After searching PubMed, CINAHL, Google Scholar and PEDro, we lacked articles. PubMed retrieved 3 articles. PEDro retrieved 7 articles. CINAHL retrieved 0 articles. We increased retrievals by adding synonyms to our search string. We used neuromuscular disease as a synonym for Multiple Sclerosis. Aquatic Therapy and balneotherapy were used as synonyms for hydrotherapy. Lastly, endurance and mobility were interchanged with fatigue. With the adjusted the search string, we screened the titles for relevant articles using date published and our judgment to determine which articles to evaluate further. Post screening, we had 12 articles. Two articles were eliminated because they were low-level reviews (Frohman, Okuda, and Beh, 2015; Plecash and Leavitt, 2014). Two articles were eliminated because they required money for their access (Bansi, Bloch, Gamper, and Kesselring, 2013; Gervasoni, Cattaneo, and Jonsdottir, 2014). Two articles were eliminated due to a low number of participants. Pariser, Mariser, and Weiss’ (2006) article had two participants, and Peterson’s (2001) article had one participant. Marandi, Nejad, Shanazari, and Zolaktaf’s (2013) article was eliminated due to an outcome of balance. Castro-Sanchez, Mataran-Penarrocha, Lara-Palomo, Saavedra-Hernandez, Arroyo-Morales, and Moreno-Lorenzo’s (2012) article was eliminated since the intervention was used to increase endurance by relieving pain – …show more content…
The article was given an overall score of 7/10 on the PEDro scale. The purpose of this article was to determine the impact that aquatic exercise has on fatigue and health-related quality of life in women with Multiple Sclerosis. To be eligible in the study, the women had to be, diagnosed with RRMS for a minimum of 2 years, and have the ability to participate in regular exercise sessions. After baseline testing, the women were randomly allocated into either an exercise or control group. There was no blinding of subjects or therapists, because it was impossible to blind them from the aquatic exercises. However, the outcome measures were assessed by research assistants that were blinded. Of the 32 patients that participated in the study, only 21 were still involved during the 4 and 8 week follow up studies and were included in the final analysis. The patients dropped out of the study because they experienced relapse, had personal circumstances, or they were unable to regularly participate in exercise training. The intervention group underwent 8 weeks of aquatic exercises while the control group maintained their current treatment and behavior during the 8-week study period, meaning they had an intention to treat analysis. The fatigue and health related quality of life (HRQOL) was assessed at