Pool therapy may ease arthritisPool therapy may ease arthritis
Splashing in warm waters may have a curative effect for people with osteoarthritis.
Hydrotherapy or water exercise in a heated pool was found to improve strength and mobility in elderly patients with arthritis of the hip and knee according to a study in the December issue of the Annals of the Rheumatic Diseases.
"The surprise in this study was that there was any functional gain in the hydro group" says lead author Maria Crotty head of the Flinders University department of rehabilitation and aged care in Adelaide Australia.
"We expected the patients would like hydro but actually the gym group would get the gains. In fact both exercise groups did pretty well so it provides some support for hydro" she adds.
"Overall this is not an earth-shattering paper; these are modest improvements" says Dr. Stephen Honig director of the Osteoporosis Center at the Hospital for Joint Diseases in New York City. "It's very hard to know what to make of this other than there was some benefit in terms of quality of life and some muscle strengthening which is good for patients who need to walk. It is also good as a pre-surgical intervention because the better the muscles are the less difficulty you have with rehabilitation post-operatively."
Exercise often is recommended for people suffering from osteoarthritis the most common form of arthritis and one in which the risk increases with increasing age and weight. While water exercise is extremely popular (and expensive) to date there has been little evidence in support of pool therapy say the study authors.
The 105 participants all aged over 50 were divided randomly into one of three groups: one that exercised three times a week in a swimming pool with warm water one that did an equivalent amount of exercise in a gym and one that did not exercise. For a six-week period both the pool and the gym groups focused on resistance exercises.
The pool group had improved aerobic fitness which benefits cardiovascular health. Muscle strength improved more in the gym group however with thigh muscle (quadriceps) strength improving in both legs. In the hydrotherapy group muscle strength improved only in the left leg.
"Hydrotherapy is very useful with overweight patients who find aerobic exercise difficult (often they have painful knees and/or hips)" Crotty writes. "Osteoarthritis is a growing problem in overweight populations and the common advice is [to] walk but many of this patient group are reluctant or unable to walk."
"What we have gotten out of this is that patients feel better and there is some evidence that muscle strength is better" Honig says. "People feel better but they also feel better if they get into a hot tub."
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Friday, 24 October 2008 12:41
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