Plus Deep Water Running on Low Back Pain

Study Overview
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Brief Summary
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Objectives: To evaluate the effect size on non-specific chronic low back pain (CLBP) of evidence-based physiotherapy (EBP) with and without the addition of deep water running (DWR) on pain, physical disability and general health state. Materials and methods: Randomized, double-blind, controlled trial (therapists and assessors) involving 46 persons with CLBP over 15 weeks with two interventions, presented three times a week. Each group received EBP (personalized exercise program, manual therapy and health education) while one group performed supplementary 20 min sessions of DWR at the individualized aerobic threshold. Measurements were made pre and post intervention for pain, disability and general health. Range of motion of lumbar spine in the sagittal plane, maximum isometric strength and muscle endurance of lumbar and hip extensors was assessment.

Official Title
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Evidence-Based Physiotherapy With and Without Deep Water Running on Non-Specific Low Back Pain. A Randomized Controlled Trial

Conditions
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Low Back Pain

Intervention / Treatment
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* Procedure: GP in Physio
* Procedure: GP in Physio plus DWR


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants were diagnosed with non-specific CLBP, with no radiation to the legs, and lasting at least three months Exclusion Criteria: Low back pain as a result of specific spinal disease, infection, tumor, osteoporosis, fracture, structural deformity, inflammatory disorder, radicular syndrome or caudal equine syndrome Patients not able to follow instructions Patients with any digressive condition

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: General Practice (GP) in Physio plus Deep water running<br>A supplementation of Deep Water running exercises of 20 minutes in high intensity around aerobic thresholds estimated in individual land and water test | Procedure: GP in Physio plus DWR<br>* GP in Physio plus a supplementation of DWR training in high intensive aerobic threshold<br>|
| Experimental: General Practice in Physio<br>A procedure of evidence-based physiotherapy is usual care in pragmatic trial | Procedure: GP in Physio<br>* manual therapy, educational advice of health promotion and physical exercises therapy based in a individual assessment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain in VAS |  | scale 0 -100, pre and post intervention and follow up 6 and 12 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| disability RMQ |  | scale 0-24, pre and post intervention and follow up 6 and 12 month | 
| general (mental and physical) health state with SF-12 |  | scale 0 -100, pre and post intervention and follow up 6 and 12 month | 
| functional Measurements: range on motion in degrees with inclinometer dual, strength with lineal dynamometer (newton) and endurance muscular with soerensen test (seconds) |  | scale physica of degrees, newtons and seconds pre post intervention and 6 and 12 month of follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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head out water immersion,, high intensity exercise,, evidence-based physiotherapy;, aquatics;, hydrotherapy, aquatics therapy, exercise therapy