Development status and prospect of aquatic therapeutic exercise_West China Medical Journal

Authors：

 CONG Fang ^1,2 , CUI Yao ^1,2

1. School of Rehabilitation Medicine, Capital Medical University, Beijing 100068, P. R. China;
2. Department of Physical Medicine, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, P. R. China;

Corresponding?author：

CONG Fang, Email: cong_fang_crrc@sina.com

Keywords：

Aquatic therapeutic exercise; Aquatic therapy; Physical therapy; Rehabilitation medicine; Evidence-based medicine

DOI：

10.7507/1002-0179.202002401

Video：

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Abstract Full text Figures/Tables Video References Cited by

This paper briefly introduces the basic concepts, development history, basic principles, main treatment and evaluation technologies, development status, existing problems and development trends of aquatic therapeutic exercise, and summarizes the new progress of aquatic therapeutic exercise in basic medical research and evidence-based medical research through literature analysis. It aims to provide a reference for clinical treatment, scientific research and medical education for practitioners in rehabilitation medicine and related fields by systematically analyzing the scientific principles, technical systems, application fields and evidence-based foundation of aquatic therapeutic exercise, and improve the awareness rate and application rate of aquatic therapeutic exercise in the fields of rehabilitation medicine, sports medicine, geriatrics, etc., promote the standardized development of aquatic rehabilitation.

Citation： CONG Fang, CUI Yao. Development status and prospect of aquatic therapeutic exercise. West China Medical Journal, 2020, 35(5): 527-533. doi: 10.7507/1002-0179.202002401 Copy

1.	崔堯, 叢芳. 水療//叢芳. 物理因子治療技術. 北京: 人民衛生出版社, 2019: 191-241.
2.	崔堯, 叢芳. 水療//沈瀅, 張志強. 康復治療師臨床工作指南: 物理因子治療技術. 北京: 人民衛生出版社, 2019: 227-259.
3.	Chen WS, Annaswamy TM, Yang WB, et al. 物理因子療法. 叢芳, 崔堯, 譯//Cifu DX. Braddom’s 物理醫學與康復醫學. 勵建安, 畢勝, 黃曉琳, 譯. 北京: 科學出版社, 2018: 310-333.
4.	Becker BE. 水療康復. 叢芳, 崔堯, 譯//Frontera WR, Jette AM, Carter GT, et al. Delisa 物理醫學與康復醫學理論與實踐. 勵建安, 畢勝, 黃曉琳, 譯. 5 版. 北京: 人民衛生出版社, 2013: 1283-1295.
5.	王月麗, 曾明, 崔堯, 等. 水療對恢復期腦卒中患者姿勢穩定性和步行功能的影響. 中華物理醫學與康復雜志, 2019, 41(9): 685-687.
6.	曾明, 王月麗, 崔堯, 等. 水中平衡訓練對腦梗死患者平衡功能影響. 中國康復醫學雜志, 2019, 34(7): 789-793, 800.
7.	曾明, 崔堯, 王月麗, 等. 水中平板步行訓練對腦卒中患者步行功能的影響. 中國康復理論與實踐, 2019, 25(1): 76-80.
8.	Aidar FJ, Jacó de Oliveira R, Gama de Matos D, et al. A randomized trial of the effects of an aquatic exercise program on depression, anxiety levels, and functional capacity of people who suffered an ischemic stroke. J Sports Med Phys Fitness, 2018, 58(7/8): 1171-1177.
9.	Adsett JA, Mudge AM, Morris N, et al. Aquatic exercise training and stable heart failure: a systematic review and meta-analysis. IntJ Cardiol, 2015, 186: 22-28.
10.	Daabis R, Hassan M, Zidan M. Endurance and strength training in pulmonary rehabilitation for COPD patients. Egypt J Chest Dis Tuberc, 2017, 66(2): 231-236.
11.	Neto MG, Concei??o CS, de Jesus FL, et al. Hydrotherapy on exercise capacity, muscle strength and quality of life in patients with heart failure: a meta-analysis. Int J Cardiol, 2015, 198: 216-219.
12.	叢芳, 崔堯, 金龍, 等. 國內水療康復概況與發展趨勢. 世界康復工程與器械, 2014, 4(2): 9-11.
13.	Lambeck J, Bommer A. Ai chi: 在臨床實踐中的應用. 金龍, 崔堯, 叢芳, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 137-153.
14.	Lambeck J, Gamper U. Halliwick 理念. 崔堯, 叢芳, 金龍, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 62-88.
15.	Schoedinger P. 水療康復中的 Watsu. 叢芳, 崔堯, 姚斌, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 112-122.
16.	中華醫學會物理醫學與康復學分會康復治療學組, 中國醫師協會水療康復專業委員會. 腦卒中水中運動治療中國循證臨床實踐指南(2019 版). 中國康復理論與實踐, 2020, 26(3): 249-262.
17.	中華醫學會物理醫學與康復學分會康復治療學組, 中國醫師協會水療康復專業委員會. 脊髓損傷水療康復中國專家共識. 中國康復理論與實踐, 2019, 25(1): 34-43.
18.	叢芳, 李建軍. 脊髓損傷水療康復中國專家共識//中華醫學會物理醫學與康復學分會, 岳壽偉, 何成奇. 物理醫學與康復指南與專家共識. 北京: 人民衛生出版社. 2019: 323-334.
19.	崔堯, 叢芳, 李建軍, 等. Alyn 水中適應性測試量表 2 的漢化及在脊髓損傷患者中的信度與效度. 中國康復理論與實踐, 2018, 24(11): 1302-1308.
20.	金龍, 叢芳, 崔堯, 等. Alyn 水中適應性測試量表 1 的漢化及信度與效度研究. 中國康復理論與實踐, 2015, 21(5): 539-543.
21.	崔堯, 叢芳, 金龍. Halliwick 理念及其在水療康復中的應用. 中國康復理論與實踐, 2013, 19(3): 239-245.
22.	中國康復研究中心, 中國康復科學所, 李建軍, 等. 基于 Android 平臺的 Alyn 水中適應性評價軟件: 2016SR078358. 2015-12-15.
23.	崔堯, 叢芳, 李建軍, 等. 移動康復評定在脊髓損傷患者水中康復評定中的應用. 中國康復理論與實踐, 2019, 25(3): 341-346.
24.	金龍, 叢芳, 宋桂蕓, 等. 水中太極對不完全性脊髓損傷患者平衡功能的影響. 中國康復理論與實踐, 2017, 23(8): 955-958.
25.	Getz M, Hutzler Y, Vermeer A. The relationship between aquatic independence and gross motor function in children with neuro-motor impairments. Adapt Phys Activ Q, 2006, 23(4): 339-355.
26.	Dimitrijevi? L, Aleksandrovi? M, Madi? D, et al. The effect of aquatic intervention on the gross motor function and aquatic skills in children with cerebral palsy. J Hum Kinet, 2012, 32: 167-174.
27.	Carter HH, Spence AL, Pugh CJ, et al. Cardiovascular responses to water immersion in humans: impact on cerebral perfusion. AmJ Physiol Regul Integr Comp Physiol, 2014, 306(9): R636-R640.
28.	Sato D, Yamashiro K, Onishi H, et al. The effect of water immersion on short-latency somatosensory evoked potentials in human. BMC Neurosci, 2012, 13: 13.
29.	Schaefer SY, Louder TJ, Foster S, et al. Effect of water immersion on dual-task performance: implications for aquatic therapy. Physiother Res Int, 2016, 21(3): 147-154.
30.	Haynes A, Naylor LH, Carter HH, et al. Land-walking vs. water-walking interventions in older adults: effects on aerobic fitness.J Sport Health Sci. (2019-12-23)[2020-02-28]. https://doi.org/10.1016/j.jshs.2019.11.005.
31.	崔堯, 賈威, 曾明, 等. 水中運動治療對腦卒中患者下肢運動功能及日常生活活動能力效果的 meta 分析. 中國康復理論與實踐, 2020, 26(3): 263-277.
32.	Bidonde J, Busch A J, Webber SC, et al. Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev, 2014, 10: CD011336.
33.	Bartels EM, Juhl CB, Christensen R, et al. Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev, 2016, 3: CD005523.
34.	Getz M, Hutzler Y, Vermeer A. Effects of aquatic interventions in children with neuromotor impairments: a systematic review of the literature. Clin Rehabil, 2006, 20(11): 927-936.
35.	Jorgi? B, Dimitrijevi? L, Lambeck J, et al. Effects of aquatic programs in children and adolescents with cerebral palsy: systematic review. Sport Science, 2012, 5(2): 49-56.
36.	Kārkli?a B, Declerck M, Daly D. Quantification of aquatic interventions in children with disabilities: a systematic literature review. International Journal of Aquatic Research and Education, 2013, 7: 344-379.
37.	Roostaei M, Baharlouei H, Azadi H, et al. Effects of aquatic intervention on gross motor skills in children with cerebral palsy:a systematic review. Phys Occup Ther Pediatr, 2017, 37(5): 496-515.
38.	Olson DA, Kolber MJ, Patel C, et al. Aquatic exercise for treatment of low-back pain: a systematic review of randomized controlled trials. Am J Lifestyle Med, 2013, 7(2): 154-159.
39.	Waller B, Lambeck J, Daly D. Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. Clin Rehabil, 2009, 23(1): 3-14.
40.	Meyer RI. 水療員工培訓及發展. 吳瓊, 叢芳, 金龍, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 332-348.
41.	中國康復研究中心. 水中股四頭肌訓練儀: 201220623321.3. 2013-04-24.
42.	中國康復研究中心. 水中踝關節訓練儀: CN201220623932.8. 2013-04-24.
43.	中國康復研究中心. 水中上肢多功能組合訓練器: CN201420475020.X. 2014-12-24.
44.	中國康復研究中心. 一種康復治療多功能綜合訓練器: CN201420474887.3. 2014-12-24.
45.	中國康復研究中心. 水中平衡功能訓練儀: CN204034150U. 2014-12-24.
46.	中國康復研究中心. 水中下肢屈伸功能訓練器: CN201420473173.0. 2014-12-24.
47.	中國康復研究中心. 水中手搖車式上下肢協同訓練器: CN201420474844.5. 2014-12-24.
48.	中國康復研究中心. 水中手搖車式上下肢協同訓練器: CN201410415162.1. 2014-11-19.
49.	中國康復醫學會康復治療專業委員會水療學組. 水療康復技術專家共識. 中國康復醫學雜志, 2019, 34(7): 756-760.
50.	Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee scientific report. (2018-02-03)[2020-04-29]. https://health.gov/our-work/physical-activity/current-guidelines/scientific-report.

1. 崔堯, 叢芳. 水療//叢芳. 物理因子治療技術. 北京: 人民衛生出版社, 2019: 191-241.
2. 崔堯, 叢芳. 水療//沈瀅, 張志強. 康復治療師臨床工作指南: 物理因子治療技術. 北京: 人民衛生出版社, 2019: 227-259.
3. Chen WS, Annaswamy TM, Yang WB, et al. 物理因子療法. 叢芳, 崔堯, 譯//Cifu DX. Braddom’s 物理醫學與康復醫學. 勵建安, 畢勝, 黃曉琳, 譯. 北京: 科學出版社, 2018: 310-333.
4. Becker BE. 水療康復. 叢芳, 崔堯, 譯//Frontera WR, Jette AM, Carter GT, et al. Delisa 物理醫學與康復醫學理論與實踐. 勵建安, 畢勝, 黃曉琳, 譯. 5 版. 北京: 人民衛生出版社, 2013: 1283-1295.
5. 王月麗, 曾明, 崔堯, 等. 水療對恢復期腦卒中患者姿勢穩定性和步行功能的影響. 中華物理醫學與康復雜志, 2019, 41(9): 685-687.
6. 曾明, 王月麗, 崔堯, 等. 水中平衡訓練對腦梗死患者平衡功能影響. 中國康復醫學雜志, 2019, 34(7): 789-793, 800.
7. 曾明, 崔堯, 王月麗, 等. 水中平板步行訓練對腦卒中患者步行功能的影響. 中國康復理論與實踐, 2019, 25(1): 76-80.
8. Aidar FJ, Jacó de Oliveira R, Gama de Matos D, et al. A randomized trial of the effects of an aquatic exercise program on depression, anxiety levels, and functional capacity of people who suffered an ischemic stroke. J Sports Med Phys Fitness, 2018, 58(7/8): 1171-1177.
9. Adsett JA, Mudge AM, Morris N, et al. Aquatic exercise training and stable heart failure: a systematic review and meta-analysis. IntJ Cardiol, 2015, 186: 22-28.
10. Daabis R, Hassan M, Zidan M. Endurance and strength training in pulmonary rehabilitation for COPD patients. Egypt J Chest Dis Tuberc, 2017, 66(2): 231-236.
11. Neto MG, Concei??o CS, de Jesus FL, et al. Hydrotherapy on exercise capacity, muscle strength and quality of life in patients with heart failure: a meta-analysis. Int J Cardiol, 2015, 198: 216-219.
12. 叢芳, 崔堯, 金龍, 等. 國內水療康復概況與發展趨勢. 世界康復工程與器械, 2014, 4(2): 9-11.
13. Lambeck J, Bommer A. Ai chi: 在臨床實踐中的應用. 金龍, 崔堯, 叢芳, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 137-153.
14. Lambeck J, Gamper U. Halliwick 理念. 崔堯, 叢芳, 金龍, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 62-88.
15. Schoedinger P. 水療康復中的 Watsu. 叢芳, 崔堯, 姚斌, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 112-122.
16. 中華醫學會物理醫學與康復學分會康復治療學組, 中國醫師協會水療康復專業委員會. 腦卒中水中運動治療中國循證臨床實踐指南(2019 版). 中國康復理論與實踐, 2020, 26(3): 249-262.
17. 中華醫學會物理醫學與康復學分會康復治療學組, 中國醫師協會水療康復專業委員會. 脊髓損傷水療康復中國專家共識. 中國康復理論與實踐, 2019, 25(1): 34-43.
18. 叢芳, 李建軍. 脊髓損傷水療康復中國專家共識//中華醫學會物理醫學與康復學分會, 岳壽偉, 何成奇. 物理醫學與康復指南與專家共識. 北京: 人民衛生出版社. 2019: 323-334.
19. 崔堯, 叢芳, 李建軍, 等. Alyn 水中適應性測試量表 2 的漢化及在脊髓損傷患者中的信度與效度. 中國康復理論與實踐, 2018, 24(11): 1302-1308.
20. 金龍, 叢芳, 崔堯, 等. Alyn 水中適應性測試量表 1 的漢化及信度與效度研究. 中國康復理論與實踐, 2015, 21(5): 539-543.
21. 崔堯, 叢芳, 金龍. Halliwick 理念及其在水療康復中的應用. 中國康復理論與實踐, 2013, 19(3): 239-245.
22. 中國康復研究中心, 中國康復科學所, 李建軍, 等. 基于 Android 平臺的 Alyn 水中適應性評價軟件: 2016SR078358. 2015-12-15.
23. 崔堯, 叢芳, 李建軍, 等. 移動康復評定在脊髓損傷患者水中康復評定中的應用. 中國康復理論與實踐, 2019, 25(3): 341-346.
24. 金龍, 叢芳, 宋桂蕓, 等. 水中太極對不完全性脊髓損傷患者平衡功能的影響. 中國康復理論與實踐, 2017, 23(8): 955-958.
25. Getz M, Hutzler Y, Vermeer A. The relationship between aquatic independence and gross motor function in children with neuro-motor impairments. Adapt Phys Activ Q, 2006, 23(4): 339-355.
26. Dimitrijevi? L, Aleksandrovi? M, Madi? D, et al. The effect of aquatic intervention on the gross motor function and aquatic skills in children with cerebral palsy. J Hum Kinet, 2012, 32: 167-174.
27. Carter HH, Spence AL, Pugh CJ, et al. Cardiovascular responses to water immersion in humans: impact on cerebral perfusion. AmJ Physiol Regul Integr Comp Physiol, 2014, 306(9): R636-R640.
28. Sato D, Yamashiro K, Onishi H, et al. The effect of water immersion on short-latency somatosensory evoked potentials in human. BMC Neurosci, 2012, 13: 13.
29. Schaefer SY, Louder TJ, Foster S, et al. Effect of water immersion on dual-task performance: implications for aquatic therapy. Physiother Res Int, 2016, 21(3): 147-154.
30. Haynes A, Naylor LH, Carter HH, et al. Land-walking vs. water-walking interventions in older adults: effects on aerobic fitness.J Sport Health Sci. (2019-12-23)[2020-02-28]. https://doi.org/10.1016/j.jshs.2019.11.005.
31. 崔堯, 賈威, 曾明, 等. 水中運動治療對腦卒中患者下肢運動功能及日常生活活動能力效果的 meta 分析. 中國康復理論與實踐, 2020, 26(3): 263-277.
32. Bidonde J, Busch A J, Webber SC, et al. Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev, 2014, 10: CD011336.
33. Bartels EM, Juhl CB, Christensen R, et al. Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev, 2016, 3: CD005523.
34. Getz M, Hutzler Y, Vermeer A. Effects of aquatic interventions in children with neuromotor impairments: a systematic review of the literature. Clin Rehabil, 2006, 20(11): 927-936.
35. Jorgi? B, Dimitrijevi? L, Lambeck J, et al. Effects of aquatic programs in children and adolescents with cerebral palsy: systematic review. Sport Science, 2012, 5(2): 49-56.
36. Kārkli?a B, Declerck M, Daly D. Quantification of aquatic interventions in children with disabilities: a systematic literature review. International Journal of Aquatic Research and Education, 2013, 7: 344-379.
37. Roostaei M, Baharlouei H, Azadi H, et al. Effects of aquatic intervention on gross motor skills in children with cerebral palsy:a systematic review. Phys Occup Ther Pediatr, 2017, 37(5): 496-515.
38. Olson DA, Kolber MJ, Patel C, et al. Aquatic exercise for treatment of low-back pain: a systematic review of randomized controlled trials. Am J Lifestyle Med, 2013, 7(2): 154-159.
39. Waller B, Lambeck J, Daly D. Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. Clin Rehabil, 2009, 23(1): 3-14.
40. Meyer RI. 水療員工培訓及發展. 吳瓊, 叢芳, 金龍, 等, 譯//Becker BE, Cole AJ. 綜合水療學. 黃東峰, 李建新, 王寧華, 譯. 北京: 金盾出版社, 2015: 332-348.
41. 中國康復研究中心. 水中股四頭肌訓練儀: 201220623321.3. 2013-04-24.
42. 中國康復研究中心. 水中踝關節訓練儀: CN201220623932.8. 2013-04-24.
43. 中國康復研究中心. 水中上肢多功能組合訓練器: CN201420475020.X. 2014-12-24.
44. 中國康復研究中心. 一種康復治療多功能綜合訓練器: CN201420474887.3. 2014-12-24.
45. 中國康復研究中心. 水中平衡功能訓練儀: CN204034150U. 2014-12-24.
46. 中國康復研究中心. 水中下肢屈伸功能訓練器: CN201420473173.0. 2014-12-24.
47. 中國康復研究中心. 水中手搖車式上下肢協同訓練器: CN201420474844.5. 2014-12-24.
48. 中國康復研究中心. 水中手搖車式上下肢協同訓練器: CN201410415162.1. 2014-11-19.
49. 中國康復醫學會康復治療專業委員會水療學組. 水療康復技術專家共識. 中國康復醫學雜志, 2019, 34(7): 756-760.
50. Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee scientific report. (2018-02-03)[2020-04-29]. https://health.gov/our-work/physical-activity/current-guidelines/scientific-report.

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