Effect of aquatic versus conventional therapy in treatment of chronic low back pain /
تأثير العلاج المائي مقابل العلاج التقليدي في علاج آلام اسفل الظهر المزمنة
Marwa Mahmoud Mahfouz Mahmoud ; Supervised Ragia Mohamed Kamel , Ahmed Hassan Yosry , Magda Gaid Sedhom
- Cairo : Marwa Mahmoud Mahfouz Mahmoud , 2018
- 139 P. : charts , facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University -Faculty of Physical Therapy - Department of Basic Science
Background: Chronic Low Back Pain (CLBP) is one of the most common problem of back dysfunction. The recent literatures recorded that up to 90% of the worlds population suffer from low back pain at some point in their life which cause of disability in people and represents social and economic problems in most countries. Purpose: To compare between the effect of aquatic and conventional therapy on pain level, functional disability and Lumbar Range of Motion (ROM) in subjects with CLBP. Subjects: Forty subjects (22 males and 18 females) were diagnosed as CLBP, their age ranges from 30 to 50 years randomly assigned into 2 groups. Subjects in Control Group (A) (n=20) mean ± SD age (39.2 ± 3.42) ys, weight (82.15±6.13) kg, height (172.45±4.59) cm, and Body Mass Index (27.6 ± 1.47) kg/m² they received conventional therapy (infrared, ultrasonic, interferential, and therapeutic exercises). Subjects in Experimental Group (B) (n= 20) mean ± SD age (40.45±3.66) ys, weight (81.25±8.67) kg, height (172.15±6.22) cm, and Body Mass Index (27.34 ± 1.55) kg/m² they received aquatic therapy in 3 phases (warm up, progressive aquatic exercises, and cool down) the duration of intervention was given for 3 days/week for 6 weeks. Outcome measurements such as pain using Visual analogue scale (VAS), functional disabilities using Oswestry Disability Index Questionnaire (ODI) and lumber ROM using Inclinometer were measured before and after intervention. Results: There was statistically significant improvement in values of post-treatment in both groups compared with pre-treatment in pain percent of improvement for group A was 54.86% and 57.74% for group B (P< 0.0001), functional disability percent of improvement for group A was 55.46% and 58.95% for group B (P< 0.0001), And improving lumbar ROM, for group A was 46.63%, 18.79%, 20.98%, 22.17% (P< 0.0001) for lumbar flexion, extension, Right, and Left side bending respectively, and for group B was 46.96%, 22.85%, 20.18%, 23.31% (P< 0.0001). Conclusion: It is concluded that both aquatic and conventional therapy have similar effect on reducing pain severity, functional disability, and improving lumbar ROM in chronic low back pain patients