Allasharjoittelun vaikutukset nivelrikkoasiakkailla

Opinnäytetyön tarkoituksena oli selvittää 12 viikkoa kestävän ryhmämuotoisen allasharjoittelun vaikutuksia nivelrikkoa sairastavien toimintakykyyn. Työn tilasi Nokian kaupungin terveyskeskuksen fysioterapiaosasto. Opinnäytetyön tavoitteena oli tuottaa tietoa allasharjoittelun vaikutuksista nivelrikko- ja tekonivelasiakkailla. Suomessa sadat tuhannet ihmiset kärsivät nivelrikosta, eikä siihen ole parantavaa hoitoa. Opinnäytetyössä haettiin vastausta kysymykseen, miten allasharjoittelu vaikuttaa nivelrikkoa sairastavan fyysiseen toimintakykyyn, lihasvoimaan ja kipuun. Opinnäytetyössä käytettiin tutkimusstrategiana tapaustutkimusta ja tutkimusmenetelmänä kvantitatiivista tutkimusta. Allasharjoitteluryhmään valikoitui 11 alaraajojen nivelrikkoa sairastavaa henkilöä Nokian kaupungin terveyskeskuksen asiakkaiden joukosta. Näistä kaksi jätti tutkimuksen kesken henkilökohtaisista syistä. Toimintakykyä mitattiin ennen allasharjoittelujaksoa ja sen jälkeen. Fyysisen toimintakyvyn testeihin kuului tuoliltanousu-, 10 metrin kävely- ja 10 portaan nousu -testit. Näissä testeissä kaikki tutkimushenkilöt paransivat tuloksiaan. Polvinivelen isometrisissä maksimivoimatesteissä tutkimusjoukon ojennus- ja koukistusvoimien keskiarvot paranivat tilastollisesti merkitsevästi. Tutkimushenkilöiden kokema kipu lievittyi keskimäärin, mutta ero testien välillä ei ollut tilastollisesti merkitsevä. Opinnäytetyön tulosten perusteella voidaan todeta, että 12 viikon allasharjoittelu parantaa nivelrikkoa sairastavan toimintakykyä. Opinnäytetyön tulokset ovat samansuuntaisia aiempien aihetta koskevien tutkimusten kanssa. Keräämällä tarkemmat esitiedot muun muassa nivelrikon sijainnista ja mahdollisista tekonivelleikkauksista sekä lisäämällä tutkimukseen osallistuvien määrää saisi luotettavampia tuloksia. Mielenkiintoinen jatkotutkimusaihe olisi, kuinka kauan allasharjoittelun vaikutukset toimintakykyyn säilyvät. Lisäksi voisi tutkia, voiko allasharjoittelulla ennaltaehkäistä tekonivelleikkausta.The purpose of this study was to examine the effects of a 12-week group-form aquatic training period in clients suffering from osteoarthritis. The study was requested by the physiotherapy unit of Nokia health centre. This study was conducted as a case study and the data were analysed using quantitative content analysis. Eleven clients with lower limb osteoarthritis were selected to participate in the aquatic training group. Two of them did not complete the study. Functional capacity was measured before and after the aquatic training period. All participants improved their results in tests of physical function; chair stand test, 10-metre walk test and stair climb test. Isometric knee extensor and flexor strength improved statistically significantly. The pain was relieved at a general level. The findings indicate that a 12-week aquatic training period improves the functional capacity of people suffering from osteoarthritis. The results are consistent with those of previous studies. More reliable results could be obtained by examining a larger group of participants and by gathering more specific details from them such as the location of osteoarthritis and possible joint replacement surgeries. Further research is required to examine how long the effects of aquatic training last and whether the need for joint replacement surgeries can be prevented by aquatic training

Effects of a Post Activation Potentiation Stimulus Coupled with Plyometric Training Program on the Swimming Start Performance of Collegiate Swimmers

30 collegiate swimmers from Division 1 universities in the south east United States took part in this study. Testing group completed plyometric training coupled with post-activation potentiation (PAP) stimulus as well as structured aquatic training. Control group completed only structured aquatic training. Pre and post program data was gathered from both groups to compare the effects of the training. Both groups were assessed on vertical jump height, swim start velocity, time to the 15m marker, and peak horizontal force. After the training program concluded and the resulting data from the two groups was comparedhttps://digitalcommons.gardner-webb.edu/exercise-science-research-proposal-posters/1101/thumbnail.jp

Effects of 8-Month Aquatic Training on Bone Mass Density In Post Menopausal Women With Fibromyalgia

Objective: To evaluate the effect of an aquatic training program on bone mass density (BMD) in post- menopausal women with fibromyalgia (FM). Design: Randomised controlled trial (ISRCTN53367487). Settings: Faculty of Sport Science Subjects: Twenty-four postmenopausal women with FM (mean age, 56, SD, 7 years) were randomised to intervention (n=12) or control group (n=12). Interventions: The experimental group received a supervised 8-month aquatic training consisted of three 1-hour sessions per week that included aerobic and strength exercises. Outcome Measures: The BMD of the hip area and lumbar spine was assessed by dual-energy X-ray absorptiometry technique. HRQOL was assessed using EQ-5D and the Fibromyalgia Impact Questionnaire (FIQ). Data were analysed using analysis of variance adjusted for weight and age. Results: The exercise group improved their scores for EQ-5D time trade-off utility (86%, p=.007; effect size= 0.70) and FIQ (18%, p=.005; effect size= 0.61) while the control did not. The BMD of both groups remained statistically and clinically unchanged (p> .05; effect size < 0.2). Conclusions: The aquatic training was highly effective in improving HRQOL with no adverse effects on the BMD in women with FM. The trend of bone loss was similar to that reported in non-FM untrained women. This type of rehabilitation should be complemented with exercises with higher impact on bone mass like Whole Body Vibration

Effects of Aquatic Training on Waist Circumference and Body Composition among Children: A Meta-analysis

PURPOSE Aquatic training assists in reducing the risk of exercise on joints among children. This systematic review evaluated the effectiveness of aquatic training for children from the perspective of body composition. METHODS A meta-analysis was performed to determine the potential impact of aquatic training in children. Four databases, namely Scopus, PubMed, Web of Science, and EBSCO, were used for the systematic search from September 2010 to November 2021. The mean differences in the data were analyzed using Stata 15.1 software with a 95% confidence interval. Outcome measures included weight, body mass index (BMI), fat percentage (Fat%), and waist circumference. RESULTS Eleven studies, comprising eight randomized controlled trials (RCT) and three non-RCT studies, evaluating the effect of aquatic training on children were analyzed and reported. Aquatic training significantly improved the BMI (p<.01) and Fat% (p<.01) in children (ES (95% CI)=−0.23 (−0.38, −0.08) and ES (95% CI)=−0.27 (−0.45, −0.08). However, aquatic training had no significant effect on weight (p=.41), ES (95% CI)=−0.07 (−0.25, 0.10), and waist circumference (p=.11) in children, ES (95% CI)=−0.33 (−0.74, 0.08). CONCLUSIONS Aquatic training can improve children's BMI and body fat% but nottheir weight, waist circumference, and muscle mass. Aquatic training may be a potential exercise program for improving body composition in children

TRENING U VODI – ALTERNATIVA ILI DOPUNSKA TRENING METODA KLASIČNOM TRENINGU SPORTAŠA

The aquatic training methods are all types of training while the body is immersed in water. The most important factor influencing the body is the low impact nature of the exercises. Thephysical characteristics of the water affect human body during standing or floating in supine or prone position. The level of immersion and the water temperature will affect human body in rest but also while doing aquatic exercise. In this review, the cardiorespiratory changes during the aquatic training are discussed, especially during the deep and shallow water running. Also, the changes in neuromuscular status during others types of exercise in water are analyzed. There are possible benefits, as improving the physical fitness of an athlete and accelerating the post-game or post-training recovery which might be obtained during aquatic training. Water environment is also favorable for injured athletes during rehabilitation and also for other athletes that are experiencing interruptions in training process and competition programs caused by illness or other factors such as postseason break. Therefore, it is important to identify the effects and mechanisms of the aquatic training that are associated with changes in physiological status and athletic performance in athletes.Trening u vodi predstavlja niz oblika treninga koji se izvode s tijelom uronjenim u vodi i poznat je po smanjenim silama reakcije podloge te ostalim karakteristikama koje utječu na ljudsko tijelo bez obzira da li se tijelo nalazilo u horizontalnoj ili vertikalnoj poziciji. Dubina vode i temperature takoðer različito utječu na ljudsko tijelo tijekom odmaranja, ali i tijekom vježbanja. U ovom preglednom radu promatrane su kardiorespiratorne promjene tijekom trčanja u dubokoj i plitkoj vodi te promjene u neuromuskularnom statusu tijekom drugih trenažnih oblika u vodi. Moguće pozitivne reakcije poput unapreðenja tjelesnog statusa sportaša, brži oporavak nakon treninga i natjecanja, rezultat su treninga u vodi, dok trening u ovom specifičnom mediju takoðer može pružiti ozlijeðenim sportašima odliène okolinske uvjete za rehabilitaciju. Takoðer, koristan je i za sve ostale sportaše koji iz raznih razloga nisu u mogućnosti provoditi planirani trenažni i natjecateljski program, npr. bolest, završni period i ostali faktori. Zbog toga je važno identificirati sve efekte i mehanizme treninga u vodi koji su povezani s promjenama u funkcionalnom i neuromuskularnom statusu te s izvedbom sportaša

Effects of Aquatic Training in Children with Autism Spectrum Disorder

A variety of aquatic training regimens have been found to be beneficial for individuals with autism spectrum disorders (ASD) in multiple domains. This study investigated and compared the efficacy of two aquatic training regimens (technical vs. game-based) on gross motor skills, stereotypy behavior and emotion regulation in children with ASD. Twenty-two autistic children were randomly assigned into three groups: two experimental groups performed either a technical aquatic program or a game-based aquatic program and a control group. Participants were assessed before and after an 8-week training period, with the Test of Gross Motor Development, the stereotypy subscale of the Gilliam Autism Rating Scale, and the Emotion Regulation Checklist. A significant effect for time was found in gross motor skills and stereotypy behavior in both experimental groups. An improvement in gross motor skills was observed in both experimental groups compared to the control group. A small pre-post change effect in emotion functioning was found in all groups. No significant differences were observed between the experimental groups in all assessed variables. Our findings provide additional evidence suggesting the effectiveness of beneficial effects of aquatic activities on the motor and social skills that underpin the hypothesis that motor and intellectual domains are highly interrelated in autistic children

Analysis of Aquatic and Land Training on Selected Physical Fitness Variables among Volleyball Players

The purpose of this study was to analyse the aquatic and land training on selected physical fitness variables among Volleyball players. To achieve the purpose 30 physically active and interested undergraduate engineering Volleyball players were selected as subjects and their age ranged between 18 and 20 years. The subjects are categorized into two groups randomly viz.; Aquatic Training group (ATG), land Training group (LTG) and each group had 15 subjects. The experimental group underwent the experimental treatment for 12 weeks, 3 days per week and a session on each day with 90 minutes duration. Speed, endurance and explosive power were taken as variables for this investigation. Fifty meters run, cooper 12 minutes run and standing vertical jump were tests used to collect the relevant data. The data were collected prior and after the experimental treatment. The collected data was analyzed using analysis of covariance (ANCOVA). The result reveals that aquatic training group showed significant improvement in all the selected physical fitness variables

A randomized controlled trial to establish the impact of aquatic exercise training on functional capacity, balance, and perceptions of fatigue in female patients with multiple sclerosis

Objective: To assess the effects of 8-weeks aquatic exercise training on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). Design: A randomized controlled design. Setting: Referral center of a multiple sclerosis society. Participants: Women (age:36.4 ±8.2; BMI:24.5 ±1.9) diagnosed with RR-type (relapsing-remitting) MS. After undergoing baseline testing, participants were allocated to either an intervention (aquatic training programme) or a control group. Interventions: The intervention consisted of an 8-week aquatic training programme (3 supervised training sessions per week; session duration; 45-60 min; 50-75% heart rate reserve). Main measures: Six-minute walk test (6-MWT); balance (Berg Balance Scale; BBS), and perceptions of fatigue (Modified Fatigue Impact Scale; MFIS), at baseline and after an 8 week intervention. Differences over time between the experimental and control groups were assessed by a 2x2 (group by time) repeated measures analysis of variance (ANOVA). Results: 32 women (age:36.4 ±8.2; BMI:24.5 ±1.9) completed the 8-week aquatic training intervention (experimental group, n=17; controls, n = 15). All outcome measures improved in the experimental group; 6-MWT performance (451±58 m to 503±57 m; P&lt;0.001); BBS (pre-test mean, 53.59±1.70; post-test mean, 55.18±1.18; P&lt;0.001), and in the MFIS (pre-test mean, 43.1±14.6, post-test mean, 32.8 ±5.9;P&lt;0.01). A significant group-by-time interaction was evident between the experimental and controls groups for 6-MWT:P&lt;0.001, ηp²=0.551; BBS:P&lt;0.001, ηp²=0.423; and MFIS: P&lt;0.001, ηp²=0.679. Conclusions: Aquatic exercise training improves functional capacity, balance, and perceptions of fatigue in women with MS

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