M Chaves Aveiro1, M Arias Avila2,3, V Santos Pereira-Baldon4, A Santa Barbara Ceccatto Oliveira2, K Gramani-Say5, J Oishi2,6, P Driusso2. 1. a Department of Human Movement Sciences , Federal University of Sao Paulo , Santos , SP , Brazil. 2. b Physical Therapy Department , Federal University of São Carlos , São Carlos , SP , Brazil. 3. c Physical Therapy Department , Centro Universitário Central Paulista , São Carlos , SP , Brazil. 4. d Physical Education Faculty , Federal University of Uberlândia , Uberlândia , MG , Brazil. 5. e Gerontology Department , Federal University of São Carlos , São Carlos , SP , Brazil. 6. f Statistics Department , Federal University of São Carlos , SP , Brazil.
Abstract
OBJECTIVE: To compare the effects of water-based and land-based physical therapy on postural control of older women with osteoporosis. METHODS:Thirty-six postmenopausal women with osteoporosis were allocated into two groups: land-based or water-based. Volunteers received 12 weeks of a supervised land-based or water-based physical therapy treatment. The outcome measure was postural control of the body during quiet standing on upright stance (eyes opened and closed), tandem and one-limb stance on a force plate. A two-way ANOVA with a Tukey HSD post-hoc test were used to highlight differences between pre- and post-intervention evaluations. Effect sizes were measured with Cohen d coefficient. For all variables, a level of 5% of significance was adopted. RESULTS: Significant improvements at tandem (p < 0.05, effect sizes from -0.67 to -1.35) and one-limb stance (p < 0.05, effect sizes from -0.76 to -1.03) for women carrying out water-based treatment were observed. Land-based treatment did not present significant improvement. CONCLUSIONS:Group-based water-based physical therapy treatment may be more effective than land-based therapy to improve postural control at one-limb stance in women with osteoporosis.
RCT Entities:
OBJECTIVE: To compare the effects of water-based and land-based physical therapy on postural control of older women with osteoporosis. METHODS: Thirty-six postmenopausal women with osteoporosis were allocated into two groups: land-based or water-based. Volunteers received 12 weeks of a supervised land-based or water-based physical therapy treatment. The outcome measure was postural control of the body during quiet standing on upright stance (eyes opened and closed), tandem and one-limb stance on a force plate. A two-way ANOVA with a Tukey HSD post-hoc test were used to highlight differences between pre- and post-intervention evaluations. Effect sizes were measured with Cohen d coefficient. For all variables, a level of 5% of significance was adopted. RESULTS: Significant improvements at tandem (p < 0.05, effect sizes from -0.67 to -1.35) and one-limb stance (p < 0.05, effect sizes from -0.76 to -1.03) for women carrying out water-based treatment were observed. Land-based treatment did not present significant improvement. CONCLUSIONS: Group-based water-based physical therapy treatment may be more effective than land-based therapy to improve postural control at one-limb stance in women with osteoporosis.
Authors: Eduardo Vásquez-Araneda; Rodrigo Ignacio Solís-Vivanco; Sandra Mahecha-Matsudo; Rafael Zapata-Lamana; Igor Cigarroa Journal: Int J Environ Res Public Health Date: 2021-03-10 Impact factor: 3.390