Effect of therapeutic aquatic exercise on symptoms and function associated with lower limb osteoarthritis: systematic review with meta-analysis.

Abstract:

BACKGROUND:Current management of osteoarthritis (OA) focuses on pain control and maintaining physical function through pharmacological, nonpharmacological, and surgical treatments. Exercise, including therapeutic aquatic exercise (TAE), is considered one of the most important management options. Nevertheless, there is no up-to-date systematic review describing the effect of TAE on symptoms and function associated with lower limb OA. PURPOSE:The purpose of this study was to conduct a systematic review with meta-analysis to determine the effect of TAE on symptoms and function associated with lower limb OA. DATA SOURCES:The data sources used in this study were: MEDLINE, PubMed, EMBASE, CINAHL, PEDro, and SPORTDiscus. STUDY SELECTION:All studies selected for review were randomized controlled trials with an aquatic exercise group and a nontreatment control group. In total, 11 studies fulfilled the inclusion criteria and were included in the synthesis and meta-analysis. DATA EXTRACTION:Data were extracted and checked for accuracy by 3 independent reviewers. DATA SYNTHESIS:Standardized mean difference (SMD) with 95% confidence interval (95% CI) was calculated for all outcomes. The meta-analysis showed a significant TAE effect on pain (SMD=0.26 [95% CI=0.11, 0.41]), self-reported function (SMD=0.30 [95% CI=0.18, 0.43]), and physical functioning (SMD=0.22 [95% CI=0.07, 0.38]). Additionally, a significant effect was seen on stiffness (SMD=0.20 [95% CI=0.03, 0.36]) and quality of life (SMD=0.24 [95% CI=0.04, 0.45]). LIMITATIONS:Heterogeneity of outcome measures and small sample sizes for many of the included trials imply that conclusions based on these results should be made with caution. CONCLUSIONS:The results indicate that TAE is effective in managing symptoms associated with lower limb OA.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Waller B,Ogonowska-Slodownik A,Vitor M,Lambeck J,Daly D,Kujala UM,Heinonen A

doi

10.2522/ptj.20130417

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

1383-95

issue

10

eissn

0031-9023

issn

1538-6724

pii

ptj.20130417

journal_volume

94

pub_type

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