Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

The Effect of Six Weeks Supine Movement in Water on the Pain and Disability in Men with Chronic Low Back Pain Due to Lumbar Disc Herniation

Document Type : Original Article

Authors
H.R lotfi 1
A Ebrahimi atri 2
A.A Hashemi javaheri 3
K Norouzi 4
1 MSc in Sport Injury & Corrective Exercise, School of Physical Education and Sports Sciences, Ferdosi University, Mashhad, Iran
2 Associate Professor of Sport Injury and Corrective Exercise, School of Physical Education and Sport Sciences, ferdowsi University of mashhad, Iran
3 Associate Professor of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Ferdowsi University of Mashhad, Iran
4 PhD Student of Sport Injury and Corrective Exercise, School of Physical Education and Sport Sciences, University of Isfahan, Iran
10.22038/jpsr.2016.6381
Abstract
Purpose: 
Chronic low back pain due to disc herniation is one of the common diseases in the community. In addition  to  the  pain  caused  by  this  problem,  which  is  a  major complication, decreased  and defective  physical performance  in daily  living are  other  major concerns .The purpose of this research was to investigate the effect of six weeks supine movement in water on pain and disability in men with Chronic Low Back Pain due to lumbar disc herniation.
Methods: 
24 patients with lumber disc herniation were selected, and were divided into two groups: experimental group (n=12, mean ± SD age, 47.75±3.28 years) and control group (n=12, mean ± SD age, 46.83±5.78 years). The experimental group performed 24 sessions of aquatic exercise four sessions per week, while control group did not participate in any exercise program. Data collected before and after the intervention and were analyzed by t student a significance levels of P≤0.05.
Results: 
Pain and disability have been reduced significantly in the experimental (P=0.001) group. Also comparison between groups showed that disability rate also reduced significantly (P=0.001).
Conclusion: 
This study showed six weeks supine movement in water reduces the level of pain and functional disability in men with chronic back pain caused by lumber disc herniation.
Keywords
Aquatic exercise
Lumbar disc herniation
Disability
Pain
Subjects
  1. Hayden JA, Van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Annals of internal medicine 2005; 142(9): 765-75.
  2. Staal JB, Hlobil H, Twisk JW, Smid T, Köke ArJ, van Mechelen W. Graded Activity for Low Back Pain in Occupational Health CareA Randomized, Controlled Trial. Annals of internal medicine 2004; 140(2): 77-84.
  3. Shoja Aldin S, Sadeghi H, Bayat TM. Relationship between the trunk muscles endurance and anthropometric characters with low back pain among athletes with lumbar lordosis. Journal of Movement Science; 2008.
  4. 4.Palastanga N, Field D, Soames R. Anatomy and human movement: structure and function; 2006.
  5. Bakhtiary AH, Safavi-Farokhi Z , Rezasoltani A. Lumbar Stabilizing Exercises Improve Activities of Daily Living in Patients with Lumbar Disc Herniation. J Back Musculoskelet Rehabil 2005; 55-60.
  6. 6.Colloca CJ, Keller TS. Electromyographic reflex responses to mechanical force, manually assisted spinal manipulative therapy. Spine 2001; 26(10) :1117-24.
  7. Burke DG, Holt LE, Rasmussen R, MacKinnon NC, Vossen JF, Pelham TW. Effects of hot or cold water immersion and modified proprioceptive neuromuscular facilitation flexibility exercise on hamstring length. Journal of athletic training 2001; 36(1): 16.
  8. Ariyoshi M, Sonoda K, Nagata K, Mashima T, Zenmyo M, Paku C, et al. Efficacy of aquatic exercises for patients with low-back pain. The Kurume medical journal 1998; 46(2): 91-6.
  9. Prins J, Cutner D. Aquatic therapy in the rehabilitation of athletic injuries. Clinics in sports medicine 1999; 18(2): 447-61.
  10. Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM&R 2009; 1(9): 859-72.
  11. Barker KL, Dawes H, Hansford P, Shamley D. Perceived and measured levels of exertion of patients with chronic back pain exercising in a hydrotherapy pool. Archives of physical medicine and rehabilitation  2003; 84(9): 1319-23.
  12. 12.Khanzadeh R,  Hashemi Javaheri A, Omidi-Kashani F,Zandi M, Khodabakhshi M. The Effect of Combined Therapeutic Protocol (Therapeutic Exercises and Massage) on the Pain and Physical Performance in Men with Chronic Low Back Pain due to Lumbar Disc Herniation; 2012.[persian]
  13. Cuesta-Vargas AI, Adams N, Salazar J, Belles A, Hazañas S, Arroyo-Morales M. Deep water running and general practice in primary care for non-specific low back pain versus general practice alone: randomized controlled trial. Clinical rheumatology 2012; 31(7): 1073-8.
  14. Kim Y-S, Park J, Shim JK. Effects of aquatic backward locomotion exercise and progressive resistance exercise on lumbar extension strength in patients who have undergone lumbar diskectomy. Archives of physical medicine and rehabilitation 2010; 91(2): 208-14.
  15. Oláh M, Molnár L, Dobai J, Oláh C, Fehér J, Bender T. The effects of weightbath traction hydrotherapy as a component of complex physical therapy in disorders of the cervical and lumbar spine: a controlled pilot study with follow-up. Rheumatology international 2008; 28(8): 749-56.
  16. Lee J-H, Ooi Y, Nakamura K. Measurement of muscle strength of the trunk and the lower extremities in subjects with history of low back pain. Spine 1995; 20(18): 1994-6.
  17. Rutledge E, Silvers WM, Browder K, Dolny D. Metabolic-cost comparison of submaximal land and aquatic treadmill exercise. International Journal of Aquatic Research and Education 2007; 1(2): 118-33.
  18. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques: FA Davis; 2012: 290-315.
  19. Schrepfer R, Fritz J. A comparison of change in visual analogue pain rating of acute low back pain patients following deep water walking or deep water hanging. J Aquatic Phys Ther 2000; 8: 25-8.

 

Journal of Paramedical Sciences & Rehabilitation
Volume 5, Issue 1
Winter 2016
Pages 14-19