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Ashoury H, Yalfani A, Arjipour M. The Influence of Hydrotherapy Kinetic Chain Exercises on Plantar Pressure Variables, Pain, Disability and Kinesiophobia in Men with Non-Specific Chronic Low Back Pain: An Experiment with Randomized Clinical Trial. PTJ 2025; 15 (3)
URL: http://ptj.uswr.ac.ir/article-1-627-en.html
URL: http://ptj.uswr.ac.ir/article-1-627-en.html
1- Department of Corrective Exercises and Sport Injury, Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran.
2- Departments of Neurosurgery and Radiology, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Departments of Neurosurgery and Radiology, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (473 Views)
Purpose: One of the principal factors contributing to absenteeism in the workplace, high utilization of healthcare services, and filing of health insurance claims is chronic low back pain. This study aims is to evaluate the influence of hydrotherapy closed and open kinetic chain exercises on plantar pressure variables, pain, disability and kinesiophobia in men with non-specific chronic low back pain.
Methods: Using a pre-posttest design, this randomized controlled trial included patients between the ages of 40 and 60 who had non-specific chronic low back pain. The patients in the control group were 50.40 ± 5.43 years old, while the mean age of the patients in the open and closed kinetic chain hydrotherapy groups was 46.10 ± 6.06 and 47.80 ± 5.43, respectively. The study's results incorporated measurements of plantar pressure variables, pain, disability and kinesiophobia using plantar pressure device, the visual analog scale, Oswestry Disability Index and tampa kinesiophobia scale. For eight weeks, the intervention groups adhered to the exercise routine. The group differences were compared using analysis of covariance.
Results: Results showed that there was a significant difference in reducing pain (F2 = 112.386, p = 0.001, η2 = 0.801), disability (F2 = 31.581, p = 0.005, η2 = 0.253) and kinsiophobia scores (F2 = 110.700, p = 0.001, η2 = 0.798) between the experimental groups with a significant effect size. Additionally, significant effects of plantar pressure variables were observed on the following measurements: length of the minor axis (mm) (F2 = 6.015, P = 0.004, η² = 0.207), length of the major axis (mm) (F2 = 12.178, P = 0.001, η² = 0.303), sway area (mm²) (F2 = 6.52, P = 0.001, η² = 0.340), path length of sway (mm) (F2 = 6.52, P = 0.048, η² = 0.129), sway velocity (mm/s) (F2 = 9.893, P = 0.001, η² = 0.261), standard deviation on the x-axis (mm) (F2 = 9.21, P = 0.001, η² = 0.248), and standard deviation on the y-axis (mm) (F2 = 18.599, P = 0.001, η² = 0.399).001, η2. 248) and SD on y-axis(mm) (F2 = 18.599, P=0.001, η2. 399).
Conclusion: Hydrotherapy could potentially alleviate pain, disability, kinesiophobia as it adjusts plantar pressure variables. The aforementioned outcomes highlight hydrotherapy's therapeutic benefits for persistent lumbar pain and overall physical health enhancement.
Methods: Using a pre-posttest design, this randomized controlled trial included patients between the ages of 40 and 60 who had non-specific chronic low back pain. The patients in the control group were 50.40 ± 5.43 years old, while the mean age of the patients in the open and closed kinetic chain hydrotherapy groups was 46.10 ± 6.06 and 47.80 ± 5.43, respectively. The study's results incorporated measurements of plantar pressure variables, pain, disability and kinesiophobia using plantar pressure device, the visual analog scale, Oswestry Disability Index and tampa kinesiophobia scale. For eight weeks, the intervention groups adhered to the exercise routine. The group differences were compared using analysis of covariance.
Results: Results showed that there was a significant difference in reducing pain (F2 = 112.386, p = 0.001, η2 = 0.801), disability (F2 = 31.581, p = 0.005, η2 = 0.253) and kinsiophobia scores (F2 = 110.700, p = 0.001, η2 = 0.798) between the experimental groups with a significant effect size. Additionally, significant effects of plantar pressure variables were observed on the following measurements: length of the minor axis (mm) (F2 = 6.015, P = 0.004, η² = 0.207), length of the major axis (mm) (F2 = 12.178, P = 0.001, η² = 0.303), sway area (mm²) (F2 = 6.52, P = 0.001, η² = 0.340), path length of sway (mm) (F2 = 6.52, P = 0.048, η² = 0.129), sway velocity (mm/s) (F2 = 9.893, P = 0.001, η² = 0.261), standard deviation on the x-axis (mm) (F2 = 9.21, P = 0.001, η² = 0.248), and standard deviation on the y-axis (mm) (F2 = 18.599, P = 0.001, η² = 0.399).001, η2. 248) and SD on y-axis(mm) (F2 = 18.599, P=0.001, η2. 399).
Conclusion: Hydrotherapy could potentially alleviate pain, disability, kinesiophobia as it adjusts plantar pressure variables. The aforementioned outcomes highlight hydrotherapy's therapeutic benefits for persistent lumbar pain and overall physical health enhancement.
Type of Study: Research |
Subject:
General
Received: 2024/01/31 | Accepted: 2024/07/21 | Published: 2024/10/1
Received: 2024/01/31 | Accepted: 2024/07/21 | Published: 2024/10/1
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