Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial

Baena-Beato, Pedro Angel; Artero, Enrique G.; Arroyo-Morales, Manuel; Robles-Fuentes, Alejandro; Gatto-Cardia, María Claudia; Fernández, Manuel Delgado

doi:10.1177/0269215513504943

Cited by 77 publications

(98 citation statements)

References 36 publications

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“…No further studies were found by checking reference lists. Twenty quantitative publications and two qualitative publications were excluded at this stage. Excluded publications are listed with reasons for exclusion (SI4).…”

Section: Resultsmentioning

confidence: 99%

Weight loss interventions for adults with overweight/obesity and chronic musculoskeletal pain: a mixed methods systematic review

et al. 2018

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Worldwide prevalence of adult overweight and obesity is a growing public health issue. Adults with overweight/obesity often have chronic musculoskeletal pain. Using a mixed-methods review, we aimed to quantify the effectiveness and explore the appropriateness of weight loss interventions for this population. Electronic databases were searched for studies published between 01/01/90 and 01/07/16. The review included 14 randomized controlled trials that reported weight and pain outcomes and three qualitative studies that explored perceptions of adults with co-existing overweight/obesity and chronic musculoskeletal pain. The random-effects pooled mean weight loss was 4.9 kg (95%CI:2.9,6.8) greater for intervention vs control. The pooled mean reduction in pain was 7.3/100 units (95%CI:4.1,10.5) greater for intervention vs control. Study heterogeneity was substantial for weight loss (I = 95%, tau = ±3.5 kg) and pain change (I = 67%, tau = ±4.1%). Meta-regression slopes for the predictors of study quality, mean age and baseline mean weight on mean study weight reduction were shallow and not statistically significant (P > 0.05). The meta-regression slope between mean pain reduction and mean weight lost was shallow, and not statistically significant, -0.09 kg per unit pain score change (95%CI:-0.21,0.40, P = 0.54). Meta-synthesis of qualitative findings resulted in two synthesized findings; the importance of healthcare professionals understanding the effects of pain on ability to control weight and developing management/education programmes that address comorbidity.

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Section: Resultsmentioning

confidence: 99%

Weight loss interventions for adults with overweight/obesity and chronic musculoskeletal pain: a mixed methods systematic review

et al. 2018

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“…The association between body composition, low back pain, and disability has been examined that low back pain was shown to be associated with significant improvement of body composition such as weight, body mass index, body fat percentage, and skeletal muscle mass (Baena-Beato et al, 2014). These results imply that positive changes to manage one’s body composition components may reduce the risk of back pain.…”

Section: Discussionmentioning

confidence: 99%

The effects of strength exercise and walking on lumbar function, pain level, and body composition in chronic back pain patients

Lee

Kang

2016

J Exerc Rehabil

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The beneficial effects of a strength exercise program and a combined exercise program of strength training plus walking were examined in overweight with chronic back pain patients. The participants were randomly placed in the strength exercise group (SEG, n=15), combined exercise group (CEG, n=15), and control group (CG, n=6). All subjects performed exercise twice per week, 50 min per session with a professional instructors for 12 weeks. In order to evaluate exercise intervention effects, lumbar function was measured by back strength and flexibility. Roland-Morris disability questionnaire (RMDQ) and visual analogue scale (VAS) were used to evaluate pain level. Fat and muscle mass were measured to compare body composition changes. All measurements were performed before and after 12 weeks of exercise program. Lumbar function: Back strength was significantly different over time, and significant time×group differences were found between SEG and CG and, CEG and CG. Pain disorder degree: VAS showed a significant group difference, and significant time×group differences were shown between SEG and CG, and CEG and CG. Also, RMDG showed a significant difference between CEG and CG. Body composition: Fat mass was significantly different over time×group between SEG and CG. In conclusion, participating in strength and walking exercises were beneficial to improve lumbar function. Also, the combined exercise program was more effective for reducing pain levels than the strength exercise. Finally, fat mass was reduced in this study and this may play a possible role in the improvement of lumbar function and reduction in low back pain.

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“…Physical activity is an important lifestyle behavior that contributes to body weight regulation, and therefore may be important for both prevention and treatment of overweight and obesity, as previous studies have demonstrated (Baena-Beato et al, 2014;E. F. Nagle et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Energy Cost of Land and Shallow Water Walking in Females who are Overweight and Obese

Zera¹,

Nagle²,

Gibbs³

et al. 2019

IJARE

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Nineteen overweight or obese females completed three 10-minute experimental trials including a self-selected pace shallow water walking trial, a matched heart rate response land walking trial, and a self-selected pace land walking trial. Energy expenditure (kcal•min-1) was computed from expired gases assessed via indirect calorimetry. Results showed energy expenditure was lower (p= 0.046) during shallow water walking (6.46 ± 1.38 kcal•min-1) compared to matched heart rate response land walking trial (7.26 ± 1.29 kcal•min-1), with no significant difference in between shallow water and self-selected pace land walking (6.92 ± 1.61 kcal•min-1). The present study did not demonstrate superior energy cost of shallow water walking. However, results demonstrate that shallow water walking elicits an increase in energy expenditure, which may indicate that this form of activity is a reasonable alternative to land-based walking. Moreover, this form of activity may be particularly effective for individuals with mobility limitations during land-based exercise.

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Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial

Abstract: A two-month intensive aquatic therapy programme of high-frequency (five times/week) decreases levels of back pain and disability, increases quality of life, and improves body composition and health-related fitness in sedentary adults with chronic low back pain.

Cited by 77 publications

References 36 publications

Weight loss interventions for adults with overweight/obesity and chronic musculoskeletal pain: a mixed methods systematic review

Weight loss interventions for adults with overweight/obesity and chronic musculoskeletal pain: a mixed methods systematic review

The effects of strength exercise and walking on lumbar function, pain level, and body composition in chronic back pain patients

Energy Cost of Land and Shallow Water Walking in Females who are Overweight and Obese

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