Comparison the effectiveness of training in hot mineral water and pool water on some of the psychological issues in women with chronic low back pain

Document Type : Research Paper

Authors

Abstract

Background and aim: The aim of this study was to compare the effects of hot mineral water with that of pool water on kinesophobia, depression, and disability of middle-aged women with chronic low back pain.
Materials and methods: In this semi-experimental and practical study, two groups of middle-aged female ranging from 45 to 60 years old were selected among whom treating in health centers and hospitals. Each group of 10 patients randomly divided into two experimental groups: In group I, patients were treated in the pool full of Spa water, in group II, the same protocol was used in pool water. Data was gathered using the Tampa scale for kinesophobia, Stanford Depression Scale, and Oswestry Low Back Pain Disability Questionnaire.
Results: The independent t-test results showed no differences between two groups of hot mineral water and pool water in three variables of kinesophobia, depression and the disability (P≥0.05). But, paired t-test results showed significant differences between pre-test and post-test in two groups (P≤0.05).
Conclusion: Overall, the both types of water training have the effect on the variables but, no preference was observed in the type of intervention.

Keywords

Main Subjects


Abdolghaderi M, Kafee M, Saberi A, Aryapouran S. (2014). [The effectiveness of mindfulness-based cognitive therapy (MBCT) and cognitive behavior  therapy (CBT) on decreasing pain, depression and anxiety of patients with chronic  low back pain]. J Shahid Sadoughi Univ Med Sci; 21(6): 795-807. (In Persian)
Altan, L., Bingöl, U., Aykaç, M., Koç, Z., Yurtkuran, M. (2004). "Investigation of the effects of pool-based exercise on fibromyalgia syndrome". Rheumatology International. 24(5): 272-7.
Bean, D.J., Johnson, M.H., Kydd, R.R. (2014). "Relationship between psychological factors, pain, and disability in complex regional pain syndrome and low back pain". Clinical Journal of Pain. 30(8):647-53.
Becker, B.E. (1994). "The biologic aspects of hydrotherapy". Journal of Back and Musculoskeletal Rehabilitation. 4 (4):255-264.
Bränström, H., Fahlström, M. (2008). "Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women". Journal of Rehabilitation Medicine. 40:375-380.
Constant, F., Collin, J.F., Guillemin, F., Boulange, M. (1995). "Effectiveness of Spa therapy in chronic low back pain: A randomized clinical trial". The Journal of Rheumatology. 22(7): 1315-1320.
Derakhshan RadA, GhanbariA, Sheikh M, DerakhshanRad M.  (2011). [Compare the results of aperformance shaft testwithtwoself-report questionnairetodetermine the level ofdisability in patient’s withchronic low back pain]. Rehabilitation Journal; 12(3); Issue 48: 15-9. (In Persian)
Farahani A, ShabanimogadamK. (2009). [TherapyMovement with an emphasis onflat footandspinal abnormalities].First Edition.Tehran. Publishingof Entezar Asre. 126-113. (In persian)
Forestier, R., Desfour, H., Tessier, J.M., Francon, A., Foote, A.M., Genty, C. (2010). "Spa therapy in the treatment of knee osteoarthritis: a large randomized multicenter trial". Annals of the Rheumatic Diseases. 69:660–665.
Khanjari Y., Garooei R. (2015).  [The effect of a period of aquatic therapy exercise on the quality of life and depression in aged males suffering from chronic physical pains]. International Letters of Social and Humanistic Sciences; 56:127-137. (In Persian)
Kulisch, A., Bender, T., Nemeth, A., Szekeres, L. (2009). Effect of thermal water and adjunctive electrotherapy on chronic low back pain: A double-blind, randomized, follow-up study". Journal of Rehabilitation Medicine. 41: 73-79.
Lange, U., Muller-Ladner, U., Schmidt, K.L. (2005). "Balneotherapy in rheumatic diseases - an overview of novel and known aspects". Rheumatology International. 12:1-3.
Latorre-Román, P.Á., Rentero-Blanco, M., Laredo-Aguilera, J.A., García-Pinillos, F. (2015). "Effect of a 12-day balneotherapy program on pain, mood, sleep and depression in healthy elderly people". Psychogeriatrics. 15(1):14-19.
Lee, J.H., Ooi, Y., Nakamura, K. (1995). "Measurement of muscle strength of the trunk & the lower extremities in subjects within history of low back pain". Spine. 20 (18): 1994-96.
Lehmann, J.F., Lateur, B.J. (2003). "Ultrasound, short wave, microwave, laser, superficial heat and cold in the treatment of pain. In: Melzack R & Wall P, Editors. Handbook of Pain Management. 4ed, London, Churchill Livingstone, PP: 473-483.
Leibetseder, V., Strauss-Blasche, G., Marktl, W., Ekmekcioglu, C. (2007). Does aerobic training enhance effects of spa therapy in back pain patients? A randomized, controlled clinical trial. Forschende Komplementmedizin. 14(4):202-6.
Lorig, K.R., Sobel, D.S., Ritter, P.L., Laurent, D., Hobbs, M. (2001). "Effects of a self-management program on patients with chronic disease". Effective Clinical Practice. 4(6):256-62.
Martin, C.M. (2004). Hydrotherapy: Review on the effectiveness of its application in physiotherapy and occupational therapy. University of York: center for review and dissemination". Richmond, BC: Work Safe BC. 21:1-19.
Mcllveen, B., Robertson, V.J. (1998). "Randomized controlled study of the outcome of hydrotherapy for subjects with low back or back and leg pain". Physiotherapy. 84:17-26.
Moaddeli, N., Kagamimori, S. (2005). "Balneotherapy in Medicine: A Review". Environmental Health and Preventive Medicine. 10:171-179.
Mousavi S.J., Akbari M.E., Mehdian H., Mobini B., Montazeri A., Akbarnia B. (2011). [Low back pain in Iran: a growing need to adapt and implement evidence-based practice in developing countries]. Spine; 36(10): 638-646. (In Persian)
Mousavi S.J., Parnianpour M., Mehdian H., Montazeri A., Mobini B. (2006). [The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale]: translation and validation studies of the Iranian versions. Spine; 31(14): E454-E459. (In Persian)
Nemčić, T., Budišin, V., Vrabec-Matković, D., Grazio, S. (2013). "Comparison of the effects of land-based and water-based therapeutic exercises on the range of motion and physical disability in patients with chronic low-back pain: single-blinded randomized study". Acta Clinica Croatica. 52(3):321-327.
Olson, D.A. (2011). "An evaluation of aquatic therapy as a treatment for lower back pain". Master thesis, University of Central Florida.
Pittler, M.H., Karagulle, M.Z., Karagulle, M., Ernst, E. (2006). "Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials". Rheumatology. 45:880-884.
Rezaei S, Afsharnejad T, Moosavi K, Soltani R, Falah Kohan S. (2009). [Depression associated with of Coping Strategies with the pain in patients with Chronic pain: a controlled study, pain intensity and duration. Journal of Medical Daneshvar; (81): 74-63. (In Persian)
Rezaei S, Afsharnejad T, Moosavi SV, Yousefzadeh Sh, Soltani R. (2012). [Validation of the Persian version of pain self-efficacy scale: A psychometric chronic low back pain patients]. Journal of Fundamentals of Mental Health; 13(4): 328-45. (In Persian)
Rezaei S., Yousefzadeh Sh., Afsharnezhad T., Asghari Moghadam A., Zarrabi H. (2011). [Determination of psychological factors related to physical disability in patients with chronic low back pain]. Journal of Clinical Psychology; 1(9):39-53. (In Persian)
Sami S, Hakimi M, Ali-Mohammadi M, Karimiyani N. (2014). [Comparing the effects of hydrotherapy, relaxation and McKenzie exercise on improvement of chronic low back pain in athletes].JAP; 4(2):11-21. (In Persian)
Sukenik, S., Flusser, D., Abu-Shakra, M. (1999). "The role of spa therapy in various rheumatic diseases". Rheumatic Disease Clinics of North America. 25:883-897.
Susan, H., Picavet, J., Johan, W., Vlaeyen, S., Jan, S.A., Schouten, G. (2002). "Pain catastrophizing and kinesiophobia: Predictors of Chronic Low Back Pain". American Journal of Epidemiology. 156(11):1028-1034.
Tefner, I.K., Németh, A., Lászlófi, A., Kis, T., Gyetvai, G., Bender, T. (2012). "The effect of spa therapy in chronic low back pain: a randomized controlled, single-blind, follow-up study". Rheumatology International. 32:3163-3169.
Von Mackensen, S. (2007). "Quality of life and sports activities in patients with hemophilia". Hemophilia. 13: 38-43.
Waller, B., Lambeck, J., Daly, D. (2009). "Therapeutic aquatic exercise in the treatment of low back pain: a systematic review". Clinical Rehabilitation. 23(1); 3-14.
Yurtkuran, M., Alp, A., NasÂrcÂlar, A., Ümit, U., Lale, A., Gülnazik, S. (2006). "Balneotherapy and tap water therapy in the treatment of knee osteoarthritis". Rheumatology International. 27:19-27.
Yurtkuran, M., Çeliktao, M. (1996). " A randomized controlled trial of balneotherapy in the treatment of patients with primary fibromyalgia syndrome". Physikalische Medizin Rehabilitations Kurortmedizin. 6:109-112.