A comparison of water-based and land-based core stability exercises in patients with lumbar disc herniation: a pilot study


BAYRAKTAR D., GÜÇLÜ GÜNDÜZ A., Lambeck J., YAZICI G., AYKOL Ş., Demirci H.

DISABILITY AND REHABILITATION, cilt.38, sa.12, ss.1163-1171, 2016 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 12
  • Basım Tarihi: 2016
  • Doi Numarası: 10.3109/09638288.2015.1075608
  • Dergi Adı: DISABILITY AND REHABILITATION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.1163-1171
  • Anahtar Kelimeler: stability exercises, Lower back pain, water-based therapy, LOW-BACK-PAIN, MORRIS-DISABILITY-QUESTIONNAIRE, RANDOMIZED CONTROLLED-TRIAL, STABILIZATION EXERCISES, TURKISH VERSION, PHYSIOTHERAPY, VALIDATION
  • Gazi Üniversitesi Adresli: Evet

Özet

Purpose: To determine and compare the effects of core stability exercise programs performed in two different environments in lumbar disc herniation (LDH) patients. Method: Thirty-one patients who were diagnosed with LDH and were experiencing pain or functional disability for at least 3 months were randomly divided into two groups as land-based exercises or water specific therapy. Also, 15 age-sex-matched healthy individuals were recruited as healthy controls. Both groups underwent an 8-week (3 times/week) core stabilization exercise program. Primary outcomes were pain, trunk muscle static endurance and perceived disability level. The secondary outcome was health-related quality of life. Results: Level of static endurance of trunk muscles was found to be lower in the patients compared to the controls at baseline (p < 0.05). Both treatment groups showed significant improvements in all outcomes (p < 0.05) after 8-week intervention. When two treatment groups were compared, no differences were found in the amount of change after the intervention (p > 0.05). After the treatment, static endurance of trunk muscles of the LDH patients became similar to controls (p > 0.05). Conclusion: According to these results, core stabilization exercise training performed on land or in water both could be beneficial in LDH patients and there is no difference between the environments.