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These findings suggest the potential benefits of aquatic exercise for people with CLBP.
Aquatic exercise may improve pain and disability, and maintain QoL in patients with CLBP, especially in individuals with low levels of physical fitness. By utilizing the unique properties of water (buoyancy, resistance, flow, and turbulence), a graded exercise program from assisted to resisted movements can be created to suit the patients' needs and function. Water immersion decreases axial loading of the spine and, through the effects of buoyancy, allows the performance of movement that are normally difficult or impossible on land. Įxercising in water has become increasingly popular, and it has been reported that therapeutic aquatic exercise appears to be a safe and effective treatment modality for patients with low back pain. These exercise programs, according to several clinical trials, are effective in decreasing the incidence and duration of CLBP episodes by improving strength and endurance of muscles, by increasing flexibility of soft tissues and aerobic capacity, thus reducing pain and disability, and improving QoL. Recent systematic reviews of exercise have each concluded that exercise is an effective therapy for CLBP. Research has consistently demonstrated that impairments in strength, flexibility, endurance, and obesity are present in many patients with CLBP.
Given the high prevalence and significant economic costs of low back pain, cost-effective management of low back pain requires community-based approaches that use existing infrastructure to help individuals prolong function, minimize pain, and maintain quality of life (QoL). Aquatic Exercise, Chronic Low Back Pain, Disability, Quality of Life, Body Composition, Physical Fitness IntroductionĮxercise therapy is recommended as first-line treatment for patients with chronic low back pain (CLBP).