Article

The aim of this study was to compare the effectiveness of a
combination of aquatic exercise and pain neurophysiology education with aquatic
exercise alone in chronic low back pain patients. DESIGN: Single-blind randomized
controlled trial. SETTING: Outpatient clinic. SUBJECTS: Sixty-two chronic low
back pain patients were randomly allocated to receive aquatic exercise and pain
neurophysiology education (n = 30) or aquatic exercise alone
(n = 32).
INTERVENTIONS: Twelve sessions of a 6-week aquatic exercise programme preceded by
2 sessions of pain neurophysiology education. Controls received only 12 sessions
of the 6-week aquatic exercise programme. MAIN MEASURES: The primary outcomes
were pain intensity (Visual Analogue Scale) and functional disability (Quebec
Back Pain Disability Scale) at the baseline, 6 weeks after the beginning of the
aquatic exercise programme and at the 3 months follow-up. Secondary outcome was
kinesiophobia (Tampa Scale of Kinesiophobia). RESULTS: Fifty-five participants
completed the study. Analysis using mixed-model ANOVA revealed a significant
treatment condition interaction on pain intensity at the 3 months follow-up,
favoring the education group (mean SD change: -25.4+/- 26.7 vs -6.6 +/- 30.7, P <
0.005). Although participants in the education group were more likely to report
perceived functional benefits from treatment at 3 months follow-up (RR=1.63,
95%CI: 1.01-2.63), no significant differences were found in functional disability
and kinesiophobia between groups at any time. CONCLUSIONS:
This study's findings
support the provision of pain neurophysiology education as a clinically effective
addition to aquatic exercise.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS