Authors Design N (% female) Mean age(SD)
in years
Intervention
/Training
Outcome measures Assessment/Follow-up Results
Robinson et al. [18] Repeated measures 32 (100) 20.2 (0.3) Plyometric training in water or on land (3 days a week for 8 weeks) Sargent vertical jump test
Peak torque
40 m sprint
Self-report ordinal scale(muscle soreness)
Pain sensitivity
Pre-training
Mid-training (4 weeks)
Post-training (8 weeks)
There were no treatment by time interactions, indicating that there were no performance and pain sensitivity differences between the land- and aquatic-trained groups (p>0.05).
There was a significant interaction of treatment group by time for perception of muscle soreness (p=0.01).
Martel et al.
[19]
Repeated measures 19
(100)
15(1)/14(1)
(aquatic group/control group)
Plyometric training in aqua or on land (twice a week for 6 weeks) Vertical jump
Isokinetic peak torque
Baseline
After 2 weeks
After 4 weeks
After 6 weeks
There were significant increases in vertical jump after 4 weeks and 6 weeks in both groups (p<0.05).
Significant improvements in concentric peak torque were observed in the dominant leg of both groups after 6 weeks (p<0.05).
Roth et al. [20] Repeated measures 27(62) 21.18(1.24) /22.43(1.81)
(female/male)
Balance training program in aqua or on land (for 4 weeks) X and Y range of Single leg stance(SL), Tandem, stance(T), and Single leg foam stance(SLF)
Tandem form stance(TF)
Pretest
Mid-test(2 weeks)
Post-test(4 weeks)
Follow-up test(6 weeks)
A significant group * time interaction for the X range was found for SL, SLF, and TF (p<0.05). The Y range improved significantly, with posttest value lower than pretest value (p<0.05).
Stemm and Jacobson [22] Pre-test /Post-test 21 (unknown) 24(2.5) Plyometric training in aqua or on land (twice a week for 6 weeks) VERTEC vertical jump test Pre-test
Post-test
Aquatic and land-based groups significantly outperformed the control group in the vertical jump, but no significant difference was found in the vertical jump between the aquatic and land-based groups.
Dundar et al. [16] Randomized controlled trial 65(47) 35.3(7.8)/34.8(8.3)
(aquatic /land-based)
Exercise program in aqua or on land (5 times a week for 4 weeks) Spinal range of motion
Schober test
Visual analogue scale for pain
Oswestry low back pain disability questionnaire
Short-form 36 health survey for quality of life
Before the treatment
After the treatment (after 4 weeks and 12 weeks)
Statistically significant improvements were detected in all outcome measures except the Schober test compared with baseline (p<0.05).
Kim et al [9] Randomized controlled trial 22(27) 26(4.1) /26(3.1)
(aquatic /land-based)
Early functional rehabilitation program in aqua or on land (5 sessions per week for 3 weeks) Visual analogue scale for pain
Static stability
Dynamic stability
Percentage single-limb support time
Baseline
After 2 weeks
After 4 weeks
Both groups showed decrease in the visual analogue scale, static and dynamic stability, and percentage single-limb support time at 2 and 4 weeks (p<0.05).
There were significant group by time interactions for the visual analogue scale, static and dynamic stability, and percentage single-limb support time(p<0.05).
Asimenia et al. [21] Pretest /Posttest 30(46) 20.58(0.64) Balance program in aqua or on land (3 times per week for 6 weeks) Total anterior-posterior and medial-lateral stability for static stability
Dynamic stability test
Before the program
After the program
In both groups, balance ability of the injured leg was significantly improved after the training period (p<0.05).
In the final measurements, no statistically significant differences were found between the injured and non-injured.
Nualon et al. [23] Repeated measures 47(8) 20.79(1.89) /20.04(1.22)
(hydro/land-based)
Functional rehabilitation program in aqua or on land (twice a week for 6 weeks) Single-limb hopping test
Ankle joint position sense
Baseline
After 6 weeks
After 3 months
In the hydrotherapy group, the time taken for the single-limb hopping test decreased significantly immediately after exercise and at follow-up compared with the base line (p=0.001). In the land-based group, time taken for the single-limb hopping test decreased significantly at follow up compared with baseline (p=0.05). No significant differences were detected between groups in the ankle joint position sense (p>0.05).
Table 2: Summary of 8 articles of aquatic physical therapy interventions: design, intervention, outcome, assessment, and results.