Effectiveness of Aquatic and Land Exercises on Chronic Nonspecific Low Back Pain: A Randomised Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Pain Intensity
研究概览
简要总结
This study aims to learn about the effects of aquatic and land exercises on managing chronic low back pain in adults aged 18-65. The participants engage in a 12-week supervised land and water-based exercise program.
The main questions this study aims to answer are:
- How effective are aquatic exercises on low back pain, functional disability, Kinesiophobia, sleep quality, and overall quality of life?
- Is aquatic therapy more effective than land exercises for treating LBP or vice versa?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 65
- •Both Genders
- •Literate in the English language to understand instructions/ to complete a self-report questionnaire.
- •Having non-specific Chronic low back pain (≥12 weeks)
- •Patient willingness to be a part of any randomly selected treatment groups.
排除标准
- •Pregnant Females
- •If they had low back pain as the result of diagnosis of severe osteoporosis, spinal bone disorders such as spondylosis and spondylolisthesis, fractures, lumbar spine stenosis, lower limb joint replacement surgery, hip orthosis, ankylosing spondylitis, rheumatoid arthritis, infective or inflammatory disease, compression of the radial nerve, meningitis, arthrosis, lumbar region tumours, Leg length discrepancy, previous back surgery.
- •Uncontrolled hypertension, Severe postural hypotension, any heart disease like Left heart failure or exercise-induced angina. Medical illnesses without a medical managing plan in place, e.g., uncontrolled epilepsy, diabetes mellitus. Neurologic deficit, open wounds, current or recurrent radiation treatment.
- •Patients with severe depression and psychosis
- •People who are already participating in an individually-prescribed exercise programme for LBP.
- •Aquatic exercises /Pool specific:
- •Individuals with hydrophobia/ water-related anxiety, or inability to adapt to an aquatic environment.
- •Allergy to chlorine, Severe limiting airway disease
- •Faecal or urinary incontinence, diarrhoea, and vomiting.
- •Weight more than the emergency evacuation manual handling risk assessment.
研究组 & 干预措施
Aquatic Exercise Group
The aquatic exercise session is approximately 45-60 minutes, thrice a week, for twelve weeks, 36 sessions total. They are supervised by an experienced researcher who is a qualified Physiotherapist. The one-hour session generally includes a warm-up, the main exercise session, and a cool-down period. The exercises include balance and agility training, cardio exercises, flexibility, upper and lower limb stretching and strengthening exercises, trunk rotations, etc. Additionally, the group receives back care education involving guidelines and recommendations for adopting good posture, self-management, and active lifestyle advice each week of the intervention. Also, the participants are given a participant education handbook containing all the information and resources about LBP.
干预措施: Aquatic Exercises (Other)
Land Exercise Group
The land exercise group will follow the same structured protocol as the aquatic exercise group regarding duration, frequency, and intensity.
干预措施: Land Exercises (Other)
结局指标
主要结局
Pain Intensity
时间窗: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Pain intensity is measured by the Numerical Pain Rating Scale where the participants will report their pain as 0 (no pain) and 10(worst imaginable pain).
Functional Disability
时间窗: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Functional disability is assessed by the Roland-Morris Disability Questionnaire, a 24-item self-reported measure evaluating the impact of low back pain on daily activities.
次要结局
- Health-Related Quality of Life(Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).)
- Sleep Quality(Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).)
- Kinesiophobia (Fear of Movement-Related to Pain)(Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).)
- Dynamic Balace Performance(Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).)
- Hamstring Flexibility(Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).)