The Effect of Eight Weeks Aquatic and Dynamic Neuromuscular Stabilization Exercises on Postural Sways and Foot Pressure Distribution Symmetry in Patients with Nonspecific Chronic Low Back Pain |
Paper ID : 1647-SSRC-13TH |
Authors |
behnoosh Najafi Ghagolestani1, Farzaneh Gandomi *2, shirin Assar3 1MSc, Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Razi University, Kermanshah, Iran 2Sports Injuries and Corrective Exercises Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran. 3Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermananshah, Iran. |
Abstract |
Background: Low back pain is the most common musculoskeletal disorder that is the cause of disability and absence from the work which is defined as pain in the lumbar or sacral region. Objective: The aim of this study was to assess the effect of eight weeks of aquatic and dynamic neuromuscular stabilization (DNS) exercises on postural sways and the plantar pressure distribution symmetry (PPDS) in patients with non-specific chronic low back pain (n-CLBP). Methods: Thirty-six n-CLBP patients were randomly divided into three groups: DNS group (n = 12), aqua exercises (n = 12) and control (n = 12). The PPDS and postural sways were assessed by PT-scan. The training groups participated in the training interventions for 8 weeks (three times per week) and the control group did not receive any treatment during this period. Data analysis was performed by paired t-test, ANCOVA and Mix-ANOVA and Bonferroni's post hoc test with SPSS software version 22. Results: The results of this study showed that, there was no significant difference between groups in postural sways and the PPDS (p>0/05). Also, paired sample t-test results showed that intervention groups had significant differences in PPDS, center of pressure path length and sways area from pre-tests to post-tests (P <0.05). Moreover, the aqua group had reduced in standard deviation of center of pressure medial-lateral sways (SDx) (p<0/05). Conclusion: According to the results of the current study, aqua and DNS exercises improve postural sways and PPDS in patients with n-CLBP. Therefore, in rehabilitation programs, the use of DNS exercises by activation of spinal stabilizing muscles similar to common aqua exercises is recommended to improve patients' postural sways and the PPDS. |
Keywords |
Keywords: non-specific chronic low back pain, postural sways, dynamic neuromuscular stabilization exercises, aqua exercise |
Status: Abstract Accepted (Oral Presentation) |