Aquatic and land aerobic training for patients with chronic low back pain: a randomized study

Abstract

Purpose. the study aimed to verify the influence of aerobic training environment on pain, disability, and oxygen uptake in patients with chronic low back pain. Methods. the randomized study involved 14 patients of both sexes, with chronic low back pain. One group performed deepwater walking/running and the other practised land walking/running, both with moderate intensity. Pain, disability, peak oxygen uptake (VO 2peak), and second ventilatory threshold oxygen uptake (VO 2Vt2) were assessed before and after the intervention. Results. Decreases in pain and disability were observed in both groups, without differences between them. VO 2peak and VO 2Vt2 did not change in either group after the training. Conclusions. Aerobic exercise training of moderate intensity seems to be effective in improving pain symptoms and reducing disability among people with chronic low back pain, independently of the environment in which it is performed.

Impact of strain-counterstrain on treatment of acute nonspecific low back pain: a single-blind randomized controlled trial

“…The only way to deal with chronic nonspecific LBP is a multidisciplinary approach. Recent studies used creative methods; aerobic exercises of walking/running at moderate intensity in both the aquatic environment and on land may be indicated for chronic back pain patients [35]. A back extension-glide virtual reality game turns out comparable with the McKenzie extension therapy in its effect on pain and pain-related characteristics, disability, movement impairments, and quality of life.…”

The effectiveness of different aerobic exercises to improve pain intensity and disability in chronic low back pain patients: a systematic review

“…All included studies were RCTs, involved a total of 1146 patients. The number of participants ranging from 14 43 to 246, 44 and patients were >18 years. The duration of included studies' intervention was between 4 weeks 45 and 12 months.…”

“…The duration of included studies' intervention was between 4 weeks 45 and 12 months. 46 Among these, eleven studies followed up for short term (<3 months or 12 weeks), 45,[47][48][49][50][51][52][53][54][55][56] eleven studies followed up for intermediate-term (3 months to <12 months) 43,44,[46][47][48]52,53,[56][57][58][59] and two studies followed up for long term (≥12 months). 46,55 Studies examined the effectiveness of different types of AE.…”

“…46,55 Studies examined the effectiveness of different types of AE. Eleven studies evaluated the effectiveness of different forms of AE alone [43][44][45][46][47]49,54,[56][57][58] while seven studies examined AE in conjunction with other intervention including stabilization exercise, 47 back school program, 50 rehabilitation program, 51 group exercise class, 52 traditional physiotherapy 55 and home exercise. 48 Table 1.…”

“…As an intervention, ten studies used walking exercise [45][46][47][48][49]51,53,54,58 ; three studies used stationary cycling exercise 45,50,52 ; one study used treadmill running exercise 57 ; one study used both walking and running exercise 43 ; one study used combined treadmill walking, stair climbing and stationary cycling exercise 59 ; one study used walking and jogging exercise with elliptical trainer 56 ; one study used individually designed and supervised aerobic exercise. 55 In this review, we focused on the improvement in pain intensity and functional disability.…”