Aquatic Therapy University

Below are 7-8 abstracts from our 8000+ entry database that help make the case for LBP. Of special interest, as part of our popular Evidence-Based Aquatic Therapy Polyclinic for the Musculoskeletal Client class, we can put together a digital package of brochure samplers, website content, and Powerpoint presentations for the polyclinic site... so that when we leave, you have a working campaign.

Find over 15 aquatic conferences listed at www.swimatu.com (Note: the EBAT class is a required part of our ATU Credentialing Path.)

Authors
Dundar,U.; Solak,O.; Yigit,I.; Evcik,D.; Kavuncu,V.
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; 2009-2010; Best1; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Geriatric; Geriatric Bibliography (Incl. Geriatric Only); LowerExtremities; Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); PEDRO; Spine;
Title
Clinical effectiveness of aquatic exercise to treat chronic low back pain: a randomized controlled trial
Periodical, Full
Spine
Periodical, Abbrev
Spine (Phila Pa.1976)
Pub Year
2009
Pub Date Free Form
Jun 15
Volume
34
Issue
14
Start Page
1436
Other Pages
1440
Descriptors
Adult; Chronic Disease; Disability Evaluation; Exercise/physiology; Exercise Therapy/methods; Female; Humans; Low Back Pain/physiopathology/therapy; Male; Pain Measurement/methods; Questionnaires; Spine; Musculoskeletal; Swimming/physiology; Time Factors; Treatment Outcome; Best; Back; Pain; Low Back Pain; Lower Extremities; Geriatric; PEDRO; GeriatricGeneral; 1990-2011
Abstract
STUDY DESIGN: This study was a prospective, randomized, controlled study. OBJECTIVE: To compare the effectiveness of aquatic exercise interventions with land-based exercises in the treatment of chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA: Land-based exercise and physiotherapy are the main treatment tools used for CLBP. Clinical experience indicates that aquatic exercise may have advantages for patients with musculoskeletal disorders. METHODS: A total of 65 patients with CLBP were included in this study. Patients were randomly assigned to receive aquatic exercise or land-based exercise treatment protocol. Aquatic exercise program consisted of 20 sessions, 5 x per week for 4 weeks in a swimming pool at 33 degrees C. Land-based exercise (home-based exercise) program were demonstrated by a physiotherapist on one occasion and then they were given written advice The patients were assessed for spinal mobility, pain, disability, and quality of life. Evaluations were performed before treatment (week 0) and after treatment (week 4 and week 12). RESULTS: In both groups, statistically significant improvements were detected in all outcome measures (except modified Schober test) compared with baseline. However, improvement in modified Oswestry Low Back Pain Disability questionnaire and physical function and role limitations due to physical functioning subpart of Short-Form 36 Health Survey were better in aquatic exercise group (P < 0.05). CONCLUSION: It is concluded that a water-based exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based exercise.


Authors
Waller,B.; Lambeck,J.Author Profile Available, possible match rating 1 out of 5; Daly,D.Author Profile Available, possible match rating 5 out of 5
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; 2009-2010; Best1; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Geriatric; Geriatric Bibliography (Incl. Geriatric Only); LowerExtremities; Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); PEDRO; Pregnancy; Pregnancy Bibliography (Incl. Pregnancy + Mix of Women's Health); Spine;
Title
Therapeutic aquatic exercise in the treatment of low back pain: a systematic review
Periodical, Full
Clinical rehabilitation
Periodical, Abbrev
Clin.Rehabil.
Pub Year
2009
Pub Date Free Form
Jan
Volume
23
Issue
1
Start Page
3
Other Pages
14
Descriptors
Adult; Exercise Therapy; Female; Humans; Hydrotherapy; Low Back Pain/rehabilitation; Male; Pregnancy; Pregnancy Complications/rehabilitation; Swimming; Back; Pain; Low Back; Spine; Musculoskeletal; Best; Lower Extremities; Systematic Review; Geriatric; PEDRO; GeriatricGeneral; 1990-2011
Abstract
OBJECTIVE: To examine the effectiveness of therapeutic aquatic exercise in the treatment of low back pain. DESIGN: A systematic review. METHODS: A search was performed of PEDro, CINAHL (ovid), PUBMED, Cochrane Controlled Trials Register and SPORTDiscus databases to identify relevant studies published between 1990 and 2007. POPULATION: Adults suffering from low back pain. INTERVENTION: All types of therapeutic aquatic exercise. COMPARISON: All clinical trials using a control group. OUTCOMES: Oswestry Disability Index, McGill Pain Questionnaire, subjective assessment scale for pain (e.g. visual analogue scale) and number of work days lost as a direct result of low back pain. Methodological quality was assessed using the PEDro scale and the SIGN 50 assessment forms. RESULTS: Thirty-seven trials were found and seven were accepted into the review. Therapeutic aquatic exercise appeared to have a beneficial effect, however, no better than other interventions. Methodological quality was considered low in all included studies. The heterogeneity among studies, in numbers of subjects, symptoms durations, interventions and reporting of outcomes, precluded any extensive meta-analysis of the results. CONCLUSION: There was sufficient evidence to suggest that therapeutic aquatic exercise is potentially beneficial to patients suffering from chronic low back pain and pregnancy-related low back pain. There is further need for high-quality trials to substantiate the use of therapeutic aquatic exercise in a clinical setting


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Authors
Sivan,M.; Sell,B.; Sell,P.Author Profile Available, possible match rating 1 out of 5
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Geriatric; Geriatric Bibliography (Incl. Geriatric Only); Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); Spine;
Title
The outcome of a functional restoration programme for chronic low back pain
Periodical, Full
Irish journal of medical science
Periodical, Abbrev
Ir.J.Med.Sci.
Pub Year
2008
Pub Date Free Form
Nov 4
Descriptors
Geriatric; Spine; Musculoskeletal; GeriatricGeneral; 1990-2011
Abstract
BACKGROUND: Multidisciplinary rehabilitation programmes have been successfully advocated for chronic low back pain. AIM: The aim of the study was to establish the functional and vocational outcome of a 3-week functional restoration programme. LEVEL OF EVIDENCE: IV, Uncontrolled clinical series. METHODS: One hundred and eighteen chronic low back pain patients underwent a 100-h programme consisting of back exercises, hydrotherapy, gymnasium work education and cognitive behavioural therapy. OUTCOME MEASURES: Oswestry Disability Index (ODI), Roland Morris (RM), 'patient global assessment tool' and work status scores were completed pre-programme and at least 1 year post programme. RESULTS: The ODI score improved by 15.6% (95% CI 11.8-19.4) and RM score by 4.6 points (95% CI 3.6-5.6). The proportion of patients who were seriously affected in the workplace had dropped from 59 to 22%. More than 85% of patients were satisfied with the outcome. CONCLUSION: Functional restoration programme improves the functional activity and vocational status of patients with chronic low back pain.


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Authors
Barone,D.; Gangaway,JMK
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; Best1; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Geriatric; Geriatric Bibliography (Incl. Geriatric Only); Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); PEDRO; Spine;
Title
Aquatic physical therapy for low back pain: what are the outcomes?
Periodical, Full
Journal of Aquatic Physical Therapy
Periodical, Abbrev
J AQUATIC PHYS THER
Pub Year
2007
Pub Date Free Form
2007
Volume
15
Issue
2
Start Page
18
Other Pages
24
Descriptors
Aquatic Exercises; Low Back Pain -- Rehabilitation; CINAHL Database; Cochrane Library; Physical Therapy Practice, Evidence-Based; Physiotherapy Evidence Database; PubMed; Systematic Review; Treatment Outcomes; Human; Geriatric; Back; Low Back; Low Back Pin; Pain; Spine; Spinal; Best; Musculoskeletal; PEDRO; GeriatricGeneral; 1990-2011
Abstract
Background: APT (APT) is a pool based treatment program developed to take advantage of the properties of water in order to reduce stress on the joints and muscles by reducing the effects of gravity on the body. APT generally benefits those with low back pain (LBP). The warm water reduces muscle tone and pain, and the buoyancy reduces joint compressive forces associated with land-based treatment. Purpose: The purpose of this literature review is to assess the available literature related to aquatic PT treatment of patients with orthopedic LBP tp find available evidence, and identify areas of future exploration. Method: A systematic review of available and relevant articles was conducted using main databases including Pubmed, Pedro, Cochrane, and CINAHL. Results: Overall, aquatic PT has been found to allow for early initiation of exercise and a shorter rehabilitation period. The articles reviewed have also found that aquatic therapy reduces pain, increases the quality of life and functional mobility, and increases range of motion (ROM) and strength in patients with low back injuries.


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Authors
Centre for Reviews,and Dissemination
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; Best1; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Geriatric; Geriatric Bibliography (Incl. Geriatric Only); Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); PEDRO; Spine;
Title
Aquatic physical therapy for low back pain: what are the outcomes? (Structured abstract)
Periodical, Full
Journal of Aquatic Physical Therapy
Pub Year
2007
Volume
15
Issue
2
Start Page
18
Other Pages
24
Descriptors
Exercise; Hydrotherapy; Low Back Pain; Low Back Pain/*therapy; Swimming; Treatment Outcome; Water; Geriatric; Back; Low Back; Musculoskeletal; Spine; Pain; Best; PEDRO; GeriatricGeneral; 1990-2011
Notes
Record Status: unmodified; commented; Authors Objective: To assess the evidence for aquatic physical therapy (APT) for orthopaedic low back pain (LBP).; Sources Searched: PubMed, PEDro, CINAHL, Hooked on Evidence and the Cochrane Library were searched. The aquatic therapy bibliography (APTA) was also searched and references were cross‐checked. The search terms were reported but not the search dates. Only studies published in peer‐reviewed journals were eligible for inclusion in the review.; Search Criteria: No validity assessment was carried out beyond the assignment of a level of evidence.; Data Extraction: The authors did not state how the data were extracted for the review, or how many reviewers performed the data extraction.; Results of the Review: Fourteen studies (n=801) were included in the review, of which three were RCTs (n=453), two were cohort studies (n=101), one was a case study (n=1), five were described as experimental studies (n=124) and three were described as quasi‐experimental studies (n=122). The largest RCT (n=258) found that pregnant women randomised to a water gymnastics group had significantly lower pain intensity than women in the control group in the second half of pregnancy (p=0.031). There was no significant difference between the groups in number of days of sick leave, but significantly fewer women in the APT group were on sick leave due to LBP after weeks 32 to 33 of gestation (p=0.031). A second RCT (n=95) assessed group hydrotherapy in patients with chronic LBP and back and leg pain. A number of measures were assessed, of which only functional status showed a significant difference between the groups, favouring the intervention (p=0.04). The third RCT (n=100) compared balneotherapy with balneotherapy plus exercise or exercise alone. Significant improvements on a number of measures of ROM and flexibility were observed in the balneotherapy groups (p<0.001) but not in the exercise group, which showed improvements only on pain score (p<0.05). Statistical comparisons between the groups were not reported. Other study designs reported variable results for a range of different forms of APT. The most frequent positive outcome was pain reduction; full results were reported in the paper.; Review Funding Body: Not stated.; Author's Conclusions: APT assists patients with LBP in improving pain, ROM, strength, quality of life and functional mobility. It allows early initiation of exercise and a shorter rehabilitation period.; CRD Commentary: The review addressed a clear question and the inclusion criteria were clearly if broadly defined, except for the outcomes. The authors searched a number of relevant databases, but the decision to limit the search to studies published in peer‐reviewed journals might have increased the possibility that some relevant studies were not included in the review. The authors did not report using review methodology designed to reduce reviewer bias and error, nor did they report carrying out a validity assessment. The decision to adopt a narrative synthesis was clearly appropriate given the clinical and methodological heterogeneity between the studies. The authors' conclusion generally reflects the evidence presented in the review, but does not fully take account of the poor quality and heterogeneous nature of much of that evidence. In the absence of an assessment of the validity of the included studies, it is difficult to assess the reliability of the conclusions or the recommendation for practice.; Implications: Practice: The authors stated that APT is supported for a short rehabilitation period. Research: The authors stated that RCTs comparing APT with land‐based therapy, which focus on categorical diagnoses related to LBP, are required.;



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Authors
Intveld,Esther; Cooper,Stephanie; van Kessel, GiselaAuthor Profile Available, possible match rating 4 out of 5
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; 2009-2010; 2010; Best1; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); Pregnancy; Pregnancy Bibliography (Incl. Pregnancy + Mix of Women's Health); Spine;
Title
The Effect of Aquatic Physiotherapy on Low Back Pain in Pregnant Women
Periodical, Full
International Journal of Aquatic Research & Education
Pub Year
2010
Pub Date Free Form
05
Volume
4
Issue
2
Start Page
147
Other Pages
152
Descriptors
*PHYSICAL therapy; *RECREATIONAL therapy; *BACKACHE; *BACK; *DISEASES; PREGNANT women; AQUATIC resources; Pregnancy; Pain; Low Back; Low Back Pain; Musculoskeletal; Spine; Best; 1990-2011
Abstract
This study evaluated the effect of antenatal aquatic physiotherapy sessions on low back pain in pregnant women. Thirty-three subjects (31.8 ± 4.8 years) participated in a prospective, quantitative, repeated measures, within subjects design. Low back pain was measured using a Numerical Rating Scale immediately before and after each session. The subjects significantly improved their post session pain scores by an average of 44%. Pain did not increase significantly from the beginning to the end of the course of sessions as is normally expected in this population, and the number of sessions made no significant difference. This finding suggests that attending once a week may contribute to the management of low back pain for pregnant women.


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Authors
Kim,Y.S.Author Profile Available, possible match rating 2 out of 5; Park,J.Author Profile Available, possible match rating 2 out of 5; Shim,J.K.Author Profile Available, possible match rating 5 out of 5
Folders
1980-2010; 1990-2010; 2000-2010; 2005-2010; 2009-2010; 2010; Best1; Effects of Immersion & Exercise Bibliography (Incl. Physiological Effects + Psychological Effects + Edema + Body Composition + Thermoregulation + Musculoskeletal); Geriatric; Geriatric Bibliography (Incl. Geriatric Only); LowerExtremities; Musculoskeletal; Musculoskeletal Bibliography (Incl. Musculoskeletal + Athlete + Body Composition); Neurological; Neurological and Metabolic Bibliography (Incl. Neurological + Metabolic); Proprioception; Spine;
Title
Effects of aquatic backward locomotion exercise and progressive resistance exercise on lumbar extension strength in patients who have undergone lumbar diskectomy
Periodical, Full
Archives of Physical Medicine and Rehabilitation
Periodical, Abbrev
Arch.Phys.Med.Rehabil.
Pub Year
2010
Pub Date Free Form
Feb
Volume
91
Issue
2
Start Page
208
Other Pages
214
Descriptors
Adult; Diskectomy/rehabilitation; Humans; Intervertebral Disk Displacement/physiopathology/rehabilitation/surgery; Isometric Contraction; Lumbar Vertebrae; Male; Muscle Strength; Posture; Recovery of Function; Resistance Training; Swimming; Treatment Outcome; Best; Gait; Ambulation; Proprioception; Spine; Musculoskeletal; Lower Extremities; Surgery; Diskectomy; Pain; Weight Bearing; Geriatric; Neurological; GeriatricGeneral; 1990-2011
Abstract
OBJECTIVE: To compare the effects of aquatic backward locomotion exercise and progressive resistance exercise with a machine on lumbar extension strength in patients who have undergone diskectomy for a lumbar disk herniation. DESIGN: Prospective comparative study. SETTING: Department of Kinesiology at a state university. PARTICIPANTS: Male patients (N=30) with disk herniation at spinal levels L3 to S1 completed this study as subjects. INTERVENTION: After the diskectomy for a lumbar disk herniation, all patients had 6 weeks of rest time. At the end of the rest period, the aquatic backward locomotion exercise and progressive resistance exercise groups, respectively, started first 6 weeks of underwater training and lumbar extension training twice per week. After completion of the first 6-week training, subjects participated in a second 6-week training. After the whole 12-week training, subjects had no training for 6 weeks (detraining) and a follow-up 6-week training (retraining). The control (CON) group did not undergo any training. MAIN OUTCOME MEASURES: For each test, maximum voluntary isometric lumbar extension strength was measured in 7 trunk positions (72 degrees , 60 degrees , 48 degrees , 36 degrees , 24 degrees , 12 degrees , and 0 degrees of the trunk angle). RESULTS: The progressive resistance exercise and aquatic backward locomotion exercise groups showed increases in lumbar extension strength after the first 6-week training, although they were not statistically different from the CON group. After a second 6-week training, the progressive resistance exercise and aquatic backward locomotion exercise groups showed statistically significant increases in their strength levels as compared with the CON group. After the detraining period, the strength levels of the progressive resistance exercise and aquatic backward locomotion exercise groups did not statistically differ from the CON group. After the retraining period, the progressive resistance exercise and aquatic backward locomotion exercise groups showed increases in their strength levels, which were different from that of the CON group. CONCLUSIONS: The results obtained suggested that the aquatic backward locomotion exercise is as beneficial as progressive resistance exercise for improving lumbar extension strength in patients after lumbar diskectomy surgery.