Stroke Clinical Trial
Official title:
A Water-based Sequential Preparatory Approach Versus Conventional Aquatic Training in Stroke Patients: a Randomized Controlled Trial With a One-month Follow-up
Many studies hypothesize that people who have suffered stroke could benefit from water-based
exercises to improve their strength and ability to perform the activities of daily living.
A Cochrane Review systematically synthesized and compared the effects of aquatic and
land-based therapies on the activities of daily living (ADL) of patients following stroke and
found that water-based exercises improved strength and ADL. A recent review indicates that
RCTs comparing aquatic methods in both environments are lacking. The same movements in water
and on dry land that target postural stability and gait require different competences. For
example, the postural instability that occurs while squatting in water was enacted on land by
sitting on a therapy ball. Furthermore, land-based conventional rehabilitation is generally
task oriented, customized and challenging and follows a specific preparatory sequence of
exercises according to patients' disabilities. Therefore, the investigators believe that a
sequential preparatory approach (SPA), based on increasing difficulty and following a
specific sequence of preparatory exercises (from the simplest to the most complex), should
also be used in an aquatic environment.
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