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Cited by 15Osteoarthritis Treatment and MechanismsMusculoskeletal pain and rehabilitationPhysical Activity and Health

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Harnessing the Power of Water: A Scoping Review of Hydrokinesiotherapy as a Game-Changer in Knee Osteoarthritis Management

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Tedeschi, Roberto, Giorgi, Federica, Donati, Danilo·2024·Journal of Clinical Medicine
DOI 10.3390/jcm13195811PMC PMC11477229
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Abstract

Background: Knee osteoarthritis (OA) is a prevalent condition that significantly impairs pain, mobility, and quality of life. Hydrokinesiotherapy, a water-based exercise therapy, is gaining traction as a potential alternative to traditional land-based rehabilitation for managing knee OA symptoms. Methods: This scoping review aimed to evaluate the effectiveness of hydrokinesiotherapy compared to standard land-based physical therapy and self-administered exercise regimens in improving pain, joint mobility, quality of life, and physical function in patients with knee OA. Five randomized controlled trials (RCTs) were included, assessing outcomes using measures such as the WOMAC score, Visual Analog Scale (VAS), and SF-12. The studies were critically appraised using the PEDro scale and the RoB-2 tool to determine the quality and risk of bias. Results: Hydrokinesiotherapy consistently demonstrated superior outcomes in pain reduction, joint mobility, and physical function across all studies. Patients in the hydrokinesiotherapy groups reported significant improvements in pain and mobility, which were strongly associated with enhanced quality of life. The review also highlighted the potential for hydrokinesiotherapy to serve as an effective alternative or complement to land-based exercises, particularly in populations experiencing severe symptoms. Conclusions: Hydrokinesiotherapy is an effective intervention for managing knee OA, offering significant improvements in key clinical outcomes. Given its benefits, hydrokinesiotherapy should be considered a valuable addition to knee OA treatment protocols. However, further research is needed to confirm long-term effects and to explore ways to improve accessibility to this therapeutic option.

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Metadata

Authors
Tedeschi, R., Giorgi, F., & Donati, D.
Affiliations
  • University of Bologna (IT)
  • Pediatric Physical Medicine and Rehabilitation Unit, IRCCS Institute of Neurological Sciences, 40124 Bologna, Italy
  • University of Modena and Reggio Emilia (IT)
Corresponding author
Tedeschi, Roberto
ORCID
Venue
Journal of Clinical Medicine
Publisher
MDPI AG
Published
2024-09-28
Volume
13
Issue
19
Pages
5811
ISSN
2077-0383 (ISSN-L)
DOI
10.3390/jcm13195811
PMC
PMC11477229
OpenAlex
W4402989664
Cited by
15
References
1
Citations by year
2026: 10 · 2025: 5
FWCI
1.11
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Clinical Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
  • IRIS UNIMORE (University of Modena and Reggio Emilia) (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
hydrokinesiotherapy, knee osteoarthritis, aquatic exercise, aquatic therapy, analgesia, joint mobility, physical function, quality of life, self-administered exercise, rehabilitation

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Tedeschi, R., Giorgi, F., & Donati, D. (2024). Harnessing the Power of Water: A Scoping Review of Hydrokinesiotherapy as a Game-Changer in Knee Osteoarthritis Management. Journal of Clinical Medicine. https://doi.org/10.3390/jcm13195811

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