The WATER study: Which AquaTic ExeRcises increase muscle activity and limit pain for people with low back pain?

Psycharakis, Stelios G.; Coleman, Simon; Linton, Linda; Valentin, Stéphanie

doi:10.1016/j.physio.2022.03.003

Cited by 8 publications

(12 citation statements)

References 37 publications

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“…25,26 Thus weight-bearing joints and particularly hips, may regain mobility while resting the operated leg, bear weight in the early postoperative period 14,26 and gradually increase muscle strength and resistance by changing the depths of water. 12,25,26 The static and dynamic balance is increased after hydrotherapy, coordination and posture are enhanced as the treatment for chronic lower back pain has demonstrated. 12,13 Currently, as athletes compete harder at greater loads and take less time for recovery, they face increased pressure to return to sports.…”

Section: Discussionmentioning

confidence: 99%

“…Hydrotherapy is widely used as a rehabilitative and therapeutic method for other physically disabling conditions, 7,8,[11][12][13] however, in orthopaedic surgery it has received little attention. 10,[14][15][16] Moreover, early hydrotherapy within 3 months after orthopaedic surgery is sparsely reported in literature.…”

Section: Discussionmentioning

confidence: 99%

“…16,25 The hydrostatic pressure during immersion of the human body in water decreases oedema, maintains muscle function, 25 provides pain relief and a calming effect by desensitising patients (nociceptors hypersensitivity) due to sensory input from the water pressure and temperature. 9,12,16 Buoyancy decreases the effects of gravity on the body enabling greater range of movement without excessive muscle activation and therefore the progression to more advanced strengthening is smoother and easier when compared to land-based exercises. 26 The body weight decreases proportionally to the degree of immersion; in chest-deep water the weight-bearing load is approximately 40% of the total body weight, whereas waist-deep water increases the weight-bearing load to approximately 60%.…”

Section: Discussionmentioning

confidence: 99%

“…12,14,25,26 The static and dynamic balance is increased after hydrotherapy, coordination and posture are enhanced as the treatment for chronic lower back pain has demonstrated. 12,13 Currently, as athletes compete harder at greater loads and take less time for recovery, they face increased pressure to return to sports. Hip arthroscopy rehabilitation protocols should allow the required time for tissue healing, yet to restore ROM, flexibility, muscular endurance, and strength, and reach the goal of safely returning athletes to high levels of functioning at a prompt time.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] Incorporation of hydrotherapy into postoperative rehabilitation for hip arthroscopic surgery for FAI is not standard, although it has been widely used as part of rehabilitation for chronic conditions, [7][8][9][10][11] in rheumatology or neurology, 7,8 mostly for elderly people or chronic lower back pain. 9,12,13 However, rehabilitation after orthopaedic surgery has received little attention as systematic reviews report. 5,6,10,14,15 The aquatic environment due to its properties (buoyancy, hydrostatic pressure, cohesion, viscosity) provides improvement in mobility, strength, flexibility, muscular endurance and cardiovascular conditioning.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of hydrotherapy on return to play in sports following hip arthroscopic surgery: a comparative study

et al. 2023

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Background: The postoperative management of femoroacetabular impingement (FAI) is variable with favourable surgical outcomes. Yet there is no evidence on the efficacy of hydrotherapy in athletes undergoing hip arthroscopy for FAI. The purpose of this study was to evaluate the role and the impact of hydrotherapy on return to sports following hip arthroscopy for symptomatic FAI. Methods: 2 cohorts of mixed level of athletes from various sports: a hydrotherapy group that followed land-based exercises in combination with hydrotherapy exercises and a control group that followed solely the same land-based exercises. Pre- and postoperative pain and hip-specific outcome scores were completed, and patient satisfaction was rated. Results: A total of 88 hip arthroscopies were included with a minimum of 2 years follow-up; the hydrotherapy group comprised of 36 hips and the control group, 52 hips. There was a significant improvement in time to return to previous performance (HR 1.91, 95% CI, 1.21–3.01; p = 0.005) in the hydrotherapy group compared with the control. The hip-specific scores and patient satisfaction were considerably improved in the hydrotherapy group. Conclusions: The analysis of our data indicates that the incorporation of hydrotherapy into postoperative rehabilitation for hip arthroscopy for FAI accelerates the return of athletes to their pre-injury performance, since recovery time decreased significantly.

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