The effectiveness of hydrotherapy in patients with chronic low back pain

Christakou, Αnna; Boulnta, Foteini

doi:10.5114/pq.2020.95772

Cited by 5 publications

(4 citation statements)

References 33 publications

(79 reference statements)

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“…Their findings demonstrated that aquatic exercise could significantly decrease patients' pain intensity and improve their functional level. Similarly, Christakou and Boulnta (Christakou & Boulnta, 2020) revealed in their review a relief of pain and disability and an improvement in quality of life and psychological state following hydrotherapy. On the other hand, Waller et al (Waller et al, 2009) published a systematic review included 7 trials that the methodological quality of all included studies was considered low.…”

Section: Discussionmentioning

confidence: 89%

Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Heidari

Rahimi

Aminzadeh

2023

Biological Research For Nursing

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Background Low back pain is a common, multifaceted disorder that directly affects diverse aspects of people’s lives in terms of health, personal and social lives. A variety of pathological disorders, including low back pain, may benefit from hydrotherapy. Objective This study aimed to systematically analyze the efficacy of aquatic exercise on pain intensity, disability, and quality of life among adults with low back pain. Data sources A systematic search was conducted in PubMed, Web of Science, Medline, and Scopus up to February 2023 for randomized controlled trials (RCTs) that which examined the impact of aquatic exercise. The most relevant articles were selected based on research criteria. The PEDro scale was applied to assess the quality of the included studies. Review Manager 5.3 was used for conducting all analyses. Study selection Out of 856 articles, 14 RCTs ( n = 484 participants; 257 in the experimental groups and 227 in the control groups) met our inclusion criteria. Results Pooled results illustrated that aquatic exercises significantly reduced pain (mean differences (MD): −3.82; p < 0.00,001), improved disability (standardized mean differences (SMD): 1.65; p < 0.00,001), and improved quality of life in both the physical component score (mean difference (MD), 10.13; p < 0.00,001) and the mental component score (MD, 6.45; p < 0.0001) when compared with a control group. Conclusion The current review showed that aquatic exercise regimens were effective among adults with low back pain. High-quality clinical investigations are still needed to support the use of therapeutic aquatic exercise in a clinical setting.

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Section: Discussionmentioning

confidence: 89%

Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Heidari

Rahimi

Aminzadeh

2023

Biological Research For Nursing

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“…(2022) proved that the superior effects of light aquatic aerobics on mood and anxiety over other modalities. Another review by Christakou and Boulnta (2020) demonstrated that hydrotherapy improved pain, disability, life quality, and psychological status.…”

Section: Discussionmentioning

confidence: 99%

Effect of aquatic exercise versus aerobic exercise on primary dysmenorrhea and quality of life in adolescent females: A randomized controlled trial

Abdelrahman,

El‐Kosery,

Abbassy

et al. 2024

Physiotherapy Res Intl

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BackgroundPrimary dysmenorrhea leads to significant gynecological consultations, school absenteeism, disrupted daily activities, and adversely affects overall quality of life (QOL).PurposeThis study compared the effects of aquatic exercise versus aerobic exercise on primary dysmenorrhea and QOL in adolescent females.Subjects and MethodsSixty adolescent females suffering from primary dysmenorrhea with moderate to severe intensity were distributed randomly and equally into two groups was registered at ClinicalTrials.gov (NCT06129708) the Registration Date, November 13, 2023; group A was treated by aquatic exercise for 12 weeks, while group B was treated by aerobic exercise for 12 weeks. Assessment of both groups before and after treatment involved evaluating dysmenorrhea severity using the WaLIDD Score, measuring pain intensity with the numeric pain rating scale (NPRS), determining pressure pain threshold (PPT) with an algometry, and evaluating the QOL using EuroQol—5 Dimension—3 Level (EQ‐5D‐3L) and EuroQol‐visual analog scale (EQ‐VAS).ResultsBoth groups, A and B, experienced significant reductions in the WaLIDD score, NPRS, and all domains of EQ‐5D‐3L (p < 0.05), coupled with significant increases in PPT and EQ‐VAS (p < 0.05). Posttreatment comparisons between the groups showed insignificant differences in WaLIDD score, NPRS, and PPT (p > 0.05). However, there was a significant decrease in EQ‐5D‐3L and a significant increase in EQ‐VAS, favoring group A (p < 0.05).ConclusionBoth aquatic and aerobic exercises are effective methods in primary dysmenorrhea management and QOL improvement in adolescent females, with a better effect of aquatic exercise in enhancing QOL.

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“…While the positive roles of physiotherapy modalities [27,28] and yoga [29][30][31] in improving chronic LBP have been established, this study is the first to investigate the feasibility (i.e., adherence and safety) and the potential effect size of the Sun Salutation in improving pain, functional disability, and QoL among patients with subacute LBP. While a higher intensity exercise is more appropriate for chronic conditions [32], we utilized Sun Salutation because of its low intensity, which may best suit subacute conditions.…”

Section: Discussionmentioning

confidence: 99%

Sun Salutation yoga in patients with subacute low back pain: a feasibility study

Arovah¹,

Kushartanti²,

Ambardini³

2022

Physiother Quart.

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IntroductionThe roles of yoga in improving symptoms in chronic low back pain (LBP) have been established. However, evidence of Sun Salutation yoga feasibility in subacute LBP is lacking. This feasibility study examined the adherence, safety, and potential effect size of Sun Salutation yoga in improving pain, functional disability, and quality of life among patients with subacute LBP.MethodsOverall, 20 patients with subacute LBP (65% females, age: 35 ± 10 years) were enrolled in a 6-week Sun Salutation program. The protocol adherence and safety were self-reported by participants during weekly monitoring. Pain was assessed with visual analogue scale (VAS) and numeric rating scale (NRS), functional disability with Oswestry Disability Index (ODI) and Roland-Morris Questionnaire (RMQ), while quality of life with the Short Form Health Survey (SF-12). Pre- and post-intervention data were analysed by using the paired t-test or Wilcoxon signed-rank test per data distribution. Effect size was evaluated.ResultsAll patients adhered to the study protocol and no adverse effects were reported. Pain, functional disability, and quality of life improved significantly after the intervention. Effect sizes were very large for pain (3.87 and 3.97 for VAS and NRS), functional disability (1.94 and 3.24 for ODI and RMQ), and quality of life (2.34 and 4.62 for SF-12 physical and mental composite score).ConclusionsThe adherence and safety of Sun Salutation yoga in subacute LBP patients were demonstrated, with large effect sizes for improving pain, functional disability, and quality of life. Randomized controlled trials are recommended to confirm the findings.

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The effectiveness of hydrotherapy in patients with chronic low back pain

Cited by 5 publications

References 33 publications

Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Effect of aquatic exercise versus aerobic exercise on primary dysmenorrhea and quality of life in adolescent females: A randomized controlled trial

Sun Salutation yoga in patients with subacute low back pain: a feasibility study

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