Effectiveness of Water-Based Exercise/Aquatic Exercise for Individuals with Low Back Pain: a Literature Review
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Ajeng Adela Selandani
Salma Anas Rusmanto
Azzahra Putri Callista Hana
Dzakiya Diena Karimah
Jihan Nabila Ramadhani
Afinda Krisdeana Octafiani
Arif Pristianto
Abstract
Background: Low back pain (LBP) is a common complaint that affects many individuals and can significantly reduce quality of life. Water-based exercise has been proposed as an effective therapeutic method to reduce pain and improve physical function in patients with LBP. Methods: A literature review was conducted by searching for relevant studies in reputable medical databases. Inclusion criteria included studies that compared water-based exercise with land exercise in individuals with LBP. Results: Studies show that both water-based exercise and land exercise are effective in reducing low back pain. However, water-based exercise tends to overestimate its effect due to publication bias. Nonetheless, water-based exercise provided a significant reduction in VAS scores. Land exercise showed additional benefits with significant improvements in emotional role and physical function on the SF-36, as well as a decrease in the ODI. Conclusion: Based on a literature review of seven selected articles, waterbased exercises have been shown to be effective in reducing pain in cases of low back pain (LBP). However, its application must consider the technical conditions and medical history of the patient.
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Copyright (c) 2025 Azzahra Putri Callista Hana Hana, Selandani, Salma, Kiya, Jihan, Afinda, Arif Pristianto
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References
Makkiyah FA, Sinaga TA, Khairunnisa N. A Study from a Highly Populated Country: Risk Factors Associated with Lower Back Pain in Middle-Aged Adults. J Korean Neurosurg Soc. 2023;66(2):190-198.
Siregar SD, Manalu P, Ginting R, Hulu VT, Siallagan JCP. Complaints of Low Back Pain in Tailors. J Kesehat Masy. 2023;18(3):437-445.
Winata SD. Diagnosis dan penatalaksanaan nyeri punggung bawah dari sudut pandang okupasi. J Kedokteran Meditek. 2014.Sribastav SS, Long J, He P, He W, Ye F, Li Z, et al. Risk Factors Associated with Pain Severity in Patients with Non-Specific Low Back Pain in Southern China. Asian Spine J. 2018;12(3):533.Maher C, Underwood M, Buchbinder R. Non-Specific Low Back Pain. Lancet. 2017;389(10070):736-47. doi: 10.1016/S0140-6736(16)30970-9.
Putra BL, Santoso TB, Musrifah I. Physiotherapy Management in Low Back Pain Cases Et Causa Ischialgia Dengan Tens, Eswt, Exercise, Dan Stretching: Case Report. In: Prosiding University Research Colloquium; 2024 Mar.
Riandini S. Effectiveness of Water Based Exercise Therapy on Motor Ability in Post-Stroke Patients. J Med Health Sci. 2020;7(3).
Peng MS, Wang R, Wang YZ, Chen CC, Wang J, Liu XC, et al. Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients with Chronic Low Back Pain: a Randomized Clinical Trial. JAMA Netw Open. 2022;5(1).
Pires 2014
Indrawan AB, Dianita EM, Nggorong WP. Pengaruh Akuatik Exercise Terhadap Nyeri Pada Pasien Low Back Pain: Systematic Review. 2021.
Da Luz Jr MA, Costa LOP, Fuhro FF, Manzoni ACT, Oliveira NTB, Cabral CMN. Effectiveness of Mat Pilates or Equipment-Based Pilates Exercises in Patients with Chronic Nonspecific Low Back Pain: a Randomized Controlled Trial. Phys Ther. 2014;94(5):623-31.
Nemčić T, Budišin V, Vrabec-Matković D, Grazio S. Comparison of The Effects of Land-Based and Water-Based Therapeutic Exercises on The Range of Motion and Physical Disability in Patients with Chronic Low-Back Pain: Single-Blinded Randomized Study. Acta Clin Croat. 2013;52(3):321-6.
Ragia MK, Nasar HM, Abedl-Aal PD, Nabil M. Aquatic Versus Land-Based Exercise In Treatment of Chronic Mechanical Low Back Pain. Med J Cairo Univ. 2021;89(Jun):753-60.
Balci NÇ, Aytar A, Atici E, Taşkin G, Gülşen M, Demirsoz M. The effect of aquatic and land exercises on pain, health related quality of life, kinesiophobia and disability in chronic low back pain: a randomized clinical trial. J Novel Physiother Phys Rehabil. 2020;7(2):62-7.
Phattharasupharerk S, Pure Pong N, Eksakulkla S, Siriphorn A. Effects of Qigong Practice in Office Workers with Chronic Non-Specific Low Back Pain: a Randomized Control Trial. J Bodyw Mov Ther. 2019;23(2):375-81.
Cuesta-Vargas AI, Adams N, Salazar JA, Belles A, Hazañas S, Arroyo-Morales M. Deep Water Running and General Practice in Primary Care for Non-Specific Low Back Pain Versus General Practice Alone: Randomized Controlled Trial. Clin Rheumatol. 2012;31:1073-8.
Ragia MK, Nasar HM, Abedl-Aal PD, Nabil M. Aquatic Versus Land-Based Exercise In Treatment of Chronic Mechanical Low Back Pain. Med J Cairo Univ. 2021;89(Jun):753-60.
Pires D, Cruz EB, Caeiro C. Aquatic exercise and pain neurophysiology education versus aquatic exercise alone for patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(6):538-547. https://doi.org/10.1177/0269215514549033