The effect of correction exercises with hydrotherapy on reduce pain, fatigue and quality of life in middle-aged women with chronic low back pain
محورهای موضوعی : فیزیولوژی ورزشی
Fereshteh Mozafari
1
,
Abdolrasoul Daneshjoo
2
,
Seyed Kazem Mousavi Sadati
3
1 - Ms in corrective exercise and sport injuries,department of sport sciences,East Tehran Branch, Islamic Azad University, Tehran , Iran.
2 - Assistant Prof., Dept. of Exercise bio mechanic, Faculty of Human Sciences, East Tehran Branch, Islamic Azad University, Tehran, Iran
3 - Department of Physical Education and Sport Sciences, East Tehran Branch, Islamic Azad University, Tehran, Iran
کلید واژه: Fatigue, quality of life, middle-aged women, pain level,
چکیده مقاله :
Background and Aim: Chronic back pain is a common problem in the world, which is the most frequent among middle-aged women. The present study was conducted with the aim of investigating the effect of eight weeks of corrective exercises along with water therapy on reducing pain, fatigue, life expectancy and trunk kinematic indices in women with chronic low back pain. Material and Methods: The research sample includes 30 of these people who were randomly selected and then randomly divided into two groups of 15 people, control and experimental. In this study, the amount of back pain was evaluated with the help of a visual pain assessment questionnaire. Also, the quality of life of the subjects was evaluated with the help of the World Health Organization quality of life questionnaire - short form and the intensity of fatigue with the help of the MFIS questionnaire. After evaluating the variables, the subjects were divided into two control and training groups, and the training group did the training program for 8 weeks and 3 sessions per week. The control group also did their daily activities during this period. In this study, the normality of the distributions was investigated using the Shapiro-Wilk test. In order to test the research hypotheses under normal conditions, analysis of covariance (between groups) and correlation t (within groups) were used. Results: The results of this study showed that applying an eight-week corrective exercise program along with water therapy is effective in reducing fatigue and quality of life in addition to reducing pain (P < 0.05). Conclusion: The results of this study showed the effect of corrective exercises along with water therapy on reducing back pain, improving quality of life and trunk kinematics in middle-aged women. Based on this, it seems that applying the exercises of the present study can be effective in improving the quality of life in middle-aged women with back pain
Background and Aim: Chronic back pain is a common problem in the world, which is the most frequent among middle-aged women. The present study was conducted with the aim of investigating the effect of eight weeks of corrective exercises along with water therapy on reducing pain, fatigue, life expectancy and trunk kinematic indices in women with chronic low back pain. Material and Methods: The research sample includes 30 of these people who were randomly selected and then randomly divided into two groups of 15 people, control and experimental. In this study, the amount of back pain was evaluated with the help of a visual pain assessment questionnaire. Also, the quality of life of the subjects was evaluated with the help of the World Health Organization quality of life questionnaire - short form and the intensity of fatigue with the help of the MFIS questionnaire. After evaluating the variables, the subjects were divided into two control and training groups, and the training group did the training program for 8 weeks and 3 sessions per week. The control group also did their daily activities during this period. In this study, the normality of the distributions was investigated using the Shapiro-Wilk test. In order to test the research hypotheses under normal conditions, analysis of covariance (between groups) and correlation t (within groups) were used. Results: The results of this study showed that applying an eight-week corrective exercise program along with water therapy is effective in reducing fatigue and quality of life in addition to reducing pain (P < 0.05). Conclusion: The results of this study showed the effect of corrective exercises along with water therapy on reducing back pain, improving quality of life and trunk kinematics in middle-aged women. Based on this, it seems that applying the exercises of the present study can be effective in improving the quality of life in middle-aged women with back pain
1. Meier ML, Vrana A, Schweinhardt P. Low Back Pain: The Potential Contribution of Supraspinal Motor Control and Proprioception. Neuroscientist. 2019 Dec;25(6):583-596. doi: 10.1177/1073858418809074. Epub 2018 Nov 2. PMID: 30387689; PMCID: PMC6900582.
2. Lee, G. K., Chronister, J., & Bishop, M. (2008). The effects of psychosocial factors on quality of life among individuals with chronic pain. Rehabilitation Counseling Bulletin, 51(3), 177-189. doi.org/10.1177/0034355207311318
3. Lee, H. J., & Park, D. S. (2020). Comparison of trunk muscle thickness according to the type of feedback during spinal stabilization exercise in standing posture. Physical Therapy Rehabilitation Science, 9(3), 184-190.http://dx.doi.org/10.14474/ptrs.2020.9.3.184
4. Alhakami AM, Davis S, Qasheesh M, Shaphe A, Chahal A. Effects of McKenzie and stabilization exercises in reducing pain intensity and functional disability in individuals with nonspecific chronic low back pain: a systematic review. J Phys Ther Sci. 2019 Jul;31(7):590-597. doi: 10.1589/jpts.31.590. Epub 2019 Jul 9. PMID: 31417227; PMCID: PMC6642883.
5. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003 Aug;13(4):371-9. doi: 10.1016/s1050-6411(03)00044-0. PMID: 12832167.
6. Barker AL, Talevski J, Morello RT, Brand CA, Rahmann AE, Urquhart DM. Effectiveness of aquatic exercise for musculoskeletal conditions: a meta-analysis. Arch Phys Med Rehabil. 2014 Sep;95(9):1776-86. doi: 10.1016/j.apmr.2014.04.005. Epub 2014 Apr 24. PMID: 24769068
7. Adelt E, Schoettker-Koeniger T, Luedtke K, Hall T, Schäfer A. Lumbar movement control in non-specific chronic low back pain: Evaluation of a direction-specific battery of tests using item response theory. Musculoskelet Sci Pract. 2021 Oct;55:102406. doi: 10.1016/j.msksp.2021.102406. Epub 2021 Jun 4. PMID: 34139514.8. Gupta, S. (2016). A comparison between mckenzie extensions exercises versus william’s flexion exercises for low back pain in b. Pt. Students. Indian journal of physical therapy, 3(2), 51-5.doi:10.1016/j.msksp.2021.102406. PMID: 341395231
9. Clael S, Campos LF, Correia KL, de Lucena JMS, Gentil P, Durigan JL, Ribeiro ALA, Martins WR. Exercise interventions can improve muscle strength, endurance, and electrical activity of lumbar extensors in individuals with non-specific low back pain: a systematic review with meta-analysis. Sci Rep. 2021 Aug 19;11(1):16842. doi: 10.1038/s41598-021-96403-7. PMID: 34413400; PMCID: PMC8376921.
10. Bites A. Hanson N. (2010). editors. Motion therapy in water. Mahdavi Nejad R. (translators). Isfahan: Jahade DaneshgahiIsfahan.doi.org/10.30476/smsj.2019.79265.
.11. Christakou, A., & Boulnta, F. (2020). The effectiveness of hydrotherapy in patients with chronic low back pain. PhysiotherapyQuarterly,28(3),32-38. doi.org/10.5114/pq.2020.95772
12. Gramatikova, M., Mitova, S., & Valchev, N. (2020). Effect of hydrotherapy on chronic pain in the lumbar region. Journal of IMAB–Annual Proceeding Scientific Papers,26(4),34853489.doi.org/10.5272/jimab.2020264.3485
13. Sanders, M. E., Islam, M. M., Naruse, A., Takeshima, N., & Rogers, M. E. (2016). Aquatic exercise for better living on land: Impact of shallow-water exercise on older Japanese women for performance of activities of daily living (ADL). International Journal of Aquatic Research and Education, 10(1), 1. https://doi.org/10.25035/ijare.10.01.01
14. Kamioka H, Tsutani K, Okuizumi H, Mutoh Y, Ohta M, Handa S, Okada S, Kitayuguchi J, Kamada M, Shiozawa N, Honda T. Effectiveness of aquatic exercise and balneotherapy: a summary of systematic reviews based on randomized controlled trials of water immersion therapies. J Epidemiol. 2010;20(1):2-12. doi: 10.2188/jea.je20090030. Epub 2009 Oct 31. PMID: 19881230; PMCID: PMC3900774
16.Hall J, Grant J, Blake D, Taylor G, Garbutt G. Cardiorespiratory responses to aquatic treadmill walking in patients with rheumatoid arthritis. Physiother Res Int. 2004;9(2):59-73. doi: 10.1002/pri.303. PMID: 15317421.
15. Takhti M, Riyahi Malayeri S, Behdari R. Comparison of two methods of concurrent training and ginger intake on visfatin and metabolic syndrome in overweight women. RJMS 2020; 27 (9) :98-111
URL: http://rjms.iums.ac.ir/article-1-6498-en.html
17. Yozbatiran, N., Yildirim, Y., & Parlak, B. (2004). Effects of fitness and aquafitness exercises on physical fitness in patients with chronic low back pain. The Pain Clinic, 16(1),35-42. https://doi.org/10.1163/156856904322858684
18. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. doi: 10.1016/S0140-6736(16)30970-9. Epub 2016 Oct 11. PMID: 27745712.
19. Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel). 2016 Apr 25;4(2):22. doi: 10.3390/healthcare4020022. PMID: 27417610; PMCID: PMC4934575.
20. Karagülle M, Karagülle MZ. Effectiveness of balneotherapy and spa therapy for the treatment of chronic low back pain: a review on latest evidence. Clin Rheumatol. 2015 Feb;34(2):207-14. doi: 10.1007/s10067-014-2845-2. Epub 2014 Dec 23. PMID: 25535198.
21. Barker AL, Talevski J, Morello RT, Brand CA, Rahmann AE, Urquhart DM. Effectiveness of aquatic exercise for musculoskeletal conditions: a meta-analysis. Arch Phys Med Rehabil. 2014 Sep;95(9):1776-86. doi: 10.1016/j.apmr.2014.04.005. Epub 2014 Apr 24. PMID: 24769068.
22. Mirmoezzi M, Irandoust K, H'mida C, Taheri M, Trabelsi K, Ammar A, Paryab N, Nikolaidis PT, Knechtle B, Chtourou H. Efficacy of hydrotherapy treatment for the management of chronic low back pain. Ir J Med Sci. 2021 Nov;190(4):1413-1421. doi: 10.1007/s11845-020-02447-5. Epub 2021 Jan 6. PMID: 33409843.
23. Jamshidi, A. (2014). Low back pain educational programs and quality of life in women living with chronic low back pain: a semi experimental study. Iranian Journal of Health Education and Health Promotion, 2(1), 49-56.http://journal.ihepsa.ir/article-1-96-en.html
24. Amini, M., Ghasemi, G. Comparison of the Effect of Barreausol and Pilates Exercises on Quality of Life of Women with Chronic Low Back Pain. Journal of Paramedical Sciences & Rehabilitation, 2020; 9(1): 7-17. doi: 10.22038/jpsr.2020.44652.2045. https://jpsr.mums.ac.ir/article_15212.html?lang=en .
25. Riyahi Malayeri, S., Mirakhorli, M. The Effect of 8 Weeks of Moderate Intensity Interval Training on Omentin Levels and Insulin Resistance Index in Obese Adolescent Girls. Sport Physiology & Management Investigations, 2018; 10(2): 59-68. https://www.sportrc.ir/article_67070.html?lang=en .
26. Riyahi Malayeri, S., Nikbakht, H, Gaeini (2014). Serum Chemerin Levels and Insulin Resistance Response to High- Intensity Interval Training in Overweight Men. Bulletin of Environment, Pharmacology and Life Sciences, 3(2), pp. 385-389.
