A comparative study on aquatic exercises and land-based exercises for obese low back ache population (Ramdomized Controlled Trail)

Abstract

Background: Low back pain (LBP) is One of the most common conditions in clinical medicine. It
affects the region that is between the gluteal folds and the lower rib cage. the lumbar region is the most
often affected location. Between 65 and 80 percent of people are predicted to suffer from LBP at some
point in their lives. It is also the second most common cause to see a doctor and the third most common
reason for surgery. There are many reasons that can cause the low back pain, in that obesity also is the
main reason for the low back ache Sedentary lifestyles and obesity are risk factors that lead to the
development of persistent low back ache. Obesity is defined as a BMI of 30 kg/m2 or higher. In the adult
population worldwide, 13% of people over the age of 18 were obese in 2016 (11% of men and 15% of
women). Between 1975 and 2016, the prevalence of obesity nearly tripled world-wide. Obesity and
overweight are linked to higher overall mortality as well as death. The For people who are obese and
have chronic low back pain, it's often hard to stay active and manage pain in everyday life because of
physical challenges and discomfort. (LBP). Regular exercise has a good impact on a number of variables,
such as body composition, functional capacity, QOL, musculoskeletal discomfort, and feelings of
disability from pain. Several exercise regimens, including yoga-Pilates, resistance training, aerobics,
manual therapy, thermotherapy, electrotherapy used to reduce pain. current study was compared the
effects of aquatic exercises and land-based exercises for low back pain obese patients.
Methods: comparative study was undertaken on 40 obese patients with back pain based on gender
differentiation, age group was 30 to 60, class I obesity BMI is 30.0 to 34.9, and depends on site of pain.
Aquatic group has 20 patients, land-based group has 20 patients both groups were received their exercise
program for 6 weeks Analysis of data with in group and between the groups of the pre and post treatment
values of function and pain was done using pair t test and independent t test.
Results: Both groups showed significant improvement in Oswestry low back disability questionnaire and
visual analogue scale but group A i.e. aquatic group shows effective results then group B (land based) in
the statistical analysis. there was a significant difference between the two groups (group A and group B)
i.e. p < 0.005.
Conclusion: Group A displayed greater progress than Group B. When compared to the baseline, all
outcome markers revealed statistically significant gains in both groups. In terms of physical function,
role limitations brought on by physical functioning, and the modified Oswestry Low Back Pain
Disability scale, the water exercise group shown more improvement.