Aquatic Physiotherapy for Neurological Conditions

It’s with great pleasure that the ATACP has been asked to share this document, authored by Clare Martinac, Queensland Chair of the Aquatic Physiotherapy group (Australian Physiotherapy Association).

The review aims to outline the key findings of peer-reviewed literature and enable clinicians to apply this information to their practice, for optimal client outcomes in the use of 

Aquatic Physiotherapy for clients with common neurological conditions

  • Parkinson’s disease (PD)
  • Stroke
  • Multiple sclerosis (MS),
  • Acquired brain injury (ABI) and
  • Spinal cord injury (SCI).

The review has a focus on higher grades of evidence, including systematic reviews (SRs) and randomized controlled trials (RCTs), but also refers to existing published clinical guidelines and to relevant qualitative studies, which provide insight into the barriers, enablers and clients’ lived experiences of aquatic therapy.

 

Recent research suggests that there is need for education and promotion regarding the use of evidence-based aquatic physiotherapy for neurological clients (Carrol et al 2022a; Chard 2017; Marinho-Buzelli et al 2022; Marinho-Buzelli et al 2023 – details in Appendix 1).

The purpose of this document is to assist in the understanding of both the breadth and key findings of peer-reviewed literature in this area of practice and thus enable clinicians to apply this information to their practice, for optimal client outcomes. It outlines current research evidence regarding the use of aquatic physiotherapy for clients with common neurological conditions – Parkinson’s disease (PD), stroke, multiple sclerosis (MS), acquired brain injury (ABI) and spinal cord injury (SCI). It is not designed to be an exhaustive literature review, nor does it outline research on all neurological conditions.

This review has a focus on higher grades of evidence, including systematic reviews (SRs) and randomized controlled trials (RCTs), but also refers to existing published clinical guidelines and to relevant qualitative studies, which provide insight into the barriers, enablers and clients’ lived experiences of aquatic therapy.

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