Effectiveness of Water-Based Exercise in Patients with Low Back Pain: a Literature Review

Authors

  • Arif Pristianto Universitas Muhammadiyah Surakarta
  • Amelia Savitri Universitas Muhammadiyah Surakarta
  • Isnaini Herawati Universitas Muhammadiyah Surakarta
  • Farid Rahman Universitas Muhammadiyah Surakarta

Keywords:

Water-based exercise, Aquatic exercise, Low Back Pain

Abstract

Objective: Low Back Pain (LBP) is one of the most common types of musculoskeletal disorders. Low back pain is pain that is felt in the lower back area, it can be local pain or radicular pain or both. Low back pain can be grouped into three categories: acute, subacute, and chronic. Stretching and strengthening muscles with water-based exercise is used as one of the physiotherapy programs in cases of LBP. Through the effect of buoyancy, it is possible to perform movements that would normally be difficult on land to be easily performed in water. Strengthening is used to strengthen the muscles in the abdominal, lumbar, and pelvic areas so that these muscles will contract to regulate the lumbar posture. The purpose of this study was to determine the effectiveness of water-based exercise in cases of LBP compared to other physiotherapy modalities.Methods: This study used the Literature Review method to analyze and synthesize the effectiveness of water-based exercise in patients with LBP.Results: Based on the study data that has been conducted on six articles, there are four articles with a low risk of bias and two articles with a moderate risk of bias. The results and discussion in the articles that are used as the basis for this research study can be accounted for. To see the level of effectiveness of the aquatic/water-based exercise program as a physiotherapy service in the case of LBP, it can be seen through many things such as the patient's condition, adequate place facilities, age criteria of the patient and congenital disease factors.Conclusion: Based on the results of a literature review of six selected articles, aquatic/water-based exercise has been shown to be effective in reducing pain and improving quality of life in cases of LBP.

References

Baena-Beato, P. Á., Artero, E. G., Arroyo-Morales, M., Robles-Fuentes, A., Gatto-Cardia, M. C., & Delgado-Fernández, M. (2014). Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial. Clinical Rehabilitation, 28(4), 350–360. https://doi.org/10.1177/0269215513504943

Bartels, E. M., Juhl, C. B., Christensen, R., Hagen, K. B., Danneskiold-Samsøe, B., Dagfinrud, H., & Lund, H. (2016). Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database of Systematic Reviews, 2016(3). https://doi.org/10.1002/14651858.CD005523.pub3

Carvalho, R. G. S., Silva, M. F., Dias, J. M., Olkoski, M. M., Dela Bela, L. F., Pelegrinelli, A. R. M., Barreto, M. S. T., Campos, R. R., Guenka, L. C., Facci, L. M., & Cardoso, J. R. (2020). Effectiveness of additional deep-water running for disability, lumbar pain intensity, and functional capacity in patients with chronic low back pain: A randomised controlled trial with 3-month follow-up. Musculoskeletal Science and Practice, 49(2019), 102195. https://doi.org/10.1016/j.msksp.2020.102195

Gaya, L. L. (2015). Pengaruh Aktivitas Olahraga, Kebiasaan Merokok, dan Frekuensi Duduk Statis dengan Kejadian Low Back Pain. J Agromed Unila, 2(2), 185–189.

Irandoust, K., & Taheri, M. (2015). The effects of aquatic exercise on body composition and nonspecific Low Back Pain in elderly males. Journal of Physical Therapy Science, 27(2), 433–435. https://doi.org/10.1589/jpts.27.433

Nath, K., Jajoo, A., Sharma, R., Timilsina, R., Shin, Y., Aro, E., Gil, H., & Lee, C. (2013). Towards a critical understanding of the photosystem II repair mechanism and its regulation during stress conditions. FEBS Letters, 587(21), 3372–3381. https://doi.org/10.1016/j.febslet.2013.09.015

Olson, D. A., Kolber, M. J., Patel, C., Pabian, P., & Hanney, W. J. (2013). Aquatic Exercise for Treatment of Low-Back Pain: A Systematic Review of Randomized Controlled Trials. American Journal of Lifestyle Medicine, 7(2), 154–160. https://doi.org/10.1177/1559827612457323

Peng, M.-S., Wang, R., Wang, Y.-Z., Chen, C.-C., Wang, J., Liu, X.-C., Song, G., Guo, J.-B., Chen, P.-J., & Wang, X.-Q. (2022). Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients With Chronic Low Back Pain. JAMA Network Open, 5(1), e2142069. https://doi.org/10.1001/jamanetworkopen.2021.42069

Pires, D., Cruz, E. B., & Caeiro, C. (2015). Aquatic exercise and pain neurophysiology education versus aquatic exercise alone for patients with chronic Low Back Pain: A randomized controlled trial. Clinical Rehabilitation, 29(6), 538–547. https://doi.org/10.1177/0269215514549033

Pristianto, A., Wardani, A. A. K., Ervianta, W., & Santoso, T. B. (2021). Efektivitas Program Aquatic Exercise Terhadap Fleksibilitas Lumbal Pasien Chronic Low Back Pain. FISIO MU: Physiotherapy Evidences, 2(1), 7–14. https://doi.org/10.23917/fisiomu.v2i1.12932

Psycharakis, S. G., Coleman, S. G. S., Linton, L., Kaliarntas, K., & Valentin, S. (2019). Muscle Activity during Aquatic and Land Exercises in People with and Without Low Back Pain. Physical Therapy, 99(3), 297–310. https://doi.org/10.1093/ptj/pzy150

Ramdas, J., & Jella, V. (2018). Prevalence and risk factors of low back pain. International Journal of Advances in Medicine, 5(5), 1120. https://doi.org/10.18203/2349-3933.ijam20183413

Sawant, R. S., & Shinde, S. B. (2019). Effect of hydrotherapy based exercises for chronic nonspecific Low Back Pain. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 13(1), 133. https://doi.org/10.5958/0973-5674.2019.00027.3

Traeger, A., Buchbinder, R., Harris, I., & Maher, C. (2017). Diagnosis and management of low-back pain in primary care. Cmaj, 189(45), E1386–E1395. https://doi.org/10.1503/cmaj.170527

Published

2022-12-24

Issue

Section

Articles