This study aims to learn about the effects of aquatic and land exercises on managing chronic low back pain in adults aged 18-65. The participants engage in a 12-week supervised land and water-based exercise program. The main questions this study aims to answer are: * How effective are aquatic exercises on low back pain, functional disability, Kinesiophobia, sleep quality, and overall quality of life? * Is aquatic therapy more effective than land exercises for treating LBP or vice versa?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
32
The aquatic exercise intervention consists of structured, supervised, water-based exercises designed and delivered by an experienced physiotherapist specifically for individuals with chronic low back pain. Sessions are conducted in a temperature-controlled swimming pool with proper warm-up and cool-down. The intervention follows a progressive intensity approach with easy, medium, and hard approaches.
The land-based exercise intervention mirrors the aquatic exercise protocol regarding exercise type, duration, frequency, and progression but is performed on land.
St. Leonard building, The University of Edinburgh
Edinburgh, United Kingdom
Pain Intensity
Pain intensity is measured by the Numerical Pain Rating Scale where the participants will report their pain as 0 (no pain) and 10(worst imaginable pain).
Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Functional Disability
Functional disability is assessed by the Roland-Morris Disability Questionnaire, a 24-item self-reported measure evaluating the impact of low back pain on daily activities.
Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Health-Related Quality of Life
Quality of Life is assessed by the Short-Form Health Survey 36, a validated questionnaire measuring the eight physical and mental health domains.
Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Sleep Quality
The Pittsburgh Sleep Quality Index measures the sleep quality, its scores measured from 0-21, with higher scores indicating poor sleep quality.
Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Kinesiophobia (Fear of Movement-Related to Pain)
Kinesiophobia is measured with the Tampa Scale of Kinesiophobia, a 17-item questionnaire designed to measure the fear associated with the chronic pain and movement.
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Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Dynamic Balace Performance
The Y balance test measures dynamic balance by measuring stability while reaching in three directions: anterior, posteromedial, and posterolateral.
Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Hamstring Flexibility
The active knee extension test is a clinical measure of the hamstring flexibility.
Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).