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Suzette Austin Kori Ivanchak Erica Jeszke Nancy Marshall

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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Suzette Austin Kori Ivanchak Erica Jeszke Nancy Marshall

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  1. 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

  2. Background • 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)

  3. Background cont. • 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)

  4. P: Persons with COPD I: Aquatic therapy C: Dry land therapy O: Quality of life Physical Function http://goo.gl/0Yo0eL

  5. Water 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

  6. Results: 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

  7. Results: de SoutoAraujo, 2012 SQRQ: Improvement in floor group No change in aquatics group Decline in control group

  8. Discussion • Overall, increase in pulmonary function • Both groups showed improvements in endurance • Conflicting evidence in SGRQ

  9. Discussion • Patients with secondary health conditions • Reducing the frequency of training was not effective for maintaining fitness level

  10. Limitations • Limited number of studies on topic • Small sample sizes • Low to moderate quality • Motivational factor/patient preference • Exclusion of people with certain comorbidities

  11. Conclusion 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.

  12. Additional Resources • 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

  13. Questions ???

  14. References • 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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