The effect of aquatic exercise therapy on the pain, disability and gait parameters of women with chronic low back pain

Yalfani, A; Maleki, B; Raeisi, Z

doi:10.29252/jsmt.17.18.57

Volume 17, Issue 18 (12-2019) RSMT 2019, 17(18): 57-67 | Back to browse issues page

‎ 10.29252/jsmt.17.18.57

‎ 20.1001.1.22520708.1398.17.18.6.8

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Yalfani A, Maleki B, Raeisi Z. The effect of aquatic exercise therapy on the pain, disability and gait parameters of women with chronic low back pain. RSMT 2019; 17 (18) :57-67
URL: http://jsmt.khu.ac.ir/article-1-401-en.html

The effect of aquatic exercise therapy on the pain, disability and gait parameters of women with chronic low back pain

A Yalfani

, B Maleki

, Z Raeisi

, ali_yalfani@yahoo.com

Abstract: (5196 Views)

Chronic low back pain is one of the most common musculoskeletal problems. This disease, in addition to causing pain and disability affects the gait parameters in patients. The purpose of this study was to investigate the effect of aquatic exercises therapy on the severity of pain, disability and Spatiotemporal parameters and kinetic of gait in women with chronic low back pain. Twenty-four women with chronic low back pain (with a mean age of 26.6 years) participated in this study. The exercise protocol was conducted in water for 8 weeks. The severity of pain and disability were measured by Quebec and Oswestry questionnaires respectively. gait parameters were evaluated using a foot pressure device. Aquatic exercises therapy significantly decreased pain and disability severity and significantly improved gait parameters in the experimental group (p≤0.05). Fore there more, the significant difference between the variables in the post-test was obtained between experimental and control groups (p≤0.05). No significant difference was observed between the pre-test and post-test comparisons in the control group (p≥0.05). Regarding the reduction of pain and disability and improvement of gait parameters after eight weeks’ intervention in experimental group, the use of this protocol is recommended to improve patients with chronic low back pain as a new method.

Keywords: Aquatic Exercises Therapy, Chronic Low Back Pain, Pain, Disability, Walking.

Full-Text [PDF 1080 kb] (1136 Downloads)

Type of Study: Research |
Received: 2020/02/5 | Accepted: 2020/02/5 | Published: 2020/02/5

References

1. 1. Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F,. Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. Arthritis & Rheumatism. 64(6):2028-37. [DOI:10.1002/art.34347]

2. 2. Stanković, A., Lazović, M., Kocić, M., Zlatanović, D. (2008). Spinal segmental stabilization exercises combined with traditional strengthening exercise program in patients with chronic low back pain. Acta Facultatis Medicae Naissensis. 25(3):165-70.

3. 3. Da Fonseca, J.L., Magini, M., de Freitas, T.H. (2009). Laboratory gait analysis in patients with low back pain before and after a Pilates intervention. Journal of Sport Rehabilitation. 18(2):269-82. [DOI:10.1123/jsr.18.2.269]

4. 4. Salavati, M., Hadian, M.R., Mazaheri, M., Negahban, H., Ebrahimi, I., Talebian, S., Jafari, A.H, Sanjari, M.A., Sohani, S.M., Parnianpour, M. (2009). Test-retest reliability [corrected] of center of pressure measures of postural stability during quiet standing in a group with musculoskeletal disorders consisting of low back pain, anterior cruciate ligament injury and functional ankle instability. Gait & Posture. 29(3):460-4. [DOI:10.1016/j.gaitpost.2008.11.016]

5. 5. Dicharry, J. (2010). Kinematics and kinetics of gait: from lab to clinic. Clinics in Sports Medicine. 29(3):347-64. [DOI:10.1016/j.csm.2010.03.013]

6. 6. Segel, J.D., Crawford, S. (2014). Anatomy of the COP gait line and computer-aided gait analysis. Pm's Tech Forum/Orthotics & Biomechanics. 33(7):151-6.

7. 7. Laird, R.A., Gilbert, J., Kent, P., Keating, J.L. (2014). Comparing lumbo-pelvic kinematics in people with and without back pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders. 15(1):229-41 [DOI:10.1186/1471-2474-15-229]

8. 8. Van DieënJ.H., Cholewicki, J., Radebold, A. (2003). Trunk muscle recruitment patterns in patients with low back pain enhance the stability of the lumbar spine. Spine. 28(8): 834-41. [DOI:10.1097/01.BRS.0000058939.51147.55]

9. 9. Marinho-Buzelli, A.R., Barela, A.M.F., Barela, J.A., Celestino, M.L., Popovic, M.R., Verrier, M. (2017). The influence of the aquatic environment on gait initiation: a pilot study. Motor Control. 21(2):211-26. [DOI:10.1123/mc.2015-0091]

10. 10. Ware Jr, J.E., Kosinski, M., Keller, S.D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care. 34(3):220-33. [DOI:10.1097/00005650-199603000-00003]

11. 11. Cuesta-Vargas, A.I., Adams, N., Salazar, J.A., Belles, A., Hazañas, S., Arroyo-Morales, M. (2012). Deep water running and general practice in primary care for non-specific low back pain versus general practice alone: randomized controlled trial. Clinical Rheumatology. 31(7):1073-8. [DOI:10.1007/s10067-012-1977-5]

12. 12. Baena-Beato, P.A., Artero, E.G., Arroyo-Morales, M., Robles-Fuentes, A., Gatto-Cardia, M.C., Delgado-Fernández, M. (2014). Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial. Clinical Rehabilitation. 28(4):350-60. [DOI:10.1177/0269215513504943]

13. 13. Aguiar, L., Santos-Rocha, R., Vieira, F., Branco, M., Andrade, C., Veloso, A. (2015). Comparison between overweight due to pregnancy and due to added weight to simulate body mass distribution in pregnancy. Gait & Posture. 42(4):511-7. [DOI:10.1016/j.gaitpost.2015.07.065]

14. 14. Błaszczyk, J.W., Opala-Berdzik, A., Plewa, M. (2016). Adaptive changes in spatiotemporal gait characteristics in women during pregnancy. Gait & Posture. 43:160-4. [DOI:10.1016/j.gaitpost.2015.09.016]

15. 15. Page, S.J., Shawaryn, M.A., Cernich, A.N., Linacre, J.M. (2002). Scaling of the revised Oswestry low back pain questionnaire. Archives of Physical Medicine and Rehabilitation. 83(11):1579-84. [DOI:10.1053/apmr.2002.34604]

16. 16. Davidson, M., Keating, J.L. (2002). A comparison of five low back disability questionnaires: Reliability and responsiveness. Physical Therapy. 82(1):8-24. [DOI:10.1093/ptj/82.1.8]

17. 17. www.backcare.org.uk

18. 18. https://www.psychometrica.de/effect_size.html

19. 19. Leetun, D.T., Ireland, M.L., Willson, J.D., Ballantyne, B.T., Davis, I.M. (2004). Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 36(6):926-34. [DOI:10.1249/01.MSS.0000128145.75199.C3]

20. 20. Brukner, P. Khan, K. (2009). Clinical sports medicine: revised 3rd edition. McGraw Hill.

21. 21. Batterham, S.I., Heywood, S., Keating, J.L. (2011). Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes. BMC Musculoskeletal Disorders. 12(1):123-35 [DOI:10.1186/1471-2474-12-123]

22. 22. Brunner, E., De Herdt, A., Minguet, P., Baldew, S.S., Probst, M. (2013). Can cognitive behavioural therapy based strategies be integrated into physiotherapy for the prevention of chronic low back pain? A systematic review. Disability and Rehabilitation. 35(1):1-10. [DOI:10.3109/09638288.2012.683848]

23. 23. Harringe, M.L., Halvorsen, K., Renström, P., Werner, S. (2008). Postural control measured as the center of pressure excursion in young female gymnasts with low back pain or lower extremity injury. Gait & Posture. 28(1):38-45. [DOI:10.1016/j.gaitpost.2007.09.011]

24. 24. Ruhe, A., Fejer, R., Walker, B. (2011). Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature. European Spine Journal. 20(3):358-68.‌ [DOI:10.1007/s00586-010-1543-2]

25. 25. Furnari, A., Calabrò, R.S., Gervasi, G., La Fauci-Belponer, F., Marzo, A., Berbiglia, F., Paladina, G., De Cola, M.C., Bramanti, P. (2014). Is hydrokinesitherapy effective on gait and balance in patients with stroke? A clinical and baropodometric investigation. Brain Injury. 28(8):1109-14. [DOI:10.3109/02699052.2014.910700]

26. 26. Heydari DehBarAftab, S.B.A. (1392). The comparison between effect of six and eight weeks exercise therapy in water on pain, disability and distribution of plantar pressure in patients with chronic low back pain. (Master's Degree). Bu-Ali Sina University. (persian).

27. 27. Elbaz, A., Mirovsky, Y., Mor, A., Enosh, S., Debbi, E., Segal, G., Barzilay, Y., Debi, R. (2009). A novel biomechanical device improves gait pattern in patient with chronic nonspecific low back pain. Spine. 34(15):E507-12. [DOI:10.1097/BRS.0b013e3181a98d3f]

28. 28. Radovanovic, D. (2009). Vertical ground reaction forces during walking in patients with low back pain before and after physical therapy. Journal of Physiotherapy Und Laufanalyse. 1-14.

29. 29. Farjad Pezeshk, A., Sadeghi, H., Farzadi, M. (2013). Comparison of plantar pressure distribution and vertical ground reaction force between dominant and none-dominant limb in healthy subjects using principle component analysis (PCA) technique. Journal of Rehabilitation. 14(1): 91-102.

30. 30. Speck, B.J., Looney, S.W. (2006). Self‐reported physical activity validated by pedometer: A Pilot Study. Public Health Nursing. 23(1):88-94. [DOI:10.1111/j.0737-1209.2006.230112.x]

31. 31. Triplett, N.T., Colado, J.C., Benavent, J., Alakhdar, Y., Madera, J., Gonzalez, L.M., Tella, V. (2009). Concentric and impact forces of single-leg jumps in an aquatic environment versus on land. Medicine & Science in Sports & Exercise. 41(9):1790-6. [DOI:10.1249/MSS.0b013e3181a252b7]