{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:18:44Z","timestamp":1791908324743,"version":"4.3.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T00:00:00Z","timestamp":1595808000000},"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":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To investigate the effects of the water-based exercise on balance, mobility, mobility and functional independence, functional performance, fear of falling and quality of life in people with Parkinson\u2019s disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We searched pubmed\/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base and SciELO to June 2020 for randomised controlled trials that investigated the effects of water-based exercise in people with Parkinson\u2019s disease. Two comparisons were made: water-based exercise versus usual care and water-based exercise versus land-exercise. The main outcomes were Balance, Confidence, Mobility, Unified Parkinson\u2019s Disease Rating Scale and quality of life. Mean differences (MD) with 95% confidence interval (CI) were calculated, and heterogeneity was assessed using the I\n                      <jats:sup>2<\/jats:sup>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifteen randomised controlled trials were found (435 people). Compared to usual care, water-based exercise resulted in improvement in balance MD (9.1, 95% CI: 6.5, 11.8, N\u2009=\u200945). Water-based exercise resulted in improvement in balance MD (3.1, 95% CI: 1.2, 5.0, N\u2009=\u2009179), mobility MD (\u22122.2, 95% CI: \u22123.3, \u22121.0, N\u2009=\u2009197) and quality of life MD (\u22125.5, 95% CI: \u221211, \u22120.07, N\u2009=\u200998) compared to land-based exercise, but without significant difference in functional performance MD (0.01, 95% CI: \u22122.6 to 2.7, N\u2009=\u200969). Land-based exercise resulted in improvement in fear of falling MD (\u22123.5, 95% CI: \u22125.6, \u22121.3, N\u2009=\u200958) compared to water-based exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Water-based exercise was more efficient than land-based exercise and\/or usual care in improving balance, mobility and quality of life in people with Parkinson\u2019s disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520943660","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T06:56:53Z","timestamp":1595833013000},"page":"1425-1435","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Effects of water-based exercise on functioning and quality of life in people with Parkinson\u2019s disease: a systematic review and meta-analysis"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0717-9694","authenticated-orcid":false,"given":"Mansueto","family":"Gomes Neto","sequence":"first","affiliation":[{"name":"Departamento de Fisioterapia, Curso de Fisioterapia da Universidade Federal da Bahia, Salvador, BA, Brazil"},{"name":"Grupo de Pesquisa em Fisioterapia \u2013 UFBA, Salvador, BA, Brazil"},{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o em Medicina e Sa\u00fade \u2013 UFBA, Salvador, BA, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Souza","family":"Pontes","sequence":"additional","affiliation":[{"name":"Grupo de Pesquisa em Fisioterapia \u2013 UFBA, Salvador, BA, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena de Oliveira","family":"Almeida","sequence":"additional","affiliation":[{"name":"Grupo de Pesquisa em Fisioterapia \u2013 UFBA, Salvador, BA, 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