جستجوی مقالات مرتبط با کلیدواژه « water- based exercise » در نشریات گروه « پزشکی »

Parkinsonchr('39')s disease is one of the most important diseases related to the nervous system in adults, which has become the second most dangerous disease after Alzheimerchr('39')s disease. The purpose of this study is a systematic and meta-analysis review of studies that have examined the effect of water-based exercise on balance and quality of life in patients with Parkinsonchr('39')s disease.

This is a systematic review and meta-analysis of studies on people with idiopathic Parkinsonchr('39')s disease. Search for Persian language articles was done in Sid and Magiran databases, and for English language articles was done in Science direct, PubMed, Scopus, and Google Scholar databases without time limit until April 2021 with keywords related to "Parkinson", "quality of life", "balance". Only clinical trials in adult Parkinsonchr('39')s patients were included in this review, that comparing water-based exercise versus daily care or land-based exercise. The main variables were balance and quality of life in Parkinsonchr('39')s patients. The mean difference (MD) was calculated with 95% confidence interval (CI) and heterogeneity was assessed using I2 test. To analyze the data, Cochran Institute Rev Man 4.5 software was used.

Based on the inclusion and exclusion criteria, 2 Persian articles and 9 English articles out of 161 studies were comprehensively reviewed. The number of Parkinsonchr('39')s patients in the balance studies was 294 and in the quality of life studies was 116. The age of the participants ranged from 47 to 71 years (mean 63.2 years). The duration of the sessions ranged from 45 to 60 minutes, the number of sessions per week varied from 2 to 5 sessions and the duration of the training period was from 4 to 12 weeks. The results of meta-analysis showed that water-based exercise compared to land-based exercise at 39 PDQ scale caused a slightly significant difference in quality of life between Parkinsonchr('39')s patients (-0.15 to -9.76), 95% CI, -4.96 MD. Also, water-based exercise compared to land-based exercise (in balance component with BBS Berg balance scale) caused a significant difference (2.10 to 6.08) 95% CI, 4.09 MD.

Water-based exercise is more effective in improving balance and quality of life in people with Parkinsonchr('39')s than land-based exercise and routine care. Therefore, in addition to daily exercise on land, exercise in water can help increase the quality of life and balance of these patients and therapists can use it in exercise programs for patients.

Patellofemoral pain syndrome is one of the most common knee disorders in the athletes and women. Despite use of water-based exercise in the treatment of musculoskeletal disorders and sport injuries, its impact on the pain and knee function in the patients with patellofemoral pain syndrome has not been investigated appreciably. The present study made a comparison between the effects of water-based exercise and conventional land- based exercise in the female athletes with patellofemoral pain syndrome.
Material and 20 collegiate athletes with patellofemoral pain syndrome were included in this study and randomly assigned to two groups: water-based (n = 10) and Land-based (n = 10) groups. Land – based protocol was performed in the gym and water-based training was implemented in the pool. Exercises were designed to strengthen the hip abductors and external rotator muscles. We used NRS to assess pain intensity, and Kujala and LEFS scale for the assessment of the knee function in various activities before and after the exercises protocols. We used repeated measures ANOVA for analysis of the effects of the therapeutic interventions.
According to the results of repeated measure ANOVA we found significant differences in NRS (p=0.040) and LEFS (p=0.024) after intervention between the two groups. Statistical analysis showed no significant difference in kujala scores between the two groups (p=0.927).
The results showed that water-based exercise as a therapeutic modality was more effective in reducing the pain and improvement of the knee function in the patients with patellofemoral pain syndrome, compared to land-based exercise.