{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T06:02:27Z","timestamp":1790488947861,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T00:00:00Z","timestamp":1401753600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Our aim was to evaluate the feasibility of a hydrotherapy treatment in patients with Parkinson\u2019s disease and the effectiveness of this treatment on balance parameters in comparison to a traditional land-based physical therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A randomized single-blind controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Outpatients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>Thirty-four patients with Parkinson\u2019s disease in Hoehn-Yahr stage 2.5\u20133.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>Group 1 hydrotherapy treatment, group 2 land-based rehabilitation treatment. The two groups underwent the same rehabilitation period (60 minutes of treatment, five days a week for two months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>The primary outcome measures were the centre of the pressure sway area recorded with open and closed eyes, using a stabilometric platform. Secondary outcome measures were Unified Parkinson\u2019s Disease Rating Scale II and III, Timed Up and Go Test, Berg Balance Scale, Activities-specific Balance Confidence Scale, Falls Efficacy Scale, Falls diary and Parkinson\u2019s Disease Questionnaire-39.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Hydrotherapy treatment proved to be feasible and safe. Patients in both groups had a significant improvement in all outcome variables. There was a better improvement in patients who underwent hydrotherapy than in patients treated with land-based therapy in the centre of pressure sway area closed eyes (mean SD change: 45.4 SD64.9 vs. 6.9 SD45.3,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.05), Berg Balance Scale (51.2 SD3.1 vs. 6.0 SD3.1,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005), Activities-specific Balance Confidence Scale (16.8 SD10.6 vs. 4.1 SD5.4,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0001), Falls Efficacy Scale (\u22125.9 SD4.8 vs. \u22121.9 SD1.4,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003), Parkinson\u2019s Disease Quetionnaire-39 (\u221218.4 SD12.9 vs. \u22128.0 SD7.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.006) and falls diary (\u22122.4 SD2.2 vs. \u22120.4 SD0.5,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study suggests that hydrotherapy may constitute a possible treatment for balance dysfunction in Parkinsonian patients with moderate stage of disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215514536060","type":"journal-article","created":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T23:46:12Z","timestamp":1401839172000},"page":"1210-1217","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":98,"title":["Comparing the effects of hydrotherapy and land-based therapy on balance in patients with Parkinson\u2019s disease: a randomized controlled pilot study"],"prefix":"10.1177","volume":"28","author":[{"given":"Daniele","family":"Volpe","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, S. 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