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Meta-Analysis
. 2022 Apr;13(2):381-393.
doi: 10.1007/s41999-021-00577-2. Epub 2021 Nov 24.

Effects of aquatic therapy on balance in older adults: a systematic review and meta-analysis

Ardalan Shariat  1 , Mahboubeh Ghayour Najafabadi  2   3 , Shima Ghannadi  4 , Amin Nakhostin-Ansari  4 , Azadeh Hakakzadeh  5 , Brandon S Shaw  6 , Lee Ingle  7 , Joshua A Cleland  8
Affiliations
Meta-Analysis

Effects of aquatic therapy on balance in older adults: a systematic review and meta-analysis

Ardalan Shariat et al. Eur Geriatr Med. 2022 Apr.

Abstract

Purpose: Balance is a key component of movement for daily activities, especially in older adults. Previous studies examining aquatic therapy as an effective way for improving balance have yielded inconsistent findings. The current systematic review and meta-analysis investigated the effectiveness of aquatic therapy on balance among older adults.

Methods: Sources include Cochrane Central Register of Controlled Trials, Medline, ISI Web of Science, EBSCO, Embase, Cumulative Index to Nursing and Allied Health Literature, and Scopus. Randomized controlled or cross-over trials published by Feb 2020 were included following pre-determined search and selection criteria. Data extraction was performed by two researchers independently using a pre-determined data extraction form. Methodological quality was assessed by two reviewers using the PEDro scale which was used to rate trials according to criteria such as concealed allocation, blinding, and intention-to-treat analysis. Furthermore, meta-analysis was conducted where possible. This review was registered at PROSPERO CRD42018118382.

Results: Fifteen trials with 385 healthy participants aged 50 or over were included. Results showed that aquatic therapy had a significant effect on dynamic balance (SMD, - 1.13; 95% CI, [- 1.45 to (- 0.82)]; I2 = 77%). The analysis indicated that aquatic therapy improved balance ability compared to controls.

Conclusions: Aquatic therapy has a positive impact on dynamic balance in older adults. However, further high-quality and appropriately powered studies are required to confirm this assertion.

Keywords: Aging; Aquatic therapy; Balance.

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References

    1. Rand D (2018) Mobility, balance and balance confidence–correlations with daily living of individuals with and without mild proprioception deficits post-stroke. NeuroRehabilitation 43(2):219–226 - DOI
    1. Williams DB, Murray NG, Powell DW (2016) Athletes who train on unstable compared to stable surfaces exhibit unique postural control strategies in response to balance perturbations. J Sport Health Sci 5(1):70–76 - DOI
    1. Moke L et al (2020) The transverse gravitational deviation index, a novel gravity line-related spinal parameter, relates to balance control and health-related quality of life in adults with spinal deformity. Spine 45(1):E25–E36 - DOI
    1. O’Hoski S et al (2014) Increasing the clinical utility of the BESTest, mini-BESTest, and brief-BESTest: normative values in Canadian adults who are healthy and aged 50 years or older. Phys Ther 94(3):334–342 - DOI
    1. Downs S, Marquez J, Chiarelli P (2014) Normative scores on the Berg Balance Scale decline after age 70 years in healthy community-dwelling people: a systematic review. J Physiother 60(2):85–89 - DOI

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