Abstract:
AIM:To investigate the effects of the water-based exercise on balance, mobility, mobility and functional independence, functional performance, fear of falling and quality of life in people with Parkinson's disease. METHODS:We searched pubmed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base and SciELO to June 2020 for randomised controlled trials that investigated the effects of water-based exercise in people with Parkinson's disease. Two comparisons were made: water-based exercise versus usual care and water-based exercise versus land-exercise. The main outcomes were Balance, Confidence, Mobility, Unified Parkinson's Disease Rating Scale and quality of life. Mean differences (MD) with 95% confidence interval (CI) were calculated, and heterogeneity was assessed using the I2 test. RESULTS:Fifteen randomised controlled trials were found (435 people). Compared to usual care, water-based exercise resulted in improvement in balance MD (9.1, 95% CI: 6.5, 11.8, N = 45). Water-based exercise resulted in improvement in balance MD (3.1, 95% CI: 1.2, 5.0, N = 179), mobility MD (-2.2, 95% CI: -3.3, -1.0, N = 197) and quality of life MD (-5.5, 95% CI: -11, -0.07, N = 98) compared to land-based exercise, but without significant difference in functional performance MD (0.01, 95% CI: -2.6 to 2.7, N = 69). Land-based exercise resulted in improvement in fear of falling MD (-3.5, 95% CI: -5.6, -1.3, N = 58) compared to water-based exercise. CONCLUSION:Water-based exercise was more efficient than land-based exercise and/or usual care in improving balance, mobility and quality of life in people with Parkinson's disease.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Gomes Neto M,Pontes SS,Almeida LO,da Silva CM,da Conceição Sena C,Saquetto MBdoi
10.1177/0269215520943660subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1425-1435issue
12eissn
0269-2155issn
1477-0873journal_volume
34pub_type
杂志文章abstract:OBJECTIVE:The objective was to investigate the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission. DESIGN:A two-centre, prospective, controlled study with random allocation to groups. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921501680425225
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN:Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as soci...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515623600
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To determine the effectiveness of early multidisciplinary interventions in promoting work participation and reducing work absence in adults with regional musculoskeletal pain. DATA SOURCES:Seven databases (CENTRAL, CINAHL, EMBASE, MEDLINE, Scopus, OT Seeker, PEDro; 1990 to December 2016) were searched for e...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215517699976
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To test the effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease. DESIGN:Randomized controlled trial. SETTING:Pulmonary outpatient department. SUBJECTS:Thirty patients randomly assigned to a rehabilitation (3 men, 9 ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508096174
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To examine the scalability of the Rivermead Motor Assessment (RMA) with nonacute stroke patients in the community. DESIGN:This was a prospective study of the patients after discharge from hospital. All subjects were assessed on the RMA at six and 12 months after discharge home from hospital. Coefficients of ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/026921559701100108
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. DESIGN:Randomized trial, 12-month follow-up. SETTING:Outpatient rehabilitation department. PARTICIPANTS:210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 yea...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509342328
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr702oa
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To systematically review the available evidence for the effectiveness of sensory re-education to improve the sensibility of the hand in patients with a peripheral nerve injury of the upper limb. DATA SOURCES:Studies were identified by an electronic search in the databases MEDLINE, Cumulative Index to Nursing...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507074395
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE::To compare the effect of Kinesio taping on ankle functional performance with that of other taping methods (non-elastic taping) in healthy individuals and patients with ankle sprain. METHODS::A search was performed in electronic databases (MEDLINE, Embase, Cochrane Library, and China National Knowledge Infra...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215518780443
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To estimate the point prevalence of pressure sores in a community sample of spinal cord injured patients who were followed up by a spinal injuries unit and to evaluate whether self-management strategies were associated with decreased risk of pressure sores. SETTING:A regional spinal injuries unit, UK. DESI...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr692oa
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To develop an adaptive measure, the Stroke Arm Ladder, to parsimoniously quantify upper extremity function post stroke. SETTING:Various studies conducted in Montreal and elsewhere in Canada. SUBJECTS:A total of 4058 persons with stroke who participated in various studies were assessed on different occasions...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510389496
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:Many papers describe vestibular rehabilitation programmes to reduce vertigo and disequilibrium caused by peripheral vestibular disorders, but few studies have assessed performance on purposeful activities. This study determined if performance on a purposeful activity improves after vestibular rehabilitation e...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215504cr707oa
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:To compare the well-being of stroke patients' relatives with that of a reference group, and to identify variables related to the well-being of the relatives. DESIGN:Cross-sectional study. SETTING:Outpatient hospital department and patients' and relatives' own homes. SUBJECTS:Fifty-four patients one year af...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr627oa
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To explore the extent to which practitioners effectively use cues from clients' verbal descriptions of their favourite activities to form accurate impressions of the personality of clients with Parkinson's disease. PARTICIPANTS:Ninety-nine practitioners from disciplines of occupational, physical and speech t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr897oa
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of cognitive problems and other factors on the capacity to make a decision about discharge destination and to compare the impressions of multidisciplinary team (MDT) members regarding capacity with a formal assessment. DESIGN:Between-subjects comparison design. SETTING:One stroke r...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215508096175
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To develop an observational instrument that can be used to evaluate the quality of arm and hand skills in daily functional activities in children with obstetric brachial plexus lesion (OBPL). A set of functional activities was constructed and standardized, and the intra-observer reliability of the assessment ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071253
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVES:To explore the feasibility of using a stroke-specific toolkit for six-month post-stroke reviews in care homes to identify unmet needs and actions. DESIGN:An observational study including qualitative interviews to explore the process and outcome of reviews. SETTING:UK care homes. PARTICIPANTS:Stroke surviv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520912515
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:To investigate the hypoalgesic effects of transcutaneous electrical nerve stimulation (TENS) upon low back pain (LBP) in people with multiple sclerosis (MS). DESIGN:A randomized double-blind placebo controlled clinical pilot study. SUBJECTS AND SETTING:Fifteen people with MS were recruited and randomly allo...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215503cr672oa
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:Does early treatment of spasticity with botulinum-toxin (BoNTA), in (hyper)acute stroke patients without arm-function, reduce contractures and improve function. DESIGN:Randomised placebo-controlled-trial. SETTING:Specialised stroke-unit. PARTICIPANTS & INTERVENTION:Patients with an Action Research Arm Test...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963855
更新日期:2020-10-11 00:00:00
abstract:OBJECTIVE:To examine the health benefits of a bedroom window view to natural surroundings for patients undergoing a residential rehabilitation programme. DESIGN:Longitudinal quasi-experiment. SETTING:A residential rehabilitation centre. SUBJECTS:Two-hundred and seventy-eight coronary and pulmonary patients provided ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511412800
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:A difference in temperature between the affected and normal extremity is one of the signs or symptoms of reflex sympathetic dystrophy (RSD). These temperature differences are scored anamnestically, by palpation, or by measurements. We investigated the relationship between objective and subjective differences ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599670196521
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the central haemodynamic responses during position changes from supine to sitting and during 30 min of standing between able-bodied and spinal cord-injured subjects. Also to assess the effects of the physiologic muscle pump in both groups during 30 min of standing. DESIGN:A repeated measure desig...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215502cr570oa
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the psychometric properties of the shortened version of the Functional Difficulties Questionnaire (FDQ). DESIGN:This is a multisite observational study. SETTING:The study was conducted in four tertiary care hospitals in Australia. SUBJECTS:A total of 225 participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215519879476
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To determine the factors associated with physical activity participation in adults with hip or knee osteoarthritis. METHODS:A systematic review was conducted including searches of AMED, PsycINFO, CINAHL, MEDLINE, EMBASE, PubMed and the Cochrane Library from inception until October 2013. Studies presenting qu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215514538069
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Investigation of the effects of preoperative physical therapy on pulmonary function and physical performance before and after upper abdominal surgery. DESIGN:Non-blind randomized controlled trial. SETTING:Tertiary public hospital and private university, São Paulo state, Brazil. SUBJECTS:Thirty-two patients...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512471063
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:This study evaluated the capacity of cardiac risk stratification protocols on simple complications that occur during activities of a cardiovascular rehabilitation program. DESIGN:Observational longitudinal cohort study. SETTING:Outpatient clinic of cardiovascular rehabilitation. SUBJECT:Patients diagnosed...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520978499
更新日期:2020-12-08 00:00:00
abstract:OBJECTIVE:To assess the effect of different aids on the amount of support hemiplegic subjects took from them. The relationship between the amount of support, severity of hemiplegia and walking ability were also assessed. DESIGN:Hemiplegic subjects' gait and the amount of support they took from the aid were measured as...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598669871795
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE::To compare the effects of diacutaneous fibrolysis with sham in patients with mild to moderate carpal tunnel syndrome. DESIGN::Double-blind (patient and evaluator) randomized controlled trial. SETTING::Miguel Servet University Hospital, Zaragoza, Spain. SUBJECTS::A total of 52 patients (72 wrists) with car...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518787316
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To determine feasibility of a randomised controlled trial (RCT) of home-based Reach-to-Grasp training after stroke. DESIGN:single-blind parallel group RCT. PARTICIPANTS:Residual arm deficit less than 12 months post-stroke. INTERVENTIONS:Reach-to-Grasp training in 14 one-hour therapist's visits over 6 weeks...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215516661751
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:To examine the effect of heat and duration of stretching on the extensibility of hamstring muscles and their electromyographic responses to passive stretch in children with hypertonia and severe mental retardation. DESIGN:Randomized cross-over trial. SETTING:Developmental disability unit in a local hospita...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508090067
更新日期:2008-09-01 00:00:00