Effectiveness of Aquatic Exercise and Balneotherapy: A Summary of Systematic Reviews Based on Randomized Controlled Trials of Water Immersion Therapies

被引：102

作者：

Kamioka, Hiroharu ^{[1
]}

Tsutani, Kiichiro ^{[2
]}

Okuizumi, Hiroyasu ^{[3
]}

Mutoh, Yoshiteru ^{[4
]}

Ohta, Miho ^{[5
]}

Handa, Shuichi ^{[3
]}

Okada, Shinpei ^{[6
]}

Kitayuguchi, Jun ^{[7
]}

Kamada, Masamitsu ^{[7
]}

Shiozawa, Nobuyoshi ^{[8
]}

Honda, Takuya

机构：

[1] Tokyo Univ Agr, Fac Reg Environm, Setagaya Ku, Tokyo, Setagaya 1568502, Japan

[2] Univ Tokyo, Grad Sch Pharmaceut Sci, Dept Drug Policy & Management, Tokyo, Japan

[3] Mimaki Onsen Spa Clin, Nagano, Japan

[4] Univ Tokyo, Grad Sch Educ, Dept Phys & Hlth Educ, Tokyo, Japan

[5] Lab Aqua Hlth & Sports Med, Sapporo, Hokkaido, Japan

[6] Phys Educ & Med Res Fdn, Nagano, Japan

[7] Phys Educ & Med Res Ctr Unnan, Unnan, Shimane, Japan

[8] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Longev & Social Med, Okayama, Japan

来源：

JOURNAL OF EPIDEMIOLOGY | 2010年 / 20卷 / 01期

关键词：

systematic review; aquatic exercise; randomized controlled trial; balneotherapy; FOLLOW-UP; SPA TREATMENT; PAIN; OSTEOARTHRITIS; METAANALYSIS; ARTHRITIS; HUMANS;

D O I：

10.2188/jea.JE20090030

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: The objective of this review was to summarize findings on aquatic exercise and balneotherapy and to assess the quality of systematic reviews based on randomized controlled trials. Methods: Studies were eligible if they were systematic reviews based on randomized clinical trials (with or without a meta-analysis) that included at least I treatment group that received aquatic exercise or balneotherapy. We searched the following databases: Cochrane Database Systematic Review, MEDLINE, CINAHL, Web of Science, JDream II, and Ichushi-Web for articles published from the year 1990 to August 17, 2008. Results: We found evidence that aquatic exercise had small but statistically significant effects on pain relief and related outcome measures of locomotor diseases (eg, arthritis, rheumatoid diseases, and low back pain). However, long-term effectiveness was unclear. Because evidence was lacking due to the poor methodological quality of balneotherapy studies, we were unable to make any conclusions on the effects of intervention. There were frequent flaws regarding the description of excluded RCTs and the assessment Of publication bias in several trials. Two of the present authors independently assessed the quality of articles using the AMSTAR checklist. Conclusions: Aquatic exercise had a small but statistically significant short-term effect on locomotor diseases. However, the effectiveness of balneotherapy in curing disease or improving health remains unclear.

引用

页码：2 / 12

页数：11

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