Meta-Analysis the Effect of Aquatic Therapy on Functional Ability in Patients with Knee Osteoarthritis

Authors

  • Wita Hana Puspita Masters Program in Public Health, Universitas Sebelas Maret
  • Didik Gunawan Tamtomo Faculty of Medicine, Universitas Sebelas Maret
  • Hanung Prasetya Department of Acupuncture, Health Polytechnics, Ministry of Health Surakarta

Abstract

Background: Knee OA can affect mobility in the elderly causing pain and impaired functional ability. This study aims to analyze the effect of aquatic therapy on functional ability in knee osteo­arthritis patients based on the results of a number of previous primary studies..

Subject and Method: This study was conducted using a meta-analysis method with articles searched using the search keywords "knee osteoarthritis" OR "osteoarthritis genu" AND "aquatic therapy" OR "hydrotherapy" OR "water exercise" AND "functional ability" OR "WOMAC" AND "Randomized Controlled Trial” OR “RCT” from PubMed, google scholar and science direct and processed using RevMan 5.3.

Results: 9 RCT articles that fit into the inclusion criteria, with a total of 573 samples. Knee OA patients receiving aquatic therapy had a mean WOMAC score of 1.22 units lower than those without aquatic therapy, and the effect was statistically significant (SMD = -1.22; 95% CI -2.03 to -0.41; p = 0.003). In other words, aquatic therapy is effective in improving functional ability in knee OA patients.

Conclusion: Aquatic therapy has an effect on increasing functional ability in knee osteoarthritis patients.

Keywords: Osteoarthritis, aquatic therapy, WOMAC index

Correspondence: Wita Hana Puspita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: wita.tj0408@gmail.com. Mobile: +628164837959.

Indonesian Journal of Medicine (2022), 07(02): 138-149
https://doi.org/10.26911/theijmed.2022.07.02.03

References

Albright A, Ambrose K. R, Callahan L.F, Golightly Y (2020). A national public health agenda for osteoarthritis: 2020 Update. Arthritis Foundation: 124–127. doi: 10.4135/9781412973533.n19.

Alcalde GE, Fonseca AC, Boscoa TF, Goncalves MR, Bernardo GC, Pianna B, Carnavale BF, et al. (2017a). Effect of aquatic physical therapy on pain perception, functional capacity and quality of life in older people with knee osteoarthritis: Study protocol for a randomized controlled trial. Trials. 18(1): 317. doi: 10.1186/S13063-017-2061-X.

Amelia AT, Fatimah N, Dwiwulandari MD (2020). The effect of hydrotherapy exercise on pain intensity and func-tional ability in genu osteoarthritis patients. Arc Med Res. 1(2): 26–33. doi: 10.37275/ehi.v1i2.6.

Assar S, Gandomi F, Mozafari M, Sohaili F (2020). The effect of total resistance exercise vs. aquatic training on self reported knee instability, pain, and stiffness in women with knee osteo-arthritis: a randomized controlled trial. BMC Sports Sci Med and Rehabilita-tion. 12(27): 1–13. doi: 10.1186/s1310-2-020-00175-y

Benkar AP, Rayjade A (2019). Study on carryover effect of mulligan’s mobi-lization with movement under water versus land-based mulligan’s mobiliza-tion with movement on functional mobility of knee Joint. Int J Health S. 9 (8): 181-187.

Cardoso RM, Porto PHG, Burin AF, Daitx RB, Dohnert MB (2017). Ground or swimming pool exercises for women with knee osteoarthritis? A double-blind randomized clinical trial. Br J Med Med Res. 23(10): 1-13. doi: 10.9734/JAMMR/2017/36350.

Cochrane (2014). RevMan 5.3 User Guide. Copenhagen: The Nordic Cochrane Centre: 1–105.

Dekker J (2014). Exercise and physical functioning in osteoarthritis medical, neuromuscular and behavioral pers-pectives, Springer. Edited by J. Dekker. London: Springer. doi: 10.10-07/978-1-4614-7215-5.

Fazaa A, Souabni L, Abdelghani KB, Kassab S, Chekili S, Zouari B, Hajri R, et al (2014). Comparison of the clinical effectiveness of thermal cure and rehabilitation in knee osteoarthritis. A randomized therapeutic trial. Ann Phys Rehabil Med. 57(1-9): 561-569. doi: 10.1016/j.rehab.2014.09.007

Ferguson M (2021). The effects of thermal aquatic therapy. Gardner_Webb U. doi: 10.2522/ptj.20060006.

Garbi FP, Junior PRR, Pontes N, Oliveira A, Barduzzi G, Boas PJ (2021). Aquatic physiotherapy in the functional capa-city of elderly with knee osteoarthritis. Fisi Mov. 34: 1–7. doi: 10.1590/fm.-2021.34119.

Ha GC, Yoon JR, Yoo CG, Knag SJ, Ko KJ (2018). Effects of 12-week aquatic exercise on cardiorespiratory fitness, knee isokinetic function, and Western Ontario and McMaster University osteoarthritis index in patients with knee osteoarthritis women. J Exerc Rehabil. 14(5):870-876. doi: 10.12965-/jer.1836308.154.

Hale A, Waters D, Herbison P (2012). A randomized controlled trial to in-vestigate the effects of water-based exercise to improve falls risk and phy-sical function in older adults with lower-extremity osteoarthritis. Arch Phys Med Rehabil. 93(1): 27-34. doi: 10.1016/j.apmr.2011.08.004.

Khruakhorn S, Chiwarakranon S (2021). Effects of hydrotherapy and land-based exercise on mobility and quality of life in patients with knee osteoarthritis: a randomized control trial. J Phys Ther Sci. 33: 375–383. doi: 10.1589/jpts.33.375.

Kim S, Hsu FC, Groban L, Williamson J, Messier S (2021). A pilot study of aquatic prehabilitation in adults with knee osteoarthritis undergoing total knee arthroplasty – short term out-come. BMC Musculoskelet Disord. 22: 388. doi: 10.1186/s12891-021-04253-1.

King MR, Haussler KK, Kawcak CE, Mcllwraith, Reiser RF (2012). Review article mechanisms of aquatic therapy and its potential use in managing equine osteoarthritis. Equine vet Educ: 1–7. doi: 10.1111/j.2042-3292.2012.-00389.x.

Lu M, Su Y, Zhang Y, Zhang Z, Wang W, He Z, Liu F, et al. (2015). Effectiveness of aquatic exercise for treatment of knee osteoarthritis: Systematic review and meta-analysis. Z Rheumatol. 74(6): 543–552. doi: 10.1007/s00393-014-1559-9.

Naik RP, Rathod D, Kumar A (2020). Effects of retro-walking underwater treadmill training on pain, functional performance functional mobility in patients with knee osteoarthritis. Int J Physiother Res. 8(5):80-85. doi: 10.16965/ijpr.2020.154.

Song J, Oh J (2022). Effects of aquatic exercises for patients with osteo-arthritis: Systematic review with meta-analysis. healthcare. 10(3): 560. doi: 10.3390/HEALTHCARE10030560.

Taglietti M, Facci LM, Trelha CS, Melo FC, Silva DW, Sawczuk G, Ruivo TM, et al. (2018). Effectiveness of aquatic exer-cises compared to patient-education on health status in individuals with knee osteoarthritis: a randomized con-trolled trial. Clin Rehabil. 32(6): 766–776. doi: 10.1177/0269215517754240.

Waller B, Slodownik A.O, Vitor M, Lambeck J, Daly D, Kujala U.M, Heinonen A (2014). Effect of therapeutic aquatic exercise on symptoms and function associated with lower limb osteo-arthritis: systematic review with meta-analysis. Phys Ther. 94(10): 1383–1395. doi: 10.2522/ptj.20130417.

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2022-04-10

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