.jpg)
Effectiveness of DBC Active Spine® and Hydrotherapy Interventions on Pain and Disability Due to Non-Specific Low Back Pain
Abstract
Background: Low Back Pain (LBP) is one of the most common painful condition that leading to disability and become a major public health problem. Non-specific low back pain accounts for almost 90% of all cases. This study aims to determine the effects of land-based exercise using Documentation Based Care (DBC) Active Spine® and Hydrotherapy interventions on pain and disability due to Non-specific Low Back Pain (NLBP).
Methods: A Quasi-experimental study on 24 samples obtained using a purposive sampling technique by considering the inclusion and exclusion criteria. The first and second groups consisted of 12 samples each receiving the hydrotherapy and DBC Active Spine® intervention. Measurement of pain and disability using the VAS and MODI instruments was carried out in the first intervention and the sixth intervention. The paired sample t-test was used to see the effect of each DBC Active Spine® and Hydrotherapy intervention on pain and disability. Independent sample t-test was used to see if there was a significant difference between the two interventions in reducing pain and disability.
Results: The normality and homogeneity tests showed that the data obtained were normally distributed and had a homogeneous variance. DBC Active Spine® showed significant results on VAS and MODI which p-value=0.001 (the mean changes in VAS and MODI were 2.58 ± 0.90 and 13.33 ± 11.82, respectively). Hydrotherapy intervention showed statistically significant in VAS and MODI with p-values of 0.002 and 0.001 respectively (the mean changes in VAS and MODI were 2.33 ± 0.98 and 27.83 ± 9.00). Independent Sample T-Test showed insignificant results. The mean difference in VAS was 0.25 ± 0.38 (p-value 0.752), while the mean difference in MODI was 14.5 ± 4.3 ( p-value 0.277).
Conclusion: DBC Active Spine® and Hydrotherapy interventions have a significant effect on reducing pain and disability in NLBP patients. There was no statistically significant difference between the two interventions.
Keywords
Full Text:
PDFReferences
Burns SA, Cleland JA, Rivett DA, Snodgrass SJ. Effectiveness of physical therapy interventions for low back pain targeting the low back only or low back plus hips: a randomized controlled trial protocol. Braz J Phys Ther. 2018 Sep 1;22(5):424–30.
Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020 Dec 19;396(10267):2006–17.
Mallapiang F, Azriful, Nildawati, Syarfaini, Muis M, Adriansyah. The relationship of posture working with musculoskeletal disorders (MSDs) in the weaver West Sulawesi Indonesia. Gac Sanit. 2021 Jan 1;35:S15–8.
Knezevic NN, Candido KD, Vlaeyen JWS, van Zundert J, Cohen SP. Low back pain. Vol. 398, The Lancet. Elsevier B.V.; 2021. p. 78–92.
Wang X, Song W juan, Ruan Y, Li B chu, Lü C, Huang N, et al. Core muscle functional strength training for reducing the risk of low back pain in military recruits: An open-label randomized controlled trial. J Integr Med. 2022 Mar 1;20(2):145–52.
Franca FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular strengthening in chronic low back pain - a comparative study. Clinics. 2010;65(10):1013–7.
Wun A, Kollias P, Jeong H, Rizzo RR, Cashin AG, Bagg MK, et al. Why is exercise prescribed for people with chronic low back pain? A review of the mechanisms of benefit proposed by clinical trialists. Vol. 51, Musculoskeletal Science and Practice. Elsevier Ltd; 2021.
Psycharakis SG, Coleman SGS, Linton L, Valentin S. The WATER study: Which AquaTic ExeRcises increase muscle activity and limit pain for people with low back pain? Physiotherapy (United Kingdom). 2022 Sep 1;116:108–18.
Ansari S, Elmieh A, Alipour A. The effect of aquatic exercise on functional disability, flexibility and function of trunk muscles in postmenopausal women with chronic non-specific low back pain: Randomized controlled trial. Sci Sports [Internet]. 2021;36(3):e103–10. Available from: https://doi.org/10.1016/j.scispo.2020.07.003
Schitter AM, Radlinger L, Kurpiers N, Frei P. Application areas and effects of aquatic therapy WATSU – A survey among practitioners. Complement Ther Clin Pract. 2022;46:101513.
Salm DC, Belmonte LAO, Emer AA, Leonel L dos S, de Brito RN, da Rocha CC, et al. Aquatic exercise and Far Infrared (FIR) modulates pain and blood cytokines in fibromyalgia patients: A double-blind, randomized, placebo-controlled pilot study. J Neuroimmunol. 2019;337(August):577077.
Cha HG, Shin YJ, Kim MK. Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial. Hong Kong Physiotherapy Journal. 2017;37:39–45.
Garcia MK, Joares EC, Silva MA, Bissolotti RR, Oliveira S, Battistella LR. The Halliwick Concept, inclusion and participation through aquatic functional activities. Acta Fisiátrica. 2012;19(3):142–50.
Carvalho RGS, Silva MF, Dias JM, Olkoski MM, dela Bela LF, Pelegrinelli ARM, et al. Effectiveness of additional deep-water running for disability, lumbar pain intensity, and functional capacity in patients with chronic low back pain: A randomised controlled trial with 3-month follow-up. Musculoskelet Sci Pract. 2020 Oct 1;49.
Cha HG, Shin YJ, Kim MK. Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial. Hong Kong Physiotherapy Journal. 2017 Dec 1;37:39–45.
Garcia MK, Joares EC, Silva MA, Bissolotti RR, Oliveira S, Battistella LR. The Halliwick Concept, inclusion and participation through aquatic functional activities. Acta Fisiátrica. 2012;19(3):142–50.
DOI: https://doi.org/10.15408/avicenna.v4i1.30782 Abstract - 0 PDF - 0
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.