Effects of hydrotherapy on balance in the elderly: Systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i15.36933

Keywords:

Aged; Postural balance; Aquatic therapy.

Abstract

Objective: To evaluate, through a systematic review, the effects of hydrotherapy on the balance of the elderly and its implications for the risk of falling. Methodology: The present study was carried out through a systematic review, following the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Searches were performed in the following databases: Cochrane, MEDLINE, PUBMED and PEDro. Results: In the identification process, 105 scientific articles were found. Of these, 43 were excluded because they were duplicated in the databases, leaving 62 articles for the selection stage, in which 53 were excluded for not being adequate to the determined criteria. Of the 9 articles selected for analysis, all were considered suitable and were included in the analysis. Most articles found positive effects of the use of hydrotherapy on balance in the elderly. Since the therapies performed in an aquatic environment lead to an improvement in the strength and resistance of the muscles of the extremities, in addition to promoting an improvement in the individuals' motor coordination. Conclusion: Aquatic physiotherapy is effective in developing resistance, strength and, consequently, in increasing balance in elderly patients.

References

Adsett, J., Morris, N., Kuys, S., et al. (2017). Aquatic Exercise Training is Effective in Maintaining Exercise Performance in Trained Heart Failure Patients: A Randomised Crossover Pilot Trial. Heart Lung Circ. 26(6):572-579. 10.1016/j.hlc.2016.10.017.

Almeida, L, B., Seixas, M., Trevizan, P., et al. (2018). Effects of inspiratory muscle training on autonomic control: systematic review. FisioterPesqui. 25(3):345-351.

Bergamin, M., Ermolao, A., Tolomio, S., et al. (2013). Water- versus land-based exercise in elderly subjects: effects on physical performance and body composition. Clin Interv Aging.8:1109-17. 10.2147/CIA.S44198.

Covill, L. G., Utley, C., &Hochstein, C. (2017). Comparison of Ai Chi and Impairment-Based Aquatic Therapy for Older Adults With Balance Problems: A Clinical Study. J GeriatrPhysTher. 40(4):204-213. 10.1519/JPT.0000000000000100.

Dause, T. J., & Kirby, E., D. (2019). Aging gracefully: social engagement joins exercise and enrichment as a key lifestyle factor in resistance to age-related cognitive decline. Neural Regen Res.14(1):39-42. 10.4103/1673-5374.243698.

de Oliveira, M., da Silva, R., Dascal, J., et al. (2014) Effect of different types of exercise on postural balance in elderly women: a randomized controlled trial. Arch GerontolGeriatr. 59(3):506-14. 10.1016/j.archger.2014.08.009.

Freiberger, E., Haberle, L., Spirduso, W., et al. (2012). Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: A randomized controlled trial. J. Am. Geriatr. Soc. 60:437–446. 10.1111/j.1532-5415.2011.03859.x.

Graça, M., Alvarelhão, J., Costa, R., et al. (2020) Immediate Effects of Aquatic Therapy on Balance in Older Adults with Upper Limb Dysfunction: An Exploratory Study. Int J Environ Res Public Health. 17(24):9434. 10.3390/ijerph17249434.

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

Kars Fertelli, T., Mollaoglu, M., &Sahin, O. (2018). Aquatic exercise program for individuals with osteoarthritis: Pain, stiffness, physical function, self-efficacy. Rehabil. Nurs. J. 44:290–299. 10.1097/rnj.0000000000000142.

Lowe, M., & Coffey, P. (2019). Effect of an ageing population on services for the elderly in the Northern Territory. Aust Health Rev. 43(1):71-77. 10.1071/AH17068.

Moher, D., Liberati, A., Tetzlaff, J., et al. (2009). PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoSMed. 21;6(7):e1000097. 10.1371/journal.pmed.1000097.

Mueller, D., Redkva, P., Fernando De Borba, E., et al. (2021). Effect of mat vs. apparatus pilates training on the functional capacity of elderly women. J Bodyw Mov Ther. 25(7):80-86. 10.1016/j.jbmt.2020.11.012.

Neville, C., Henwood, T., Beattie, E., et al. (2014) Exploring the effect of aquatic exercise on behaviour and psychological well-being in people with moderate to severe dementia: a pilot study of the Watermemories Swimming Club. Australas J Ageing. 33(2):124-7. 10.1111/ajag.12076.

Nissim, M., Livny, A., Barmatz, C., et al. (2021). Effects of Ai-Chi Practice on Balance and Left Cerebellar Activation during High Working Memory Load Task in Older People: A Controlled Pilot Trial. Int J Environ Res Public Health. 18(23):12756. 10.3390/ijerph182312756.

Polinder-Bos, H., Emmelot-Vonk, M., Gansevoort, R., (2014). High fall incidence and fracture rate in elderly dialysis patients. Neth J Med. 72(10):509-15.

Sá, D. N. B. C. de, Medrado, A. M. S., & Evangelista, D. R. (2022). Padrão da função sexual em pacientes com síndrome do ovário policístico: Uma revisão sistemática. Research, Society and Development, 11(13), e398111335566. https://doi.org/10.33448/rsd-v11i13.3556

Saleh, M., Rehab, N., &Aly, S. (2019). Effect of aquatic versus land motor dual task training on balance and gait of patients with chronic stroke: A randomized controlled trial. NeuroRehabilitation. 44(4):485-492. 10.3233/NRE-182636.

Sherrington, C., Fairhall, J., Wallbank, G., (2019). Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 31;1(1):CD012424. 10.1002/14651858.CD012424.pub2.

Sherrington, C., Whitney, C., Lord, S., et al. (2008). Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc2008;56:2234-43. 10.1111/j.1532-5415.2008.02014.x.

Suzman, R., Beard, J., Boerma, T., et al. (2017) Health in an ageing world: what do we know? Lancet.385(9967):484-6.

Thomas, E., Battaglia, G., Patti, A., et al. (2019). Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine (Baltimore).98(27):e16218. 10.1097/MD.0000000000016218.

Vincent, G., Velkoff, V. A., & Bureau, U. (2010). The next four decades: the older population in the United States: 2010 to 2050. Washington, DC: U.S. Dept. of Commerce,Economics and Statistics Administration, U.S. Census Bureau.

Wilcock, I. M., Cronin, J. B., &Hing, W. A. (2006). Physiological response to water immersion: A method for sport recovery? Sports Med.36:747–765. 10.2165/00007256-200636090-00003.

Yadegaripour, M., Sadeghi, H., Shojaedin, S., et al. (2013). Effects of a combined aquatic-nonaquatic training program on static and dynamic balance in elderly men. J Am Geriatr Soc. 61(8):1417-9. 10.1111/jgs.12390.

Yang, C., Tsai, Y., Wu, P., et al. (2021). Pilates-based core exercise improves health-related quality of life in people living with chronic low back pain: A pilot study. J Bodyw Mov Ther. 27(6):.294-299. 10.1016/j.jbmt.2021.03.006

Published

13/11/2022

How to Cite

SOUZA, A. D. S. do N. de .; RIBEIRO, E. L. .; XAVIER, C. L. . Effects of hydrotherapy on balance in the elderly: Systematic review. Research, Society and Development, [S. l.], v. 11, n. 15, p. e151111536933, 2022. DOI: 10.33448/rsd-v11i15.36933. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36933. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences