- 期刊
【論文摘要】Is Therapeutic Aquatic Exercises Effective for People With Hip Osteoarthritis? A Systematic Review and Meta-Analysis
【論文摘要】治療性水上運動對髖關節炎患者的效益：系統性回顧與統合分析
摘要
Background and Purpose: Osteoarthritis of the hip joint (hip OA) is a degenerative condition that causes discomfort and dysfunction. Previous studies have demonstrated that aquatic pool therapy is an alternative treatment for people with hip OA; however, controversial results were found in the comparison of aquatic therapy and land-based interventions. The aim of this review is to determine whether aquatic pool therapy improves pain, balance, quadriceps strength, ambulation, and quality of life in people with hip OA or not. Methods: Articles were searched in databases of Pubmed, Google Scholar and Cochrane published from January 1990 to December 2022 with the keywords of hydrotherapy, aquatic therapy, pool therapy, pool exercise, hip osteoarthritis, and/or balance. The Visual Analogue Scale (VAS), Timed Up and Go (TUG) Test, Step Test, quadriceps strength, Six Minute Walk Test (6MWT), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Activities-specific Balance Confidence (ABC) Scale were compared between the aquatic therapy group and control group (land-based treatment or no treatment). The results from the selected articles were analyzed through the random effect model with Review Manager software (RevMan version 5.4.1). Results: Six studies were included and analyzed in this review. The results showed that aquatic pool therapy is preferred in the reduction of VAS and improvement in TUG test (standardized mean differences [95% Confidence Interval] = -0.60 [-0.97, -0.22] and -0.31 [-0.63, 0.00], respectively) comparing to land-based therapy. However, no statistical differences were found in step test, quadriceps strength, 6MWT, WOMAC, and ABC scale. Conclusions: Aquatic pool therapy can reduce pain and improve balance in TUG test for people with hip OA; however, it does not imply in the improvement of strength, ambulation ability, and function. Additional high-quality research is needed to substantiate this claim. Clinical Relevance: The use of aquatic therapy is not recommended for people with hip OA based on our results since only a small effect in the improvement of balance and the pain was found after aquatic therapy that did not match the minimal clinically important differences (0.8-1.4 seconds and 1.54 cm, respectively).