Article

OBJECTIVE: To investigate the effectiveness of aquatic exercise in the management
of musculoskeletal conditions.
DATA SOURCES: A systematic review was conducted
using Ovid MEDLINE, Cumulative Index to Nursing and Allied Health Literature,
Embase, and The Cochrane Central Register of Controlled Trials from earliest
record to May 2013.
STUDY SELECTION: We searched for randomized controlled trials
(RCTs) and quasi-RCTs evaluating aquatic exercise for adults with musculoskeletal
conditions compared with no exercise or land-based exercise. Outcomes of interest
were pain, physical function, and quality of life. The electronic search
identified 1199 potential studies. Of these, 1136 studies were excluded based on
title and abstract. A further 36 studies were excluded after full text review,
and the remaining 26 studies were included in this review. DATA EXTRACTION: Two
reviewers independently extracted demographic data and intervention
characteristics from included trials. Outcome data, including mean scores and
SDs, were also extracted.
DATA SYNTHESIS: The Physiotherapy Evidence Database
(PEDro) Scale identified 20 studies with high methodologic quality (PEDro score
>/=6). Compared with no exercise, aquatic exercise achieved moderate improvements
in pain (standardized mean difference [SMD]=-.37; 95% confidence interval [CI],
-.56 to -.18), physical function (SMD=.32; 95% CI, .13-.51), and quality of life
(SMD=.39; 95% CI, .06-.73). No significant differences were observed between the
effects of aquatic and land-based exercise on pain (SMD=-.11; 95% CI, -.27 to
.04), physical function (SMD=-.03; 95% CI, -.19 to .12), or quality of life
(SMD=-.10; 95% CI, -.29 to .09). CONCLUSIONS: The evidence suggests that aquatic
exercise has moderate beneficial effects on pain, physical function, and quality
of life in adults with musculoskeletal conditions. These benefits appear
comparable across conditions and with those achieved with land-based exercise.
Further research is needed to understand the characteristics of aquatic exercise programs that provide the most benefit.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS