Terrens (2018) The efficacy and feasibility of aquatic physiotherapy for people with Parkinsons diseasea systematic review

Parkinson’s disease (PD) is a progressive neurological disorder characterized by motor impairments such as bradykinesia, tremors, and balance issues, which significantly impact quality of life. This systematic review evaluates the efficacy and feasibility of aquatic physiotherapy as a therapeutic intervention for people with PD.

The analysis included 10 studies involving 119 participants. Results indicated that aquatic physiotherapy improved motor performance, balance, and quality of life. Significant enhancements were observed in outcome measures such as the Berg Balance Scale, Timed Up and Go test, and the Parkinson’s Disease Questionnaire-39. The buoyancy and hydrostatic properties of water facilitated safer movement, reduced joint stress, and improved postural control, making aquatic therapy particularly beneficial for PD patients.

However, the review also highlighted gaps in safety reporting, such as the absence of consistent documentation on pool temperature, depth, and staffing. Feasibility elements like adherence and attrition rates were underreported, though available data suggested high adherence rates of over 80%.

The review concludes that while aquatic physiotherapy offers promising benefits, further high-quality research with standardized methodologies and better safety reporting is essential to establish its broader applicability for PD management.