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Volume 15, Issue 3 (Summer 2025)
PTJ 2025, 15(3): 183-194 |
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Ashoury H, Yalfani A, Arjipour M. Water Kinetic Exercises’ Effects on Pain, Plantar Pressure, Disability, and Kinesiophobia in Chronic Low Back Pain: An Randomized Clinical Trail. PTJ 2025; 15 (3) :183-194
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 Sport Pathology and Corrective Movements, Faculty of Sport Sciences, Bu Ali Sina University, Hamedan, Iran. & Department of Physical Education and Sport Sciences, Payame Noor University, Tehran, Iran.
2- Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran.
3- Departments of Neurosurgery, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran.
3- Departments of Neurosurgery, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (883 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 (CLBP). This study aimed to evaluate the influence of closed and open kinetic chain exercises in water on plantar pressure variables, pain, disability, and kinesiophobia in men with non-specific chronic LBP (NSCLBP).
Methods: Using a pre-post-test design, this randomized controlled trial included patients between the ages of 40 and 60 who had NSCLBP. The patients in the control group had a mean age of 50.4±5.43 years, while the mean ages of the patients in the open and closed kinetic chain hydrotherapy (HT) groups were 46.1±6.06 and 47.8±5.43, respectively. The results incorporated measurements of plantar pressure variables, pain, disability, and kinesiophobia using a plantar pressure device, the visual analog scale, the Oswestry disability index, and the Tampa Kinesiophobia scale (TSK). For eight weeks, the intervention groups adhered to the exercise routine. The group differences were compared using an analysis of covariance.
Results: 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) on the y-axis(mm) (F2=18.599, P=0.001, η²=399).
Conclusion: HT could potentially alleviate pain, disability, and kinesiophobia as it adjusts plantar pressure variables. The aforementioned outcomes highlight HT’s therapeutic benefits for persistent lumbar pain and overall physical health enhancement.
Methods: Using a pre-post-test design, this randomized controlled trial included patients between the ages of 40 and 60 who had NSCLBP. The patients in the control group had a mean age of 50.4±5.43 years, while the mean ages of the patients in the open and closed kinetic chain hydrotherapy (HT) groups were 46.1±6.06 and 47.8±5.43, respectively. The results incorporated measurements of plantar pressure variables, pain, disability, and kinesiophobia using a plantar pressure device, the visual analog scale, the Oswestry disability index, and the Tampa Kinesiophobia scale (TSK). For eight weeks, the intervention groups adhered to the exercise routine. The group differences were compared using an analysis of covariance.
Results: 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) on the y-axis(mm) (F2=18.599, P=0.001, η²=399).
Conclusion: HT could potentially alleviate pain, disability, and kinesiophobia as it adjusts plantar pressure variables. The aforementioned outcomes highlight HT’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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