The effect of aquatic exercise program on low-back pain disability in obese women

Abstract

Low-back pain (LBP) is one of the most current causes to reduce work performance, limit daily activities and raising health cost, and it is increasing as obesity growing as a public health concern. While obese LBP people cannot avoid weight load on the spine in any exercise, they can easily carry out exercise in water. This study aimed to investigate the effect of aquatic exercise on LBP disability among obese women. In this study, a total of 39 women with body mass index (BMI)≥ 27 kg/m 2 who suffering from nonspecific chronic LBP were purposively selected. They randomly assigned in two groups; aquatic and control. The aquatic group carried out aquatic exercise, twice per week, 60 min per session, for 12 weeks. LBP disability was measured using modified Oswestry questionnaire with ten sections; pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and employment. Results showed no significant difference in age, weight, BMI, waist to hip ratio, and percentage of body fat in both groups. An analyzing of multivariate analysis of covariance revealed that there was significant improvement on pain intensity, personal care, sitting, standing, sleeping, employment and total disability score in aquatic group, while there was no significant difference in lifting, walking, social life, and traveling abilities after 12 weeks between the groups. As a conclusion, this progressive aquatic exercise was a convenience and effective intervention program to reduce pain intensity, and improve personal care, sitting, standing, sleeping, and employment abilities in obese LBP women.

Deciphering the Causal Relationships Between Low Back Pain Complications, Metabolic Factors, and Comorbidities

“… 70 , 77 Obesity measures, especially anthropometrical measurements, eg, BMI and WHR, have been repeatedly associated with LBP. 78 However, these associations have been questioned, 79 and lack detailed investigations, 80 in particular for ECW levels. Our univariate multiple regression analysis showed that both WHR, and ECW adjusted for age and sex, were significantly associated with LBP-disability scores.…”

The effectiveness of hydrotherapy in patients with chronic low back pain

“…The intensity of general pain and disability were the 2 variables examined by approximately all the studies with the use of visual analogue scale [19-21, 24, 30, 34], Quebec Back Pain disability Scale (QBPdS) [30], oswestry disability Questionnaire [18,19,25,35], Roland Morris disability Questionnaire [20][21][22], and Short Form-12/36 [20-22, 25, 26, 35], which assesses the quality of life and general health of the tested subjects. According to the high methodological quality study by Pires et al [30], general body pain was reduced by applying exercise in water.…”

“…Pain intensity, disability, and quality of life were variables examined in LBP patients with the use of different scales, such as visual analogue scale, the oswestry disability Questionnaire, the Roland Morris disability Questionnaire, or Short Form-36/12 [18][19][20][21][22]. Also, the functional and psychological state of LBP patients were investigated with a number of assessment tools [18,[23][24][25].…”

“…The advantages of the present study in comparison with the 3 aforementioned systematic reviews are: (a) the inclusion of more recently published studies [18,19,29,30]; (b) the use of the PEdro scale, which is a valid and reliable scale for assessing the methodological quality of randomized controlled trials worldwide; and (c) the assessment of more examined variables, such as psychological state, body composition, vertebral height, nerve compression symptoms, and kinesiophobia. The present study is a part of a bachelor degree thesis of the department of Physiotherapy.…”

Comparison between Aquatic and Thera-Band Exercises on Pain Intensity and Endurance among Obese Individuals with Knee Osteoarthritis

“…The AE routine included walking (forward and backward), knee flexion and extension (in standing position), side lunges, jogging, side stepping, standing knee lift, hip kicker, leg balance (right & left), deep water cycling (using woggle), pool plank and wall push up [19][20][21]. The intensity and frequency of the exercise gradually increased every week, with an intensity of 13 -International Journal of Human Movement and Sports Sciences 10(4A): 1-9, 2022 3 17 Borg-Scale (60-70%) of the participant's maximum heart rate [22]. An overview of the AE program is detailed in Table 1.…”