Evaluation of quality of life in individuals with chronic stroke who underwent aquatic exercises: A case series

NeuroRehabilitation. 2021;48(4):563-570. doi: 10.3233/NRE-210008.

Abstract

Background: Aquatic exercises are among the treatments available to improve the quality of life after stroke.

Objectives: To investigate changes in the quality of life after 8-week of aquatic exercises in post-stroke individuals.

Methods: A case series study was designed, including four male participants. Exclusive aquatic exercise was performed for 8-week, 50 minutes per session, 2×/week. Their quality of life was evaluated before and after the intervention using the Stroke Impact Scale (SIS).

Results: Participant 1 improved in the mobility domain, achieving a Clinically Important Difference (CID). Participant 2 improved in the strength and mobility domain, achieving CID; his stroke recovery was 6%, and it reached 50% post-intervention. Participant 3 improved in the mobility domain, achieving a CID and a Minimal Detectable Change (MDC); his stroke recovery increased from 45 to 60% post-intervention. Participant 4 improved the strength, mobility, and activities of daily living domains, achieving a CID and a MDC, but his stroke recovery remained unchanged at 80%.

Conclusions: All participants achieved a CID in the mobility domain; thus, the aquatic exercise intervention was considered meaningful. Moreover, the SIS is able to evaluate aspects of the recovery process regarding health-related quality of life after stroke, as demonstrated by the results of the overall recovery after aquatic exercises.

Keywords: Case report; aquatic exercises; hydrotherapy; quality of life; stroke.

Publication types

  • Case Reports

MeSH terms

  • Activities of Daily Living
  • Exercise Therapy / methods*
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Stroke Rehabilitation / methods*
  • Water

Substances

  • Water