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.

Autor: Carvalho RGS; Colegiado de Educação Física, Universidade Federal do Vale do São Francisco, Petrolina-PE, Brazil. Electronic address: rodrigocarvalhofisio@gmail.com., Silva MF; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: marianaf.fisio@gmail.com., Dias JM; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil; Medicine School, Universidade Estadual de Mato Grosso do Sul, Campo Grande-MS, Brazil. Electronic address: lainne@hotmail.com., Olkoski MM; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil; Department of Forest Engineering, Agroveterinary Sciences Center, Universidade do Estado de Santa Catarina, Lages-SC, Brazil. Electronic address: mabelolkoski@hotmail.com., Dela Bela LF; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil; Universidade Positive, Curitiba-PR, Brazil. Electronic address: laisdb@hotmail.com., Pelegrinelli ARM; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil; Laboratory of Applied Biomechanics, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: alexandrepelegrinelli@hotmail.com., Barreto MST; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: simone_barreto_@hotmail.com., Campos RR; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: rehdecampos@hotmail.com., Guenka LC; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: guenkaleandro@gmail.com., Facci LM; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: ligiafacci@hotmail.com., Cardoso JR; Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina-PR, Brazil. Electronic address: jeffcar@uel.br.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2020 Oct; Vol. 49, pp. 102195. Date of Electronic Publication: 2020 May 27.
DOI: 10.1016/j.msksp.2020.102195
Abstrakt: Background: Aquatic exercise (AQE) programme is commonly used as an alternative to the chronic low back pain (CLBP) treatment. The addition of aquatic aerobic exercises to AQE may be beneficial to patients with CLBP.
Design: Randomised controlled trial.
Objectives: To assess the effectiveness of AQE with the addition of aerobic exercise - deep-water running (DWR) - compared to exclusive AQE in improving disability, lumbar pain intensity, and functional capacity in patients with CLBP.
Methods: Fifty-four adult patients with CLBP were randomised either to the experimental group (AQE + DWR) or the control group (AQE). An assessor who was blinded to the group allocation performed both pre- and post-interventions assessments. Both treatments lasted 9 weeks, with a 3-month follow-up. The primary outcome was disability, as evaluated using the Roland Morris Disability Questionnaire. The secondary outcomes were pain and functional capacity; pain was assessed using a visual analogue scale (VAS), and functional capacity (travelled distance) was measured using the 6-min walk test (6WT).
Results: A significant difference in pain was observed between groups after intervention in favour of DWR (mean difference -1.3 cm [95% confidence interval (CI) -2.17 to -0.45], d‾ = 0.80 [95% CI 0.22 to 1.33]).
Conclusion: Treatment with DWR was effective in the short term for achieving the desired outcome of pain reduction when compared with AQE only but not for disability and functional capacity.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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