Effect of Exercise in Aquatic Environments on Physical Fitness in People with Intellectual Disabilities: A Systematic Review

Authors

DOI:

https://doi.org/10.15359/mhs.20-1.7

Keywords:

disability, swimming, physical fitness, exercise

Abstract

Introduction: Exercise programs in aquatic environments guarantee a motivating and fun environment in which people with intellectual disabilities can carry out sports or recreational activities in an accessible way, which has a positive effect on their physical condition.

Purpose: The objective of the systematic review was to know the effects of aquatic exercise on physical fitness in people with intellectual disabilities.

Methodology: To achieve the purpose of the study, a literature search was conducted in the Sport Discus, Science Direct, Scopus, and PubMed databases, whose publications cover from 2009 to 2018. As selection criteria, these publications had to specify the type of exercise, the components of a load of training, the type of disability presented by the study subjects, and the duration of the intervention that should be greater than four weeks.

Results: Only five studies met the selection criteria. The studies in which they applied swimming interruption and combined exercise showed that components of physical fitness important for health were improved, as well as the development of activities of daily living. It was concluded that studies with greater methodological rigor are required to clarify the effect of exercise in aquatic environments on the components of physical fitness in people with intellectual disabilities.

References

Aguado, P., Vera, F, Gil, G., Romero, I. Llorca, A., & Botella, J. (2017). Efectos del ejercicio físico acuático en personas con problemas respiratorios. Revisión bibliográfica. RIAA. Revista de Investigación en Actividades acuáticas, 2(4), 98-105. https://doi.org/10.21134/riaa.v2i4.1457

American Sport of College Medicine (2018). ACSM´S Guidelines for Exercise Testing and Prescription (10th Ed.). Philadelphia: Wolters Kluwer Health.

Assis, M. R., Silva, L. E., Alves, A. M., Pessanha, A. P., Valim, V., Feldman, D., Neto, T. L. & Natour, J. (2006). A randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromialgia. Arthritis and Rheumatism, 55(1), 57-65. https://scholar.google.es/scholar?hl=es&as_sdt=0%2C5&q=A+randomized+controlled+trial+of+deep+water+running%3A+clinical+effectiveness+of+aquatic+exercise+to+treat+fibromialgia&btnG=

Ayán, C. A., Cancela, J. M. C., Álvarez, A. Á., Varela, S. V., & Martínez-Lemos, R. I. (2018). Water-based exercise for adults with Down syndrome: Findings from a preliminary study. International Journal of Therapy and Rehabilitation, 25(1), 20-28. https://doi.org/10.12968/ijtr.2018.25.1.20

Baena-Beato, P. Á., Artero, E. G., Arroyo-Morales, M., Robles-Fuentes, A., Gatto-Cardia, M. C., & Delgado-Fernández, M. (2014). Aquatic Therapy Improves Pain, Disability, Quality of Life, Body Composition and Fitness in Sedentary Adults with Chronic Low Back Pain. A Controlled Clinical Trial. Clinical Rehabilitation, 28, 350-360. https://doi.org/10.1177/0269215513504943

Bauman, A. E., Reis, R. S., Sallis, J.F., Wells, J. C., Loos, R.J., Martin, B. W., & Lancet Physical Activity Series Working Group. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1

Becker, B. (2009). Aquatic Therapy. Scientific Foundations and Clinical Rehabilitation Applications, Journal of injury Function and Rehabilitation, 1(9), 859-872. https://doi.org/10.1016%2Fj.pmrj.2009.05.017

Benedict, A. & Freedman, R. (1993). The Effect of Aquatic Exercise on Aged Person's Bone Density, Body Image, and Morale. Activities, Adaptation & Aging, 17(3), 67-85. https://doi.org/10.1300/J016v17n03_05

Bofill, A. (2008). Valoración de la condición física en discapacidad intelectual [Tesis doctoral sin publicar]. Universidad de Barcelona, España.

Bouzas, S., Ayán, C. & Martínez-Lemos, I. (2018). Effects of exercise on the physical fitness level of adults with intellectual disability: a systematic review. Disability and Rehabilitation, 41(26) 3118-3140 https://doi.org/10.1080/09638288.2018.1491646

Cantarero-Villanueva, I., Fernández-Lao, C., Cuesta-Vargas, A. I., Del Moral-Avila, R., Fernández-de-Las-Peñas, C., & Arroyo-Morales, M. (2013). The effectiveness of a deep water aquatic exercise program in cancer-related fatigue in breast cancer survivors: a randomized controlled trial. Archives of physical medicine and rehabilitation, 94(2), 221-230

Casey, A. F., Rasmussen, R., Mackenzie, S. J., & Glenn, J. (2010). Dual-energy X-ray absorptiometry to measure the influence of a 16-week community-based swim training program on body fat in children and adolescents with intellectual disabilities. Archives of physical medicine and rehabilitation, 91(7), 1064-1069. https://doi.org/10.1016/j.apmr.2010.04.006

Casey, A., Boyd, C., MacKenzie, S., & Rasmussen, R. (2012). Dual-energy x-ray absorptiometry to measure the effects of a thirteen-week moderate to vigorous aquatic exercise and nutritional education intervention on percent body fat in adults with intellectual disabilities from group home settings. Journal of human kinetics, 32, 221-229. https://doi.org/10.2478/v10078-012-0038-0

Costa, M.J., Barbosa, T.M., Ramos, A., & Marinho, D.A. (2016). Effects of a swimming program on infants' heart rate response. Journal of Sports Medicine and Physical Fitness, 56(4), 352-358. PMID: 25422869. https://pubmed.ncbi.nlm.nih.gov/25422869/

Castro-Sánchez, A. M., Matarán-Peñarrocha, G. A., Lara-Palomo, I., Saavedra-Hernández, M., Arroyo-Morales, M., y Moreno-Lorenzo, C. (2012). Hydrotherapy for the Treatment of Pain in People with Multiple Sclerosis: A Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine: eCAM, 2012, Article ID: 473963. https://doi.org/10.1155/2012/473963

Cuadri, J., Tornero, I., Sierra, Á., y Sáez, J. (2018). Revisión sistemática sobre los estudios de intervención de actividad física para el tratamiento de la obesidad. Retos, 33, 261-266. https://doi.org/10.47197/retos.v0i33.52996

Declerck, M. Feys, H, y Daly, D. (2013). Benefits of swimming for children with cerebral palsy: A pilot study. Journal of Sports Sciences, 7(2): 57-69 https://www.researchgate.net/publication/255728666_Benefits_of_swimming_for_children_with_cerebral_palsy_A_pilot_study

Einarsson, I. O., Olafsson, A., Hinriksdóttir, G., Johannsson, E., Daly, D., & Arngrímsson, S. A. (2015). Differences in physical activity among youth with and without intellectual disability. Medicine & Science in Sports & Exercise, 47(2), 411–418. https://doi.org/10.1249/MSS.0000000000000412

Fiuza, C., Garatachea, N., Berger, N. A., & Lucia, A. (2013). Exercise is the real polypill. Physiology (Bethesda), 28(5), 330-358. https://doi.org/10.1152/physiol.00019.2013

Fraghala-Pinkham, M., Haley, S. M., & O’Neil, M. E. (2008). Group aquatic aerobic exercise for children with disabilities. Developmental Medicine y Child Neurology, 50(11), 822-827. https://scholar.google.es/scholar?hl=es&as_sdt=0%2C5&q=Group+aquatic+aerobic+exercise+for+children+with+disabilities.+&btnG=

García, A., & Ovejero, M. (2017). Satisfacción vital, autodeterminación y práctica deportiva en las personas con discapacidad intelectual. Revista de psicología del deporte, 26(2), 13-19. https://www.redalyc.org/pdf/2351/235152048002.pdf

Getz, M., Hutzler,Y. y Vermeer, A. (2007). The effects of aquatic intervention on perceived physical competence and social acceptance in children with cerebral palsy. European Journal of Special Needs Education, 22(2),217-228. https://doi.org/10.1080/08856250701269705

Gorter, J. W., & Currie, S. J. (2011). Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go? International journal of pediatrics, 712165. https://doi.org/10.1155/2011/712165

Güeita, J., Fraile, M., & Fernández, M. (2015). Terapia acuática abordajes desde la fisioterapia y la terapia ocupacional. Elsevier.

Hakim, R. M., Ross, M. D., Runco, W., & Kane, M. T. (2017). A community-based aquatic exercise program to improve endurance and mobility in adults with mild to moderate intellectual disability. Journal of exercise rehabilitation, 13(1), 89. https://doi.org/10.12965/jer.1732838.419

Janssen, I., & LeBlanc, A.G. (2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 40. https://doi.org/10.1186/1479-5868-7-40

James, R., Kenfield, S. y Jiménez, A. (2017). Exercise-induced biochemical changes and their potential influence on cancer: a scientific review. British Journal of Sport Medicine, 640-644. http://dx.doi.org/10.1136/bjsports-2016-096343

Jung, J., Leung, W., Schram, B. M., & Yun, J. (2016). Meta-Analysis of Physical Activity Levels in Youth With and Without Disabilities. Adapted Physical Activity Quarterly, 35(4), 381–402. https://doi.org/10.1123/apaq.2017-0123

Kamioka H, Tsutani K, Okuizumi H, Mutoh Y, Ohta M, Handa S, Okada S, Kitayuguchi J, Kamada M, Shiozawa N. y Honda T. (2010). Effectiveness of aquatic exercise and balneotherapy: a summary of systematic reviews based on randomized controlled trials of water immersion therapies. Journal of Epidemiology. 20(1), 2-12. doi: 10.2188/jea.je20090030

Kargarfard, M., Dehghadani, M., & Ghias, R. (2012). The effect of aquatic exercise therapy on muscle strength and joint range of motion in patients with hemophilia. International journal of preventive medicine, 4(1), 50-56.

Kelly, M. and Darrah, J. (2005). Aquatic exercise for children with cerebral palsy. Developmental Medicine & Child Neurology, 47(12), 838-842. https://doi.org/10.1017/S0012162205001775

Lia, C., Liu, W., Yang, T., Chen, C., Wu, C., Chan, R. (2014). Pediatric aquatic therapy on motor function and enjoyment in children diagnosed with cerebral palsy of various severities. Journal of Child Neurology, 30(2), 1-9. https://doi.org/10.1177/0883073814535491

Maniu, D.A., Maniu, E.A., & Benga, I. (2013). Effects of an aquatic therapy program on vital capacity, quality of life and physical activity index in children with cerebral palsy. Human and Veterinary Medicine, 5(3), 117-124. https://www.proquest.com/docview/2018599670?pq-origsite=gscholar&fromopenview=true

McKinney, J., Lithwick, D. J., Morrison, B. N., Nazzari, H., Isserow, S. H., Heilbron, B., & Krahn, A. D. (2016). The health benefits of physical activity and cardiorespiratory fitness. British Columbia Medical Journal. 58(3), 131-137. https://bcmj.org/sites/default/files/public/BCMJ_Vol58_No_3_cardiorespiratory_fitness.pdf

Mooventhanc, A. y Nivethitha, L. (2014). Scientific evidence-based effects of hydrotherapy on various systems of the body. North American Journal of Medical Sciences 6(5):199-209. doi: 10.4103/1947-2714.132935

Muñoz, E., Garrote, D., y Sánchez, C. (2017). La práctica deportiva en personas con discapacidad: motivación personal, inclusión y salud. Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology, 4(1), 145-152. https://doi.org/10.17060/ijodaep.2017.n1.v4.1037

National Institutes of Health. (2019). Study Quality Assessment Tools. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools

Nissim, M., & Sanduka, Y. (2021). Effects of Aquatic Therapy on Pain in Children with Profund Intelecctual and Multiple Disabilities_A prospective Observational Study Creative Education 12, 1438-1444. https://doi.org/10.4236/ce.2021.127109.

Organización Mundial de la Salud (2001). Clasificación Internacional del Funcionamiento de la Discapacidad y la Salud. https://apps.who.int/iris/bitstream/handle/10665/43360/9241545445_spa.pdf;jsessionid=32CAC84CCB8FA2B3D46A1843520DA620?sequence=1

Pérez, V., López, E., y Monforte, J. (2017). Actividad física y discapacidad: un estudio cualitativo con mujeres en un gimnasio adaptado. Movimiento, 23(3), 855-868. https://www.redalyc.org/pdf/1153/115352985005.pdf

Ruoti, R.G., Troup, J.T., Berger, R.A. (1994). The effects of nonswimming water exercises on older adults. Orthop Sports Phys Ther, 19(3):140-145. https://www.jospt.org/doi/10.2519/jospt.1994.19.3.140

Schuch, F. B., Vancampfort, D., Richards, J., Rosenbaum, S., Ward, P. B., y Stubbs, B. (2016). Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. Journal of psychiatric research, 77, 42-51. https://doi.org/10.1016/j.jpsychires.2016.02.023

Shahmohammadi, R., Sharifi, GR., Melvin, J.M.A., & Sadeghi-Demneh, E. (2017). A comparison between aquatic and land-based physical exercise on postural sway and quality of life in people with Parkinson’s disease: a randomized controlled pilot study. Sport Sci Health, 13, 341-348. https://doi.org/10.1007/s11332-017-0363-8

Smith, Sh. A. y Michel, Y. (2006). A pilot study on the effects of aquatic exercises on discomforts of pregnancy. Obstet Gynecol Neonatal Nurs. 35(3),315-23. https://doi.org/10.1111/j.1552-6909.2006.00045.x.

Waller, B. Lambeck, J., Daly, D.J. (2009). Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. Clinical Rehabilitation, 23(1), 3-14. https://doi.org/ 10.1177/0269215508097856

Wang, T.J., Belza, B., Thompson F.E., Whitney, J.D. & Bennett, K. (2007). Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee. Journal of advanced nursing, 57(2), 141-152. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.2006.04102.x

Yilmaz, I., Ergun, N., Konukman, F., Agbuga, B., Zorba, E., & Cimen, Z. (2009). The Effects of Water Exercises and Swimming on Physical Fitness of Children with Mental Retardation. Journal of Human Kinetics, 21, 105-111. https://doi.org/10.2478/v10078-09-0013-6

Published

2023-01-01

How to Cite

Ozols Rosales, M. A., Fonseca, J. T., Araya, M. A. C., & Jiménez, J. M. (2023). Effect of Exercise in Aquatic Environments on Physical Fitness in People with Intellectual Disabilities: A Systematic Review. MHSalud: Revista En Ciencias Del Movimiento Humano Y Salud, 20(1), 1-11. https://doi.org/10.15359/mhs.20-1.7

How to Cite

Ozols Rosales, M. A., Fonseca, J. T., Araya, M. A. C., & Jiménez, J. M. (2023). Effect of Exercise in Aquatic Environments on Physical Fitness in People with Intellectual Disabilities: A Systematic Review. MHSalud: Revista En Ciencias Del Movimiento Humano Y Salud, 20(1), 1-11. https://doi.org/10.15359/mhs.20-1.7

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