Author(s): BaenaBeato PA, ArroyoMorales M, DelgadoFernndez M, GattoCardia MC, Artero EG
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Abstract OBJECTIVE: To study the effects of an aquatic therapy program with different frequencies (2 vs 3 days per week) in chronic low back pain. DESIGN: [corrected] Non-randomized comparison trial. SETTING: Sport and spa community health club. SUBJECTS: Fifty-four adults with chronic low back pain (48.9 ± 10.0 years). INTERVENTION: Eight-week aquatic therapy program. OUTCOME MEASURES: Pain (visual analog scale [VAS]), disability (Oswestry Disability Index), and quality of life (Short-Form Health Survey 36), body composition (weight, body mass index, body fat mass, body fat percentage, and skeletal muscle mass), and health-related fitness (sit and reach, handgrip strength, curl-up, Rockport 1-mile test). RESULTS: Both experimental groups presented significant improvements in low back pain and disability (P < 0.001) compared with control group. The 3 days/week group showed significantly greater benefits at VAS flexion and disability (P < 0.001) than the 2 days/week group. Regarding quality of life, both intervention groups presented significant differences for Physical Role (P < 0.05), Bodily Pain (P < 0.001), General Health (P = 0.012), and Standardized Physical Component (P < 0.001) compared with control group. Both experimental groups significantly improved all health-related fitness parameters (P < 0.01). The 3 days/week group showed significantly greater benefits at curl-up and heart rate (P < 0.001) than the 2 days/week group. No significant changes between treatment groups and control were found in body composition. CONCLUSIONS: Eight weeks of aquatic therapy program decrease levels of back pain and disability, increase quality of life, and improve health-related fitness in adults with chronic low back pain without effects in body composition. A dose-response effect was observed in some parameters, with greater benefits when exercising 3 days per week compared with 2 days. Wiley Periodicals, Inc.
This article was published in Pain Med
and referenced in Journal of Yoga & Physical Therapy