1Instructor of Nursing, Department of Nursing, School of Nursing and Midwifery, Islamic Azad University, branch of Najaf Abad, Isfahan, Iran
2Assistant Professor of Orthopedic Surgeon, Sport Medicine Fellowship, Isfahan, Iran
Background: One of the common socioeconomic problems of today’s world is back pain and its chronic type can cause severe pain and disability in patients. Aquatic exercise is one of the complementary therapies which are used in diseases treatments. Aim: To determine the effectiveness of aquatic exercise on pain intensity and disability of the patients with chronic low back pain. Methods: This experimental study was performed on 48 women with chronic low back pain. Sampling method and division samples into the case and control groups were performed using simple random sampling method. Data collection tools included demographic characteristic check list, VAS pain intensity control scale and Oswestry disability index questionnaire (ODI). The patients in the case group were asked to perform some special back aquatic exercise in the pool, with temperature of 30-31°C, along with the coach, three times a week (every other day) and each session lasted for 60 minutes for three months. The control group waited only for three months. The questionnaires were filled by both groups before and after the intervention. Results: Mean age of the subjects was 43 years. Mean pain intensity scores between case and control group had a significant difference before and after the aquatic exercise (P < 0.001). In the control group, there was also a significant difference after 3 months of waiting (P < 0.013). Mean disability intensity before and after the aquatic exercise had a significant difference between the case and control groups (P < 0.04), but no significant difference was observed in the control group. Conclusion: Aquatic exercise was shown to be effective on the intensity of pain and disability in patients with chronic low back pain and, if considered as a treatment, can reduce the pain and disability of such patients.
1. Ibrahimzade A .Low backs Pain and Its Treatment, Isfahan Medical University in Iran, 2006, p: 1. (Persian)
2. Waller B. Therapeutic Aquatic Exercise in the Treatment of Low Back Pain: Systematic Review .Clinical rehabil 2009; 23: 3.
3. Wheeler H A. Pathophysiology of Low Back Pain. Pain and Orthopedic Neurology; 2009 Available from www.medscape.com/article/114430.
4. Maniadakis N, Gray A. The Economic Burden of Back Pain in the UK. Pain 2000; 84: 95-103.
5.Kent M Peter, Keating L Jennifer .The Epidemiology of Low Back Pain in Primary Care.Chiropr osteopat,2005; 13: 13.
6. Zali. 65 Percent Iranians Have Back Pain. Available from www.khabaronline.ir/news. (Persian)
7. Balague F, Mannion FA, Cedraschi C .Clinical upDate: Low Back Pain .Lancet, 2007; 369: 726-8.
8. Nachemson A, Waddell G, Nourlund AL. Chronic Low Back Pain, Neck and Back Pain: The Scientific Evidence of Causes, Diagnosis and Treatment. Published by Lippincott William & Wikins. Pilladelphia, 2000: 18.
9. Whit M. Aquatic Exercise.Published by Isfahan Industry University, 2009: 20. (Persian)
10. Dundar U, Solak O, Yigit I, Evcik D, KavuncuV.Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial .Spin, 2009; 34Jun.
11. Olson D, Kolber M, Patel C, Pabian P, Hanney W. Aquatic Exercise for Treatment of Low-Back Pain: A Systematic Review of Randomized Controlled Trials. Am J Lifestyle Med, 2013; 7(2):154-60.
12. Mehrdad R. Exercise and Theraputice Laser in Chronic Low Back Pain.TUMJ, 2004:63(4)322-30.
13.Mousavi SJ,Parnianpour M,Mahdian H,Montazeri A,Mobini B.The Oswestry Disability Index ,The Roland Moris Disability Questionnair and the Quebec Back Pain Disability Scale:Translation and Validation Studies of the Iranian Versions.spine ,2006;31(14):454-9.
14. Sjogren T, Long N ,Story I ,Smith J .Group Hydrotherapy Versus Group Land-Based Treatment for Chronic Low Back Pain .Physiother Res Int ,1997;2:207-17.
15. Ariyoshi M and et al .Efficacy of Aquatic Exercises for Patients with Low Back Pain. Kurme Med J, 1999; 46 (2): 91-6.