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The aim of this study is to compare the relative effectiveness of three different treatment groups for improvements of postural control and for improvements of balance in these patients using aquatic therapy.
Forty-five patients diagnosed with acquired brain injury, with over one year's evolution and independent gait over a distance of 10 meters, with our without the use of an orthopedic aid, were selected and randomized in 3 groups. Dry land therapy group (DT group), which received sessions including exercises for gait, trunk mobility and exercises involving the upper and lower limbs; Experimental group (EG group) , which received Ai Chi aquatic therapy; Combined group (DT+EG group), which received alternate sessions of therapy on dry land and aquatic therapy with Ai Chi.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ai Chi | Experimental | Ai Chi aquatic therapy Dry land therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| aquatic therapy | Other | The exercises of Ai Chi were performed in a specific order, until completion of the total possible movements. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Berg Balance Scale | The test consists of sitting, getting up, maintaining the standing position and changing positions, with a total of 14 items. The total possible score is 56 points, The scores on the Berg balance scale were classified as follows: high risk of falls (0-20), moderate risk (21-40) and low risk (> 41) with higher scores indicating that the person has better balance. | 6 months |
| Five Times Sit-to-Stand test | The participants were seated with their arms crossed and they were asked to stand up and sit down five times as fast as possible | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sagrario Pérez- de la Cruz, Ph D | Universidad de Almeria | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sagrario | AlmerÃa | 04120 | Spain |
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| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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| ID | Term |
|---|---|
| D000088543 | Aquatic Therapy |
| D011616 | Psychotherapy, Multiple |
| ID | Term |
|---|---|
| D006875 | Hydrotherapy |
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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This study was a randomized, single-blinded controlled trial. The participants were recruited from three brain injury associations and those who fulfilled the inclusion criteria were randomly assigned to three treatment groups.
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| Dry land therapy | Other | sessions including exercises for gait, trunk mobility and exercises involving the upper and lower limbs |
|
| Combined therapy | Other | alternate sessions of therapy on dry land and aquatic therapy with Ai Chi |
|
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D011613 |
| Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |