Suraj B. Kanase (2025) Effect of Aquatic Therapy on Balance in Chronic Stroke Survivors

Aquatic Therapy Significantly Improves Balance in Chronic Stroke Survivors

Introduction: Addressing Post-Stroke Balance Deficits

Stroke is a major cause of long-term disability worldwide, often leaving survivors with severe balance impairments. These issues reduce mobility and quality of life, increasing the risk of falls and dependency. Traditional physiotherapy can offer limited progress, especially in chronic cases. This study by Suraj B. Kanase (2025) explores the effectiveness of aquatic therapy combined with conventional physiotherapy in improving balance among chronic stroke patients.

Study Design: A Controlled Clinical Trial

This randomized experimental study involved 20 chronic stroke survivors, divided into two groups:

Group A received conventional land-based physiotherapy
Group B received conventional therapy plus aquatic therapy

Both groups trained five days a week for three weeks. Balance outcomes were measured using the Berg Balance Scale (BBS) before and after the intervention.

Results: Aquatic Therapy Delivers Superior Outcomes

Results showed significant improvement in balance in both groups, but Group B (aquatic therapy group) demonstrated greater gains:

Group A (land only): BBS score improved to 30.6
Group B (aquatic): BBS score improved to 42.5

The difference was statistically significant (p < 0.001). Aquatic therapy proved to be more time-efficient, reducing recovery latency and enhancing neuromuscular reorganization.

Why Aquatic Therapy Works

The water’s buoyancy, resistance, and thermal properties reduce joint stress while promoting muscle activation, core stability, and neuromotor control. These conditions are ideal for individuals with limited postural control, allowing safe practice of dynamic movements that rebuild balance and coordination.

Conclusion: A Breakthrough in Stroke Rehabilitation

This study confirms that aquatic therapy is more effective than land-based therapy alone for improving balance in chronic stroke survivors. It offers a safe, enjoyable, and efficient approach to long-term rehabilitation, supporting functional recovery and reducing fall risk.