Abstract:
OBJECTIVES:To investigate whether early postoperative aquatic physical therapy is a low-risk and effective form of physical therapy to improve functional outcomes after orthopedic surgery. DATA SOURCES:Databases MEDLINE, CINAHL, AMED, Embase, and PEDro were searched from the earliest date available until October 2011. Additional trials were identified by searching reference lists and citation tracking. STUDY SELECTION:Controlled trials evaluating the effects of aquatic physical therapy on adverse events for adults <3 months after orthopedic surgery. Two reviewers independently applied inclusion and exclusion criteria, and any disagreements were discussed until consensus could be reached. Searching identified 5069 potentially relevant articles, of which 8 controlled trials with 287 participants met inclusion criteria. DATA EXTRACTION:A predefined data extraction form was completed in detail for each included study by 1 reviewer and checked for accuracy by another. Methodologic quality of included trials was assessed independently by 2 reviewers using the PEDro scale. DATA SYNTHESIS:Pooled analyses were performed using random effects model with inverse variance methods to calculate standardized mean differences (SMDs) and 95% confidence intervals (CIs) (continuous outcomes) and risk difference and 95% CIs (dichotomous outcomes). When compared with land-based physical therapy, early aquatic physical therapy does not increase the risk of wound-related adverse events (risk difference=.01, 95% CI -.05 to .07) and results in improved performance of activities of daily living (SMD=.33, 95% CI=.07-.58, I(2)=0%). There were no significant differences in edema (SMD=-.27, 95% CI=-.81 to .27, I(2)=58%) or pain (SMD=-.06, 95% CI=-.50 to .38, I(2)=32%). CONCLUSIONS:After orthopedic surgery aquatic physical therapy improves function and does not increase the risk of wound-related adverse events and is as effective as land-based therapy in terms of pain, edema, strength, and range of motion in the early postoperative period.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Villalta EM,Peiris CLdoi
10.1016/j.apmr.2012.07.020subject
Has Abstractpub_date
2013-01-01 00:00:00pages
138-48issue
1eissn
0003-9993issn
1532-821Xpii
S0003-9993(12)00590-4journal_volume
94pub_type
杂志文章,meta分析,评审abstract:OBJECTIVE:Summarize the psychometric properties of functional, ambulatory, and quality of life instruments among adult lower limb amputees, highlighting evidence deemed generalizable to the United States Medicare population. DATA SOURCES:Six databases and existing systematic reviews through October 30, 2017. Searches ...
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abstract:OBJECTIVE:The kinematics of the elbow joint were studied for two types of wheelchairs and during two types of propulsive strokes. PARTICIPANTS:Ten serially selected healthy volunteers propelled a standard and a lightweight wheelchair on a roller system with both circular and pumping strokes. DESIGN:Kinematic data for...
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journal_title:Archives of physical medicine and rehabilitation
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pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-05-01 00:00:00
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更新日期:2010-01-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Archives of physical medicine and rehabilitation
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doi:
更新日期:1992-11-01 00:00:00
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更新日期:2020-01-01 00:00:00
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doi:
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更新日期:1987-08-01 00:00:00
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更新日期:2015-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2004-01-01 00:00:00
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更新日期:2009-05-01 00:00:00