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Cited by 303Osteoarthritis Treatment and MechanismsMusculoskeletal pain and rehabilitationPhysical Activity and Health

The DOI matches its Crossref record; 94 of the 96 references it cites were found in a registry or an index.

Aquatic exercise for the treatment of knee and hip osteoarthritis

Open access
Bartels, Else Marie, Lund, Hans, Hagen, Kåre Birger, Dagfinrud, Hanne, Christensen, Robin, Danneskiold-Samsøe, Bente·2007·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd005523.pub2PMC PMC9942938
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Abstract

BACKGROUND: Clinical experience indicates that aquatic exercise may have advantages for osteoarthritis patients. OBJECTIVES: To compare the effectiveness and safety of aquatic-exercise interventions in the treatment of knee and hip osteoarthritis. SEARCH STRATEGY: We searched MEDLINE from 1949, EMBASE from 1980, CENTRAL (Issue 2, 2006), CINAHL from 1982, Web of Science from 1945, all up to May 2006. There was no language restriction. SELECTION CRITERIA: Randomised controlled trials or quasi-randomised clinical trials. DATA COLLECTION AND ANALYSIS: Two review authors independently selected trials for inclusion, assessed the internal validity of included trials and extracted data. Pooled results were analyzed using standardized mean differences (SMD). MAIN RESULTS: There is a lack of high-quality studies in this area. In total, six trials (800 participants) were included. At the end of treatment for combined knee and hip osteoarthritis, there was a small-to-moderate effect on function (SMD 0.26, 95% confidence interval (CI) 0.11 to 0.42) and a small-to-moderate effect on quality of life (SMD 0.32, 95% CI 0.03 to 0.61). A minor effect of a 3% absolute reduction (0.6 fewer points on a 0 to 20 scale) and 6.6% relative reduction from baseline was found for pain. There was no evidence of effect on walking ability or stiffness immediately after end of treatment. No evidence of effect on pain, function or quality of life were observed on the one trial including participants with hip osteoarthritis alone. Only one trial was identified including knee osteoarthritis alone, comparing aquatic exercise with land-based exercise. Immediately after treatment, there was a large effect on pain (SMD 0.86, 95%CI 0.25 to 1.47; 22% relative percent improvement), but no evidence of effect on stiffness or walking ability. Only two studies reported adverse effects, that is, the interventions did not increase self-reported pain or symptom scores. No radiographic evaluation was performed in any of the included studies. AUTHORS' CONCLUSIONS: Aquatic exercise appears to have some beneficial short-term effects for patients with hip and/or knee OA while no long-term effects have been documented. Based on this, one may consider using aquatic exercise as the first part of a longer exercise programme for osteoarthritis patients. The controlled and randomised studies in this area are still too few to give further recommendations on how to apply the therapy, and studies of clearly defined patient groups with long-term outcomes are needed to decide on the further use of this therapy in the treatment of osteoarthritis.

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Research works printed but not linked: 10

  1. Wang, 2004, Aquatic exercise improves flexibility, strength, and walk time in osteoarthritis, PhD Thesis
  2. Alexander, 2001, Effects of a water exercise program on walking gait, flexibility, strength, self-reported disability and other psycho-social measures of older individuals with arthritis, Physiotherapy Canada, 203-11
  3. Cusack, 2003, Abstracts from the Irish Society of Chartered Physiotherapists Annual Conference held in Dublin on 31st October and 1st November 2003, Physiotherapy-Ireland (PHYSIOTHER-IRELAND), 24, 37
  4. Norton, 1999, Effectiveness of aquatic exercise in the treatment of women with osteoarthritis, The Journal of Aquatic Physical Therapy, 5, 8
  5. Badley, 1994, Relative importance of musculoskeletal disorders as a cause of chronic health problems, disability, and health care utilization: findings from the 1990 Ontario Health Survey, Journal of Rheumatology, 21, 505
  6. Brandt, 1986, Workshop on etiopathogenesis of osteoarthritis, Journal of Rheumatology, 13, 1126
  7. Felson, 2003, Epidemiology of osteoarthritis. In: Brandt KD, Doherty M, Lohmander LS, editors. Osteoarthritis, 9
  8. Flores, 2003, Definition and classification of osteoarthritis., 1
  9. Higgins, 2005, Assessment of Study Quality. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]; Section 6.
  10. Tugwell, 2004, Evidence Based Rheumatology

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Metadata

Authors
Bartels, E. M., Lund, H., Hagen, K. B., Dagfinrud, H., Christensen, R., & Danneskiold-Samsøe, B.
Affiliations
  • Copenhagen University Hospital (DK)
  • University of Southern Denmark (DK)
  • University of Oslo (NO)
  • Frederiksberg Hospital (DK)
ORCID
Venue
Cochrane Database of Systematic Reviews
Publisher
John Wiley & Sons, Ltd
Published
2007-10-17
Volume
3
Issue
4
Pages
CD005523-CD005523
ISSN
1361-6137 (ISSN-L)
DOI
10.1002/14651858.cd005523.pub2
PMC
PMC9942938
OpenAlex
W1961599657
Cited by
302
References
96
Citations by year
2026: 1 · 2025: 12 · 2024: 17 · 2023: 17 · 2022: 26 · 2021: 19 · 2020: 16 · 2019: 22 · 2018: 19 · 2017: 22 · 2016: 20 · 2015: 14 · 2014: 22 · 2013: 16 · 2012: 10
Type
reference entry
Language
en
Update notices
new_version (2016-03-23)
Open access
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Keywords
aquatic exercise, knee osteoarthritis, hip osteoarthritis, exercise therapy, joint pain, joint function, quality of life, walking ability, joint stiffness, adverse effects, treatment effectiveness and safety, low back pain, neck pain, shoulder pain
MeSH terms
Balneology, Chronic Disease, Exercise Therapy, Humans, Hydrotherapy, Swimming, Water, Osteoarthritis, Hip, Exercise, Randomized Controlled Trials as Topic, Osteoarthritis, Knee

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