Low back pain, hydrotherapy, abdominal muscles
Conditions
Interventions
An abdominal progression protocol hydrotherapy consists of five different positions that evolve gradually was applied in a group of patients with chronic low back pain.
The initial number of study par
Other
E02.779
Sponsors
Faculdade de Fisioterapia da Universidade Católica de Pelotas
Faculdade de Fisioterapia da Universidade Católica de Pelotas
Eligibility
Sex/Gender
Female
Age
35 Years to 55 Years
Inclusion criteria
Inclusion criteria: Female patients; patients who experience pain in the lower back for at least three months; between the ages of 35 and 55 years.
Exclusion criteria
Exclusion criteria: Patients who have received physical therapy for low back pain in the last two months; patients in pregnancy ; hypertensive patients not controlled ; infectious diseases; genetic disorders ; oncological diseases , neurological diseases ; cognitive changes that do not understand verbal commands ; Phobia water; urinary or fecal incontinence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of backache after 15 hydrotherapy sessions . Assessed before and after each service through the Visual Analogue Scale . This instrument was used to assess the intensity and pain perception , ranging from 0 to 10, 0 is not pain and 10 is maximum pain a person can. ;There was a statistically significant difference between pre hydrotherapy pain before starting the study and post hydrotherapy at the end (p < 0.001). The pain was analyzed using the Wilcoxon signed-rank test demonstrating the value 5,11 in the 1st session and 1,67 to finish the procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improved functional capacity after the last hydrotherapy session , valued at 1 ° and 15 ° session through the IFO survey ( Functional Index of Oswestry ) used for functional assessment of low back pain measures and incorporating physical activity. The degree of functional disability is classified by : Minimum dysfunction , moderate dysfunction , severe dysfunction and functional disability. Increased muscle strength of upper abdominal and lower after 15 hydrotherapy sessions . Muscle strength was evaluated in the first and last session for comparison of results . This was assessed through two specific tests for abdominal region by Lovett scale. ;The Oswestry Functional Index was applied before the intervention and obtained 27% of participants with degree of functional disability, which is the most serious degree of this scale . At the end of treatment only 11% of patients remained in this classification. In the first evaluation of higher no patient abdominal strength obtained Normal graduation or Good . In the last evaluation , after 15 hydrotherapy sessions , more than half of the participants were classified in the top three strength grades of this test (Normal = 11% Good= 11% and Regular+= 33%). After the intervention , no patient had the worst graduation. In the first evaluation of lower abdominal strength it was verified that no participant reached the Normal graduation for these muscles . After the protocol application it was found that 22% of participants obtained the normal level to the lower abdomen. | — |
Countries
Brazil
Contacts
Public ContactFernanda Prieto
Universidade Católica de Pelotas
Outcome results
None listed