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Aquatic Exercises in the Treatment of Low Back Pain

SHI Z; ZHOU H; LU L; PAN B; WEI Z; YAO X; KANG Y; LIU L; FENG S
AM J PHYS MED REHABIL , 2018, vol. 97, n° 2, p. 116-122
Doc n°: 186531
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0000000000000801
Descripteurs : CE51 - LOMBALGIE, KA92 - KINEBALNEOTHERAPIE

Low back pain is the most common musculoskeletal condition with a high
prevalence. There was no sufficient evidence to recommend that aquatic exercise
was potentially beneficial to patients with low back pain.
The aim of this study
was to systematically analyze all evidence available in the literature about
effectiveness of the aquatic exercise. DESIGN: A comprehensive search of PubMed,
the Cochrane Library, Embase, and Cumulative Index to Nursing and Allied Health
was conducted from their inceptions to November 2016 for randomized controlled
trials, which concerned the therapeutic aquatic exercise for low back pain. The
results were expressed in terms of standardized mean difference and the
corresponding 95% confidence interval. RESULTS: Eight trials involving 331
patients were included in the meta-analysis, and the results showed a relief of
pain (standardized mean difference = -0.65, 95% confidence interval = -1.16 to
-0.14) and physical function (standardized mean difference = 0.63, 95% confidence
interval = 0.17 to 1.09) after aquatic exercise. However, there was no
significant effectiveness with regard to general mental health in aquatic group
(standardized mean difference = 0.46; 95% confidence interval = -0.22 to 1.15).
CONCLUSIONS: Aquatic exercise can statistically significantly reduce pain and
increase physical function in patients with low back pain. Further high-quality
investigations on a larger scale are required to confirm the results.

Langue : ANGLAIS

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