The Effect of Stabilization Exercise with and without Aquatic Exercise on Pain and Disability of Female Patients with Chronic Low Back Pain

Document Type : Original Article

Authors

Department of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran

Abstract

Introduction: Low back pain is one of the most common musculoskeletal disorders. Due to complicated mechanisms of chronic low back pain, determining efficient and cost effective methods of treatment still is a challenge. The aim of this study was to compare the effects of stability exercise with and without aquatic exercise on chronic low back pain. Methods: twenty four Female with chronic low back pain due to disc degeneration or herniation recruited purposefully. They were matched and randomly assigned into stabilization exercise group and combined (stabilization plus aquatic exercise) group. Both groups received 6 weeks exercise intervention (three sessions per week). Pain (VAS) and functional disability (ODI) were assessed before and after interventions. Paired and independent t tests were used for analysis of data (P≤0.05). Results: The results showed significant reduction of VAS scores in stabilization (5.9±0.8 vs 3.8±1.1, P=0.00) and combined (6.2±0.6 vs 3.2±0.9, P=0.00) groups. Regarding disability, significant improvements was seen in stabilization (38.7±9 vs 26.3±9.4, P=0.00) and combined (39.4±8.3 vs 22.5±6.7, P=0.00) groups. Also significant differences was seen between groups, as combined group had around 12.9 % and 10.7% more reduction respectively in VAS (P=0.01) and ODI (P=0.02) scores. Conclusion: As combining aquatic exercises with core stability training could provide higher improvements in pain and functional disability of patients, we suggest aquatic exercise training should be added to rehabilitation programs of low back patients as a complementary modality.

Keywords


1. Cho HY, Kim EH Kim J. Effects of the CORE exercise program on pain and active range of motion in patients with chronic low back pain. J Phys Ther Sci. 2014; 26 (8): 1237- 1240.
2. Smith BE, Littlewood C, May S. An update of stabilisation exercises for low back pain: a systematic review with meta-analysis. BMC Musculoskeletal Disorders J. 2014; 15 (1): 416.
3. Rhee HS, Kim YH, Sung PS. A randomized controlled trial to determine the effect of spinal stabilization exercise intervention based on pain level and standing balance differences in patients with low back pain. Med Sci Monito Int Med J Experiment Clin Res. 2012; 18 (3): CR174.
4. Wang XQ, Zheng JJ, Yu ZW, Bi X, Lou SJ, Liu J, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PloS One. 2012; 7 (12): e52082.
5. Ye C, Ren J, Zhan J, Wang C, Liu Z, Li F, et al. Comparison of lumbar spine stabilization exercise versus general exercise in young male patients with lumbar disc herniation after 1 year of follow-up. Int J Clin Experiment Med. 2015; 8 (6): 986