Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial
This study was a prospective, randomized, controlled study. To compare the effectiveness of aquatic exercise interventions with land-based exercises in the treatment of chronic low back pain (CLBP). Land-based exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience...
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Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2009-06, Vol.34 (14), p.1436-1440 |
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creator | DUNDAR, Umit SOLAK, Ozlem YIGIT, Ilknur EVCIK, Deniz KAVUNCU, Vural |
description | This study was a prospective, randomized, controlled study.
To compare the effectiveness of aquatic exercise interventions with land-based exercises in the treatment of chronic low back pain (CLBP).
Land-based exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience indicates that aquatic exercise may have advantages for patients with musculoskeletal disorders.
A total of 65 patients with CLBP were included in this study. Patients were randomly assigned to receive aquatic exercise or land-based exercise treatment protocol. Aquatic exercise program consisted of 20 sessions, 5 x per week for 4 weeks in a swimming pool at 33 degrees C. Land-based exercise (home-based exercise) program were demonstrated by a physiotherapist on one occasion and then they were given written advice The patients were assessed for spinal mobility, pain, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12).
In both groups, statistically significant improvements were detected in all outcome measures (except modified Schober test) compared with baseline. However, improvement in modified Oswestry Low Back Pain Disability questionnaire and physical function and role limitations due to physical functioning subpart of Short-Form 36 Health Survey were better in aquatic exercise group (P < 0.05).
It is concluded that a water-based exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based exercise. |
doi_str_mv | 10.1097/BRS.0b013e3181a79618 |
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To compare the effectiveness of aquatic exercise interventions with land-based exercises in the treatment of chronic low back pain (CLBP).
Land-based exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience indicates that aquatic exercise may have advantages for patients with musculoskeletal disorders.
A total of 65 patients with CLBP were included in this study. Patients were randomly assigned to receive aquatic exercise or land-based exercise treatment protocol. Aquatic exercise program consisted of 20 sessions, 5 x per week for 4 weeks in a swimming pool at 33 degrees C. Land-based exercise (home-based exercise) program were demonstrated by a physiotherapist on one occasion and then they were given written advice The patients were assessed for spinal mobility, pain, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12).
In both groups, statistically significant improvements were detected in all outcome measures (except modified Schober test) compared with baseline. However, improvement in modified Oswestry Low Back Pain Disability questionnaire and physical function and role limitations due to physical functioning subpart of Short-Form 36 Health Survey were better in aquatic exercise group (P < 0.05).
It is concluded that a water-based exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based exercise.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e3181a79618</identifier><identifier>PMID: 19525833</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Chronic Disease ; Disability Evaluation ; Exercise - physiology ; Exercise Therapy - methods ; Female ; Humans ; Low Back Pain - physiopathology ; Low Back Pain - therapy ; Male ; Medical sciences ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Nervous system (semeiology, syndromes) ; Neurology ; Pain Measurement - methods ; Spine - physiopathology ; Surveys and Questionnaires ; Swimming - physiology ; Time Factors ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2009-06, Vol.34 (14), p.1436-1440</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c313t-61f09065fd1f9108d95b375c69f64e15f9aa83e825f63538f70fa743dd3f38c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21713058$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19525833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DUNDAR, Umit</creatorcontrib><creatorcontrib>SOLAK, Ozlem</creatorcontrib><creatorcontrib>YIGIT, Ilknur</creatorcontrib><creatorcontrib>EVCIK, Deniz</creatorcontrib><creatorcontrib>KAVUNCU, Vural</creatorcontrib><title>Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>This study was a prospective, randomized, controlled study.
To compare the effectiveness of aquatic exercise interventions with land-based exercises in the treatment of chronic low back pain (CLBP).
Land-based exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience indicates that aquatic exercise may have advantages for patients with musculoskeletal disorders.
A total of 65 patients with CLBP were included in this study. Patients were randomly assigned to receive aquatic exercise or land-based exercise treatment protocol. Aquatic exercise program consisted of 20 sessions, 5 x per week for 4 weeks in a swimming pool at 33 degrees C. Land-based exercise (home-based exercise) program were demonstrated by a physiotherapist on one occasion and then they were given written advice The patients were assessed for spinal mobility, pain, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12).
In both groups, statistically significant improvements were detected in all outcome measures (except modified Schober test) compared with baseline. However, improvement in modified Oswestry Low Back Pain Disability questionnaire and physical function and role limitations due to physical functioning subpart of Short-Form 36 Health Survey were better in aquatic exercise group (P < 0.05).
It is concluded that a water-based exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based exercise.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Chronic Disease</subject><subject>Disability Evaluation</subject><subject>Exercise - physiology</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Low Back Pain - physiopathology</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pain Measurement - methods</subject><subject>Spine - physiopathology</subject><subject>Surveys and Questionnaires</subject><subject>Swimming - physiology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEFPGzEQRq0K1KSUf1AhX-C2qWcn9tq9Jau0RYoESsN55Xhtxe1mDfYGaH89rhKBxGnm8N53eIR8ATYBpqqv89WvCdswQIsgQVdKgPxAxsBLWQBwdULGDEVZlFMUI_Ippd-MMYGgPpIRKF5yiTgm27rzvTe6owvnrBn8o-1tSjQ4OnvY68Ebuni20fhk6RDoOlo90HobQ5boMjzRuTZ_6K32_Tc6oyvdt2Hn_9mW1qEfYui6_K6j191ncup0l-z58Z6Ru--Ldf2zWN78uK5ny8Ig4FAIcEwxwV0LTgGTreIbrLgRyompBe6U1hKtLLkTyFG6ijldTbFt0aE0Cs_I1WH3PoaHvU1Ds_PJ2K7TvQ371Igqz-UkGZweQBNDStG65j76nY5_G2DN_8JNLty8L5y1i-P-frOz7Zt0TJqByyOgU-7qou5zvVeuhAqQZfIFTMWD3Q</recordid><startdate>20090615</startdate><enddate>20090615</enddate><creator>DUNDAR, Umit</creator><creator>SOLAK, Ozlem</creator><creator>YIGIT, Ilknur</creator><creator>EVCIK, Deniz</creator><creator>KAVUNCU, Vural</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090615</creationdate><title>Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial</title><author>DUNDAR, Umit ; SOLAK, Ozlem ; YIGIT, Ilknur ; EVCIK, Deniz ; KAVUNCU, Vural</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-61f09065fd1f9108d95b375c69f64e15f9aa83e825f63538f70fa743dd3f38c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Chronic Disease</topic><topic>Disability Evaluation</topic><topic>Exercise - physiology</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Low Back Pain - physiopathology</topic><topic>Low Back Pain - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pain Measurement - methods</topic><topic>Spine - physiopathology</topic><topic>Surveys and Questionnaires</topic><topic>Swimming - physiology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DUNDAR, Umit</creatorcontrib><creatorcontrib>SOLAK, Ozlem</creatorcontrib><creatorcontrib>YIGIT, Ilknur</creatorcontrib><creatorcontrib>EVCIK, Deniz</creatorcontrib><creatorcontrib>KAVUNCU, Vural</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DUNDAR, Umit</au><au>SOLAK, Ozlem</au><au>YIGIT, Ilknur</au><au>EVCIK, Deniz</au><au>KAVUNCU, Vural</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2009-06-15</date><risdate>2009</risdate><volume>34</volume><issue>14</issue><spage>1436</spage><epage>1440</epage><pages>1436-1440</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>This study was a prospective, randomized, controlled study.
To compare the effectiveness of aquatic exercise interventions with land-based exercises in the treatment of chronic low back pain (CLBP).
Land-based exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience indicates that aquatic exercise may have advantages for patients with musculoskeletal disorders.
A total of 65 patients with CLBP were included in this study. Patients were randomly assigned to receive aquatic exercise or land-based exercise treatment protocol. Aquatic exercise program consisted of 20 sessions, 5 x per week for 4 weeks in a swimming pool at 33 degrees C. Land-based exercise (home-based exercise) program were demonstrated by a physiotherapist on one occasion and then they were given written advice The patients were assessed for spinal mobility, pain, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12).
In both groups, statistically significant improvements were detected in all outcome measures (except modified Schober test) compared with baseline. However, improvement in modified Oswestry Low Back Pain Disability questionnaire and physical function and role limitations due to physical functioning subpart of Short-Form 36 Health Survey were better in aquatic exercise group (P < 0.05).
It is concluded that a water-based exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based exercise.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19525833</pmid><doi>10.1097/BRS.0b013e3181a79618</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Chronic Disease Disability Evaluation Exercise - physiology Exercise Therapy - methods Female Humans Low Back Pain - physiopathology Low Back Pain - therapy Male Medical sciences Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Nervous system (semeiology, syndromes) Neurology Pain Measurement - methods Spine - physiopathology Surveys and Questionnaires Swimming - physiology Time Factors Treatment Outcome |
title | Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial |
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