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The Dutch Clinical Practice Guideline for Physical Therapy in patients with stroke (2014) has included a paragraph on hydrotherapy/aquatic therapy, mentioning in particular Halliwick and Ai Chi at page 33 (PDF).
Stating that there is level 1 evidence for chronic patients that hydrotherapy increases the muscle strength of the paretic leg of patients with a stroke.The guideline development team recommends considering hydrotherapy to increase muscle strength. This may involve aerobic training, functional gait training, or exercises using the WST-Halliwick and Ai Chi methods.

Note: The recommendation is based on literature till 2012, including a publication from Noh at al in Clinical Rehabilitation, and from Lambeck & Gamper , Lambeck & Bommer about Halliwick Aquatic Therapy (HAT) and Clinical Ai Chi (CAC) in Comprehensive Aquatic Therapy. The guideline development team expects a need for an update within 2 years in view of the increasing amount of publications, which also holds true for HAT and CAC.

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