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Table 1 Description of aquatic therapy program components

From: Effect of aquatic physical therapy on pain perception, functional capacity and quality of life in older people with knee osteoarthritis: study protocol for a randomized controlled trial

Components

Repetitions

Description

Motor coordination and agility

4 × 30 seconds and 30 seconds rest

Gait training in anteroposterior, lateral-lateral, and diagonal in the shallow end of the pool (1 m deep). Then they will go up and down the inside of the pool ladder, alternating legs (two steps).

Flexibility

6 × 10 seconds with 10 seconds rest

Unilateral and alternating stretches of the following muscle groups will be done: triceps, greater pectoral, quadriceps, hamstrings, gastrocnemius, and thigh adductors.

Space perception, time and speed of reaction

3 × 1 minute and 30 seconds rest

Pairs will be formed to throw a ball; subjects should perform this activity by performing side-to-side and anteroposterior movements in the shallow end of the pool.

Balance

4 × 1 minute and 30 seconds rest

Standing position with feet on boards for balance training. Support may be bipedal or single-leg. To increase the degree of difficulty, the eyes may remain closed.

 

10 × 10 seconds and 10 seconds rest

Triceps: Aquatubes will be used to perform the exercises. Individuals remain standing in the middle of the pool with raised shoulders and elbows close to the body, conduct extension and flexion, keeping the forearms pronated.

  

Greater pectoral: Individuals standing, holding shoulder flexion at 90 degrees, holding the plank of exercises and perform flexion and elbow extension.

Muscle training

6 × 40 repetitions and 10 seconds rest

Quadriceps: While standing in the shallow end of the pool, exercise will be conducted in closed kinetic chain (squat).

 

10 × 10 seconds and 10 seconds rest

Rectus abdominals: For performing abdominal exercises, individuals will support their hands on the horizontal bar of the pool and hold the “kicking” movement, putting bilaterally foot on the wall of the pool and then returning to the ground.