Evidence map›Paper›PMID 39846517›Full record

ReviewPediatric reports2025

The Impact of Aquatic Exercise on Walking Ability, Quality of Life, and Enjoyment in Children with Cerebral Palsy: A Systematic Review.

Miki Nakatani, Yuji Kanejima, Kodai Ishihara, Hanhwa Koo, Kazuhiro P Izawa

Abstract readReview
In one paragraph

Review in Pediatric reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Miki NakataniDepartment of Health Science, Faculty of Medicine, Kobe University, Kobe 654-0142, Japan.
Yuji KanejimaDepartment of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.
Kodai IshiharaDepartment of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.
Hanhwa KooDepartment of Health Science, Faculty of Medicine, Kobe University, Kobe 654-0142, Japan.
Kazuhiro P IzawaDepartment of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.ORCID 0000-0001-7262-8903

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAquatic exercise is attracting attention as a method of rehabilitation for children with cerebral palsy (CP). The purpose of this systematic review was to evaluate whether aquatic exercise for children with CP improves their walking ability and quality of life (QOL) and is enjoyable for them.

methodsA literature search was conducted on 2 August 2024 using three databases: PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials through Evidence-Based Medicine Reviews. Studies included in the review focused on aquatic exercise interventions for children with CP, with outcomes related to walking ability, QOL, or enjoyment. Studies that did not isolate the effects of aquatic exercise (except when combined with conventional interventions) were excluded. Two reviewers independently conducted screening and risk of bias assessments.

resultsSeven studies involving 94 participants in total were included in the review. Three of these studies had a control group. All four studies reported improvements in walking ability, including walking endurance and efficiency. One of two studies showed improvement in health-related QOL (HRQOL) compared to the control group, whereas the other did not show significant differences between groups. All three studies that assessed enjoyment reported high levels of enjoyment of aquatic exercise. However, all studies were at risk of bias.

conclusionsThe reviewed studies suggest that aquatic exercise for children with CP may be enjoyable and may improve walking ability. Further research is needed to accurately assess the effects of aquatic exercise and compare it to other interventions.

Indexed as

aquatic therapycerebral palsychildsystematic review

Identifiers

PMID39846517
PMCPMC11755487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.