Aerobic training in aquatic environment improves the position sense of stroke patients: A randomized clinical trial

• Main Authors: Flávia de Andrade e Souza Mazuchi, Aline Bigongiari, Juliana Valente Francica, Patricia Martins Franciulli, Luis Mochizuki, Joseph Hamill, Ulysses Fernandes Ervilha
• Format: Article
• Language: English
• Published: Universidade Estadual Paulista 2018-03-01
• Series: Motriz: Revista de Educacao Fisica
• Subjects: position sense; aerobic exercise; stroke; proprioception
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742018000100308&lng=en&tlng=en

Abstract AIMS (Stroke patients often present sensory-motor alterations and less aerobic capacity. Joint position sense, which is crucial for balance and gait control, is also affected in stroke patients). To compare the effect of two exercise training protocols (walking in deep water and on a treadmill) on the knee position sense of stroke patients. METHODS This study was designed as a randomized controlled clinical trial. Twelve adults, who suffered a stroke at least one year prior to the start of the study, were randomly assigned to one of two groups: 1) pool group submitted to aerobic deep water walking training; and 2) the treadmill group which was submitted to aerobic walk on a treadmill. Measurements: The position sense, absolute error and variable error, of the knee joint was evaluated prior to and after nine weeks of aerobic training. RESULTS The pool group presented smaller absolute (13.9o versus 6.1o; p < 0.05) and variable (9.2o versus 3.9o; p < 0.05) errors after nine-weeks gait training than the treadmill group. CONCLUSIONS Nine-week aerobic exercise intervention in aquatic environment improved precision in the position sense of the knee joint of stroke patients, suggesting a possible application in a rehabilitation program.