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Aquatic strength training improves postural stability and walking function in stroke patients.

Xudong Gu1, Ming Zeng1, Yao Cui2

  • 1Department of Rehabilitation Medicine, The Second Affiliated Hospital of Jiaxing University, the Second Hospital of Jiaxing City, Jiaxing City, ZJ, China.

Physiotherapy Theory and Practice
|March 14, 2022
PubMed
Summary
This summary is machine-generated.

Aquatic strength training significantly improved walking ability and balance in chronic stroke patients. This rehabilitation method enhances motor function, offering a promising approach for post-stroke recovery.

Keywords:
Aquatic exercisebalancestrength trainingstrokewalking function

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Physical Therapy

Background:

  • Stroke survivors often experience persistent impairments in postural balance and walking function.
  • Chronic stroke patients (more than 6 months post-stroke) with mobility deficits require effective therapeutic interventions.

Purpose of the Study:

  • To investigate the impact of aquatic strength training on postural balance and walking function in chronic stroke patients.
  • To compare the efficacy of aquatic lower extremity strength training combined with conventional hydrotherapy against conventional hydrotherapy alone.

Main Methods:

  • 56 chronic stroke patients were randomized into an experimental group (hydrotherapy + aquatic strength training) and a control group (hydrotherapy only).
  • Intervention lasted for six weeks, followed by assessments using Berg Balance Scale (BBS), Timed Up and Go Test (TUG/mTUG), 2 Minute Walk Test (2MWMT), and gait analysis.
  • Baseline and post-rehabilitation evaluations were conducted by a blinded assessor.

Main Results:

  • Both groups showed significant improvements post-rehabilitation compared to baseline.
  • The experimental group demonstrated marked improvements in BBS, TUG/mTUG, 2MWMT, and gait parameters (stride length, walking speed, stride frequency) compared to the control group.
  • No significant baseline differences were observed between the groups.

Conclusions:

  • Aquatic strength training is an effective intervention for enhancing postural balance in chronic stroke patients.
  • This training modality significantly improves lower extremity motor function, including walking speed and stride parameters, in stroke survivors.