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Effects of dual-task aquatic exercises on functional mobility, balance and gait of individuals with Parkinson's disease: a randomized clinical trial with a 3-month follow-up
Zanardi da Silva A, Israel VL
Complementary Therapies in Medicine 2019 Feb;42:119-124
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the effects of dual-task aquatic exercises on functional mobility, balance and gait of individuals with Parkinson's disease (PD). DESIGN: A randomized, single-blind trial was used. Twenty-eight (28) individuals met the inclusion criteria and were randomized in the experimental group (EG) and control group (CG). EG was subjected to a dual-task aquatic exercise program, twice a week for 10 weeks. Each session lasted 40 min, in a heated pool (33 degrees C). The individuals were assessed at the beginning (AS1), after an exercise program (AS2), and after a three-month follow-up (AS3). Functional mobility ("Timed Up and Go" Test, and "Five Times Sit to Stand" test), balance (Berg Balance Scale) and gait (Dynamic Gait Index) were verified. RESULTS: 25 individuals were analyzed (14 EG and 11 CG). There was a time-group effect of the EG when compared to the CG: TUG (p = 0.03 and p = 0.015 to AS2 and AS3), FTSST (p = 0.001 and p = 0.004, for AS2 and AS3), BBS (p = 0.002 and p = 0.002, for AS2 and AS3), DGI (p = 0.001 and p = 0.003, for AS2 and AS3). CONCLUSIONS: The suggested dual-task aquatic exercise program was able to improve functional mobility, balance and gait of individuals with PD, which shows that such type of exercise is a promising possibility of therapy.

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