physical training in geriatric patients after severe falls and hip surgery. Age and ageing. 2002;31(1):49-57.   DOI
15 Masumoto K, Shono T, Takasugi SI et al. Age-related differences in muscle activity, stride frequency and heart rate response during walking in water. J Electromyogr and Kinesiol. 2007;17(5):596-604.   DOI
16 Kim HM, Woo SY, Kim KU. Gait Comparison of the Stroke Patients' Ground & Aqua-rehabilitation Program for One Year after 12 Weeks Aqua-rehabilitation Program. J Adapted Phys Activity & Exercise. 2007;15(4):245-59.   DOI
17 Cider A, Sunnerhagen KS, Schaufelberger M et al. Cardiorespiratory effects of warm water immersion in elderly patients with chronic heart failure. Clinical physiology and functional imaging. 2005;25(6):313-7.   DOI
18 Park SK. Park SH. The Effects of Water-Based Exercise on Physiological Cost Index and Balance in Stroke Patients. J Kor Phys Ther. 2014;26(6):411-7.
19 Park SK, Yang DJ, Kang JI et al. Biomechanical Analysis of Sitting Up from a Lying Posture in Stroke Patients. J Kor Phys Ther. 2013:25(2):103-9.
20 Kim JH. The effects of whole body vibration exercise on jump performance and quadriceps muscle activation in soccer player. J Kor Phys Ther. 2015;27(3):129-34.   DOI
21 Bennell K, Dobson F, Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis care & research. 2011;63(S11):S350-70.   DOI
22 Park SK. Kim JH. Effects of EMG-biofeedback Training on Total Knee Replacement Patients’ Lower Extremity Muscle Activity and Balance. J Kor Phys Ther. 2013;25(2):81-7.   DOI
23 Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. Physical therapy. 2001;81(2):810-8.   DOI
24 Dobkin BH. Short-distance walking speed and timed walking distance: redundant measures for clinical trials?. Neurology. 2006;66(4):584-6.   DOI
25 Ryan AS, Dobrovolny CL, Silver KH et al. Cardiovascular fitness after stroke: role of muscle mass and gait deficit severity. J Stroke and Cerebrovascular Diseases. 2000;9(4):185-91.   DOI
26 Lee JR. Difference of Physical Fitness and Blood Lipid by types of the Aquatic Exercise Programs in the Elderly Women. Korea National Sport University. Dissertation of Master's Degree. 2007.
27 Masumoto K, Shono T, Hotta N et al. Muscle activation, cardiorespiratory response, and rating of perceived exertion in older subjects while walking in water and on dry land. J Electromyogr & Kinesiol. 2008;18(4):581-90.   DOI
28 Kaneda K. Wakabayashi H. Sato D et al. Lower extremity muscle activity during deep-water running on self-determined pace. J Electromyogr & Kinesiol. 2008;18:965-72.   DOI
29 Kotani K. Hirato Y. Ishigaki T et al. Biomechanical analysis of walking through a hallway under flooded conditions. J Physiol & Anthropol. 2008;28(1):23-8.   DOI
30 Kim KE. The Effect of the Aqua-Rehabilitation Program on the Stroke Patient's Biomechanical Variables Factors and ADL Performance. SeJong University. Dissertation of Doctorate Degree. 2005.
31 Barela AMF, Stolf SF, Duarte M. Biomechanical characteristics of adults walking in shallow water and on land. J Electoromyogr & Kinesiol. 2006;16:250-6.   DOI
32 Chu KS, Eng JJ, Dawson AS et al. Water-based exercise for cardiovascular fitness in people with chronic stroke: A randomized controlled trial. Arch Phys Med Rehabil. 2004;85(6):870-4.   DOI
33 Lee DJ. 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. Sahm Yook University. Dissertation of Doctorate Degree. 2005.
34 Volaklis KA, Spassis AT, Tokmakidis SP. Land versus water exercise in patients with coronary artery disease: effects on body composition, blood lipids, and physical fitness. Am heart J. 2007;154(3):560-e1.