Clinical trial NCT06874881: Aquatic and Land Exercises for Chronic Low Back Pain
Official title: Effectiveness of Aquatic and Land Exercises on Chronic Nonspecific Low Back Pain: a Randomised Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Chronic Low Back Pain (non-specific, Uncomplicated)
Keywords: Chronic low back pain
Aquatic therapy
Hydrotherapy
Water-based exercise
Exercise intervention
Land Exercise
Quality of life
Rehabilitation research
Functional Disability
Lead sponsor: University of Edinburgh
Sponsor class: OTHER
First posted: 2025-03-13
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel-group, Randomized Controlled Trial (RCT) design
Primary purpose: TREATMENT

Brief summary: This study aims to learn about the effects of aquatic and land exercises on managing chronic low back pain in adults aged 18-65. The participants engage in a 12-week supervised land and water-based exercise program.

The main questions this study aims to answer are:

* How effective are aquatic exercises on low back pain, functional disability, Kinesiophobia, sleep quality, and overall quality of life?
* Is aquatic therapy more effective than land exercises for treating LBP or vice versa?


Eligibility criteria: Inclusion Criteria:

* Age between 18 and 65
* Both Genders
* Literate in the English language to understand instructions/ to complete a self-report questionnaire.
* Having non-specific Chronic low back pain (≥12 weeks)
* Patient willingness to be a part of any randomly selected treatment groups.

Exclusion Criteria:

* Pregnant Females
* If they had low back pain as the result of diagnosis of severe osteoporosis, spinal bone disorders such as spondylosis and spondylolisthesis, fractures, lumbar spine stenosis, lower limb joint replacement surgery, hip orthosis, ankylosing spondylitis, rheumatoid arthritis, infective or inflammatory disease, compression of the radial nerve, meningitis, arthrosis, lumbar region tumours, Leg length discrepancy, previous back surgery.
* Uncontrolled hypertension, Severe postural hypotension, any heart disease like Left heart failure or exercise-induced angina. Medical illnesses without a medical managing plan in place, e.g., uncontrolled epilepsy, diabetes mellitus. Neurologic deficit, open wounds, current or recurrent radiation treatment.
* Patients with severe depression and psychosis
* People who are already participating in an individually-prescribed exercise programme for LBP.

Aquatic exercises /Pool specific:

* Individuals with hydrophobia/ water-related anxiety, or inability to adapt to an aquatic environment.
* Allergy to chlorine, Severe limiting airway disease
* Faecal or urinary incontinence, diarrhoea, and vomiting.
* Weight more than the emergency evacuation manual handling risk assessment.

Primary outcomes:
measure: Pain Intensity
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
measure: Functional Disability
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Secondary outcomes:
measure: Health-Related Quality of Life
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
measure: Sleep Quality
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
measure: Kinesiophobia (Fear of Movement-Related to Pain)
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
measure: Dynamic Balace Performance
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
measure: Hamstring Flexibility
timeFrame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).
Other outcomes:
Locations:
city: Edinburgh
country: United Kingdom
facility: St. Leonard building, The University of Edinburgh
Study officials:
References: