Effectiveness of aquatic versus land physiotherapy in the treatment of peripheral neuropathies: a randomized controlled trial
| العنوان: | Effectiveness of aquatic versus land physiotherapy in the treatment of peripheral neuropathies: a randomized controlled trial |
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| المؤلفون: | Katia Molatore, Ilaria Zivi, Giuseppe Frazzitta, Roberto Maestri, Sara Maffia, Alessio Zarucchi, Vanessa Ferrari |
| المصدر: | Clinical Rehabilitation |
| بيانات النشر: | SAGE Publications, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, 030506 rehabilitation, medicine.medical_specialty, medicine.medical_treatment, Physical Therapy, Sports Therapy and Rehabilitation, Context (language use), gait, law.invention, 03 medical and health sciences, Disability Evaluation, 0302 clinical medicine, Randomized controlled trial, law, Aquatic therapy, Medicine, Humans, Single-Blind Method, Postural Balance, Balance (ability), Aged, Hydrotherapy, neuropathic pain, Rehabilitation, business.industry, aquatic therapy, Evaluative Studies, Peripheral Nervous System Diseases, balance, Gait, Peripheral, Exercise Therapy, Physical therapy, Female, 0305 other medical science, business, 030217 neurology & neurosurgery, Inpatient rehabilitation |
| الوصف: | Objective: To compare the effects on gait and balance of aquatic physiotherapy versus on-land training, in the context of an inpatient rehabilitation treatment tailored for peripheral neuropathies. Design: Parallel-group, single-center, single-blind randomized controlled trial. Subjects and setting: Consecutive patients affected by peripheral neuropathy admitted in our Neuro-Rehabilitation Unit. Interventions: Patients received a four-week rehabilitation program composed by daily sessions of conventional physiotherapy and three sessions/week of specific treatment (aquatic vs. on-land). Main measures: Primary outcome measures were Berg Balance Scale and Dynamic Gait Index. Secondary outcome measures were Neuropathic Pain Scale, Overall Neuropathy Limitations Scale, Functional Independence Measure, Functional Ambulation Classification, Conley Scale and Medical Research Council Scale score for the strength of hip and ankle flexor and extensor muscles. For each scale, we calculated the difference between the scores at discharge and admission and compared it between the two groups. Results: Forty patients were enrolled: 21 in the water-based rehabilitation group and 19 in the land-based one. Patients were similar between groups. When comparing the groups, we found that “in-water” patients had a significant better improvement in the Dynamic Gait Index score (6.00 (4.00, 7.25) vs. 4.00 (1.25, 6.00), P = 0.0433). On the opposite, the “on-land” group showed a better improvement of the Functional Ambulation Classification score (1.0 (0.75, 1.0) vs. 1.0 (1.0, 2.0), P = 0.0386). Conclusion: Aquatic physiotherapy showed an effect comparable to the land-based rehabilitation on gait and balance dysfunctions of neuropathic patients. |
| اللغة: | English |
| تدمد: | 1477-0873 0269-2155 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::753ff38513a633e93290bf98a677d6a6Test http://europepmc.org/articles/PMC5952298Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....753ff38513a633e93290bf98a677d6a6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14770873 02692155 |
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