SynthesisBMC musculoskeletal disorders2011
Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes.
Synthesis in BMC musculoskeletal disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 11 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
59 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Effectiveness of exercise interventions on gross motor skills in children with autism spectrum disorder: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Effects of aquatic rehabilitation on symptoms, physical function, and quality of life in individuals with knee joint dysfunction: a meta-analysis.Frontiers in physiology · 2026Pooled it
- Efficacy of aquatic exercise in chronic musculoskeletal disorders: a systematic review and meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research · 2023Pooled it
- Long-term efficacy of hydrotherapy on balance function in patients with Parkinson's disease: a systematic review and meta-analysis.Frontiers in aging neuroscience · 2023Pooled it
- Effects of aquatic exercises on physical fitness and quality of life in postmenopausal women: an updated systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Effectiveness of aquatic exercise in the treatment of inflammatory arthritis: systematic review.Rheumatology international · 2022Pooled it
- Impact of physical exercise programs in breast cancer survivors on health-related quality of life, physical fitness, and body composition: Evidence from systematic reviews and meta-analyses.Frontiers in oncology · 2022Pooled it
- A systematic review and meta-analysis comparing the effect of aquatic and land exercise on dynamic balance in older adults.BMC geriatrics · 2020Pooled it
- PEER umbrella systematic review of systematic reviews: Management of osteoarthritis in primary care.Canadian family physician Medecin de famille canadien · 2020Pooled it
- Pooled it
- Effectiveness of aquatic exercise for treatment of knee osteoarthritis: Systematic review and meta-analysis.Zeitschrift fur Rheumatologie · 2015Pooled it
- Trial
- Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients.International journal of environmental research and public health · 2020Trial
- Trial
- Improvement in muscular strength and aerobic capacities in elderly people occurs independently of physical training type or exercise model.Clinics (Sao Paulo, Brazil) · 2019Trial
- The PICO project: aquatic exercise for knee osteoarthritis in overweight and obese individuals.BMC musculoskeletal disorders · 2013Trial
- Effects of a progressive aquatic resistance exercise program on the biochemical composition and morphology of cartilage in women with mild knee osteoarthritis: protocol for a randomised controlled trial.BMC musculoskeletal disorders · 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
- Effects of Aquatic-Based vs Land-Based Closed Kinetic Chain Exercises on Pain, Functional Performance, Knee Proprioception, Muscle Strength, and Kinesiophobia in Women Aged 40-70 Years With Knee Osteoarthritis: A Randomized Controlled Trial.Health science reports · 2026Article
- Effects of Aquatic Exercise on Individuals with Hypertension: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAquatic and land based exercise are frequently prescribed to maintain function for people with arthritis. The relative efficacy of these rehabilitation strategies for this population has not been established.This review investigated the effects of aquatic compared to land based exercise on function, mobility or participants' perception of programs for people with arthritis.
methodsMedline, CINAHL, AMED and the Cochrane Central Register of Controlled Clinical Trials were searched up to July 2010. Ten randomised, controlled clinical trials that compared land to aquatic exercise for adults with arthritis were included. Study quality was assessed with the PEDro scale. Data relevant to the review question were systematically extracted by two independent reviewers. Standardised mean differences between groups for key outcomes were calculated. Meta-analyses were performed for function, mobility and indices that pooled health outcomes across multiple domains.
resultsNo differences in outcomes were observed for the two rehabilitation strategies in meta-analysis. There was considerable variability between trials in key program characteristics including prescribed exercises and design quality. Components of exercise programs were poorly reported by the majority of trials. No research was found that examined participant preferences for aquatic compared to land based exercise, identifying this as an area for further research.
conclusionOutcomes following aquatic exercise for adults with arthritis appear comparable to land based exercise. When people are unable to exercise on land, or find land based exercise difficult, aquatic programs provide an enabling alternative strategy.
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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.