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.	崔尧, 丛芳. 水疗//丛芳. 物理因子治疗技术. 北京: 人民卫生出版社, 2019: 191-241.
2.	崔尧, 丛芳. 水疗//沈滢, 张志强. 康复治疗师临床工作指南: 物理因子治疗技术. 北京: 人民卫生出版社, 2019: 227-259.
3.	Chen WS, Annaswamy TM, Yang WB, et al. 物理因子疗法. 丛芳, 崔尧, 译//Cifu DX. Braddom’s 物理医学与康复医学. 励建安, 毕胜, 黄晓琳, 译. 北京: 科学出版社, 2018: 310-333.
4.	Becker BE. 水疗康复. 丛芳, 崔尧, 译//Frontera WR, Jette AM, Carter GT, et al. Delisa 物理医学与康复医学理论与实践. 励建安, 毕胜, 黄晓琳, 译. 5 版. 北京: 人民卫生出版社, 2013: 1283-1295.
5.	王月丽, 曾明, 崔尧, 等. 水疗对恢复期脑卒中患者姿势稳定性和步行功能的影响. 中华物理医学与康复杂志, 2019, 41(9): 685-687.
6.	曾明, 王月丽, 崔尧, 等. 水中平衡训练对脑梗死患者平衡功能影响. 中国康复医学杂志, 2019, 34(7): 789-793, 800.
7.	曾明, 崔尧, 王月丽, 等. 水中平板步行训练对脑卒中患者步行功能的影响. 中国康复理论与实践, 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, Conceição 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.	丛芳, 崔尧, 金龙, 等. 国内水疗康复概况与发展趋势. 世界康复工程与器械, 2014, 4(2): 9-11.
13.	Lambeck J, Bommer A. Ai chi: 在临床实践中的应用. 金龙, 崔尧, 丛芳, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 137-153.
14.	Lambeck J, Gamper U. Halliwick 理念. 崔尧, 丛芳, 金龙, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 62-88.
15.	Schoedinger P. 水疗康复中的 Watsu. 丛芳, 崔尧, 姚斌, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 112-122.
16.	中华医学会物理医学与康复学分会康复治疗学组, 中国医师协会水疗康复专业委员会. 脑卒中水中运动治疗中国循证临床实践指南(2019 版). 中国康复理论与实践, 2020, 26(3): 249-262.
17.	中华医学会物理医学与康复学分会康复治疗学组, 中国医师协会水疗康复专业委员会. 脊髓损伤水疗康复中国专家共识. 中国康复理论与实践, 2019, 25(1): 34-43.
18.	丛芳, 李建军. 脊髓损伤水疗康复中国专家共识//中华医学会物理医学与康复学分会, 岳寿伟, 何成奇. 物理医学与康复指南与专家共识. 北京: 人民卫生出版社. 2019: 323-334.
19.	崔尧, 丛芳, 李建军, 等. Alyn 水中适应性测试量表 2 的汉化及在脊髓损伤患者中的信度与效度. 中国康复理论与实践, 2018, 24(11): 1302-1308.
20.	金龙, 丛芳, 崔尧, 等. Alyn 水中适应性测试量表 1 的汉化及信度与效度研究. 中国康复理论与实践, 2015, 21(5): 539-543.
21.	崔尧, 丛芳, 金龙. Halliwick 理念及其在水疗康复中的应用. 中国康复理论与实践, 2013, 19(3): 239-245.
22.	中国康复研究中心, 中国康复科学所, 李建军, 等. 基于 Android 平台的 Alyn 水中适应性评价软件: 2016SR078358. 2015-12-15.
23.	崔尧, 丛芳, 李建军, 等. 移动康复评定在脊髓损伤患者水中康复评定中的应用. 中国康复理论与实践, 2019, 25(3): 341-346.
24.	金龙, 丛芳, 宋桂芸, 等. 水中太极对不完全性脊髓损伤患者平衡功能的影响. 中国康复理论与实践, 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.	Dimitrijević L, Aleksandrović M, Madić 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.	崔尧, 贾威, 曾明, 等. 水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力效果的 meta 分析. 中国康复理论与实践, 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.	Jorgić B, Dimitrijević 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.	Kārkliņa 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. 水疗员工培训及发展. 吴琼, 丛芳, 金龙, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 332-348.
41.	中国康复研究中心. 水中股四头肌训练仪: 201220623321.3. 2013-04-24.
42.	中国康复研究中心. 水中踝关节训练仪: CN201220623932.8. 2013-04-24.
43.	中国康复研究中心. 水中上肢多功能组合训练器: CN201420475020.X. 2014-12-24.
44.	中国康复研究中心. 一种康复治疗多功能综合训练器: CN201420474887.3. 2014-12-24.
45.	中国康复研究中心. 水中平衡功能训练仪: CN204034150U. 2014-12-24.
46.	中国康复研究中心. 水中下肢屈伸功能训练器: CN201420473173.0. 2014-12-24.
47.	中国康复研究中心. 水中手摇车式上下肢协同训练器: CN201420474844.5. 2014-12-24.
48.	中国康复研究中心. 水中手摇车式上下肢协同训练器: CN201410415162.1. 2014-11-19.
49.	中国康复医学会康复治疗专业委员会水疗学组. 水疗康复技术专家共识. 中国康复医学杂志, 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. 崔尧, 丛芳. 水疗//丛芳. 物理因子治疗技术. 北京: 人民卫生出版社, 2019: 191-241.
2. 崔尧, 丛芳. 水疗//沈滢, 张志强. 康复治疗师临床工作指南: 物理因子治疗技术. 北京: 人民卫生出版社, 2019: 227-259.
3. Chen WS, Annaswamy TM, Yang WB, et al. 物理因子疗法. 丛芳, 崔尧, 译//Cifu DX. Braddom’s 物理医学与康复医学. 励建安, 毕胜, 黄晓琳, 译. 北京: 科学出版社, 2018: 310-333.
4. Becker BE. 水疗康复. 丛芳, 崔尧, 译//Frontera WR, Jette AM, Carter GT, et al. Delisa 物理医学与康复医学理论与实践. 励建安, 毕胜, 黄晓琳, 译. 5 版. 北京: 人民卫生出版社, 2013: 1283-1295.
5. 王月丽, 曾明, 崔尧, 等. 水疗对恢复期脑卒中患者姿势稳定性和步行功能的影响. 中华物理医学与康复杂志, 2019, 41(9): 685-687.
6. 曾明, 王月丽, 崔尧, 等. 水中平衡训练对脑梗死患者平衡功能影响. 中国康复医学杂志, 2019, 34(7): 789-793, 800.
7. 曾明, 崔尧, 王月丽, 等. 水中平板步行训练对脑卒中患者步行功能的影响. 中国康复理论与实践, 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, Conceição 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. 丛芳, 崔尧, 金龙, 等. 国内水疗康复概况与发展趋势. 世界康复工程与器械, 2014, 4(2): 9-11.
13. Lambeck J, Bommer A. Ai chi: 在临床实践中的应用. 金龙, 崔尧, 丛芳, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 137-153.
14. Lambeck J, Gamper U. Halliwick 理念. 崔尧, 丛芳, 金龙, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 62-88.
15. Schoedinger P. 水疗康复中的 Watsu. 丛芳, 崔尧, 姚斌, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 112-122.
16. 中华医学会物理医学与康复学分会康复治疗学组, 中国医师协会水疗康复专业委员会. 脑卒中水中运动治疗中国循证临床实践指南(2019 版). 中国康复理论与实践, 2020, 26(3): 249-262.
17. 中华医学会物理医学与康复学分会康复治疗学组, 中国医师协会水疗康复专业委员会. 脊髓损伤水疗康复中国专家共识. 中国康复理论与实践, 2019, 25(1): 34-43.
18. 丛芳, 李建军. 脊髓损伤水疗康复中国专家共识//中华医学会物理医学与康复学分会, 岳寿伟, 何成奇. 物理医学与康复指南与专家共识. 北京: 人民卫生出版社. 2019: 323-334.
19. 崔尧, 丛芳, 李建军, 等. Alyn 水中适应性测试量表 2 的汉化及在脊髓损伤患者中的信度与效度. 中国康复理论与实践, 2018, 24(11): 1302-1308.
20. 金龙, 丛芳, 崔尧, 等. Alyn 水中适应性测试量表 1 的汉化及信度与效度研究. 中国康复理论与实践, 2015, 21(5): 539-543.
21. 崔尧, 丛芳, 金龙. Halliwick 理念及其在水疗康复中的应用. 中国康复理论与实践, 2013, 19(3): 239-245.
22. 中国康复研究中心, 中国康复科学所, 李建军, 等. 基于 Android 平台的 Alyn 水中适应性评价软件: 2016SR078358. 2015-12-15.
23. 崔尧, 丛芳, 李建军, 等. 移动康复评定在脊髓损伤患者水中康复评定中的应用. 中国康复理论与实践, 2019, 25(3): 341-346.
24. 金龙, 丛芳, 宋桂芸, 等. 水中太极对不完全性脊髓损伤患者平衡功能的影响. 中国康复理论与实践, 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. Dimitrijević L, Aleksandrović M, Madić 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. 崔尧, 贾威, 曾明, 等. 水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力效果的 meta 分析. 中国康复理论与实践, 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. Jorgić B, Dimitrijević 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. Kārkliņa 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. 水疗员工培训及发展. 吴琼, 丛芳, 金龙, 等, 译//Becker BE, Cole AJ. 综合水疗学. 黄东峰, 李建新, 王宁华, 译. 北京: 金盾出版社, 2015: 332-348.
41. 中国康复研究中心. 水中股四头肌训练仪: 201220623321.3. 2013-04-24.
42. 中国康复研究中心. 水中踝关节训练仪: CN201220623932.8. 2013-04-24.
43. 中国康复研究中心. 水中上肢多功能组合训练器: CN201420475020.X. 2014-12-24.
44. 中国康复研究中心. 一种康复治疗多功能综合训练器: CN201420474887.3. 2014-12-24.
45. 中国康复研究中心. 水中平衡功能训练仪: CN204034150U. 2014-12-24.
46. 中国康复研究中心. 水中下肢屈伸功能训练器: CN201420473173.0. 2014-12-24.
47. 中国康复研究中心. 水中手摇车式上下肢协同训练器: CN201420474844.5. 2014-12-24.
48. 中国康复研究中心. 水中手摇车式上下肢协同训练器: CN201410415162.1. 2014-11-19.
49. 中国康复医学会康复治疗专业委员会水疗学组. 水疗康复技术专家共识. 中国康复医学杂志, 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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