| Abstract [eng] |
The aim of research work: To evaluate the impact of water physiotherapy (WP) to lumbar spine functional status of working age population in chronic low back pain Problematic question: Does water physiotherapy effectively improve lumbar spine functional status of working age population in chronic low back pain Tasks of work: 1. To analyze and evaluate the impact of water physiotherapy to low back pain decrease of working age population 2. To analyze and evaluate the impact of water physiotherapy to to lumbar spine mobility and strength of working age population Materials and methods: The systematic review was carried out from 2021 September to 2022 February using online database PubMed to search for articles published in English between 2011 January 1st and 2021 December 31st. The search carried out according to methodology of PICO, selection of articles according to methodology of PRISMA. The object: the impact of water physiotherapy to lumbar spine functional status. The subject: working age population in chronic low back pain Selection criteria: working age population (18- 65 years) in chronic low back pain; lumbar mobility or strength and/ or pain evaluation indicator, independently from evaluation indicator; articles released between 2011 January 1st and 2021 December 31 st in English; anyone state. Results: The systematic review of the literature includes 10 articles investigating the effects of water physiotherapy in working-age individuals suffering from chronic lower back pain. In the study analyzed pain index and lumbar function: indicators of mobility and strength assessment. The greatest effect on lumbar mobility is 8 weeks, 3 times/ week frequency, 55-60 min. duration WP program (10 min. warm-up, 15–20 min resistance exercises, 20–25 min aerobic exercise, 10 min cooling). The greatest effect on lumbar strength is 8 weeks, 2-5 times/ week frequency, 55-60 min. duration of the WP program (warm-up, resistance and aerobic exercises, cooling) and leg abduction and extension, bending forward while holding the water-resistant material, torso rotation, squatting and arm movements. LBP has the greatest impact on the same program as the strength and 15 weeks. 3 times/ week frequency combined physical therapy program (20 min. water physiotherapy, 60 min. mobility, motor and resistance exercises, education and manual therapy). Conclusions: 1. Water physiotherapy significantly decreases low back pain, however, there is no significant difference compared to the land-based physiotherapy; 2. Water physiotherapy significantly increases the mobility and strength of the lumbar spine, but is not a more effective method than a land-based physiotherapy. |
