The effect of eight weeks combined exercise in water on pain and postural sway in female with non-specific chronic low back pain

Document Type : Research Paper

Authors

1 Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Arak University

2 Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Arak University.

Abstract

Background and aim: Low back pain is one of the most common and most expensive medical problems in modern societies. The aim of this study was to examine the effect of eight weeks walking and core strength training in water on pain and postural sway in women with non-specific chronic low back pain (NCLBP).
Methods:twenty patients with NCLBP in both experimental and control groups (CG) participated in the present study. patients in the experimental group (EG) eight weeks (3 sessions per week) performed combined training (walking and core muscle strength training) in water. The patients in CG did not receive any training. Visual analogue scale and foot pressure system were used to evaluate the pain and postural sway in both groups before and after the intervention. All statistical analyses were performed using SPSS statistical software version 21 (p≤0.05).
Results: The pain (p=0.000), anteroposterior center of pressure (CoP) direction sway (p=0.001), CoP sway area (p=0.02), path length (p=0.008) and CoP sway velocity (p=0.009) decreased significantly in EG. Mediolateral CoP direction sway in the EG and none of the variables in the CG did not show any significant differences after eight weeks (p˃0.05).
Conclusion: According to the results, the use of combined protocol in the aquatic environment was effective in reducing pain and postural sway in patients with NCLBP. Due it is recommended to the use of the present study protocol in combination with the water environment to improve the pain and balance of these patients.

Keywords

References

Ariyoshi, M., Sonoda, K., Nagata, K., Mashima, T., Zenmyo, M., Paku, C., Takamiya, Y., Yoshimatsu, H., Hirai, Y., Yasunaga, H., Akashi, H., Imayama, H., Shimokobe, T., Inoue, A., & Mutoh, Y. (1999). "Efficacy of aquatic exercises for patients with low-back pain". The Kurume Medical Journal, 46(2), 91–96. http://www.ncbi.nlm.nih.gov/pubmed/10410527
Bressel, E., Dolny, D. G., & Gibbons, M. (2011). "Trunk muscle activity during exercises performed on land and in water". Medicine and Science in Sports and Exercise, 43(10), 1927–1932. https://doi.org/10.1249/MSS.0b013e318219dae7
Bressel, E., Dolny, D. G., Vandenberg, C., & Cronin, J. B. (2012). "Trunk muscle activity during spine stabilization exercises performed in a pool". Physical Therapy in Sport, 13(2), 67–72. https://doi.org/10.1016/j.ptsp.2011.06.002
Brumagne, S., Janssens, L., Knapen, S., Claeys, K., & Suuden-Johanson, E. (2008). "Persons with recurrent low back pain exhibit a rigid postural control strategy". European Spine Journal, 17(9), 1177–1184. https://doi.org/10.1007/s00586-008-0709-7
Caffaro, R. R., França, F. J. R., Burke, T. N., Magalhães, M. O., Ramos, L. A. V., & Marques, A. P. (2014). "Postural control in individuals with and without non-specific chronic low back pain: a preliminary case-control study". European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 23(4), 807–813.  https://doi.org/10.1007/s00586-014-3243-9
Cole, A. J., & Becker, b. E. (2004). Preview of Comprehensive aquatic therapy. Butterworth-Heinmann.
Dagenais, S., Caro, J., & Haldeman, S. (2008). "A systematic review of low back pain cost of illness studies in the United States and internationally". The Spine Journal: Official Journal of the North American Spine Society, 8(1), 8–20. https://doi.org/10.1016/j.spinee.2007.10.005
Frost, L. R., & Brown, S. H. M. (2016). "Muscle activation timing and balance response in chronic lower back pain patients with associated radiculopathy". Clinical Biomechanics, 32, 124-130. https://doi.org/10.1016/j.clinbiomech.2015.12.001
Garg, A., Pathak, H., Churyukanov, M. V., Uppin, R. B., & Slobodin, T. M. (2020). "Low back pain: critical assessment of various scales". In European Spine Journal, Vol. 29, Issue 3: 503–518. Springer. https://doi.org/10.1007/s00586-019-06279-5
Gholami Borujeni, B., & Yalfani, A. (2019). "Correlation of pain and lumbar arch with electromyography of ankle muscle in athletes with low back pain". Anesthesiology and Pain, 10(3), 105–118.
Kavcic, N., Grenier, S., & McGill, S. M. (2004). "Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises". Spine, 29(20), 2319–2329. https://doi.org/10.1097/01.brs.0000142222.62203.67
Keane, L. G. (2017). "Comparing AquaStretch with supervised land based stretching for Chronic Lower Back Pain". Journal of Bodywork and Movement Therapies, 21(2), 297–305. https://doi.org/10.1016/j.jbmt.2016.07.004
Khalkhali Zavieh, M., Ghasemi M., Mirzaei F, Parandeh H. "Studying the Effect of Lumbar Stabilization Exercise on Proprioception of Lumbosacral Spine in Healthy Young Women". Pajoohande. 2009; 14 (1): 21-26.
Kibler, W. Ben, Press, J., & Sciascia, A. (2006). "The role of core stability in athletic function". Sports Medicine (Auckland, N.Z.), 36(3), 189–198. https://doi.org/10.2165/00007256-200636030-00001
Liu-Ambrose, T., Eng, J. J., Khan, K. M., Mallinson, A., Carter, N. D., & McKay, H. A. (2002). "The Influence of Back Pain on Balance and Functional Mobility in 65- to 75-Year-Old Women with Osteoporosis". Osteoporosis International, 13(11), 868–873. https://doi.org/10.1007/s001980200119
Panjabi, M. M. (1992). "The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement". Journal of Spinal Disorders, 5(4), 383–389; discussion 397. http://www.ncbi.nlm.nih.gov/pubmed/1490034
Richardson, C. A., & Jull, G. A. (1995). "Muscle control–pain control. What exercises would you prescribe?". Manual Therapy, 1(1), 2–10. https://doi.org/10.1054/math.1995.0243
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), 358–368. https://doi.org/10.1007/s00586-010-1543-2
Saggini, R., Cancelli, F., Di Bonaventura, V., Bellomo, R. G., Pezzatini, A., & Carniel, R. (2004). "Efficacy of two micro-gravitational protocols to treat chronic low back pain associated with discal lesions: A randomized controlled trial". Europa Medicophysica, 40(4), 311–316.
Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). "The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial". Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173
Vera-Garcia, F. J., Elvira, J. L. L., Brown, S. H. M., & McGill, S. M. (2007). "Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations". Journal of Electromyography and Kinesiology, 17(5), 556–567. https://doi.org/10.1016/j.jelekin.2006.07.004
Yalfani, A; Maleki, B., & Raeisi, Z. (2019). "The effect of aquatic exercise therapy on the pain, disability and gait parameters of women with chronic low back pain". Scientific Journals Management System, 17(18), 57–67. https://jsmt.khu.ac.ir/article-1-401-en.html
Yalfani, Ali; & Raeisi, Z. (2015). "Force Distribution and Center of Pressure Variation in Female with and without Patellofemoral Pain Syndrome". Journal of Sport Medicine, 7(1), 57–68. https://doi.org/10.22059/JSMED.2015.53796
Yalfani, Ali; Ahmadnezhad, L., Gholami, B., & Mayahi, F. (2018). "The Effect of Six-Weeks Aquatic Exercise Therapy on Static Balance, Function oOf Trunk And Pelvic Girdle Muscles, Pain, And Disability in Woman With Chronic Low Back Pain". Nian Journal of Health Education and Health Promotion, 05(04), 288–295. https://doi.org/10.30699/acadpub.ijhehp.5.4.288
Yalfani, Ali; Asgarpour, A., & Raeisi, Z. (2019). "Comparing the effective interventions on plantar and ankle proprioception in balance control with and without fatigue". J Shahrekord Univ Med Sci, 21(1), 45–50. https://doi.org/10.15171/jsums.2019.08
Yalfani, Ali; Gholami Borujeni, B., Ahmadnezhad, L., & Esmi, S. (2017). "The Effect of Aquatic Therapy on the Balance and Hamstring Flexibility in Females with Chronic Low Back Pain". Iranian Journal of Rehabilitation Research, 3(3), 39–47. http://ijrn.ir/article-1-249-en.html
Yalfani, Ali; Raeisi, Z., & Koumasian, Z. (2020). "Effects of eight-week water versus mat pilates on female patients with chronic nonspecific low back pain: Double-blind randomized clinical trial". Journal of Bodywork and Movement Therapies, 24(4), 70–75. https://doi.org/10.1016/j.jbmt. 2020.06.002

Files

Share

How to cite

Statistics