Aquatic Exercise for Chronic Low Back Pain
Disability predictors in chronic low back pain after aquatic exercise
Baena-Beato, Pedro Ángel PhD; Delgado-Fernández, Manuel PhD; Artero, Enrique G. PhD; Robles-Fuentes, Alejandro PhD; Gatto-Cardia, María Claudia BSc; Arroyo-Morales, Manuel PhD, July 2014
The physical and psychological factors associated with reduction of disability after aquatic exercise are not well understood.
Sixty participants, 30 male and 30 female, age 50-69 with chronic low back pain were prospectively recruited.
The 8-weeks/2-5 days a week aquatic exercise program was carried out in an indoor heated pool (30°C).
Each aquatic exercise session lasted 55-60 mins and included:
10 mins – warm-up exercises
20-25 mins – aerobic exercises
15-20 mins – resistance exercises
10 mins – cool-down exercises
The outcomes variables that were measured:
- Demographic information
- disability (Oswestry Disability Index)
- back pain (visual analog scale)
- quality-of-life (Short Form 36)
- abdominal muscular endurance (curl-up)
- handgrip strength
- trunk flexion and hamstring length (sit and reach)
- resting heart rate
- body mass index.
Significant correlations between change in disability and visual analog scale (at rest, flexion, and extension), curl-up and handgrip (ranged between -0.353 and 0.582, all Ps < 0.01) were found.
Changes in pain and abdominal muscular endurance were significant predictors of change in disability after therapy.
- The Department of Physical Education and Sport, University of Granada, Granada, Spain.
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia.
- Department of Education, University of Almería, Almería, Spain.
- Department of Physiotherapy, Universidade Federal da Paraíba, Paraiíba, Brasil.
- Department of Physiotherapy, University of Granada, Granada, Spain.