SynthesisJournal of epidemiology2010
Effectiveness of aquatic exercise and balneotherapy: a summary of systematic reviews based on randomized controlled trials of water immersion therapies.
Synthesis in Journal of epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 9 syntheses or guidelines pooled it, 156 citations in OpenAlex.
- In water or on land? A network meta-analysis of aquatic and land-based exercise interventions for pain and disability in chronic lower back pain.Frontiers in medicine · 2026Pooled it
- Effectiveness of aquatic exercise in the treatment of inflammatory arthritis: systematic review.Rheumatology international · 2022Pooled it
- Therapeutic Benefits of Balneotherapy on Quality of Life of Patients with Rheumatoid Arthritis: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Efficacy of aquatic therapy for neck pain: a systematic review.International journal of biometeorology · 2020Pooled it
- Dietary interventions to prevent and manage diabetes in worksite settings: a meta-analysis.Journal of occupational health · 2018Pooled it
- The role of mineral elements and other chemical compounds used in balneology: data from double-blind randomized clinical trials.International journal of biometeorology · 2017Pooled it
- Health resort medicine in non-musculoskeletal disorders: is there evidence of its effectiveness?International journal of biometeorology · 2015Pooled it
- Balneotherapy (or spa therapy) for rheumatoid arthritis.The Cochrane database of systematic reviews · 2015Pooled it
- Evidence-based hydro- and balneotherapy in Hungary--a systematic review and meta-analysis.International journal of biometeorology · 2014Pooled it
- The Benefits of an Integral HAMMAM Experience Combining Hydrotherapy and Swedish Massage on Pain, Subjective Well-Being and Quality of Life in Women with Endometriosis-Related Chronic Pelvic Pain: A Randomized Controlled Trial.Medicina (Kaunas, Lithuania) · 2024Trial
- Spa therapy with physical rehabilitation is an alternative to usual spa therapy protocol in symptomatic knee osteoarthritis.Scientific reports · 2020Trial
- The role of thermal balneotherapy in the treatment of obese patient with knee osteoarthritis.International journal of biometeorology · 2018Trial
- Outcomes from a three-arm randomized controlled trial of frequent immersion in thermoneutral water on cardiovascular risk factors.BMC complementary and alternative medicine · 2016Trial
- Target intensity and interval walking training in water to enhance physical fitness in middle-aged and older women: a randomised controlled study.European journal of applied physiology · 2016Trial
- Effect of aquatic exercise on ankylosing spondylitis: a randomized controlled trial.Rheumatology international · 2014Trial
- Endurance training in MS: short-term immune responses and their relation to cardiorespiratory fitness, health-related quality of life, and fatigue.Journal of neurology · 2013Trial
- Effect on health-related quality of life of a multimodal physiotherapy program in patients with chronic musculoskeletal disorders.Health and quality of life outcomes · 2013Trial
- Efficacy of Aquatic Therapy in Improving Balance in Patients With Stroke: A Systematic Review and Meta-Analysis.Archives of rehabilitation research and clinical translation · 2026Review
- Thermal stress: an untapped potential in rehabilitation? An opinion paper on Finnish sauna and whole-body cryostimulation.Frontiers in rehabilitation sciences · 2026Review
- Group and Individual Changes in Spinal Mobility During a 12-Week Rehabilitation Program Including Swimming in Horses with Axial Musculoskeletal Lesions.Animals : an open access journal from MDPI · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this review was to summarize findings on aquatic exercise and balneotherapy and to assess the quality of systematic reviews based on randomized controlled trials.
methodsStudies were eligible if they were systematic reviews based on randomized clinical trials (with or without a meta-analysis) that included at least 1 treatment group that received aquatic exercise or balneotherapy. We searched the following databases: Cochrane Database Systematic Review, MEDLINE, CINAHL, Web of Science, JDream II, and Ichushi-Web for articles published from the year 1990 to August 17, 2008.
resultsWe found evidence that aquatic exercise had small but statistically significant effects on pain relief and related outcome measures of locomotor diseases (eg, arthritis, rheumatoid diseases, and low back pain). However, long-term effectiveness was unclear. Because evidence was lacking due to the poor methodological quality of balneotherapy studies, we were unable to make any conclusions on the effects of intervention. There were frequent flaws regarding the description of excluded RCTs and the assessment of publication bias in several trials. Two of the present authors independently assessed the quality of articles using the AMSTAR checklist.
conclusionsAquatic exercise had a small but statistically significant short-term effect on locomotor diseases. However, the effectiveness of balneotherapy in curing disease or improving health remains unclear.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.