Impacts of a treatment protocol in aquatic physiotherapy for patients with Parkinson’s Disease

https://doi.org/10.63923/smhs.2025.38

Abstract

Introduction: Parkinson’s disease (PD) is the second most prevalent neurodegenerative condition worldwide, primarily affecting the elderly population. It is characterized by motor symptoms such as tremor, rigidity, and bradykinesia, as well as non-motor manifestations that significantly impact patients’ autonomy and quality of life. In this context, complementary therapeutic approaches such as aquatic physiotherapy have shown promising results by using the physical properties of water to relieve pain and improve mobility and functional balance. Objective: To evaluate the effects of an aquatic physiotherapy protocol on mobility, balance, and quality of life in patients with PD. Method: This was a longitudinal experimental field study with both quantitative and qualitative approaches. A specific aquatic physiotherapy protocol was applied to patients with PD, with pre- and post-intervention assessments to measure its effects on motor symptoms and quality of life. Results: Statistically significant improvements were observed in the Visual Analogue Scale (VAS), Parkinson’s Disease Questionnaire (PDQ-39), and Parkinson’s Activity Scale (PAS), indicating pain reduction and enhanced functionality and quality of life. The Berg Balance Scale and Freezing of Gait Questionnaire (FOG-Q) did not show significant differences but indicated a trend toward improvement. Conclusion: The applied protocol proved effective as a complementary therapeutic resource in the rehabilitation of patients with PD, particularly in reducing pain and improving functionality and quality of life. These findings reinforce the potential of aquatic physiotherapy as an integrative strategy in the management of PD.

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