EFFECT OF SWIMMING AS A HYDROTHERAPEUTIC INTERVENTION FOR THE MANAGEMENT OF CHRONIC NON-SPECIFIC LOW BACK PAIN - AN EXPERIMENTAL STUDY.
- Swami Vivekanand National Institute of Rehabilitation Training.
- Research, Olatpur, Bairoi, Cuttack, India.
- Cite This Article as
- Corresponding Author
Objective: to evaluate the effect of swimming, as a hydrotherapeutic intervention, in subjects with chronic non specific low back pain, in reducing pain, improving range of motion and function within a period of four weeks and analyzing the post therapeutic effect on the same outcome measures following four more weeks of non intervention by performing extensive experimental investigation. Design: experimental study Setting: Hydrotherapy unit of Department of Physiotherapy,SVNIRTAR Participants: 51 subjects suffering from chronic non-specific low back pain Interventions: The exercises employed consisted of walking in water and aquatic aerobics as a warm up regimen of 10 minutes followed by swimming for thirty minutes and then Ai Chi technique of relaxation as a cool down regimen for another 10 minutes. All the subjects participated in the exercise program for 4 weeks. The frequency of performing exercises was five days a week. Outcome Measures: VAS, Modified Schober?s Test, Quebec Back Pain Disability Scale. Results: Statistically significant improvements were detected in all outcome measures compared with baseline, after 4 weeks of intervention. The improvement in physical score was independent of the initial ability in swimming. The post scores taken after 4 weeks of non-intervention noticed a mild change in the statistical values of VAS and Quebec Questionnaire. Conclusions: The results obtained suggested that swimming can be recommended for the treatment of chronic non specific low-back pain as it is useful in not only reducing pain but also improving the range of motion and the function of the individual.
- Hoy D, March L et al. (2014) The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 73:968-74
- BenDebba M, Torgerson WS, Long DM (1997) Personality traits, pain duration and severity, functional impairment, and psychological distress in patients with persistent low back pain. Pain. 72:115-25.
- Krismer M,?van Tulder M (2007) Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res ClinRheumatol. 21(1):77-91.
- Bogduk N (2004) Management of chronic low back pain. MJA. 180:79-83
- Van Tulder M et al. (2006) European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 15:S169?S191.
- Michel A, Kohlmann T, Raspe H (1997) The association between clinical findings on physical examination and self-reported severity in back pain. Spine. 22:296-304.
- Von Korff M,?Saunders K (1976) The course of back pain in primary care. Spine. 21(24): 2833 ? 7.
- Smith C,?Grimmer-Somers K (2010) The treatment effect of exercise programmes for chronic low back pain. 16(3): 484 ? 91.
- Bindra S, Sinha A,?Benjamin AI (2013) Questionnaire for low back pain in the garment industry workers. Indian J Occup Environ Med. 17(2): 48 ? 57.
- Cole AJ, Becker BE (2003) Comprehensive Aquatic Therapy. 2nd Butterworth-Heinemann.
- Harrison RA, Hillman MA, Bulstrode S (1992) Loading of the Lower Limb when Walking Partially Immersed: Implications for Clinical Practice. Physiotherapy. 78(3): 164 ? 66.
- Stolberg A, Frenk H (1995) Development of water‐immersion produced analgesia. Developmental Psychobiology. 28(4): 247 ? 55.
- Wang TJ,?Belza B,?Elaine Thompson F,?Whitney JD,?Bennett K (2007) Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee. J AdvNurs.57(2): 141 ? 52.
- Dundar U,?Solak O,?Yigit I,?Evcik D,?Kavuncu V (2009) Clinical effectiveness of aquatic exercise to treat chronic low back pain: a randomized controlled trial. Spine. 34(14): 1436 ? 40.
- Konlian C (1999)Aquatic therapy: making a wave in the treatment of low back injuries. 18(1): 11 ? 8.
- Kim YS, Park J, Shim JK (2010) Effects of Aquatic Backward Locomotion Exercise and Progressive Resistance Exercise on Lumbar Extension Strength in Patients Who Have Undergone Lumbar Diskectomy. Achieves of Physical Medicine and Rehabilitation. 91(2): 208 ? 14.
- Suomi R, Lindauer S (1997) Effectiveness of Arthritis Foundation Aquatic Program on Strength and Range of Motion in Women with Arthritis. Human Kinetic Journals. 5(4): 341 ? 51.
- Gappmaier E,?Lake W,?Nelson AG,?Fisher AG (2006) Aerobic exercise in water versus walking on land: effects on indices of fat reduction and weight loss of obese women. J Sports Med Phys Fitness.?46(4): 564 ? 9.
- McKenzie R, May S (2003) Mechanical Diagnosis and Therapy. Waikanae, New Zealand: Spinal Publications.
- Armstrong JR (1952) Lumbar Disc Lesions. Edinburgh-London. E & S Livingstone LTD.
- Panjabi MM (1992) The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord.5(4): 383 ? 9.
- Woolf CJ (2011) Central sensitization: implications for the diagnosis and treatment of pain. 152(3 Suppl): S2 ? 15.
- Hides JA,?Jull GA,?Richardson CA (2001) Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 26(11): E243 ? 8.
- Hodges PW (2003) Core stability exercise in chronic low back pain. OrthopClin North Am.34(2): 245 ? 54.
- Nachemson A (1965) Electromyographic Studies on the Vertebral Portion of the Psoas Muscle:?With Special Reference to its Stabilizing Function of the Lumbar Spine. Journal ActaOrthopaedicaScandinavica. 37(2): 177 ? 90.
- Nakazawa K, Yano H, Miyashita M (1994) Ground reaction forces during walking in water. Medicine and Science in Aquatic Sports. 39: 28 ? 34.
- Bergmark A (1989) Stability of the lumbar spine. A study in mechanical engineering. ActaOrthopScand Suppl.230: 1 ? 54.
- Marshall PW,?Patel H,?Callaghan JP (2011) Gluteus medius strength, endurance, and co-activation in the development of low back pain during prolonged standing. Hum Mov Sci.30(1): 63 ? 73.
- Inoue M et al. (2014) The efficacy of a multidisciplinary group program for patients with refractory chronic pain. Pain Res Manag. 19(6): 302 ? 8.
- Mcgregor AH, Hukins DWL (2009) Lower limb involvement in spinal function and low back pain. Journal of Back and Musculoskeletal Rehabilitation.?22(4): 219 ? 2.
- Suomi R, Lindauer S (1997) Effectiveness of Arthritis Foundation Aquatic Program on strength and range of motion in women with arthritis. Journal of Aging and Physical Activity. 5: 341 ? 51.
[Subhasmita Dwivedy, PatitapabanMohanty and Monalisa Pattnaikand MPT. (2018); EFFECT OF SWIMMING AS A HYDROTHERAPEUTIC INTERVENTION FOR THE MANAGEMENT OF CHRONIC NON-SPECIFIC LOW BACK PAIN - AN EXPERIMENTAL STUDY. Int. J. of Adv. Res. 6 (8). 665-675] (ISSN 2320-5407). www.journalijar.com
Associate Professor & HOD, Department of Physiotherapy, SVNIRTAR
Article DOI: 10.21474/IJAR01/7566 DOI URL: http://dx.doi.org/10.21474/IJAR01/7566
Share this article
This work is licensed under a Creative Commons Attribution 4.0 International License.