Water-based therapeutic exercise in stroke: a scoping review
O J Manning1, S Rancourt2, J R Tomasone3
1School of Rehabilitation Therapy, Queen's University, Kingston, Canada.
Disability and Rehabilitation
|April 22, 2022
Summary
Water-based therapeutic exercise (WBTE) significantly improves balance and gait in stroke survivors. Further research is needed to standardize protocols and include individuals with severe impairments.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Hydrotherapy
Background:
- Stroke rehabilitation often involves physical therapy to improve motor function.
- Water-based therapeutic exercise (WBTE) offers a unique environment for rehabilitation.
- Limited understanding exists regarding the specific parameters and effectiveness of WBTE for stroke survivors.
Purpose of the Study:
- To review the existing literature on WBTE for stroke survivors.
- To analyze the content and structure of WBTE interventions.
- To summarize the effects of WBTE and identify research gaps.
Main Methods:
- A scoping review methodology was employed.
- Searched electronic databases for relevant studies.
- Included adult stroke survivors of any type or stage receiving WBTE.
Main Results:
- 40 articles were included in the review.
- WBTE demonstrated a strong effect on balance and gait outcomes in 80% of controlled trials.
- Variations in intervention approaches were identified.
Conclusions:
- WBTE is a viable approach for stroke survivors, offering a safe environment for challenging activities.
- Interventions show promise for improving walking and balance.
- Future research should focus on standardized protocols and including severely impaired individuals.


