The effect of aquatic exercise on functional disability, flexibility and function of trunk muscles in postmenopausal women with chronic non-specific low back pain: Randomized controlled trial

Ansari, Soleyman; Elmieh, Alireza; Alipour, Abbass

doi:10.1016/j.scispo.2020.07.003

Cited by 8 publications

(8 citation statements)

References 31 publications

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“…Fifteen other studies were omitted because of the following reasons: (a) no control group (Bello et al, 2010; Cuesta-Vargas et al, 2011; Kanitz et al, 2021; Pires et al, 2015; Rezai et al, 2020); (b) lack of access to data (Johnson et al, 2016; McIlveen & Robertson, 1998); (c) study with a different population (Granath et al, 2006); and (d) studies with an active control group (Carvalho et al, 2020; Costantino & Romiti, 2014; Dundar et al, 2009; Peng et al, 2022; Prabhu & Dadmi, 2019; Ragia et al, 2021; Yozbatiran et al, 2004). Fourteen studies (Alikhajeh et al, 2020; Ansari et al, 2021; Baena-Beato et al, 2013, 2014; Cuesta-Vargas et al, 2012b; Han et al, 2011; Hossein Abadi et al, 2019b; Irandoust & Taheri, 2015; Janyacharoen et al, 2012; Keane, 2017; Khodaveisi et al, 2018; Mirmoezzi et al, 2021; Najafi Ghagholestani et al, 2022; Taheri & Irandoust, 2014) met our inclusion criteria and were entered in the meta-analysis (Table 1 and PRISMA flow diagram, shown in Figure 1). Studies were performed in Iran (8), Spain (3), South Korea (1), Thailand (1), and the UK (1).…”

Section: Resultsmentioning

confidence: 99%

“…The mean age (where stated, n = 13 studies) was 47.3 years (range = 18–72 years). Participant gender was reported in 13 studies; 2 involving male participants only (Irandoust & Taheri, 2015; Taheri & Irandoust, 2014), 6 involving female participants only (Alikhajeh et al, 2020; Ansari et al, 2021; Han et al, 2011; Hossein Abadi et al, 2019a; Khodaveisi et al, 2018; Najafi Ghagholestani et al, 2022), while 5 studies included both men and women.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies (9 arms) measured functional disability. To assess functional disability, 2 different instruments were used in the included investigations, including the Oswestry Questionnaires Scale (Alikhajeh et al, 2020; Baena-Beato et al, 2013, 2014; Hossein Abadi et al, 2019a; Najafi Ghagholestani et al, 2022), and the Roland Morris Disability Questionnaire (Ansari et al, 2021; Cuesta-Vargas et al, 2012a; Mirmoezzi et al, 2021). Four studies (Baena-Beato et al, 2013, 2014; Cuesta-Vargas et al, 2012a; Hossein Abadi et al, 2019a) measured quality of life (assessed using the Short-Form Health Survey-36 questionnaire) as an outcome measure.…”

Section: Resultsmentioning

confidence: 99%

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Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Heidari

Rahimi

Aminzadeh

2023

Biological Research For Nursing

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Background Low back pain is a common, multifaceted disorder that directly affects diverse aspects of people’s lives in terms of health, personal and social lives. A variety of pathological disorders, including low back pain, may benefit from hydrotherapy. Objective This study aimed to systematically analyze the efficacy of aquatic exercise on pain intensity, disability, and quality of life among adults with low back pain. Data sources A systematic search was conducted in PubMed, Web of Science, Medline, and Scopus up to February 2023 for randomized controlled trials (RCTs) that which examined the impact of aquatic exercise. The most relevant articles were selected based on research criteria. The PEDro scale was applied to assess the quality of the included studies. Review Manager 5.3 was used for conducting all analyses. Study selection Out of 856 articles, 14 RCTs ( n = 484 participants; 257 in the experimental groups and 227 in the control groups) met our inclusion criteria. Results Pooled results illustrated that aquatic exercises significantly reduced pain (mean differences (MD): −3.82; p < 0.00,001), improved disability (standardized mean differences (SMD): 1.65; p < 0.00,001), and improved quality of life in both the physical component score (mean difference (MD), 10.13; p < 0.00,001) and the mental component score (MD, 6.45; p < 0.0001) when compared with a control group. Conclusion The current review showed that aquatic exercise regimens were effective among adults with low back pain. High-quality clinical investigations are still needed to support the use of therapeutic aquatic exercise in a clinical setting.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Heidari

Rahimi

Aminzadeh

2023

Biological Research For Nursing

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“…The initial search found 521 studies. Only 21 publications (1,(4)(5)(6)(7)11,15,(25)(26)(27)30,40,44,46,50,59,67,75,82,100,101) complied with the research protocol, of which 15 (1,(4)(5)(6)(7)11,15,26,27,30,44,50,59,82,100) were included in the meta-analyses (Figure 1). There were 7 studies that, despite analyzing variables of pain, disability, quality of life or flexibility, were not included in the quantitative analysis because (a) they used questionnaires or different measurement scales that did not provide sufficient data to calculate the ES (at least 3 studies) or (b) scored low in the methodological quality assessment.…”

Section: Study Selectionmentioning

confidence: 99%

Water-Based Exercise in Patients With Nonspecific Chronic Low-Back Pain: A Systematic Review With Meta-Analysis

Babiloni-Lopez,

Fritz,

Ramirez-Campillo

et al. 2024

Journal of Strength and Conditioning Research

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Babiloni-Lopez, C, Fritz, N, Ramirez-Campillo, R, and Colado, JC. Water-based exercise in patients with nonspecific chronic low-back pain: a systematic review with meta-analysis. J Strength Cond Res 38(1): 206–219, 2024—This study aimed to systematically review and synthesize evidence (i.e., active [land-based training] and nonactive controls [e.g., receiving usual care]) regarding the effects of water-based training on patients with nonspecific chronic low-back pain (NSCLBP). Web of Science (WOS), PubMed (MEDLINE), EMBASE, EBSCO (SPORTDiscus; CINAHL), and PEDro were searched, with no date restrictions, until October 2021. The included studies satisfied the following criteria: (a) NSCLBP (≥12 weeks) patients, (b) water-based intervention, (c) control group (land-based trained; nonactive group), and (d) outcomes related to pain, disability, quality of life, or flexibility. The main outcome analyzed in the meta-analysis was pain intensity. Secondary outcomes included disability, body mass index, and flexibility. The random-effects model was used, and effect size (ES) values are presented with 95% confidence intervals (CIs). The impact of heterogeneity was assessed (I 2 statistic), with values of <25%, 25–75%, and >75% representing low, moderate, and high levels, respectively. Alpha was set at p < 0.05. In conclusion, 15 studies (n = 524) were meta-analyzed. After intervention, pain intensity was reduced compared with nonactive controls (ES = −3.61; p < 0.001) and a similar reduction was noted when compared with land-based trained group (ES = −0.14; p = 0.359). Greater decrease in disability (ES = 2.15; p < 0.001) and greater increase in sit-and-reach (i.e., flexibility; ES = −2.44; p < 0.001) were noted after intervention compared with the nonactive group. In conclusion, water-based exercise therapy reduces pain intensity, disability, and increases flexibility in NSCLBP compared with nonactive subjects and was equally effective compared with land-based exercise to reduce pain. Favorable effects may be expected at ≤8 weeks. However, due to several methodological issues (e.g., high heterogeneity), for the improvement of most outcomes, we are unable to provide other than a weak recommendation in favor of intervention compared with control treatment.

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“…All the included studies were RCTs that included a hydrotherapy study group and a control group of another intervention. Participants included males and females of a broad range of ages (35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52). The sample size in the studies varied from 19 to 262 participants.…”

Section: Study Characteristics: Types Of Design and Participantsmentioning

confidence: 99%

The Effect of Hydrokinetic Therapy on Patients with Low Back Pain: A Systematic Review and Meta-Analysis

Serra¹,

Ruotolo²,

Berardi³

et al. 2023

Muscle Ligaments and Tendons J

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Background. Musculoskeletal disorders (MSDs) are a leading cause of disability internationally, particularly low back pain (LBP), which accounts for 60% of occupational diseases. Aquatic therapy has been used to treat various diseases. The aquatic setting has properties that can be used to obtain benefit through exercise. The primary aim of this systematic review was to evaluate physiotherapy qualitatively and quantitatively in a water environment in patients with LBP carrying out a meta-analysis to provide a guidance instrument about the efficacy of this kind of treatment. Methods. This review was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) protocol. We searched the PubMed, Scopus, Web of Science, CINAHL, and PEDro databases for studies to include. Only randomized controlled trials were included. To evaluate the risk of bias, the Jadad and PEDro scales were used. Results. After removing duplicate articles, 19 articles remained. Of these, 10 studies were of high-quality, while the remaining 9 achieved a score indicative of a low qualitative level. Conclusions. Aquatic therapy is beneficial to use in addition to conventional therapy in patients with LBP, with outcomes visible in the short-term. Study registration. Review was registered in Prospero website http://www.crd.york. ac.uk/PROSPERO with registration number: CRD42021250750.

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The effect of aquatic exercise on functional disability, flexibility and function of trunk muscles in postmenopausal women with chronic non-specific low back pain: Randomized controlled trial

Cited by 8 publications

References 31 publications

Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Aquatic Exercise Impact on Pain Intensity, Disability and Quality of Life in Adults with Low Back Pain: A Systematic Review and Meta-analysis

Water-Based Exercise in Patients With Nonspecific Chronic Low-Back Pain: A Systematic Review With Meta-Analysis

The Effect of Hydrokinetic Therapy on Patients with Low Back Pain: A Systematic Review and Meta-Analysis

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