Article

OBJECTIVE: To summarize evidence on the effects of hydrokinesiotherapy (HT) on
postural balance in hemiplegic patients after stroke and compare them with conventional land therapy.
DATA SOURCES: A literature search until October 2017
was conducted on CINAHL, PubMed, Cochrane EBM Reviews, Cochrane Clinical Trials,
DARE, MEDLINE, Physiotherapy Evidence Database (PEDro), PsycInfo and
Rehabilitation and Sports Medicine Source. METHODS: Only randomized
controlled trials with pre-intervention and post-intervention assessment on
postural control have been included. Assessment of the quality (by Downs and
Black quality assessment tool) of the included studies was performed by two
reviewers, and a meta-analysis was undertaken. RESULTS:
A total of 11 trials on
postural control with 305 stroke patients were included. The majority of studies
showed a beneficial effect of HT in postural control of the patients. The
meta-analysis showed statistically significant improvement ( P < 0.05) in Berg
Balance Scale (BBS), mediolateral (ML) and anteroposterior (AP) sway velocity of
center of pressure with eyes closed (EC) in both groups, but the mean differences
in BBS (3.85 points), ML sway velocity of center of pressure (1.38 points) and AP
sway velocity of center of pressure (1.64 points) were statistically improved ( P
< 0.05) in HT over land therapy program. CONCLUSION: HT is superior to land
therapy program regarding postural balance in terms of BBS, ML and AP sway
velocity of center of pressure.

Langue : ANGLAIS