The effects of aquatics versus land therapy on patients with COPD on quality of life and physical
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The effects of aquatics versus land therapy on patients with COPD on quality of life and physical f unction. Suzette Austin Kori Ivanchak Erica Jeszke Nancy Marshall. Background.

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The effects of aquatics versus land therapy on patients with COPD on quality of life and physical function

Suzette Austin

Kori Ivanchak

Erica Jeszke

Nancy Marshall


Background
Background COPD on quality of life and physical

  • By 2020, Chronic Obstructive Pulmonary Disease (COPD) will be the 3rd most common cause of death globally. (Shead, 2012)

  • COPD limits ability to do activities of daily living which results in a deterioration in health. (Wadell, 2004)

  • People with COPD are often elderly and living with co-morbidities. (Shead, 2012)


Background cont
Background cont. COPD on quality of life and physical

  • Hydrotherapy is considered beneficial therapy for osteoarthritis, rheumatoid arthritis, and stroke. (McNamara, 2011)

  • Only been considered as a treatment option for COPD in the last decade. (McNamara, 2011)

  • Training in water was safe and applicable in patients with COPD. (Perk, 1996)


P: Persons with COPD COPD on quality of life and physical

I: Aquatic therapy

C: Dry land therapy

O: Quality of life

Physical Function

http://goo.gl/0Yo0eL


Results wadell 2004

Water COPD on quality of life and physical

Distance walked in Endurance Shuttle Walking Test

Physical health score in SF-36

Activity score in SGRQ

Results: Wadell, 2004

Land

  • Distance walked in Incremental Shuttle Walking Test


Results wadell 2005
Results: COPD on quality of life and physical Wadell, 2005

9 months vs. Baseline:

9 months vs. 3 months:

Increased walk distance– ISWT

Decrease in VO2peak

No significant changes in SGRQ or SF-36

Control decreased in PCS

Decreased VO2peak, time cycled, work rate

Decreased HRQoL, SF-36


Results de souto araujo 2012
Results: de COPD on quality of life and physical SoutoAraujo, 2012

SQRQ: Improvement in floor group

No change in aquatics group

Decline in control group


Discussion
Discussion COPD on quality of life and physical

  • Overall, increase in pulmonary function

  • Both groups showed improvements in endurance

  • Conflicting evidence in SGRQ


Discussion1
Discussion COPD on quality of life and physical

  • Patients with secondary health conditions

  • Reducing the frequency of training was not effective for maintaining fitness level


Limitations
Limitations COPD on quality of life and physical

  • Limited number of studies on topic

  • Small sample sizes

  • Low to moderate quality

  • Motivational factor/patient preference

  • Exclusion of people with certain comorbidities


Conclusion
Conclusion COPD on quality of life and physical

Based on available studies, there is not enough quality evidence to support if hydrotherapy increases quality of life and physical function in comparison to land therapy.


Additional resources
Additional Resources COPD on quality of life and physical

  • APTA Aquatics Section

    • http://www.aquaticpt.org/about.cfm

  • American Lung Association

    • http://www.lung.org/lung-disease/copd/

  • PT Opinion Article

    • http://physical-therapy.advanceweb.com/Columns/Water-Wisdom/Aquatic-Therapy-for-COPD-Patients.aspx


Questions
Questions COPD on quality of life and physical

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References
References COPD on quality of life and physical

  • de SoutoAraujo ZT, de Miranda Silva Nogueira PA, Cabral EE, de Paula Dos Santos L, da Silva IS, Ferreira GM. Effectiveness of low-intensity aquatic exercise on COPD: a randomized clinical trial. Respir Med. Nov 2012;106(11):1535-1543.

  • McNamara RJ, Alison JA, McKeough ZJ. Water-based exercise in chronic obstructive pulmonary disease. Physical Therapy Reviews. 2011;16(1):25-30.

  • Perk J, Perk L, Boden C. Cardiorespiratory adaptation of COPD patients to physical training on land and in water. European Respiratory Journal. 1996;9(2):248-252.

  • Shead D, Aswegen HV. Hydrotherapy in the management of chronic obstructive pulmonary disease: a qualitative systematic review. Physical Therapy Reviews. 2012;17(5):271-283.

  • Wadell K, Henriksson-Larsén K, Lundgren R, Sundelin G. Group training in patients with COPD-long-term effects after decreased training frequency. Disability & Rehabilitation. 2005;27(10):571-581.

  • Wadell K, Sundelin G, Henriksson-Larsén K, Lundgren R. High intensity physical group training in water—an effective training modality for patients with COPD. Respiratory Medicine. 2004;98(5):428-438.


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